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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

Using PGHD From Mobile Devices for Diabetes Self-Management
HITEQ Center
/ Categories: Electronic Patient Engagement, Mobile Health

Using PGHD From Mobile Devices for Diabetes Self-Management

An article from the Journal of Diabetes Science and Technology

From the article in the Journal of Diabetes Science and Technology: 

"Health information technology (HIT) is a promising tool to offset challenges physicians face in delivering self-management support, particularly in diabetes. Through HIT, including patient portals, mobile applications, and automated phone technologies, providers and patients can communicate beyond the 15-minute office visit. Health care providers, through automated technology, can send patients reminders and education to support self-management, and can also collect information from patients on self-care activities and other self-assessments.

Such “patient-generated health data” are taking on greater importance in the context of the recent 2009 Health Information Technology for Economic and Clinical Health Act (HITECH), which requires providers to integrate electronic health records (EHRs) into the care environment and demonstrate meaningful use. Although not yet finalized, current proposed recommendations for stage 3 meaningful use, set to take effect in 2016, require participating hospitals and physicians to electronically accept patient-generated health information. While the potential benefits of patient-generated health data are widely appreciated, little is known about how best to integrate them into routine clinical care. Key research questions remain about what patient-generated data would be useful to providers, how and when the data should be captured, and how best to integrate them into clinical workflow."

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Tags: Diabeteschronic diseasemobile healthpatient generated datapatient generated health dataPGHDmedical devicesself-management of blood glucoseSMBG

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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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