Seminar: Cost-effective Solutions for Complying with the CARE Act

1
June 9, 2015
Cost-Effective Solutions for
Complying with the CARE Act
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary

Executive Summary
2 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Introduction
During this presentation we’ll explore how the GoMo
Health Solution helps hospitals cost-effectively comply
with the CARE Act, improve HCAHPS scores, and
motivate healthier behaviors among their patient
populations.
Presentation Summary

Shelley R. Schoenfeld
Senior Director,
Business Development
Jane Hindes Miller
COO
Bob Gold
CEO
Today’s Presenters

Agenda
• The Role of the Caregiver
• CARE Act Overview
• The Effect on Hospitals
• How Technology Can Help
• Inpatient Experience and Satisfaction Program
• Concierge Care Use Case
• Q&A
Introduction

Role of the Caregiver
The $450 billion job
© 2015 Gold Group Enterprises, Inc. Confidential and Proprietary5

or 1 in 4 U.S. adults are caring for a loved one with
39%
significant health issues.*
RoleoftheCaregiver
*Pew Research Center, 2013

in unpaid care each year.*
$450 billion
U.S. caregivers provide approximately
RoleoftheCaregiver
*AARP Public Policy Institute, 2011

The Reach of Caregiving
RoleoftheCaregiver
Nationwide, almost half of family caregivers perform medical or
nursing tasks for their loved ones with multiple chronic physical
and cognitive conditions.*
*AARP Public Policy Institute & United Hospital Fund , 2012

Caregiver Tasks
RoleoftheCaregiver
25% administer enemas and
manage incontinence equipment
and supplies
21% operate durable medical
equipment
14% operate medical equipment
*AARP Public Policy Institute & United Hospital Fund , 2012
78% manage medications
41% prepare food for special diets
35% provide wound care
32% use meters and monitors
43% help with assistive devices
for mobility
60% manage & operate medical
equipment and supplies

CARE Act Overview

Legislation Overview
The Caregiver Advise, Record and Enable Act
ensures hospital patients can designate a family caregiver
and requires hospitals to offer that caregiver instruction
and demonstrations of medical tasks they will be expected
to provide for their loved ones at home, such as
administering multiple medications, dressing wounds, and
operating medical equipment.
CAREActOverview

Main Tenets of the Legislation
 The opportunity to designate a caregiver
• “A hospital shall provide each patient…with at least one opportunity
to designate at least one caregiver…”
 The notification of movement to the caregiver
• “A hospital shall notify the patient’s designated caregiver of the
patient’s discharge or transfer to another hospital or facility…”
 The instruction of a caregiver in all after-care tasks
• “Prior to a patient’s discharge…the hospital shall consult with the
designated caregiver regarding the caregiver’s capabilities and
limitations and issue a discharge plan that describes a patient’s after-
care needs at his or her residence.”
CAREActOverview

Current Status of the CARE Act
Enacted
• Arkansas
• Colorado
• Indiana
• Mississippi
• Nevada
• New Hampshire
• New Jersey
• New Mexico
• Oklahoma
• Virginia
• West Virginia
CAREActOverview
Passed Legislature
• Connecticut
• Illinois
• New York
• Oregon
Upcoming
• Massachusetts
• South Dakota
• And more!

The Effect on Hospitals

Medicare patients who are discharged
1 of every 8
from the hospital are readmitted in 30 days.*
TheEffectonHospitals
*AARP, 2014

The Problem of Readmittance

Hospital Challenges with the CARE Act
 Integrating caregiver data into patient files
 Providing live training and instruction for caregivers
 Need for engagement outside the hospital to ensure that patients
adhere to their care plan
Follow up to ensure care plan compliance

The Importance of Remote Care
Quality Health Care Doesn’t Stop at the
Hospital Door
GoMo Health Concierge Care makes it easier than ever to
engage patients with remote care solutions that encourage
self-care, reduce unnecessary emergency department
visits, and increase compliance.

How Technology Can Help
Provide quality remote care while saving
time and money

TheStateofMobileHealthcare
Source: Pew Research Center, 2014
90% of adults have a cell phone
74% of the 65+ age group

Source: Pew Research Center, 2014
of cellphone users use their phone
to send and receive text messages
81%

Source: Conversational Advertising, 2010
of text messages are read within 3 minutes
90%
22

Source: Neilsen, 2014
of all users use their phone for “just-in-time” information
70%
23

The facts are clear:
Regardless of race, sex, age,
education, income, or location, at
least 250 million people have
and use a cell phone to connect
with other people and information.
Source: Pew Research Center, 201424 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary

How Does GoMo Health
Help Hospitals?

ConciergeCareOverview
Concierge Care Content Library
GoMo Health Concierge Care is
a complete turnkey cloud-based
solution which communicates
with patients and their caregivers
in-the-moment. Our solution is
customizable and easily
integrates with your existing
environment.

Concierge Care starts when a patient
is admitted and continues with the
patient and caregiver after discharge.

