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The most sophisticated technology in the world will not engage patients and members in health improvement if they are not convinced of the value of the program to their health, the commitment of their providers to the process and the credibility of the entire care team.

Those are some of the findings detailed in Health IT in Care Management to Improve Health and Effect Behavior Change, which describes the enrollment and engagement of patients in telemedicine programs in a variety of care settings.

In this 35-page report, Dr. Randall Williams, chief executive officer, Pharos Innovations, describes the prerequisites for using technologies to engage patients in chronic disease improvement programs, setting the scene for care management and behavior change.

Sharing how technology has enhanced patient engagement and self-management in their specific populations are Katherine Scher, R.N., C.C.M., program manager for the Center for Clinical Care Design at Henry Ford Health System, and Dr. Thomas Kline, medical director, Iowa Medicaid Enterprise. In chronicling the Henry Ford experience, Scher describes how the health system case managers were able to successfully engage a subset of chronically ill patients with the use of telemedicine once its physicians helped to identify the appropriate population and enroll these patients.

In detailing the Iowa Medicaid experience, Dr. Kline demonstrates how telemedicine can be a pivotal health improvement tool for a largely rural population for whom resources are limited, access to care providers is difficult and disease management and care management programs are still in their infancy. Looking to Wagner's Chronic Care Model for inspiration, the Iowa Medicaid program found a way to use telemedicine to engage the patients and get the providers on board.

Both the Henry Ford and Iowa Medicaid experiences demonstrate the benefits of relieving case managers from "case finding" so they can focus on getting patients the care they require for their chronic illness.

In this special report, these industry experts provide details on:

• Maximizing program success with a comprehensive environmental assessment;
• Advantages and challenges of engaging physicians in telephonic and online programs;
• Boosting enrollment results by addressing the consumer's perceived value of the intervention;
• Understanding the consumer's take on the benefit, convenience and ease of integration of interactive technologies;
• Leveraging data and technology to facilitate program introduction;
• Addressing the behavioral healthcare needs of the population;
• Dispelling preconceived notions regarding the ability to locate, engage and communicate and collaborate with underserved populations;
• Four key strategies to engage a largely rural Medicaid population;

Table of Contents

• Using Technologies to Engage Patients in Chronic Disease Improvement Programs
  • Conducting an Environment Scan and Assessment
  • Successful Use of Interactive Technologies
  • Leveraging Data and Technology
  • Collaboration with a Patient-Centered Focus
• Monitoring High-Risk Patients in the Medical Home via Telemedicine
  • Patient Profiles in a Four-Story Medical Home
  • Identifying the Appropriate Population of Patients
  • Partnership Removes Enrollment Burden from Case Managers
• Engaging Medicaid Providers and Patients in a Telephonic Health Improvement Program
  • Coping with the Socioeconomic Barriers of a Diverse Population
  • Encouraging Engagement Through Telephonic Self-Reporting Technology
  • Lessons Learned
  • Evaluating the Engagement Approach in Three Varied Settings
• Q&A: Ask the Experts
  • When Participants Don’t Have Computer Access
  • Data Mining to Identify Unsuitable Patients
  • Frequency of Case Manager-Member Contact
  • Effectiveness of E-Mail Reminders
  • Technologies for Daily Self-Reporting
  • Incorporating HIPAA Compliance into Third-Party Outreach
  • Effectiveness of Live Calls vs IVR Calls
  • Engaging Hard-to-Track Populations
  • Program Duration
  • Measuring Patient Engagement
  • Patient and Physician Engagement and Incentives
  • Interaction Tracking Technology
  • Engaging Local Physicians in the Program
  • Text Messaging Interventions
• For More Information
• About the Authors
• Glossary