Using Mobile Health to Support the Chronic Care Model: Developing an Institutional Initiative. (5th December 2012)

• Record Type: Journal Article
• Authors: Nundy, Shantanu; Dick, Jonathan J.; Goddu, Anna P.; Hogan, Patrick; Lu, Chen-Yuan E.; Solomon, Marla C.; Bussie, Arnell; Chin, Marshall H.; Peek, Monica E.
• Other Names: Jethwani Kamal Academic Editor.
• Is Part Of: International journal of telemedicine and applications. Volume 2012(2012)
• Publication Date: 2012-12-05
• Subjects: Telecommunication in medicine -- Periodicals; Medical telematics -- Periodicals; Télémédecine; Télématique médicale; Medical telematics; Telecommunication in medicine; Telemedicine -- Periodicals; Medical Informatics -- Periodicals; Biomedical Technology -- Periodicals; Electronic journals; Periodicals; 610.285
• DOI: 10.1155/2012/871925
• Languages: English
• ISSNs: 1687-6415

Abstract

Abstract : Background . Self-management support and team-based care are essential elements of the Chronic Care Model but are often limited by staff availability and reimbursement. Mobile phones are a promising platform for improving chronic care but there are few examples of successful health system implementation. Program Development . An iterative process of program design was built upon a pilot study and engaged multiple institutional stakeholders. Patients identified having a "human face" to the pilot program as essential. Stakeholders recognized the need to integrate the program with primary and specialty care but voiced concerns about competing demands on clinician time. Program Description . Nurse administrators at a university-affiliated health plan use automated text messaging to provide personalized self-management support for member patients with diabetes and facilitate care coordination with the primary care team. For example, when a patient texts a request to meet with a dietitian, a nurse-administrator coordinates with the primary care team to provide a referral. Conclusion . Our innovative program enables the existing health system to support a de novo care management program by leveraging mobile technology. The program supports self-management and team-based care in a way that we believe engages patients yet meets the limited availability of providers and needs of health plan administrators.