will mhealth drive patient engagement?

mHealth 2015:

Will mHealth Drive Patient Engagement?Research and Report Provided by peer60

2mHealth 2015: Will mHealth Drive Patient Engagement? peer60.com

Table Of Contents

Introduction

Key Findings

The Importance of Engaging via Smartphones

Adoption of Smartphone-Based Patient Engagement Solutions

Recognizing Market Share Leaders

Providers Ready To Purchase Now

Smartphone-Based Patient Engagement Mind Share

Recognizing Mind Share Leaders

Not Planning to Adopt

Conclusion

Appendix A

Appendix B: Participating Facilities

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According to comScore1, 182 million Americans owned smartphones as of December 2014. People now connect to the Internet on their phones more often than on a desktop computer. Smartphones are the go-to device for banking, social media, and email.

Because smartphones are ubiquitous in the average American’s life, patient engagement through smartphones seems a logical step. Over the past several years hundreds of millions of dollars have been invested in mHealth companies. As healthcare providers seek ways to improve outcomes in the face of healthcare reform, and accountable care organizations and outcomes based on payment become inevitable, providers need ways to help patients stay engaged.

During the past two weeks of March 2015, we gathered data on mHealth from 257 CMIOs, CMOs, marketing management, and patient access leaders. These hospital leaders provided excellent insights into what they are currently doing about engaging patients, what their plans are for the future, and what vendors and solutions they are looking at to help them. Vendors covered in this report include:

The market for smartphone-based patient engagement is quickly approaching a hockey stick phase of growth. In short, things are about to get exciting for patients, provider organizations, and vendors alike.

1 “comScore Reports December 2014 U.S. Smartphone Subscriber Market Share,” comScore, http://www.com score.com/Insights/Market-Rankings/comScore-Reports-December-2014-US-Smartphone- Subscriber-Market-Share, (Feb 9,2015).

Introduction

EpicCernereClinicalWorksAllscriptsathenahealthRelayHealthSCI Solutions

MyHealthDirectOptumNavisHealthiTriageCastlight HealthPri-Med

MEDITECH ChatterPlugCattailsMDTactio Health GroupMedisys Health NetworkNoMoreClipboard.com

BivarusAxial ExchangeNextGenmProveInfluence HealthSharecare


In this research, we found that patient engagement is critical to:

Improving patient’s individual health decisions (96%) Enabling care coordination (88%)

Enabling population health management (82%) Increasing payment collection rates (51%)

Key Findings

Figure 1: Patient Engagement is Critical To:


Overall providers feel that smartphones are an important piece of the patient engagement puzzle which makes sense since almost everyone practically lives on these devices nowadays. 39% said it was absolutely important to engage patients via smartphone, while 45% said it was important but not critical.

Figure 2: Is Patient Engagement Via Smartphones Important?


Despite providers’ feeling that engagement with patients via smartphones isimportant, when we asked providers if they had adopted those solutions, only 20% had. Those providers that are currently using smartphone-based solutions find it to be valuable to their organization.

73% had not yet adopted a smartphone patient engagement solution. Of those, 12% said they plan to adopt in the next year. 30% plan to adopt, but not until at least next year, and the most surprising finding in all of the data is that 12% said they never plan to adopt such a solution.

In the following sections, we will dive deeper into providers’ plans for adopting smartphone-based patient engagement solutions, along with which vendors they are considering. Of providers who have adopted these solutions, we will discuss the vendors they are using and their demographics.

Figure 3: Does Your Organization Use A Patient Engagement Solution That Is Smartphone Based?


When providers were asked if patient engagement via smartphones is important most providers said yes. Providers from larger hospitals are more likely to feel that patient engagement via smartphone is critically important than providers in smaller hospitals. Why very small hospitals are the outlier in this regard is a bit of a mystery.

Overall, 14% said they thought it was important, but would have a negligible impact. Looking at the breakout by bed size, those from hospitals with fewer than 50 beds were more likely to report that the impact would be negligible, though there were several from each group who felt that way. Those few who said patient engagement via smartphones was “Not at all important” were from hospitals with less than 250 beds.

Figure 4: Is Patient Engagement Via Smartphones Important? (Bed Size)

The Importance Of Engaging via Smartphones


While most healthcare professionals are high on patient engagement via smartphone, CMIOs and Marketing VP/Directors are highest on them. CMO’s, Directors of Patient Access, and VPs of Medical Affairs were more likely to say it is important but not critical.

