Digital Disease Management to optimize care and improve patient outcomes

PGHD Patient Generated Health Data Acuma Health

Patient Generated Health Data (PGHD) Management to Improve Patient Care

February 18, 2020

Optimal Healthcare Data Management Can Achieve Benefits for Patients, Clinicians, and Payers

Patient generated health data (PGHD) is everywhere. There are many healthcare technology apps and devices that assist in patient data collection. Patients are eagerly collecting, tracking, and storing health data such as activity levels, and some are sharing that data with their healthcare providers. Some healthcare providers are utilizing patient data collection to aid in their decision-making to improve patient care. PGHD has the potential to change the healthcare landscape and healthcare stakeholders can leverage PGHD to improve outcomes and reduce costs.

In order to optimally leverage patient generated health data to produce useful insights and improve patient care however, proper patient data collection management is critical as data collected but not properly managed can become useless. Healthcare data is sensitive, personal, and protected by regulations such as the Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule and, as such, healthcare data management can be an intricate process.

When looking to capture, store, and utilize PGHD, healthcare stakeholders need to consider factors such as data privacy and security, data accuracy, data governance, interoperability, and compliance with regulations. Because of this, the process requires careful thought and planning and development of proper PGHD frameworks to ensure optimal healthcare data management and utilization.

What is Healthcare Data Management and Why is it Important?

In a broad sense, healthcare data management is the process of storing, protecting, and analyzing data pulled from diverse sources. Healthcare stakeholders are swamped with patient data collection activities from myriad sources including electronic health records (EHR), electronic medical records (EMR), and of course, PGHD. All these data sources must be effectively managed if the power in the data is to be successfully harnessed and utilized.

“Managing the wealth of available healthcare data allows health systems to create holistic views of patients, personalize treatments, improve communication, and enhance health outcomes.”

Evariant

Optimal healthcare data management,especially with the incorporation of patient generated health data, is important as it provides powerful insights into the patient life story beyond the walls of the medical establishment. This will enable the healthcare provider to better personalize the care offered to patients, improving patient outcomes and reducing costs associated with hospital admissions.

Healthcare data management through healthcare technology and data analytics is invaluable to population health management and precision medicine, driving research and improving health.

Leveraging healthcare technology for best-in-class healthcare data management is also critical if healthcare stakeholders are to remain compliant with regulations. In the era of value-based payments and meaningful use , healthcare data management must be a top priority for all healthcare stakeholders looking to remain relevant and functional in the healthcare space.

Benefits of Optimally Managing Patient Generated Health Data

There are many benefits to be gained from the optimal management of patient data collection and PGHD . There are benefits for a variety of healthcare stakeholders including patients, clinicians, payers, and researchers.

Advantages of Improved Patient Data Collection for Patients

Patients set to benefit from the optimal management of patient generated health data through ways such as:

  • More involvement in their personal healthcare as they take ownership of collecting and sharing PGHD with providers
  • Better engagement and communication with providers
  • Enhanced understanding of health conditions
  • Improved management of health conditions
  • Fewer hospitalizations and reduction in associated costs

Benefits of Optimized Healthcare Data Management for Clinicians

When PGHD is collected, shared with the provider and optimally managed through the use of healthcare technology, clinicians can realize many benefits. These include:

  • A more complete view of the patient’s quality of life over time and beyond the healthcare setting
  • Deeper insight into the patient’s adherence to treatment plans including medication adherence
  • Ability to note trends and intervene in a timely manner before acute episodes of illnesses
  • Better treatment outcomes and reduced hospitalizations
  • Increased patient engagement
  • Better patient retention

Benefits of Well-Managed Patient Data Collection and Management for Payers

Payers in the healthcare space can also benefit from optimal patient data collection and management.  Benefits to payers include:

  • Obtaining value for money by tying reimbursements to shared decision-making between providers and patients through incorporation of PGHD in care decisions
  • Offer incentives for the use of PGHD by providers

Patient Generated Health Data Management Benefits for Researchers

Patient generated health data when properly managed with healthcare technology, can provide a treasure trove of valuable information for researchers helping them to:

