Get documents about "Grant Application for Ehealth+Knowledge Translation
Description
Grant Application for Ehealth+Knowledge Translation document sample
Document Sample
Health e-Technologies for
Behavior Change and Disease
Management: Opportunities and
Challenges
David K. Ahern, Ph.D.
National Program Director
Health e-Technologies Initiative
Brigham and Women’s Hospital
Chief Science Officer
Abacus Management Technologies
SBM 2003
Introduction
eHealth is a translational and
transformative movement
Enormous opportunities exist to
empower consumers, improve patient-
provider communication, and impact
costs with eHealth
2
SBM 2003
Introduction
Challenges must be met and overcome
to achieve full potential of eHealth
Research is necessary to advance the
field
Online Behavior Change and Disease Management. The National Cancer Institute and The Robert Wood Johnson Foundation,
Princeton, NJ:, 2001.
3
SBM 2003
eHealth: The Concept
Use of emerging interactive technologies
to enable health improvement and
health care services.
Internet
Interactive TV
Interactive voice response systems
PDAs
CD- and DVD-ROMs
Kiosks Eng TR. The eHealth Landscape: A Terrain Map of Emerging Information an Communication
Technologies in Health and Health Care. Princeton, NJ: The Robert Wood Johnson
Foundation, 2001. 4
SBM 2003
eHealth: The Potential
Provide evidence-based, interactive
tools to empower consumer self-
management
Enhance patient-provider
communication
5
SBM 2003
eHealth: The Potential
Increase efficiency and reduce
administrative costs
Increase reach and impact of
scientifically-proven interventions
6
SBM 2003
eHealth: The Evidence
Emerging programs for health behavior
change
Smoking cessation
Physical activity
Nutrition
Weight loss
Oenema, J., Brug, K. & Lechner, L. Web-based tailored nutrition education: results of a randomized
Controlled trial. Health Education Research, 16(6): 647-660, 2001.
Tate, D., Wing, R.R., & Winett, R. Using internet technology to deliver a behavioral weight-loss program.
JAMA, 285(9), 1172-1177 March 7, 2001.
7
SBM 2003
eHealth: The Evidence
Emerging evidence-based programs for
chronic illness care and disease
management
Back pain
Arthritis
Diabetes
Lorig, K.R., Laurent, D.D., et. al. Can a back pain e-mail discussion group improve
health status and lower health care costs: A randomized study. Arch Intern Med. Ap
8:162(7): 792-6., 2002.
Meigs, James, B., Cagliero, E., et. al. A controlled trial of web-based diabetes disease
management. The MGH Diabetes Primary Care Improvement Project. Diabetes Care,
26(3):750, 2003.
8
SBM 2003
eHealth: The Challenges
Keep up with rapid pace of technology
Translation and application of evidence
Tension between innovation and
sustainability
9
SBM 2003
eHealth: The Challenges
Credibility
Confidentiality and Privacy (HIPAA)
Absence of a compelling business case
High tech, low touch
10
SBM 2003
“Low Touch”
11
SBM 2003
eHealth: The Experience
Dot Com Struggles
DrKoop.com
Channelpoint.com
HealthScout.com
HealthCentral.com
etc…etc…etc…
12
SBM 2003 eHealth Pessimist
Healthy People 2010
eHealth is a marginal communication
channel with negligible impact on health
care
eHealth is largely ignored by health
plans and providers
13
SBM 2003 eHealth Pessimist
Healthy People 2010
eHealth is used by the minority of high
income and literate persons
eHealth is not a platform for translating
and disseminating the knowledge base
of Behavioral Medicine
14
SBM 2003 eHealth Optimist
Healthy People 2010
eHealth has increased efficiency,
improved quality, and reduced medical
errors
eHealth is embraced by health plans
and providers as well as consumers
15
SBM 2003 eHealth Optimist
Healthy People 2010
eHealth is a prominent platform for
translating and disseminating the
knowledge base of Behavioral Medicine
eHealth has increased access for
underserved populations and helped
reduce health disparities
16
SBM 2003
Current State of eHealth
67% of adults (140 million people) are
online in the US
80% look online for health information
96% of physicians used web-based
technologies in 2002
Vital Signs. E-health in the United States. The Boston Consulting Group, January, 2003.