Figure 5: Is Patient Engagement Via Smartphones Important?


Our research established that patient engagement is important, and most providers think it is important to use smartphones to engage, but how many providers are using this technology currently?

Only 20% of respondents are currently using smartphone-based patient engagement solutions. Of those, 38% were from hospitals with more than 500 beds and 26% were from hospitals with 251-500 beds. Larger hospitals are much more likely to be using smartphone-based patient engagement solutions.

Adoption of Smartphone-Based Patient Engagement Solutions

Figure 6: Do You Currently Use a Smartphone-Based Patient Engagement Solution (Bed Size)


Of those currently using a smartphone-based patient engagement solution, all say it is important to engage via smartphones and none said the impact was negligible, a definite vote of confidence for this technology.

Figure 7: Is Patient Engagement via Smartphones Important? (Providers Currently Using, by Bed Size)


Most patient engagement solutions in use appear to be part of the EHR vendor portfolio. Not surprisingly, Epic was used most often with 31% of total providers. Cerner followed with 12% of providers. eClinicalWorks and Allscripts tie with 8% each, rounding out the top vendors being used.

athenahealth and RelayHealth (McKesson) were both being used at 5% of hospitals, and NextGen at 3%.


Figure 8: Which Patient Engagement Solutions Are You Using?


Those vendors with adoptions at approximately 2% of facilities tend to be best of breed vendors and the market appears to teeming with options. With the exception of MEDITECH, those vendors with adoptions at just a single facility tend to be best-of-breed vendors. This certainly points to the patient engagement market having a plethora of viable options from which to choose. Below are the vendors mentioned:


Figure 9: System Currently In Use (Bed Size)


Recognizing Market Share Leaders

Overall Market Share Leaders


Market Share Leaders - More Than 500 Beds

Market Share Leaders - Fewer Than 500 Beds


Of those that are not yet using smartphone-based patient engagement solutions, 12% said they are planning to purchase a solution within 12 months.

30% said they will adopt but not until at least next year. The vast majority of those are between 100-500 beds.

45% of providers said they are unsure if they will adopt a solution and it was evenly split among different bed size groups.

Providers Ready to Purchase Now

Figure 10: Do You Plan to Adopt a Smartphone-Based Patient Engagement Solution?

Figure 11: Do You Plan to Adopt a Smartphone-Based Patient Engagement Solution?


Of those planning to adopt, 30% are looking at Epic. The biggest group looking at Epic is between 101-250 beds which is fascinating since Epic typically sells and works with larger hospital organizations than this.

Smartphone-Based Patient Engagement Mind Share

Figure 12: Which Patient Engagement Solutions Are You Considering?


Figure 13: Which Vendor Are You Considering? (Bed Size)


Rounding out the top three, Allscripts and Cerner also had a large number of providers considering them. Both Allscripts and Cerner have a large group oforganizations between 250-500 beds looking at them.

Several vendors had a smaller group of providers considering them. eClinicalWorks is being looked at by 9% of providers, followed by NextGen at 7%, My HealthDirect at 6%, athenahealth at 4%, RelayHealth (McKesson) 3%, and Optum at 3%.


Some vendors were mentioned only once (those are included in the “Other” category).


Recognizing Mind Share Leaders

Overall Mind Share Leaders


Mind Share Leaders - Fewer Than 250 Beds

Mind Share Leaders - 251-500 Beds


Mind Share Leaders - More Than 500 Beds


Of those who are not using a smartphone-based patient engagement solution, 14% said they don’t ever plan to adopt one. Most of those are facilities fewer than 50 beds.

When asked why smartphone-based patient engagement technology is not a priority, providers were split fairly evenly between several themes.

Not beneficial or doesn’t meet needs of population (rural, older patients).

Some said they prefer to engage face to face and did not see the benefit of connecting through mobile devices.

Others had more pressing IT priorities to take care of.

Answers in the other category included: it doesn’t fit in our model, not been discussed, worries about HIPAA, and headquarters behind in adopting new technology.

Not Planning to Adopt

Figure 14: Why is mHealth Adoption Not a Priority?


Patient engagement is clearly the next big push not only in mHealth but also in population health management. Patients live on their mobile phones so engaging them in their daily work flow just makes sense. The vast majority of providers agree and will be putting their money where their mouth is in the next few years.