  • Conduct comparative effectiveness research to assess medical therapies to determine the best and most cost-effective therapeutic solutions for routine clinical use
  • Advance the field of personalized medicine
  • Develop predictive modelling and analytics
  • Make progress in the field of population health management
  • Monitor patients who are participating in clinical trials

Best Practices in Managing Healthcare Data with Healthcare Technology

Proper healthcare data management can be a daunting task. With the volumes of data that consistently flow into the healthcare system, added to the emerging field of PGHD, healthcare data management can overwhelm even the most seasoned healthcare professional if not done properly. However, the many benefits to be gained by different healthcare stakeholders from optimal healthcare data management, are enough to make the effort worthwhile.

Successfully managing healthcare data with healthcare technology to achieve the greatest benefits involves implementing measurement systems, as was executed in several healthcare case studies.  These measurement systems are designed on certain principles, such as: 

  • fitting the PGHD into the flow of care and using the data to make it easier for clinicians to do their jobs and for patients to engage in self-management and make informed decisions
  • ensuring the PGHD measurement system is co-designed with healthcare stakeholders engagement
  • engaging with patients and clinicians about how to use the PGHD
  • merging PGHD with data from other sources (clinician reports, medical records, claims) for optimal utility of the data
  • continuously improving the PGHD measurement system based on the experiences of users and new healthcare technology

Some healthcare stakeholders have begun optimizing patient generated health data, utilizing it to generate actionable insights and guide decision-making. A 2015 survey among healthcare executives found that 73% reported a positive return on investment (ROI) in healthcare technology  involving PGHD such as wearables that track fitness and vital signs.

“The use of such Digital Health apps in just five patient populations where they have proven reductions in acute care utilization (diabetes prevention, diabetes, asthma, cardiac rehabilitation and pulmonary rehabilitation) could save the U.S. healthcare system an estimated $7 billion per year.”

IQVIA

A congestive heart failure remote monitoring program initiated between Northern Arizona Healthcare and partners aimed to improve the management of patients with chronic diseases and/or high-risk conditions, by connecting patients with home-based medical devices and their care providers to ensure proper patient data collection and sharing of PGHD. An analysis of the program comparing data six months before and after implementation found an achievement of:

  • An average 44% reduction in readmission to the emergency room
  • An average 64% decrease in the number of days hospitalized
  • A reduction of $92,000 in per patient hospital charges

This program is a clear indication of the benefits to healthcare stakeholders that can be derived through successful healthcare data management.

The Dartmouth-Hitchcock Spine Center in Lebanon, NH, is a case study in the optimal use of PGHD to improve treatment outcomes. Patients complete a survey at home using a patient portal or in-office using a touchpad prior to their first visit at the center. The data are analyzed in real-time to create a summary report that is fed into the flow of care for use by the patient and the care provider. The provider also inserts some core clinical data elements into the clinical report and all information gets stored in a data warehouse for analysis and use in the care of the patient.

Overall results from a survey on the system found that over 80% of patients rated the system as“excellent to good” and one-third indicated that the system had led to positive changes in their visits. Approximately 50% of clinicians reported that the system saved time.

The Swedish Rheumatology Quality (SRQ) registry at the Karolinska University hospital, in Stockholm, Sweden, is another example where patient generated health data is incorporated into clinical care for optimal benefits.The SRQ registry is web-enabled and integrates real time, standardized data provided by patients, clinicians, and diagnostic tests. This data is used to improve the outcomes of care for individual patients, at the point of service as care is provided, and in the patient’s home to support self-management, as well as for quality improvement and research.

Efforts by patient care organizations to fit Digital Health tools into clinical practice has progressed, with 540 current clinical trials in the U.S. incorporating these tools and an estimated 20% of large health systems shifting from pilot Digital Health programs to more full-scale rollouts.
IQVIA

Researchers can benefit from well-executed healthcare data management. In one study of a framework for smartphone-enabled PGHD analysis, researchers at the Scripps Translational Science Institutelooked at blood pressure (BP) readings taken at variable times by persons in a study using a smartphone. They were able to detect an approximately 2 mmHg decrease in BP over a six-month trial, despite considerable intra- and inter-individual variation. This technique could prove useful for researchers in future study designs to analyze data as the field of digital medicine grows.

