eHealth Monitoring: How the State of Montana uses Innovation to - - PowerPoint PPT Presentation

eHealth Monitoring: How the State of Montana uses Innovation to Impact Hypertension

Amy Jenks | Bureau Chief Health Plan Operations | State of Montana Edward W. Schwartz, MD | Chief Medical Officer | CareHere

Amy Jenks Bureau Chief, Health Plan Operations State of Montana

Amy Jenks is the Bureau Chief of Health Plan Operations for the State of Montana’s Department of Administration Health Care & Benefits Division. In this role, Amy leads a team of professionals in managing the State of Montana Benefit Plan (State Plan) which provides benefits (ie. medical, prescription, dental, vision, life) for State of Montana employees, retirees, legislators, and covered dependents (approx. 30,000 covered lives). Amy has over 20 years’ experience in the employee benefits profession. Prior to joining the State of Montana in 2016 as the Bureau Chief of Operations, she served eighteen years as the Vice President of Operations for the Montana Bankers Association, leading its for profit subsidiary HealthServe in all aspects

• f self-funded health plan operations, specializing in association health plans.

Additionally, Amy is a life, health and property, casualty licensed insurance agent and holds the designation of Certified Insurance Counselor.

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About the State of Montana

The State of Montana works to improve the health and well-being of it’s approximately 30,000 covered lives. In partnership with CareHere, the State currently offers five Health Centers in Helena, Billings, Missoula, Butte, and

• Anaconda. Additionally, the State offers

programs for Annual Health Assessments, remote patient monitoring of Hypertension and numerous health promotion initiatives.

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The Problem

Ø In 2010, the State’s Health Care & Benefits Division and Department of Health & Human Services partnered to create a pilot project focused on improving blood pressure control for employees and dependents. This pilot project identified plan members with hypertension and offered them an at-home blood pressure cuff. Grant funding was available for the project.

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Ø In 2018, the State of Montana’s grant expired. The Division found the program was of value for members and had to decide how to administer the program going forward. Ø The Division and CareHere came together to design a better solution to improve the health of the State’s hypertensive population.

State of Montana Program Goals

1. Provide a program that educated participants on the risks

• f

hypertension, monitor blood pressure readings, and provide tools to help address abnormal readings.

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2. Use technology to better engage participants in monitoring blood pressure readings. 3. Coordinate care with primary care providers in an effort to better address abnormal readings.

üPrograms designed to remotely monitor, intervene, and educate at-risk & chronic patients üBluetooth enabled BP cuffs, glucometers, scales, fitbits, and wearables üCentralized platform to monitor, educate & intervene proactively or from critical health alerts üPrograms targeting:

üHypertension üDiabetes üObesity* üCardiovascular* üRespiratory* üHospital Avoidance*

What is eHealth Remote Patient Monitoring?

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* Denotes programs scheduled for future development

üProgram launched on 7/1/18 üProgram launched for health center populations in Helena, Billings, Missoula, Anaconda & Butte üPatients enrolled via referral from CareHere provider üThe program currently has 500+ patients enrolled

eHealth Remote Patient Monitoring: State of Montana Hypertension Program

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Enrollment Centers

Engage

1) Provider referral 2) Self-referral

Activate

1) Monitoring & Plan

• f Care

2) Up to 9-Month Program timeline

Graduate

1) BP Trend below 120/80 2) 90 day trend = zero or minimal improvement 3) Patient attains compliance 4) Patient requests removal

eHealth Hypertension Remote Monitoring Program: How it Works

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Outcomes: Participants vs. Non-Participants

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Outcomes: Hypertension Stage Movement

Moving the needle

Hypertension Home Monitoring Program

42%

150

40%

144

1%

4

9%

33

7%

25

Systolic 26%

91

36%

128

24%

85

10%

34

5%

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Diastolic

Hypertensive Stages (start of program)

Systolic Diastolic Decreased Stage No Change Increased Stage Decreased Stage No Change Increased Stage 60% 33% 7% 63% 28% 8%

Hypertensive Stage Movement

16%

57

54%

194

27%

96

3%

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Systolic 24%

84

46%

164

24%

85

1%

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Diastolic

Hypertensive Stages (30+ days in the program)

Normal < 120/80 Stage 1 Prehypertenstion 120/80 - 139/89 Stage 2 Mild Hypertension 140/90 - 159/99 Stage 3 Moderate Hypertenstion 160/100 - 179/109 Stage 4 Severe Hypertension > 180/110 - 139/89

State of Montana Program Next Steps

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• 1. Address CareHere staffing needs to

ensure program monitoring is done proactively.

• 2. Create a remote program that allows a

participant from anywhere in the State with any primary care provider to participate.

• 3. Reporting of value.

Compare non- participating at-risk population with participating population.

• 4. Expansion

into additional disease states.

Th Thank You. Qu Question

• ns?

Am Amy Je Jenks AJenks@m @mt.gov Ed Edward Schwartz, MD ESchwartz@C @CareHere.com

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