Way to Health

Our work on COVID-19 response - insights and solutions

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Evidence Based Patient Engagement

Leverage tools and techniques developed by researchers and clinicians across 300+ programs, 850,000+ patients and 75+ peer reviewed publications

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Investigate and deploy personalized engagement strategies to improve health outcomes

Trusted by leading research and clinical organizations across the country

Human behavior is the final common pathway for nearly every advance in medicine

We bring behavioral science and patient engagement together to achieve measurable change.

Patient engagement has been called the blockbuster drug of the 21st century. Current patient engagement tools focus on clinical protocols and ignore the human element. We grew from a need to research and apply behavioral science techniques specifically in healthcare.

For Health Systems

Drs. Sindhu Srinivas and Adi Hirshberg, Maternal Fetal Medicine, Penn Medicine

Reduce Readmissions

With the move to value based care (VBC) and increased risk bearing contracts, proven solutions to reduce readmissions are needed. Leverage evidence based programs such as Heart Safe Motherhood that have reduced readmissions by 80%.

Enable the move to home based care

With the downward pressure on costs and the increasing importance of telemedicine and remote monitoring, proven solutions focused on specific domains will allow organizations to roll out programs systematically.

Improve patient satisfaction and quality

With the increased prevalence of consumer driven healthcare, ratings and reviews are increasingly important in health care decisions. Programs available are continuously monitored and consistently measure in the 80s and 90s for patient satisfaction while maintaining or improving quality of care.

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For Researchers & Innovators

From L to R- Drs David Asch, Kevin Volpp, Scott Halpern, Mitesh Patel, Kit Delgado, Shreya Kangovi, Perelman School of Medicine

Innovation and research require flexibility. Integration with the EHR opens up additional opportunities. Trials can be run locally or virtually. Way to Health has run virtual studies across 50 states.

Automate multiple aspects of running an RCT

Innovation should be backed by evidence. Randomized Controlled Trials (RCTs) are the gold standard to generate evidence in healthcare. Our background and genesis can help guide the the setup of innovation projects to gather data to support (or reject) hypotheses. Automation built into the system can help doing this quickly and minimize personnel costs.

Iterate quickly and cheaply

Research and innovation are usually constrained by cost and/or time. Our library of proven projects can serve as a base to help achieve quick successes. Open inboxes can help engage patients directly to gather data to understand patient needs. These can then be automated as needed.

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Project Spotlights

Some of the successes we are proud of

COVID Vaccine Community Clinics
Vaccination

In a concerted effort to address racial inequities. Penn Medicine partnered with Mercy Health, local pastors and the community in West and Southwest Philadelphia, to set up a community vaccination clinic. The goal was to vaccinate 500 individuals who met the 1A or 1B criteria set forth by the city. Way to Health provided the texting and IVR backends to enable registration and appointment scheduling prior. 557 patients were vaccinated. The next clinic on Feb 27th intends to vaccinate 750. The one after that will hopefully vaccinate 1500.

Results

550 citizens vaccinated in 7 hours

Minimal wait times

Patients scheduled and pre-registered (no lines)

NPS score of 90 (330+ responses)

Features Utilized
Bulk messaging IVR and text based communication Bi-directional conversations Automated slot availability
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COVID SAFE
Testing

Given that testing availability will likely continue to be constrained, symptom tracking based testing could lead to earlier case identification. At the same time, sentinel surveillance will be a critical tool for identifying pre-symptomatic, asymptomatic or mildly symptomatic spread that may evade symptom-based surveillance. Together, this approach provides ability to rapidly identify new cases and conduct contact tracing. This is an RCT that aims to (1) Evaluate the feasibility of a saliva-based screening COVID viral testing program (2) Compare behavioral strategies to improve study enrollment (3)Understand the relationship between daily symptom tracking and identifying infection,

Results

2500+ recruited

10,000+ tests

Increased installs of patient app

Features Utilized
Two-way Texting LIMS integration Arms & Randomization Nudges
COVID Pulse
Remote Monitoring

COVID Pulse was designed partly in response to reports that some patients with Covid-19 have little dyspnea, despite concerning hypoxemia (low blood oxygen). This program enrolls patients from emergency departments with depressed oxygen saturations, providing them with pulse oximeters, and escalates to care based on declines in measured oxygen saturation.