Of course, proper healthcare data management needs healthcare technology, and digital disease management solutions are available on the market to help with this. Ensure that selected solutions offer unified storage that is scalable and highly efficient to meet the requirements of multiple use cases.

Healthcare has become more patient-centric and policies such as value-based care will continue to push this movement forward. Patient generated health data has major potential for improving care, increasing patient engagement, lowering costs, and reducing wastes. However, there are many intricacies to properly leveraging PGHD to realize all these benefits. The process must include systems for proper healthcare data management which is inextricably linked to healthcare technology solutions.

Contact us at Acuma Health, where we assist healthcare stakeholders understand the digital health landscape including the benefits of PGHD, and provide you with solutions to solve your healthcare data management problems.





Patient Generated Health Data (PGHD) Frameworks, Regulations, and Requirements for Healthcare Stakeholders Appropriate PGHD Frameworks Need to Be Put in Place to Ensure Healthcare Stakeholders Comply with Regulatory Requirement

Patient Generated Health Data (PGHD) Frameworks, Regulations, and Requirements for Healthcare Stakeholders

January 22, 2020

Appropriate PGHD Frameworks Need to Be Put in Place to Ensure Healthcare Stakeholders Comply with Regulatory Requirement

The healthcare landscape is changing. Patients are becoming much more interested and invested in their health and care decisions, and their voices and experiences are more important than ever before. Regulators are requiring and/or incentivising the inclusion of the patient’s voice in care delivery. Healthcare providers are increasingly being required to put the patient at the centre of the care they provide, and all healthcare stakeholders must find ways of incorporating the patient’s perspective into their care setting. Healthcare is moving towards what it should have always been about, the patients.

Healthcare Technology and the Rise in Patient Generated Health Data

Facilitated by an explosion in the use of healthcare technology, patients nowadays can collect and keep track of a variety of health indicators such as fitness levels, dietary factors, symptoms, and treatment history, which they can share with their healthcare providers. This patient generated health data has the potential to transform health systems, improving the quality of care and patient outcomes. Patient generated health data (PGHD) as defined by the Office of the National Coordinator for Health Information Technology (ONC) is “health-related data created, recorded, or gathered by or from patients (or family members or other caregivers) to help address a health concern.”

“There are over 318,000 mobile applications available to consumers and more than 340 consumer wearable devices on the market worldwide.”


IQVIA Institute for Human Data Science Report

While PGHD has long been a part of healthcare in ways such as patients keeping track of their weight on paper or telling their providers about their symptoms, the significant increase being seen in the collection of PGHD is due largely to innovative digital health technologies such as wearables, which have become more popular and affordable. Consumer level devices such as the Fitbit and Smart Monitor’s InspyreTM; mobile health (mHealth) applications; and registered medical devices such as blood glucose monitors and interactive weight scales, are all giving the patient the power to easily collect and share their PGHD.

Benefits of Collecting and Sharing Patient Generated Health Data

When combined with existing clinical data, PGHD helps to provide a more fulsome picture of the health of the patient in the everyday environment outside of the care setting, which can be used to better inform care decisions. The collection and sharing of PGHD has benefits for the patient, the provider, and all healthcare stakeholders. These benefits include:

  • Better disease management, especially for chronic conditions
  • Improved patient outcomes through more timely diagnosis, proactive monitoring of changes in routine, and identification of conditions before they get worse
  • Reduced costs due to fewer hospital admissions and readmissions as a result of earlier treatment interventions
  • Decreased penalties from lower readmission rates
  • Increased patient engagement
  • Compliance with federal regulations requiring the incorporation of PGHD in electronic health records (EHRs)
  • Improvements in the healthcare system through big data analytics

Leveraging PGHD can change the digital health game, improving analytics and reducing costs.

