DEPRESSION AND eMoods INTERNET BASED SERVICE

1
DEPRESSION AND eMoods INTERNET BASED SERVICE
Enid M. Hunkeler, MA

• Innovations in Health Care National Seminar
• In Mikkeli
• 7-8 June 2005

2
eCare Collaborators

• Kaiser Permanente Medical Care Program
• Eli Lilly and Company
• Doctor Global, LTD
• Depression Bipolar Support Alliance

eCare for Moods was funded by Eli Lilly and
Garfield Memorial Fund
3
eCare Team
Enid Hunkeler, MA, Principal Investigator (PI)
EVALUATION TEAM William A. Hargreaves, PhD
(Co-PI) Greg Simon, MD Jurgen Unützer, MD Gwen
Hebert Janelle Lee, DrPH Jennifer Groebe,
LCSW Verda Hester, MPH Shella Chazan, MA Michelle
Lamet, MA Robbie Brandwynne, MA Carla
Tillman Robin Ackerman-Gray Claudia Cruz Edy
Abram Alice Ansfield Lisa Ryan, RN Judy Sobieski,
PhD, RN Lisa Vine, MSW
INFORMATION TECHNOLOGY TEAM Joe Terdiman, MD, PhD
(Co-PI) John Maio Frank Shih Vincent Sin Doctor
Global, LTD
CLINICAL TEAM Robin Dea, MD (Co-PI) Joel
Meresman, PhD (Co-PI) Yvonne Porterfield, RN, MSN
(Co-I) Depression Bipolar Support Alliance
members Consumer Advocates C Barr Taylor, MD Mark
Bauer, MD Paul Wilson, MD Thomas Vigran, MD Carol
J. Cohen, MD Alan Marx, MD Mark McCormick,
MD Michael Zoglio, MD Adele Adams, RN Shery Groo,
RN Anne Klevay, RN Lori Verne, RN
Bev Peters Donna West, RN Diane Cammarata, RN
4
What Patients Want From Their Health Plan

• Personalized and responsive service
• Convenient access
• Ability to get advice when a visit is not really
  needed
• Ability to get an appointment when a visit is
  really needed
• Affordable Cost

5
What Clinicians Want

• Improved access to care for patients
• More frequent monitoring of patients
• Warning when a patient is not taking medication
  or is having side effects
• Warning that a patient is decompensating
• Flexibility to schedule a patient clinic visit
  when a visit is really needed.
• Opportunity to intervene before a health problem
  becomes a health crisis
• Reasonable workload and scope of responsibility

6
What is eCare for Moods?

• eCare for Moods is a chronic care management
  program for depressed and bipolar patients. It
  offers individualized care that is
• Internet-based
• Interactive
• Secure
• One-stop shopping

7
eCare for Moods Functionality

• Monitors symptoms and early warning signs
• Monitors medications and side effects
• Generates alerts to clinicians
• Offers interactive educational courses
• Provides personal database
• Links to Legacy clinical data

8
eCare for Moods Functionality

• Summarizes patient's health
• Allows secure messaging
• Offers asynchronous discussion groups
• Generates reports for quality control
• Has calendar and task list

9
Hypotheses

• eCare will increase
• Patient Satisfaction
• Functioning
• Access to Care
• Treatment adherence
• Provider Satisfaction

• Will decrease
• Relapse
• Symptoms
• Will contain
• Cost of care

10
Model of Care

• Ensure that each patient gets the right treatment
  at the right dose for the right duration from the
  right provider
• Maximize patients' self-management skills
• Teach patients how to get support from their own
  environment
• Applicable to any chronic condition

11
New Model of Care
12
Patient Home Page
13
Add Your Own Symptoms
14
Monitoring Depression Symptoms
15
Monitoring Medications
16
Bipolar Vital Signs - 1
17
Bipolar Action Plan
Drug X
Drug Y
Increase dosage of drug X 2 tablets, 2 daily
18
eCare Nurse Homepage
19
eCare for Moods Next Steps

• Conduct qualitative interviews with eCare
  patients
• Analyze data
• Revise and disseminate
• Adapt for other psychiatric conditions ADHD
• Adapt for management of other chronic diseases
  Diabetes and Hypertension

20
eCare for Chronic Conditions
21
(No Transcript)