Supercharging Virtual Health at ChristianaCare
Transforming care through virtual technology At ChristianaCare, we are on a mission to reimagine and truly transform how we deliver care â€” to deliver health, not just health care, to the people we serve. Today we are delivering highly coordinated care through virtual technology in almost every service that we provide, delivering the right care, at the right place and at the right time. We are using data in exciting, powerful new ways, leveraging artificial intelligence and machine learning to deeply engage with patients. We think of it as high-tech for high touch. This transformation will endure because it creates care that is effective, efficient, affordable and radically convenient for the people we serve.
1 | SERVING OUR NEIGHBORS
COVID-19 Program Using iPads to limit exposure to COVID-19 in hospital setting
COVID-19 Employee Virtual Monitoring and Testing Program helps businesses open safely
• iPads have been deployed to all COVID units and for use with patients in isolation to reduce staff exposure, use of personal protective equipment and for use during provider consults. • iPads are currently being deployed to all patient rooms in all facilities.
To help America get back to work safely as restrictions begin to ease from the coronavirus COVID-19 pandemic, ChristianaCare has developed a new virtual telehealth service for businesses and employers that provides daily monitoring of employees for COVID-19 symptoms, testing, if needed, and care for employees who test positive.
ChristianaCare awarded $714,000 FCC COVID-19 grant for underserved populations
The program relies on ChristianaCare’s COVID-19 Virtual Practice and its awardwinning CareVio care management program for daily bi-directional, secure text messaging.
• Expands telehealth and broadband services for vulnerable populations. • Provides smartphones and in-home tablets to enrollees. • Uses continuous pulse oximetry monitoring with at-home devices. • Provides MedPod MobileDoc units for in-home assessment of more seriously ill participants.
• Daily CareVio monitoring for coronavirus symptoms increases safety and eases anxiety. • Nurse assessment and access to provider virtual visits for symptomatic employees. • Over 10 businesses enrolled with over 1,000 employees monitored in multiple languages. • Eight new businesses in the onboarding process, some with a national reach. • Multistate presence.
CareVio Home Monitoring Program checks on COVID-19 patients who leave the hospital and the Emergency Department • Use of bi-directional secure text messaging up to 4 times a day based on seriousness of illness. • Incorporates pulse oximetry for high-risk patients. • 486 patients monitored with only 18 readmissions — a 3.8% readmission rate.
308k TEXT MESSAGES
(MARCH 19 - MAY 22, 2020)
3 | RESPONDING TO THE GLOBAL PANDEMIC
Nationally recognized for innovation and excellence in health care IT
Ranked among the nation’s Best Places to Work in IT — IDG’s Computerworld spotlights ChristianaCare as a top career choice for IT professionals.
5 | NATIONAL LEADERSHIP IN HEALTH CARE IT
ChristianaCare has earned “Most Wired” designation for the 4th consecutive year. This recognition underscores our relentless focus on leveraging technologies to forge deep connections with the communities we serve and helping everyone achieve their personal health goals.
Health & Technology I N N O VAT I O N C E N T E R Shaping the future of health care ChristianaCare's Health & Technology Innovation Center collaborates with our caregivers and community to create solutions that connect people with their health and wellbeing through data and technology via:
The Innovation Challenge — a call for digital health solutions The Innovation Challenge is a biennial event that asks ChristianaCare caregivers to submit ideas for new apps or technology that will help us better care for our patients, improve communication and address today’s health care challenges and tomorrow’s opportunities.
7 | NATIONAL LEADERSHIP IN HEALTH CARE IT
• Community engagement. • Facilitating education & training. • Promoting design-thinking methodologies. • User experience consulting & seminars. • Research & development. • Applying human-centered design. • Software development.
Virtual Health Vision & Strategy
The future of health care is virtual
• Drive value-based care and population health initiatives through virtual digital solutions. • Transform the way care is delivered, including leveraging the home as the new venue. • Leverage virtual and digitally enabled technology to deliver care, eliminate barriers to access and provide entry into other markets and sectors.
The “home” will be the new venue of care
POPULATION HEALTH IS TRUE NORTH
Anything that can be done virtually will be done virtually
Care Management • • • • • • •
Care and disease management Population health analytics Remote monitoring Health education Provider network technology Preventive care and wellness Digital triage
Virtual Provider Care • • • • • • •
Scheduled video visits Unscheduled urgent visits In-home visits Occupational health visits Wellness and preventive care Behavioral health Specialty care
Facility-Based Care • • • • • • •
Virtual vital sign monitoring Telehealth rounds and consults Virtual hospital consultations Care transitions, transportation Patient monitoring Alarm and sensor management Behavioral health
In-Home Services • • • • • •
Hospital at home Skilled nursing and rehab Assistance with daily living In-home assessments and treatment IV therapy Home delivery services
Unleashing the power of data and predictive analytics CareVio is a national, award-winning IT-enabled care management platform that features a multidisciplinary team that includes nurses, social workers, pharmacists and care coordinators who work as care managers for patients in partnership with community providers. • Developed with a $10 million Center for Medicare and Medicaid Innovation (CMMI) grant
ACHIEVING DRAMATIC RESULTS
of patients received influenza vaccine.
of patients received pneumococcal vaccine.
