Way to Health

Our work on COVID-19 response - insights and solutions

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

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.

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.

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 Epic 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
Two-way Texting 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
2 way texting Blood pressure cuff Automated alerts Epic 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 EHR integration (appts) Text messaging and scheduling
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Let us tell you more

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Latest Content

Way to Health mentions, publications and content

Press Texting saved lives during Covid. What does that mean for health care’s future?

A write-up on the efficacy of COVID Watch based on [this](https://www.acpjournals.org/doi/10.7326/M21-2019) recently published analysis on the effectiveness of the program. The program was designed and continues to run on Way to Health and has managed over 20,000 patients thus far. In summary, it reduces the odds of mortality by 68% by connecting with patients sooner and getting them into the hospital asap when appropriate. At the height of the pandemic, the data indicates that the program was saving at least one life every other day.

Publications Comparative Effectiveness of an Automated Text Messaging Service for Monitoring COVID-19 at Home

M. Kit Delgado, MD, MS, Anna U. Morgan, MD, MSc, MSHP, David A. Asch, MD, MBA, Ruiying Xiong, MS, Austin S. Kilaru, MD, MSHP, Kathleen C. Lee, MD, David Do, MD, Ari B. Friedman, MD, PhD, Zachary F. Meisel, MD, MPH, MSHP, Christopher K. Snider, MPH, Doreen Lam, BA, Andrew Parambath, BA, Christian Wood, BA, Chidinma M. Wilson, BA, BS, Michael Perez, BS, BA, Deena L. Chisholm, MPH, Sheila Kelly, MPH, Christina J. O’Malley, MHA, Nancy Mannion, DNP, RN, CEN, Ann Marie Huffenberger, DBA, RN, NEA-BC, Susan McGinley, CRNP, Mohan Balachandran, MA, MS, Neda Khan, BS, Nandita Mitra, PhD, Krisda H. Chaiyachati, MD, MPH, MSHP

AIM

A secondary analysis of data from Watch patients showed that enrollment in an automated text messaging service among community-dwelling adults newly diagnosed with COVID-19 in outpatient settings was associated with reduced mortality (up to 68%), potentially explained by increased and earlier presentation to the ED by those benefiting from early interventions. These results reveal a model for outpatient health system management of patients with COVID-19 and possibly other conditions where the early detection of clinical declines is critical.

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.

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.