The patient engagement market is rife with potential for vendors and providers both, and what’s truly exciting is that patients may have the most to gain. While most EHR vendors are offering a solution that is garnering attention from their respective customer bases, smaller best-of-breed vendors abound and are being looked at by organizations of all sizes. The availability of viable options is a very good thing for the market. It isn’t hyperbole to say that great things are afoot in healthcare.

This report contains only a portion of the insights we were able to glean. We are happy to share more details with you so for those interested in seeing more, please contact Jeremy Bikman ([email protected]) and he’ll give you a look at what’s behind the curtain. He doesn’t have anything better to do. ;)

Conclusion


Appendix A

Figure 15: Participants By Job Title


Adventist HealthAlameda County Medical CenterAlameda Health SystemAlpena Regional Medical CenterAppalachian Regional HealthcareArnold Palmer Medical CenterAurora Medical Center - OshkoshAvera Dells Area HospitalBaldwin Area Medical CenterBaraga County Memorial HospitalBarton Memorial HospitalBarton Memorial HospitalBayCare HEALTH SYSTEMBaylor Scott & White HealthcareBaystate HealthBolivar Medical CenterBoston Children’s HospitalBozeman Deaconess HospitalBradford Regional Medical CenterBrattleboro Memorial HospitalBrodstone Memorial HospitalBronson Healthcare GroupCentura Avista Adventist HospitalChamplain Valley Physicians’ Hospital Medical CenterChandler Regional Medical CenterChildren’s Hospital of Los AngelesChildren’s Mercy Hospitals & ClinicsChilton Medical CenterCity HospitalCloud County Health CenterColumbia St. Mary’s - Ozaukee CampusCommonwealth of Massachusetts, Department of Public HealthCommunity Hospital of San Bernardino/ St Bernardine Medical CenterCommunity Memorial HealthcenterCovenant Medical CenterCullman Regional Medical CenterDayton Children’s Medical CenterDecatur Morgan Hospital - Decatur General CampusDMC Rehabilitation Institute of Michigan

Doctors Hospital at RenaissanceDodge County HospitalEnglewood Hospital & Medical CenterErie County Medical CenterEssentia Health FosstonExcela Frick HospitalFeather River HospitalFishermen’s Community HospitalFranciscan Medical GroupFranklin General HospitalFranklin HospitalGeneva General HospitalGerber Memorial HospitalGifford Medical CenterGlacial Ridge Hospital DistrictGlacier Medical AssociatesGrady Memorial HospitalGrady Memorial HospitalGreater Baltimore Medical CenterGreenville Health SystemGreenwood Leflore HospitalHalifax Hospital Port OrangeHancock Medical CenterHancock Regional HospitalHanover HospitalHardin Medical CenterHCA SOUTH ATLANTIC DIVISIONHealth CentralHealthmark Regional Medical CenterHoboken University Medical CenterHospital for Special SurgeryHu Hu Kam Memorial HospitalHunt Regional Center at GreenvilleIndiana Regional Medical CenterIndiana University Health Ball Memorial HospitalIndiana University Health Bedford HospitalInova Medical GroupINTEGRIS Baptist Medical CenterINTEGRIS Health EdmondInterfaith Medical CenterIntermountain HealthcareJefferson Hospital

Appendix B: Participating Facilities


John H. Stroger, Jr. Hospital of Cook CountyKadlec Medical CenterKaweah Delta Medical CenterKeck Hospital of USCKings County Hospital CenterKishwaukee HospitalKnox Community HospitalKootenai HealthLake Granbury Medical CenterLargo Medical CenterLee Memorial HospitalLindsay Municipal HospitalLogan Regional Medical CenterLos Alamos Medical CenterLoyola University Medical CenterLSU Health Care Services DivisionMagnolia Regional Health CenterMagruder HospitalMajor HospitalManitoba eHealthMargaret Mary Community HospitalMarietta Memorial HospitalMarshall Medical Center SouthMarshfield Clinic Health SystemMassachusetts General HospitalMaury Regional HospitalMaury Regional HospitalMayo Clinic Health System - Franciscan Healthcare in LaCrosseMayo Clinic Health System in New PragueMcAlester Regional Health CenterMcKay-Dee Hospital CenterMedical Center of Central GeorgiaMedStar Washington Hospital CenterMemorial Healthcare CenterMemorial Hermann Memorial City HospitalMemorial Hospital - HixsonMemorial Hospital of Union CountyMemorial Hospital PembrokeMemorial Medical CenterMemorial Medical Center - San AugustineMemorial University Medical CenterMercy Medical Center - Des MoinesMercy Medical Center - Sioux CityMercy Medical Center Merced CommunityMethodist Olive Branch Hospital