30-day readmission decrease for all participants.
30-day readmission decrease for stage 3 & 4 patients.
Reduced readmission to hospital with Home Biometric Monitoring Program with ReDs Vest.
CareVio members identified at-risk with diabetes as high risk, based on hemoglobin A1c (HbA1C) levels over 9.
of CareVio patients to date have decreased their HbA1C levels to below 9.
• Earned two national awards for improving outcomes: John M. Eisenberg Patient Safety & Quality Award National Patient Safety Foundation Award
• Achieves high engagement rates – 85% of identified members engage with CareVio
13 | CARE MANAGEMENT
One patient, one chart, one experience. • ChristianaCare mobile health app provides the convenience of a virtual visit with a health care provider from a smartphone, computer or tablet. • ChristianaCare’s virtual primary care practice connects patients with a health care provider 24 hours a day, seven days a week, using secure videoconferencing. • Virtual movement disorder visits address access to care issues for patients who need treatment for Parkinson’s disease.
15 | VIRTUAL PROVIDER CARE
High-tech meets high touch The focus of facility-based medicine is to increase efficiency and reduce cost. This innovative design works through: development of integrated virtual services; improved use of in-person care; enhanced provider efficiencies and care transitions; and use of on-demand services.
Healing in Virtual Reality
Tablet is mightier than pen ChristanaCare’s CritiTrac iOS application, developed at our Health & Technology Innovation Center, is designed to reduce variability, better coordinate care delivery and improve data collection during Code Blue events, when a care team rapidly responds to cardiac arrest. The iPad app received national recognition with a FutureEdge 50 Award from IDG’s CIO.
Boosting patient education
Getting ready for chemo — virtually
The Helen F. Graham Cancer Center & Research Institute is using virtual reality to educate patients about what to expect during chemotherapy. A short video walks patients through all points in the process, from the waiting room to blood tests to the pharmacy to treatment.
In October 2018, our virtual reality positive distraction therapy earned the prestigious 2018 Magnet Prize for calming patients’ stress by visually transporting them from the chemotherapy suite to beautiful locales near and far. A pilot study of the program found that all the participants enjoyed the experience and would do it again — with 98% saying it was relaxing and 64% saying it reduced their anxiety and boredom.
Watching over patients with e-ICU
Telestroke: saving time and lives
Translation services via video remote
Enterprise virtual clinical communication
Camera capture advances patient care
Inpatient virtual sitter checks at-risk patients
Our eICU telemonitoring program, one of the first in the U.S., offers stationary and mobile robots that beam intensivists into patient rooms to monitor the sickest patients.
ChristianaCare uses video conferencing with physicians and neurologists to diagnose and find the right treatment for this medical emergency.
Light and portable, the video remote interpreting (VRI) system, essentially an iPad mounted on a pole, allows the patient to speak with a qualified interpreter.
With over 1 million messages sent from April to May this year, Enterprise is a two-way secure messaging solution via smartphone or PC Browser for clinicians.
Camera Capture photographs all pressure injuries and skin abnormalities and creates a visual record securely available to providers.
Virtual surveillance allows remote safety sitters to monitor at-risk falls patients, or those in alcohol withdrawal, with an alerting technology.
17 | FACILITY-BASED CARE
Providing the next generation of care at home Apple health kit offers easy access to patient records ChristianaCare has introduced Health Records on iPhone, an encrypted and highly secure Apple Health app, which brings together hospitals, outpatient services and the existing Apple Health app to make it easy for patients to see their available medical records from multiple providers whenever they choose.
19 | IN-HOME SERVICES
Home monitoring program reduces hospital visits
Pregnancy care app guides every step of the way
TeleResponse interactive voice response (IVR) through ChristianaCare HomeHealth allows patients to take their daily health check through an interactive telephone system when it's most convenient for them. Data is transmitted to caregivers to monitor patient status and reduce hospitalizations and emergency department visits.
This novel app will help guide and encourage moms-to-be through every step of their pregnancy journey, featuring a wealth of wellness resources provided by the medical experts from ChristianaCare. The app will also help moms monitor their health, track their baby's growth, and offer access to the information they need from real obstetric providers.
ChristianaCare’s patient portal connects patients and providers ChristianaCare’s Patient Portal, with over 100,000 users, is a secure way for patients to stay informed about their health records, offering patients a chance to enter their problems, allergies, medications, immunizations and surgical history. Patients are also are able to request an appointment for a doctor’s office service, view upcoming appointments, request a prescription refill and send a message to their health care provider.
â€œ At ChristianaCare we are transforming care based on the vision that everything that can be digital will be digital, and all care that can be done in the home, in the community or on a smartphone will be done in the home, in the community or on a smartphone.â€? Janice E. Nevin, M.D., MPH President and Chief Executive Officer