Challenges to the Collection and Use of Patient Generated Health Data

Despite the many significant benefits to be derived from collecting and using PGHD, it is not without challenges. The ONC in its whitepaper Conceptualizing a Data Infrastructure for theCapture, Use, and Sharing of Patient-GeneratedHealth Data in Care Delivery and Researchthrough 2024, shares some challenges that may be faced by patients, providers, and healthcare systems:

  • Patients may not understand the advantages to be had in capturing and sharing their PGHD with providers and researchers
  • Patients have different levels of health and technology literacy
  • Data privacy and security concerns
  • Lack of technical infrastructure, workforce capacity, and training in the healthcare system to adequately manage the intake and analysis of the large volumes of PGHD
  • Confirming the validity and accuracy of the PGHD generated by varying devices

Notwithstanding these challenges, the potential and opportunities presented by the proper collection, handling, and use of PGHD in improving care and reducing costs, necessitate the development and implementation of proper frameworks to ensure that PGHD are utilized properly and healthcare stakeholders comply with requisite regulations while incorporating PGHD in their operations.

Proper Frameworks are Critical for Collecting, Storing, and Utilizing Patient Generated Health Data

PGHD are everywhere in the healthcare space. Numerous devices and mHealth applications abound that allow for collecting, storing, and sharing PGHD. Almost all patients are collecting PGHD in some form resulting in large volumes of data. Proper healthcare data management now becomes critical as without this, things get chaotic and the data can become useless. Additionally, data privacy and security issues can lead to non-compliance with regulations and fines. Some pertinent questions to be asked include when seeking to capture and utilize PGHD include:

  • How do we properly collect all this data?
  • How do we ensure the accuracy of the data being collected?
  • How can we separate data that are useful from those that are not?
  • How can we turn the raw data into useful information that can guide care decisions?
  • Where will all this data be stored? Do we have the capability to store large amounts of data?
  • What privacy and security measures do we need to put in place?
  • Can PGHD be incorporated into our EHRs?
  • How do we ensure that we properly handle and utilize PGHD such that we remain in compliance with relevant regulations?

When developing frameworks for the capture, sharing, and use of PGHD, it is critical to ascertain what federal, state, or organizational laws and regulations are relevant to the process to avoid non-compliance

All these questions can be answered with a proper framework in place. Stemming from two pilot demonstrations to test some concepts on the use of PGHD in real-life situations, the ONC has prepared a practical guide offering best practices and questions to consider when developing a policy framework for capturing, using, and sharing PGHD in clinical and research settings. The guide suggests that healthcare stakeholders should consider the following four areas:

  1. Strategic planning: this includes determining the priorities and objectives of the organization, assessing the business case, and securing executive sponsorship and enlisting support at all levels
  2. Defining requirements: identifying patient-facing technologies is covered in this section
  3. Implementation: this incorporates training staff, recruiting and enrolling patients, and reviewing and acting on the PGHD collected
  4. Monitoring and adapting: understanding and adhering to relevant privacy and security laws and regulations is one area should be looked at in this section

Following these steps will help to ensure that a proper structure is in place for leveraging PGHD while remaining compliant with regulations.

Regulations and Requirements on PGHD for Healthcare Stakeholders

One of the main concerns with the capture, sharing, anduse of PGHD, and which has the potential to cause violations to regulations, is privacy and security of the data. The Health Insurance Portability and Accountability Act (HIPAA) Privacy Rule, while not necessarily specific to PGHD, aims to “assure that individuals’ health information is properly protected while allowing the flow of health information needed to provide and promote high quality health care and to protect the public’s health and well being.” This would mean that once a patient shares their PGHD with a healthcare provider or entity covered by HIPAA, it becomes protected under HIPAA and the healthcare organization becomes responsible for protecting the patient’s information. Any violations of HIPAA can lead to costly fines.

The Centers for Medicare and Medicaid Services (CMS), through the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA), requires that healthcare providers integrate PGHD into EHRs using Certified Electronic Health Record Technology (CEHRT).

“For 2020, eligible hospitals, critical access hospitals, and dual-eligible hospitals will have to report to CMS on health information exchange and provider to patient exchange, among other objectives.”


CMS

The Food and Drug Administration (FDA) regulates certain devices and mobile applications and in September 2019, issued a Policy for Device Software Functionsand Mobile Medical Applications to clarify what is regulated. Healthcare stakeholders need to be aware of such policies to ensure they do not inadvertently violate FDA regulations.