What does that mean for you?
Concierge Care…
Integrates with your backend to easily opt-in patients and
caregivers
Notifies all parties in real-time about transfers and developments
Keeps caregivers and patients informed with instructional
information, reminders, motivational messages, videos, and
more
Ensures your hospital is more than compliant with the CARE Act
Reduces that amount of staff, time, and money needed to
effectively engage patients and caregivers in-hospital and
remotely

Where GoMo Health is Deployed
GoMoHealthClients

Lifestyle Engagement: Patients & Caregivers
Communicate with patients
through the day, in a way in
which they are already
comfortable.
Send medication and
appointment reminders,
surveys, alerts, and more.
Engage via care messages
(text, email, or secure chat).
GoMoHealthCanHelp

The Problem:
Carla is the caregiver for
her father Andrew who
has diabetes. Andrew
recently was released
from the hospital after a
bad fall. He came home
with new medications
and needs to have his
wounds taken care of
2x/day. Carla has no
medical training and is
unsure of what to do.
Our Solution:
As her father’s designated caregiver, Carla is notified
by the hospital that he is being discharged. She
speaks with the nurses about her father’s care plan
and signs up to receive care messages which will
include medication, prescription refill, and follow up
appointment reminders, instructional videos with detail
on how to properly clean his wound and change the
dressing, potential infection signs to look out for, and
secure chat access to medical professionals who can
answer her questions in real-time to ensure Andrew
stays healthy and Carla knows how to provide him
with the best care.
GoMoHealthCanHelp
31

GoMo Health in Action
Carla was given a stack of
paperwork from the nurses
detailing how to help manage
her father’s condition,
however she misplaced it.
Good thing she signed up to
receive condition information
and instructions right to her
phone, complete with videos
that she can bookmark for
access at anytime, anywhere.
GoMoHealthCanHelp

Carla is getting ready for the day.
Just then she gets a text from the
hospital with a reminder to make
sure Andrew takes his medication.
She would have forgotten
otherwise. She gets another
reminder that night.
GoMoHealthCanHelp

Thursday has been rough for
Carla. Working a full-time job
and taking care of her father
is stressful. Her phone beeps,
it’s a motivational text
message with a story about
how another caregiver in a
similar situation is handling it.
GoMoHealthCanHelp

On Friday, Carla gets a text
with a link to a survey about
how her father’s wounds are
healing. She notes that she
is worried about the bruising
around the wound. A nurse
then contacts her through
secure chat, sending her a
link to a video on bruising
and answering all her
questions in real-time.
GoMoHealthCanHelp

Inpatient Experience and
Satisfaction Program

Patient Satisfaction is Decreasing
PatientSatisfaction
Inpatient Service Scores
81% 78%
2014 2015
*Report for the American Consumer Satisfaction Index (ACSI), 2015

Program Summary
The Inpatient Experience and Satisfaction Program (IESP) is a
mobile engagement strategy through which patients can
communicate directly with specific departments within the hospital to
address their (non clinical) inpatient needs to ensure a comfortable
and positive experience and stay.
PatientSatisfaction

Key Benefits
• Interactively engage with inpatients, conveying to them that their
satisfaction with their experience at your hospital is a top priority
• Communicate in-the-moment with inpatients
• Respond to patients’ needs in real-time
• Positively affect inpatient perception and experience
• Improve patient satisfaction component of HCAHPS scores
PatientSatisfaction

PatientSatisfaction
Anytime, anywhere
in-the-moment service requests with
custom decision tree logic responses.

Inpatient Service Request App - Flow Diagram
PatientSatisfaction
Pain
Food Service
Housekeeping
Patient
Advocate
Clergy
Facilities

Concierge Care Use Case
Engagement & Compliance

43
TheChallenge
Over 80%
of all healthcare costs are
due to chronic diseases.

Concierge Care Programs
Concierge Care enables you to extend quality patient care post-
discharge by delivering educational and motivational content right to
patients’ mobile phones, engaging them when they need it most.
Service Line Specific Programs Include:
• Appropriate ED Usage
• Diabetes
• Asthma
• Hypertension
• Pain Management
• Prenatal & First 15 Months
• Behavioral Health
• Custom Programming
• And more!
44

 Reduce costs of patient acquisition, engagement, care and
retention
 Decrease readmissions through utilization of remote patient
management tools
 Strengthen efficiencies in call center inquiry management
 Increase utilization of EMR
 Reduce provider-patient “hassle factor”
 Enhance the quality and extend the continuum of care
 Encourage patient compliance, improve outcomes and
satisfaction
 Improve patient care metrics (HCAHPS)
Concierge Care Benefits

Concierge Care Content Library
GoMo Health has developed a
vast library of condition-specific
information to help your patients
better manage their health. We
provide quality content that is
both relevant to their specific
conditions and easy-to
understand, including
messages, videos, tips, articles,
and more.

DiabetesProgram
Source: Pew Research Center, 201447 © 2015 Gold Group Enterprises, Inc. Confidential and Proprietary
Personalized Mobile Engagement
• Every person is not the same
• How they need to communicate and the
frequency vary
• The Concierge Care Diabetes Program
provides personalized communication
templates that take into consideration a
patient’s physical and emotional
condition to engage, educate, and
support them

• Questions relate to physical &
emotional health
• Each health condition is
scored
• Message frequency varies
based on condition severity
and medications
• Messages are:
• Personalized
• Reviewed by health
experts
• 5th grade reading level
• English & Spanish
DiabetesProgram
Onboarding Survey & Care Messages

Two-thirds of messages link
to Quick Pages and videos
that provide more information
on a specific topic.
DiabetesProgram
Easy-to-Understand Content

Ways to Interact
DiabetesProgram
Requested Interaction
Program
Participation
Messages
Coupons &
Offers
Reminders
Tips &
Advice
Nurse
Triage
Onboarding
Survey
Secure Live
Chat
Incentives and
Rewards
Requested
Content
Videos
Quick Pages

ClosingRemarks
I guarantee you win – no matter the outcome.”
“You treat a disease:
You treat a person,
-Patch Adams
You win, you lose.

Q&A
Type your question into the text box.

Thank You
Contact us for more information
GoMo Health
1 (855) 228-4330
info@gomohealth.com

Text DEMO to 30241
To discover how we’re personalizing
health care

Seminar: Cost-effective Solutions for Complying with the CARE Act

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