Welcome (part 2) Recognizing • Board • Sponsors • Special Guests • How We Got Here • Interest in Technology • The Conference • A Few Issues to Frame the Conference
2012: Bosch Health Buddy System: One Component of a Behavioral Health Home Model In CBFS Outreach Teams for Individuals with SMI and Chronic Medical Conditions (Bartels, Commonwealth Care All, Bay Cove, North Suffolk, Brookline MHC • 3 Year Evaluation Funded by a • Center for Medicare and Medicaid Innovation Grant
Technology Proj ojects at t Vin infen FY FY 20 2011 11-Present 1. Health Buddy within CMMI Health Home Evaluation (with S. Bartels) (2012-2016) 2. Bartels NIMH Evaluation of Contributing Factors – Philips T elestation (2016-2021) 3. Bartels Adapting the IIMR T oolkit for the Wellframe App 4. Wellframe App Pilot : 30 T AY for 1 Y ear (2015-2016) 5. Care at Hand for P ACT Predictions (2015) 6. BCBS Foundation Integrated Health Outreach Project with Wellframe (2016-2019) 7. Evaluation of Wearables (Fitbit) and Social Media vs PeerFit Training for SMI Health; NIMH (2016-Current) 8. Evaluation of T ablet Based Recovery T ools for Staff in CBFS Programs (2016-2017) 9. Evaluation of PEAR Therapeutics SUD App (2016) 10. Ratings of T AY and Club Populations for 16 Apps (Insurance Contract) (2016) 11. Mozazz Pilot : IDD Individuals (2018) 12. IBM Watson : Big Data for Predictive Analytics for SMI with Das et al. (2018- ?) 13. In the Pipeline for 2018: PEAR Expanded Pilot; LAMP Evaluation with T ouros et al.
Technologies Screened (Partial List) Wellframe Bosch Health Buddy Ginger IO Recovery Record AMC Health Dimaggi McKessen Big White Wall Philips MyStrength Cardiocom Care at Hand Care Innovations WRAP App Honeywell myHealthPal Vox Telehealth Active Health Management myNexus Optum Products VA mobile app Store Carena Helios Mercy Virtual Crisis Text Line PEAR – RESET Care Tiles Mozzaz LAMP My25
Selection Guidance? PROLIFERATION OF APPS AND TECHNOLOGIES • FDA? • APA? • apa? • Consumer Reports? • Open Minds? • JIMR-BEHAVIOR? • Evidence on Effectiveness? • Vinfen Decision Matrix • Market Share and Payer Interest for ROI
ROLE OF CARE PROVIDERS? WILL TECH REPLACE OUR CLINICIANS AND CARE COORDINATORS?
Staff Engagement and Guid idance is is Crit itic ical
Adapting/Adopting Evidence Based Practices What is an EBP? • A Delivery System (Clubhouse) • A Packaged (“Manualized”) Toolkit (IPS, IMR, WHAM, WRAP, TIP) • An Irreduceable Element or Module of Behavior Change (e.g. Motivational Enhancement, Breathing/ Relaxation Training) Is the Sequence Important or Can the User Start Where They Will Engage?
ADOPTING EBPS TO TECH PLATFORMS? How Do We Get TIP Manual From This: 200+ Pages 30 Modules Specific Sequence of Modules Staff Guidelines and User Aids
To This is: Self lf Sele lected Vid ideo on Breathin ing Breathing Video for Relaxation / Anxiety
Big Questions: 1. Role of Clinical/Medical/Professional Providers? Extending Connections – Data, Coaching and Practice, Self Selection and Self Management? 2. How Much Will Technology Shape? Not Only the Delivery But also the Content of Interventions? 2. What Resources Will Emerge to Provide Guidance? To Select from Available Technologies? How Will the Market or Regulators or Both Shape the Field? 3. Will Research Methods Change ( Speed of Tech Innovation)? Roles of Agile Science vs 5 Year Randomized Controls? 4. How Will Payers Develop Sustaining Funds? Proving Value in Capitated Models; Fee for Service for Authorized Technologies? What Value will These Technologies Add to Integrated Care Management?
Introducing MONICA OSS
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