CORRECTING and REPLACING Patients Engaged in Their Care Have Better Health Outcomes, Lower Costs

Tue Feb 5, 2013 9:27pm EST

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Foundation focused on increasing patient engagement, improving healthcare system
WASHINGTON, DC--(Business Wire)--
Please replace the release dated February 4th, 2013 with the following corrected
version due to multiple revisions. 

The corrected release reads: 

PATIENTS ENGAGED IN THEIR CARE HAVE BETTER HEALTH OUTCOMES, LOWER COSTS

Foundation focused on increasing patient engagement, improving healthcare system

Patients who are more engaged in their healthcare-including making decisions
with physicians and other healthcare professionals, understanding risks,
benefits and alternatives to care and being activated to self-manage chronic
conditions-have better health outcomes, according to studies released today in
the February issue of Health Affairs. 

But does this type of healthcare cost less? Yes, according to research conducted
by Judith Hibbard at Minnesota`s Fairview Health Services. In an analysis of
more than 30,000 patients, she and her fellow researchers found that patients
who were least activated-the term that researchers use to describe patients`
willingness to play an active role in their care-had healthcare costs that were
higher than those of patients who were actively involved in self-management and
decisions about their care. These average costs were eight percent higher in
these patients` first year of care and up to 21 percent higher in their second
year of care. Hibbard is doing additional research on this topic through a grant
from the Gordon and Betty Moore Foundation. Another study by David Veroff and
colleagues found that patients who received enhanced support for shared
decision-making had 12.5 percent fewer hospital admissions and lower healthcare
costs.* 

"The evidence assembled in this issue of Health Affairs is a wake-up call for
healthcare providers, who must recognize patient and family engagement as a top
priority," Bo-Linn said. "This collective research clearly demonstrates that we
must do a better of job of helping patients and families to play an active role
in their care, and we must redesign the healthcare system in ways that makes
this possible." 

Researchers writing in the February issue of Health Affairs say that advocates
and healthcare professionals recognize that the sector must develop new policies
and approaches that strengthen patients` roles in managing their care. Early
indications suggest that online healthcare can play a role, according to
research at HealthPartners in Minnesota. Studying patients who used the online
clinic called virtuwell, researchers noted that 98 percent of users said they
would recommend the site, and healthcare episodes managed through this online
clinic cost an average of $88 less than care provided in traditional settings.* 

Other methods for improving health outcomes while reducing costs include a focus
on real-time learning, integrating care across teams and creating greater
transparency, according to A CEO Checklist for High-Value Health Care, also
covered in the February journal.* 

Combining various approaches to improving patient care will be important, but
implementing these approaches isn`t always easy. Dominick Frosch, a Moore
Foundation fellow and author of research appearing in this February journal,
said cultural changes must take place in healthcare if we`re to see increased
levels of patient engagement. Decision aids-approaches for increasing patient
engagement and facilitating shared decision-making-have been well researched and
work, but aren`t being used routinely, Frosch said. 

"Further involving patients in decision-making will mean some changes to how
healthcare providers deliver care," Frosch said. "Additional training, changes
to team-based care models and incentives for adopting this new approach can go a
long way toward enabling these changes in the current healthcare system." 

The Gordon and Betty Moore Foundation-along with the Robert Wood Johnson
Foundation, the Patient-Centered Outcomes Research Institute and the California
HealthCare Foundation-provided grant support for this patient-engagement issue
of Health Affairs. In 2012 the foundation launched a new national Patient Care
Program that seeks to eliminate all preventable harms to patients. The Moore
Foundation expects to allocate a half billion dollars over ten years to work
focused on both meaningfully engaging patients and their families in their own
healthcare and developing a systems approach that optimally reconfigures
interprofessional teams, processes and technology to be supportive of that
engagement. Follow the program @MoorePatient. 

The Gordon and Betty Moore Foundation is committed to making a meaningful
difference in environmental conservation, patient care and scientific research.
Intel co-founder Gordon Moore, and his wife Betty, established the foundation in
2000 to ignite bold ideas that create lasting change around the world and at
home in the San Francisco Bay Area. Visit us at Moore.org or follow @MooreFound.

*Research is available at www.healthaffairs.org. Studies include:

* Patients With Lower Activation Associated With Higher Costs; Delivery Systems
Should Know Their Patients` `Scores` (This study is noted in the second
paragraph of this release.) 
* Enhanced Support For Shared Decision Making Reduced Costs Of Care For Patients
With Preference-Sensitive Conditions (This study also is noted in the second
paragraph of this release.) 
* HealthPartners` Online Clinic For Simple Conditions Delivers Savings Of $88
Per Episode And High Patient Approval (This study is noted in paragraph five.) 
* Ten Strategies To Lower Costs, Improve Quality, And Engage Patients: The View
From Leading Health System CEOs (This study is referenced in paragraph six.) 
* An Effort To Spread Decision Aids In Five California Primary Care Practices
Yielded Low Distribution, Highlighting Hurdles (This study is noted in the ninth
paragraph.)

Gordon and Betty Moore Foundation
Erin Hart, 650-213-3020
erin.hart@moore.org



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