Internet and Multimedia 10: The emerging digital consumer. Arbitron/Edison Media Research, 2003.
Those with Internet Access Continue to Grow but at a Slower Rate. Harris Interactive Poll #8, February 5, 17
2003.
SBM 2003
Current State of eHealth
Internet and Multimedia 10: The emerging digital consumer. Arbitron/Edison Media Research, 2003.
18
SBM 2003
Current State of eHealth
53% were concerned about disruption
of new information technologies (ITs)
60% were concerned that ITs would
replace in-person care, increasing split
between patients and doctors
First Health Survey Shows Consumers Still Wary of Technology’s Influence Upon Health Benefits, Harris
Interactive, First Health Group Corp, 12/02
19
SBM 2003
Current State of eHealth
61% believe that new ITs will raise the
cost of healthcare
89% believe patients will end up paying
First Health Survey Shows Consumers Still Wary of Technology’s Influence Upon Health Benefits, Harris
Interactive, First Health Group Corp, 12/02
20
SBM 2003
21
SBM 2003
Staff
Judy Phalen, M.P.H.
Deputy Director
Jennifer Neiley, MA
Communications Director
Aasha Cameron
Administrator
22
SBM 2003
RWJF Staff
23
SBM 2003
National Advisory Committee
24
SBM 2003 The Health e-Technologies
Initiative
National Program Office
Housed within the Department of
Psychiatry at Brigham and Women’s
Hospital
Five-year, $10.3 million national program
funded by a grant from The Robert Wood
Johnson Foundation®
25
SBM 2003
Vision Statement
“The overarching goal of the Health e-
Technologies Initiative is to foster
systematic research on eHealth
applications for health behavior change
and chronic disease management.”
26
SBM 2003
Vision Statement (cont.)
“The program of funded research will
advance discovery of scientific knowledge
about these applications to improve
processes and outcomes of care for
culturally diverse groups of
patients/consumers, and support
provider adherence to evidence-based
care.”
27
SBM 2003
What is the Problem?
Little known about quality and
effects of technologies
Need for new research
methods for technology-based
programs
Need for central information
source on research tools and
findings 28
SBM 2003
Purpose
Support scientific research
Translate results to practice
Ahern, D.K., Phalen, J.M., Mockenhaupt, R.E. Science and the Advancement of eHealth:
A Call to Action. American Journal of Preventive Medicine, Vol. 24(1), 108-109, January, 2003.
29
SBM 2003
National Program Components
$10.3 Million over 5 years
Grants Program ($7.25M)
Resource and Communications
Center and Technical Assistance and
Direction ($2.75M)
Assessment ($300,000)
30
SBM 2003
Grants Program
Fund descriptive studies and evaluations
Fund evaluation, not development
Fund providers, health care organizations,
voluntary/community organizations
Reach diverse and traditionally
underserved populations
31
SBM 2003 Resource and
Communications Center
Rapid, online translation of results to
practice
Feedback between and among
researchers and users of information
Clearinghouse for tools, data, study
results
32
SBM 2003
Assessment
How project contributes to
eHealth, chronic illness care,
health behavior
33
SBM 2003
Stakeholder Interviews
Established Developers /Researchers of
Interactive Health Communications (IHCs) 9
Programs that Have Implemented IHCs 2
Health Plan Representatives 4
Opinion Leaders 12
Total 27
34
SBM 2003
2002 Call for Proposals
Grants
Methodology and Design
Six-to-12 months, up to $100,000
Outcome Evaluation
Up to three years, up to $600,000
35
SBM 2003
Application Statistics
596 completed Letter of Intent applications
were received.
190 Methodology & Design category
406 Outcome Evaluation category
36
SBM 2003
Content Synopsis
Most common health behaviors and disease
states addressed:
Diabetes
Obesity/Weight Management
Physical Activity
Heart Disease
Asthma
Cancer
Smoking Cessation 37
SBM 2003
Content Synopsis
Most common technologies addressed:
Internet
Integrated Voice Response (IVR)
Tele-Health/Tele-Medicine
PDA
CD/DVD-ROM
38
SBM 2003
Health e-Technologies
Initiative Home Page
39
SBM 2003
URL
www.hetinitiative.org
40
SBM 2003
Thank You
Contact information:
(617) 732-9727
(617) 732-9730 (f)
hetinitiative@partners.org
41
Related docs