There are also regulations that incentivize the use of PGHD and healthcare stakeholders can benefit from leveraging PGHD in their operations. The CMS operates the Promoting Interoperability Program (Meaningful Use) (previously the EHR Incentive Program) which pays eligible professionals, eligible hospitals, and critical access hospitals (CAHs) for meeting a set of standards for the use of CEHRT as part of their practices. Included in this are incentives for incorporating PGHD or data from a non-clinical setting into healthcare operations.

PGHD, spurred by rapidly evolving healthcare technology, is transforming the healthcare sector. There are many benefits to be realized from healthcare stakeholders working with patients to leverage this data, making it work for the patient, theprovider, and the health system. However, there are also challenges, especially regarding data accuracy, security, and privacy.  The large volumes of PGHD being collected by the myriad of devices and mHealth apps available, combined with the need to protect the privacy and security of the patient’s data, make it critical to develop a proper framework for any system being implemented to collect, share, and use PGHD. When developing such a framework, be sure to carry out a check of any regulations or requirement that may impact the collection, sharing, and use of PGHD to ensure compliance.

If you are seeking to incorporate healthcare technology into your organization or need help with leveraging PGHD, contact Acuma Health and we will work with you to find solutions that best suit you needs.


Data Collected from Seizure Monitors Can Improve Outcomes and Reduce Costs of Managing Chronic Conditions

Data Collected from Seizure Monitors Can Improve Outcomes and Reduce Costs of Managing Chronic Conditions

January 8, 2020

Patient Generated Health Data from Smart Watches Ensures Accurate Seizure Tracking and Reporting

Epilepsy is one of the most common neurological illnesses with estimates of approximately 3.4 million people in the US experiencing active epilepsy in 2015. Despite advancements in treatment options and optimal medication management, nearly one-third of patients with epilepsy continue to have seizures. Seizures can negatively impact the overall quality of a person’s life due to their unpredictable nature, occurring at anytime and anywhere. Healthcare technology  has come to the aid of people who have seizures with the development of seizure monitors or seizure alert devices that can detect the onset of a seizure and make an alert so that the individual suffering the seizure can be aided quickly. Good seizure monitors can also provide clinicians with detailed seizure data that can be used in the management of epilepsy.

There are many seizure alert devices on the market including seizure bed alarms or mattress sensors, seizure bracelets and smart watches, and camera/video/infrared devices. The report, “Seizure detection, seizure prediction, and closed-loop warning systems in epilepsy,” explored various seizure detection and prediction systems and noted that accelerometers such as smart watches, detect changes in velocity and direction and may serve to detect motor seizures such as tonic–clonic or myoclonic seizures. The authors found that a smart watch was able to detect 7 out of 8 tonic–clonic seizures in a pilot study. It further noted that the SmartWatch, manufactured by Smart Monitor Inc.:

·         utilized pattern recognition and feature analysis in its built-in seizure detection algorithm

·         can synchronize with a smartphone application via Bluetooth to transmit seizure data to the user’s mobile phone

·         the app can then contact caretakers to alert them of ongoing seizures

It is evident that the patient generated health data collected by smart watches can provide accurate tracking and reporting of seizures. Seizure monitor technology and seizure alert devices are very useful for patient engagement and can produce improved patient outcomes through use of the patient generated health data that they provide. The use of seizure monitors such as smart watches allows for early intervention in patients experiencing seizures, preventing injury, lessening the severity of the seizure, and potentially preventing sudden unexpected death in epilepsy (SUDEP). Seizure monitors also provide objective data that can be leveraged by healthcare providers to adjust therapy, allowing for better management of the patient with epilepsy and resulting in cost savings from reduced hospitalizations.

To find out more about how smart watches and patient generated health data can ensure better management of patient care and costs, download the Guide to Leveraging Healthcare Technology to Improve Management of High Risk Patients.


