Maria Del Mar Yacaman*, Cambridge Healthcare, London, United Kingdom Dawson King, Cambridge Healthcare, London, United Kingdom Gerhard Lazu, Cambridge Healthcare, London, United Kingdom Andrew Lucas, Cambridge Healthcare, London, United Kingdom Track: Business Presentation Topic: Personal health records and Patient portals Presentation Type: Oral presentation Submission Type: Single Presentation Building: Mermaid Room: Main Auditorium Date: 2013-09-23 04:00 PM – 06:00 PM Last modified: 2013-09-12

If you are the presenter of this abstract (or if you cite this abstract in a talk or on a poster), please show the QR code in your slide or poster (QR code contains this URL).

Background: As the population’s life expectancy increases, so is the burden of disease attributable to long-term conditions (LTC). There are around 15 million people living with LTCs in the UK alone. These 15 million people are the most intensive users of the most expensive services; 8/10 of the primary care consultations and 2/3 of A&E admissions. A sizeable portion of the healthcare service use in this case is –unscheduled, therefore avoidable- for LTC exacerbations. Evidence suggests that through self-care we can empower patients, improve outcomes, avoid unnecessary hospital visits and lessen the opportunity cost of these visits for the NHS. While we can’t do self-care to patients, we can provide them with the right tools to feel empowered, motivated and supported to self-care.
Objective: To create a secure eHealth portal that integrates with NHS IT infrastructure whilst putting the patient at the centre of their care; facilitates communication across the healthcare professionals involved in the patients’ care pathways, caregivers, family members and patients; provides customised information and supports patient self-management through an electronic personal health record and health plan.
Methods: The initial development of How are you? was undertaken working with the former NHS East of England and in partnership with Connected for Health as part of the Department of Health’s QIPP transformational program. How are you?’s design and development process was evidence based driven, carried out by an interdisciplinary team of clinicians, public health specialists, user interface designers and software developers. All features developed were born out of clinical experience and patients’ needs, constructed based on rigorous literature reviews and user testing to give rise to the best possible degree of user experience, clinical effectiveness and software reliability.
Results: To date, How are you? is an interactive suite of self-care tools that provides enhanced support to patients and improved communications by virtue of inbuilt healthcare social network features. The eHealth portal is comprised of a patient controlled health record, a health plan and a physician and patient curated collection of over 200 healthcare apps. How are you? supports multiple morbidities, presents a holistic picture of the patient- their care preferences, lifestyle and wellbeing circumstances combined with quantitative data (easy to track biometrics such as blood pressure/glucose, weight, dietary intake) which allow more effective care decision making; for example identifying appropriate treatment options or behaviors associated to increased risk. The platform also allows the patient to design action plans for acute episodes and supports goal setting and achieving healthier behaviors.
Conclusions: Current on going research includes clinical pilots for different care pathways to assess the impact of How are you? on outcomes for the patient, healthcare professionals and healthcare utilization. Additionally, we are designing a web-based and tablet-based clinical dashboard, as well as a platform to allow application developers to interoperate with How are you?.