Methodist South HospitalMethodist University HospitalMetro Health HospitalMetroSouth Medical CenterMidland Memorial HospitalMonmouth Medical CenterMount Desert Island HospitalMount Desert Island HospitalMountain View Regional HospitalMunson Medical CenterNathan Littauer Hospital & Nursing HomeNazareth Hospital - MHS-SEPA-NAZNewark Beth Israel Medical CenterNorth Caddo Medical CenterNorth Vista HospitalNorthridge Medical CenterNorthwest Specialty HospitalNovant HealthOak Hill HospitalOchsner Medical Center - Baton RougeOhio Valley Surgical HospitalOhioHealth Marion General HospitalOlmsted Medical CenterOrange Regional Medical CenterOU Medical Center & The Children’s Hospital at OUMedical CenterOwensboro Medical Health SystemPalmetto Health Baptist ParkridgeParkview Regional HospitalPeninsula Regional Medical CenterPenn State Milton S. Hershey Medical CenterPeterson Regional Medical CenterPIH HealthPromedica Bixby and Herrick HospitalsProMedica Health SystemProvidence HospitalProvidence Sacred Heart Medical Center & Children’s HospitalProvidence St. Mary Medical CenterPutnam Community Medical CenterPutnam County HospitalRedington-Fairview General HospitalRegional Medical CenterRice Memorial HospitalRiverside Tappahannock Hospital


Riverside Walter Reed HospitalRochester General HospitalRockdale Medical CenterRuby Valley HospitalRush County Memorial HospitalSacred Heart HospitalSacred Heart HospitalSaint Luke’s East - Lee’s SummitSaline Memorial HospitalSan Juan County HospitalSanta Clara Valley Health & Hospital SystemSantiam HospitalSarah D. Culbertson Memorial HospitalSheridan Memorial HospitalSilverton HospitalSisters of Providence - SPHSMASkyline HospitalSonora Regional Medical CenterSouth Bay HospitalSoutheast Georgia Health System - Brunswick CampusSouthern New Hampshire Medical CenterSouthern Tennessee Regional HealthcareSparrow Carson HospitalSparrow Health System - MISt. Alexius Medical CenterSt. Alphonsus Medical Center - Baker CitySt. Claire Regional Medical CenterSt. Claire Regional Medical CenterSt. FrancisSt. John’s Hospital - BerryvilleSt. John’s Riverside Hospital - Andrus PavilionSt. Joseph Mercy OaklandSt. Joseph’s Community HospitalSt. Joseph’s Regional Medical CenterSt. Mary’s Health Center - Jefferson CitySt. Mary’s HospitalSt. Mary’s HospitalSt. Peter’s University Health SystemSt. Rose HospitalSt. Vincent’s BirminghamStamford HospitalStar Valley Medical CenterSutter HealthSwedish Medical Center - BallardTacoma General HospitalTallahassee Memorial Hospital

Tallahassee Memorial HospitalThe Cambridge HospitalThe Milton S. Hershey Medical CenterThe Moses H. Cone Memorial HospitalThomas HospitalTrinitas HealthTriStar Skyline Medical CenterTufts Medical CenterTyler Healthcare CenterUC HealthUH Geauga Medical CenterUMASS Memorial Medical CenterUNC HospitalsUnited Memorial Medical Center - North CampusUnited Regional Health Care System - 11th Street CampusUniversity of Toledo Medical CenterUniversity of Virginia Medical CenterVictory Medical Center - Craig RanchVirginia Hospital Center - ArlingtonWCA HospitalWellstar Windy Hill HospitalWest Jefferson Medical CenterWilbarger General HospitalWilson N. Jones Regional Medical CenterWinston Medical CenterWooster Community HospitalYork General Hospital

will mhealth drive patient engagement?

Documents

patient engagement puzzle

mhealth companies

patient access leaders

engaging patients

recognizing mind share

population health management

healthcare providers

hospital leaders