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The Quadruple Aim
Quadruple Aim

A Conceptual Framework

Improving the U.S. health care system requires four aims: improving the experience of care, improving the health of populations, reducing per capita costs and improving care team well-being. HITEQ Center resources seek to provide content and direction aligned with the goals of the Quadruple Aim

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Resource Overview

  • Rationale
  • Challenges
  • Approach

Mobile health (mHealth) tools have the potential to play a pivotal role in fostering a sense of greater patient engagement within underserved populations. By facilitating patient use of mHealth applications in collaboration with electronic health record (EHR) and personal health record (PHR) systems there is an opportunity to empower individuals to take a more active role toward managing their health conditions.

The proliferation of consumer mobile health applications and devices is creating new opprotunities for engaging patients in their care and leaves little doubt as to the impact that these tools will have on the way that people manage their health, health information, and health communications with their care providers, family and friends. This shift to increased self-management of health by consumers will change a patient’s relationship with their doctor and the way healthcare is practiced.
The current laws and standards in place to ensure patient’s privacy and health information security will need further review to determine whether mobile health technologies create unique situations that are not yet addressed. This poses many challenges for health centers as to how best to support patient use of these tools and ways in which to incorporate them into their own clincial support systems.

Mobile health characterizes a shift in the point of care for the patient. The point of care has classically been located at the hospital or clinic. Mobile health is beginning to shift this model so that the point of care is more frequently a matter of where the person happens to be located at that time, consequently providing opportunities for more timely care. It is also important to note that these tools help to increase the accessibility of Healthcare to populations where direct access to Healthcare professionals is limited and so health management is more frequently left in the hands of the consumer.

The tools provide in this resource cover a range of different mobile health tools, strategies, and guidelines for consideration as Health Centers seek to leverage these technologies to better engage and activate their patients.

Mobile Health Resources

Managing Chronic Disease with #mHealth
HITEQ Center

Managing Chronic Disease with #mHealth

An article from HIMSS

From the HIMSS article: 

Empowering individuals with chronic disease to better manage their health is shown to prevent complications, improve outcomes and reduce medical costs. However, traditional disease management approaches have largely failed because they are unable to target those who need focused outreach and take an ineffective and expensive “scattershot” approach to patient engagement. Once patients in need of engagement are identified, traditional, telephonic disease management lacks the tools needed to collect actionable data and drive meaningful health improvement. Because it does not adequately connect caregivers, treating physicians and patients, traditional disease management has largely been abandoned on grounds of high cost and low adherence.

Mobile health tools create a low-cost stream of highly actionable clinical data, using readily available cloud-connected sensors, ranging from glucose meters to heart monitors to asthma tools. The mobile platform offers new ways for patients to stay connected to clinicians and bridge barriers to compliance, such as language, transportation and financial considerations. For patients who may miss their diabetes education appointments or ignore educational materials handed out in the office, mobile health tools can bridge the gap by delivering educational support in the right format, at the right time to patients. 

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Acknowledgements

This resource collection was cultivated and developed by the HITEQ team with valuable suggestions and contributions from HITEQ Project collaborators.

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