Center for Medicare and Medicaid Innovation Grant Technology Proj - - PowerPoint PPT Presentation

▶

Sep 13, 2023 28 likes •148 views

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

SLIDE 1

Welcome (part 2)

Recognizing

Board
Sponsors
Special Guests
How We Got Here
Interest in Technology
The Conference
A Few Issues to Frame the Conference

SLIDE 2

3 Year Evaluation Funded by a
Center for Medicare and Medicaid

Innovation Grant 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

SLIDE 3

Technology Proj

jects 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

olkit 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

ols 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

uros et al.

SLIDE 4

Technologies Screened (Partial List)

Bosch Health Buddy Recovery Record AMC Health McKessen Philips Cardiocom Care Innovations Honeywell Vox Telehealth Active Health Management Optum Products Carena Mercy Virtual PEAR – RESET Mozzaz LAMP Wellframe Ginger IO Dimaggi Big White Wall MyStrength Care at Hand WRAP App myHealthPal myNexus VA mobile app Store Helios Crisis Text Line Care Tiles My25

SLIDE 5

Selection Guidance?

FDA?
APA?
apa?
Consumer Reports?
Open Minds?
JIMR-BEHAVIOR?
Evidence on Effectiveness?
Vinfen Decision Matrix
Market Share and Payer Interest for ROI

PROLIFERATION OF APPS AND TECHNOLOGIES

SLIDE 6

ROLE OF CARE PROVIDERS?

WILL TECH REPLACE OUR CLINICIANS AND CARE COORDINATORS?

SLIDE 7

Staff Engagement and Guid idance is is Crit itic ical

SLIDE 8

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?

SLIDE 9

TIP Manual 200+ Pages 30 Modules Specific Sequence of Modules Staff Guidelines and User Aids

How Do We Get From This:

ADOPTING EBPS TO TECH PLATFORMS?

SLIDE 10

Breathing Video for Relaxation / Anxiety

To This is: Self lf Sele lected Vid ideo

n Breathin

ing

SLIDE 11

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?

SLIDE 12