Internet of Medical Things (IoMT) Offers Significant Opportunities for Forward-Thinking Healthcare Stakeholders

Proactive Healthcare Stakeholders Lead the Way to a Brighter Future of Healthcare

December 16, 2019

Internet of Medical Things (IoMT) Offers Significant Opportunities for Forward-Thinking Healthcare Stakeholders

Most of us are familiar with the term Internet of Things (IoT) which refers to all web-enabled devices – smart cars, smart thermostats, home security systems, fitness watches, internet-enabled kitchen appliances – all devices that connect to each other and to the internet. However, what many of us are less familiar with is the Internet of Medical Things (IoMT), a term used to describe internet-connected devices that can generate, collect, analyze, and transmit medical data, creating a connected infrastructure of health systems and services. Smart devices such as wearables, medical/vitals monitors, MRI scanners, mHealth applications, smart hospital beds, and medication dispensers, are all a part of the IoMT.

“The Internet of Medical Things (IoMT) is an amalgamation of medical devices and applications that can connect to health care information technology systems using networking technologies.”


Alliance of Advanced Biomedical Engineering

The IoMTmarket is estimated to grow to $158.1 billion in 2022, and the number of IoMT devices are expected to top 20 to 30 billion by 2020. There are applications for IoMT in on-body consumer health wearables and clinical-grade wearables; in-home uses such as remote patient monitoring devices; community uses including mobility services that allow passenger vehicles to track health parameters during transit; in-clinic uses such as digital stethoscopes; and in-hospital uses such as wearable defibrillators.

Frost & Sullivan in their take on the IoMT reshaping proactive and coordinated care delivery, noted that there are some disruptive innovations that are possible with the IoMT:

  • Medical-grade wearables and smart implants that communicate patient parameters
  • Virtual assistants at home to help patients and seniors with their self-care, mHealth applications, and smart diagnostic medical devices that support telehealth services
  • Smart cars that can track vitals of passengers during transit
  • Exigency support by drones for emergency response
  • Smart, digitized clinical devices like digital stethoscopes for clinicians in primary care
  • Smart hospital rooms that allow patients to communicate with care teams virtually, from their bedside
  • Kiosks at community centers to improve access to informational services, pharmaceutical products, and telemedicine services.

IoMT is continuing to change the face of healthcare and provides the opportunity for healthcare stakeholders to become more proactive instead of reactive. While patients can use IoMT to monitor, inform and notify them of their health status and notify caregivers of any issues, proactive healthcare stakeholders can leverage IoMT by utilizing the data generated to identify issues before they become critical or to allow for earlier invention. Patient-generated health data can be incorporated into care planning and used to provide more personalized care delivery to the patient. Proactive healthcare stakeholders can utilize predictive care solutions and artificial intelligence (AI) software to intelligently sort through the wealth of data from IoMT devices to deliver relevant data to healthcare providers, as well as to stratify and even predict risks and intervene long before a problem develops.

Major benefits can be derived by both patients and healthcare stakeholders from leveraging the technologies available through the IoMT. Healthcare organizations can achieve better patient outcomes, lower healthcare costs, improve efficiency, and activate new ways of engaging and empowering patients. Traditional healthcare is changing, and proactive healthcare stakeholders need to be on the right side of this change, leveraging the capabilities of the IoMT to improve their care delivery and operational efficiencies.

Contact Acuma Health for ideas on how to derive the benefits offered by the IoMT.


improve patient compliance acuma health

Patients as Partners: 7 Ways to Improve Patient Compliance

November 20, 2019

Improve Patient Compliance Using Patient Generated Health Data and Patient Engagement

Although most commonly used in reference to medication, patient compliance or adherence is how well a patient follows a prescribed medical regimen or treatment plan as it is intended. The duration, frequency, and complexity of the behavior(s) required of the patient,all have an impact on the level of patient compliance.  

“Patient compliance is “the extent to which a person’s behavior (in terms of taking medications, following diets, or executing lifestyle changes) coincides with medical or health advice.”

Patient Compliance and Health Behavior Models

Patient non-compliance is a huge problem for the healthcare industry with reports of non-compliance costing the US economy between $100 and $300 billion dollars annually, inclusive of costs related to avoidable hospitalizations, nursing home admissions, and premature deaths. Another report places the figure even higher, at more than $564 billion dollars annually. To prevent the burden that non-compliance places on the healthcare industry and the economy, improving patient compliance must be a priority for all healthcare stakeholders.

