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 200+ programs, 1,250,000+ 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

7500 citizens vaccinated over 6 clinics

Zero wait times

Patients scheduled and pre-registered (no lines)

NPS score of 90+ (1330+ responses)

Features Utilized
Bulk messaging IVR and text based communication Bi-directional conversations Automated slot availability
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COVID Watch
Remote Monitoring

A Penn Medicine program that automatically checks in with patients at risk for complications of COVID-19 who are self-isolating at home. Patients are monitored 24x7 via text message and escalations managed by a nursing team with full EHR Integration.

Results

20,000+ patients managed

Reduced mortality by 68%

$2.3 Million savings over 100 days

Patient NPS score of 80

Call backs within 30 mins

Features Utilized
SMS Conversations EHR Integration
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Heart Safe Motherhood
Womens Health

Reduce 7-day readmissions for hypertension among postpartum women and creating a national leadership model to meet ACOG guidelines

Results

Increased guideline adherence by 80%

Reduced 7 day readmission by 80%

Features Utilized
SMS Conversations Blood pressure cuff Automated alerts EHR Integration
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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 Appointment Based Schedules SMS Conversations
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Latest Content

Way to Health mentions, publications and content

Press COVID Watch Saved Lives

The Watch program was built to monitor patients exhibiting COVID or COVID like symptoms and were not deemed to be serious enough to be admitted to the hospital. The program regularly checked in with the patient and if necessary, was escalated to receive care immediately. The results continue to seen and as the article mentions, "We found that overall mortality was less than 1% in both groups at 60 days. However, five of 3,448 (0.14%) COVID Watch patients died compared to 16 of 4,377 (0.37%) patients who received usual care. After risk adjustment, this is 2.5 fewer deaths per 1,000 patients enrolled and a 66% lower odds of death."

Publications An Accelerated Hospital Observation Pathway to Reduce Length of Stay for Patients With COVID-19

Austin S. Kilaru, MD, Stefanie B. Porges, MD, Lindsay Grossman, BA, M. Kit Delgado, MD, Anna U. Morgan, MD, Krisda H. Chaiyachati, MD, David A. Asch, MD, S. Ryan Greysen, MD, Amy C. Lockwood, DNP, Keith C. Hemmert, MD, Susan McGinley, CRNP, Nancy Mannion, DNP, Ann Marie Huffenberger, DBA, Eric Bressman, MD, Nina O’Connor, MD, Neda Khan, MHCI, Mohan Balachandran, MS, Christopher K. Snider, MPH, Aria Xiong, MS, Nandita Mitra, PhD, Kathleen C. Lee, MD

AJMC

Strategies to maintain hospital capacity during the COVID-19 pandemic included reducing hospital length of stay (LOS) for infected patients. This program sought to evaluate the association between LOS and enrollment in the COVID Accelerated Care Pathway, which consisted of a hospital observation protocol and post-discharge automated text message–based monitoring. This program showed a reduction in hospital length of stay by more than 2 days.

Blog Stayin' Alive

My most recent fun ("fun") technical challenge: at the intersection of application behavior, network behavior, OS behavior, and far more TCP details than I normally deal with as an application developer.

Blog Grafana and Prometheus

We recently introduced a new component - or rather set of components - to our infrastructure to improve our ability to monitor the operations of Way to Health. Prometheus and Grafana give us clear visual metrics for how things are working under the hood.