Results

Enhanced monitoring of patients

Objective escalations based on PulseOx readings

$2.5M PCORI award

Features Utilized
Two-way Texting EHR Integration
BCFG Flu Mega Study
Vaccination

This is a mega trial with planned enrollment of 150,000 patients across Penn Medicine and Geisinger Health system. The intent was to simultaneously test out 19 different nudges to figure out how to increase flu vaccination rates. The secondary intent was to use learnings from this to inform COVID vaccination efforts. The best performing nudge increases uptake by 11% over previous year baselines. The study was replicated with Walmart with 800,000+ participants.

Results

Increased uptake by 11% over baseline

Text messaging effectiveness

Features Utilized
Arms and randomization EHR integration (appts) Text messaging and scheduling
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STEP UP
Physical Activity

Use social incentives and gamification to increase physical activity among overweight and obese adults.

Results

Gamification interventions had significant increase in activity

Competitive intervention had more sustained activity (post study)

Features Utilized
Device Integration Randomization Gamification
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Vitality Smoking
Smoking Cessation

Financial incentives, pharmacologic therapies, and electronic cigarettes (e-cigarettes) to promote smoking cessation

Results

Large scale pragmatic trial using opt-out for enrollment

Redeemable deposits and rewards were superior to free cessation aids

Features Utilized
Financial Incentives Text Messaging
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Latest Content

Way to Health mentions, publications and content

Blog Responding to COVID-19. Part 6 - COVID SAFE

This is part 6 of the series on Way to Health's involvement in helping address the pandemic. This post focuses on the design and launch of the COVID SAFE project. As the Penn health system and the University were looking at re-opening, the one concern was ongoing testing (this was before there was a vaccine in the picture). It was also felt that surveillance testing is critical in getting visibility into and managing the spread of the disease. This post outlines the COVID SAFE project which did this at scale using Saliva based testing methods and Way to Health.

Blog Responding to COVID-19. Part 5 - COVID Pulse

This is part 5 of a series on Way to Health's involvement in helping address the COVID-19 pandemic. This post focuses on the design and launch of the COVID Pulse project. This project addressed the Emergency Department (ED) need to be able to discharge patients with suspected COVID but not requiring immediate admission. The goal was to give these patients a pulse oximeter and remind them to send in their SpO2 readings on a regular basis. Way to Health would process these and based on the clinical algorithm escalate the patient as needed.

Press Philly clinic gives out more than 1,000 vaccine doses, bridging ‘digital divide’ with low-tech sign-up process, neighborhood locations

More coverage of the Community vaccination clinic efforts being undertaken at Penn Medicine in collaboration with Mercy Health and community organizations - faith based, schools and more. #intentionaleffort.

Publications A megastudy of text-based nudges encouraging patients to get vaccinated at an upcoming doctor’s appointment

Katherine L. Milkman, Mitesh S. Patel, Linnea Gandhi, Heather Graci, Dena Gromet, Hung Ho,, Joseph Kay, Timothy Lee, Modupe Akinola, John Beshears, Jon Bogard, Alison Buttenheim, Christopher Chabris, Gretchen B. Chapman, James J. Choi, Hengchen Dai, Craig R. Fox, Amir Goren, Matthew Hilchey, Jillian Hmurovic, Leslie John, Dean Karlan, Melanie Kim, David Laibson, Cait Lamberton, Brigitte C. Madrian, Michelle N. Meyer, Maria Modanu , Jimin Nam, , Renante Rondina, Silvia Saccardo, Maheen Shermohammed, Dilip Soman, Jehan Sparks, Caleb Warren, Megan Weber, Ron Berman, Chalanda Evans, Christopher Snider, Eli Tsukayama, Christophe Van den Bulte, Kevin Volpp, Angela Duckworth

PNAS

This is the formal publication of the Flu study which was published earlier in a pre-release on SSRN. Which as a quick reminder - Powered by Way to Health, this study was run at Penn Medicine and Geisinger. In the fall of 2020, close to 50,000 patients received one of 19 different messages prior to a healthy visit to their primary care provider. In the new study, roughly a third of the messages BCFG tested significantly increased flu shot uptake. The top performing message set—designed by Jon Bogard, Craig Fox, Jehan Sparks, and Megan Weber from the University of California at Los Angeles, and Matt Hilchey, Melanie Kim, Dilip Soman, and Renante Rondina from the University of Toronto, in collaboration with BCFG—boosted vaccination rates by 11%.