Social Media "Likes" Healthcare: From Marketing To Social Business (Report) - Pwc Health Research Institute Page 31
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40feeling pre and post-treatment.
with higher rates of readmission to
guide the physician to have the most
What gaps are they looking to fill?
create specific and targeted patient
valuable, informed interaction possible
The complete patient profile should
strategies. “Our leadership is increas-
at that time,” said Allison Orenstein,
contain several elements that are
ingly interested in understanding
director of physician connectivity and
currently not found in the patient’s
the impact of patient lifestyles on
marketing at CVS Caremark.
medical records. (See Figure 16.)
outcomes,” said David Weiss, the
health system’s senior vice president
The key is determining how to inte-
Information regarding lifestyle
and chief information officer.
grate the social intelligence. For
and behavior could provide addi-
providers, this could be a module
tional insight to factors that affect a
The more information those inter-
within an electronic health record
patient’s health. For example, Centene
facing with patients have to work
that receives and displays social data
Corporation, a Medicaid managed
with, the more they can potentially
that is relevant to the patient or allows
care company, envisions a consoli-
offer them. “If we can offer physi-
the provider to pull the information.
dated member profile that would
cians critical information about their
Vendors might see this as an opportu-
integrate three types of information:
patients’ care — from adherence alerts
nity to provide a solution.
risk, quality, and care management,
to savings opportunities, we can help
said Phil Mainquist, vice president of
finance and business intelligence. A
Figure 16: Data elements to complete the patient profile
member services representative could
then easily see overall gaps affecting
a diabetes patient due for a wellness
Medical information
Insurer data
Medications
exam. The member profile would
show how the wellness exam would
X-rays
All claims regardless of
Drugs (OTC and prescribed)
health insurers
Test results
Dosages
affect their risk score and HEDIS
Financial situation
Physician notes
Adherence
scores, which compare health plan
All instances of care
All medications regardless
quality measures.
regardless of location
of pharmacy filled
Determine how the complete
patient profile integrates
Clinical trials
Lifestyle/Behaviors
into workflows
Connection to clinical
Patient self-reported data
Caregivers can use patient-reported
research trials
Social media posts
data to help modify behavior and
Results of clinical trials and
Mobile monitors/telehealth
changes to treatment plans
determine which strategies work best
Socioeconomic data
for which patients. For example, BJC
HealthCare, a St. Louis-based hospital
system, is modeling aggregate socio-
Source: PwC Health Research Institute
economic data to identify populations
An in-depth discussion
29
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