7 Ways to Improve Patient Compliance

Improving patient compliance requires patients to become engaged in their healthcare, taking responsibility for their well-being, and actively participating in their health decisions. Healthcare stakeholders have begun implementing different patient engagement strategies and tools to improve patient compliance and resultant health outcomes. However, for any of these strategies to be successful, healthcare stakeholders need to work with patients as partners and actively engage them in the process. Healthcare organizations can improve patient compliance by:

  1. Devising and implementing policies and procedures that support patient engagement as well as policies that help identify the non-compliant patients
  2. Leveraging patient generated health data to assist in creating treatment decisions
  3. Utilizing available healthcare technology
  4. Facilitating patient education about their illnesses/conditions and how to manage their conditions, including medication management
  5. Including the patient in the decision-making process surrounding their healthcare
  6. Engaging and empowering caregivers to provide patient-centered care
  7. Measuring progress and making changes where necessary

Simplifying the process surrounding the treatment regimen as much as possible will go a long way in improving patient compliance.

Patient Engagement to Improve Patient Compliance

An engaged patient is more likely to be a compliant patient. Healthcare organizations need to invest in patient engagement strategies to improve patient compliance and health outcomes. Policies must be developed and implemented to demonstrate the organization’s commitment to patient engagement and procedures for all staff to follow in engaging patients must also be implemented. Organizations must alsoensure that patients are treated with respect and that the organization feels welcoming to patients. The way patients are treated impacts how much they value the care they are provided by an organization which may also influence how well they comply with their treatment regimen.

“Engaged patients are better able to make informed decisions about their care options.”


WHO Report

Organizations should also (i) ensure that care providers are afforded adequate time with each patient so that they can really communicate with the patient to find out their health status and how their lives outside of the healthcare setting may be impacting their compliance (ii) make it a policy for providers to ask questions such as “What medications are you taking?” and “How often do you take a particular medication?” Providers also need adequate time to educate patients on their chronic conditions and how best to manage them.

Healthcare organizations should utilize technology for patient engagement which can improve patient compliance – employ electronic health records (EHRs) to simplify the patient registration process, facilitate online bill payments, secure messaging, etc. EHRs can also help providers to easily keep track of and update patients’ medications thus facilitating the smooth coordination of a patient’s medications across all healthcare stakeholders. Healthcare organizations should develop patient portals that provide patients with relevant information and facilitate interaction with the healthcare team, and incorporate technology that can make the medication prescription and dispensing process simpler and faster, such as Computerized Physician Order Entry (CPOE) or electronic prescribing (e-prescribing) tools.

Patient Generated Health Data (PGHD) can be Used to Improve Patient Compliance

Patients nowadays are generating a tremendous amount of their health care data on their own through use of technologies such as wearable devices and mHealth apps. Patients are also being monitored remotely through registered medical devices such as the pacemaker and blood glucose monitors that monitor data on heart rate and blood glucose levels. Healthcare organizations should encourage healthcare providers to use PGHD to assist with creating treatment regimens for their patients. Utilizing PGHD in this manner can improve patient engagement and by extension, improve compliance as well. It has been shown that patients were more engaged when PGHD were used during their office visits compared to when PGHD were not used. Patients who see and feel that their healthcare providers are invested in their health and value their contributions including their PGHD, are more likely to be engaged and compliant with treatment plans.

In order to facilitate and encourage the use of PGHD in treatment and care, healthcare organizations can also harness and implement Digital Disease Management Solutions that provides a user-friendly environment to identify changes in disease condition, manage medication adherence and enable easy communication between patients and healthcare providers. Improving patient compliance is essential to reducing disease burden, the cost of chronic care and improving patient outcomes. Healthcare organizations need to take necessary steps to improve patient compliance by treating patients as partners and utilizing available healthcare technologies and PGHD.

Learn more about Acuma Health technologies to help you incorporate patient generated health data into your healthcare organizations or begin leveraging healthcare technology today with this guide.