Smile Digital Health and Patient Centric Solutions
How Seamless Interoperability Improves Outcomes: A Patient Story
Betsy Johnson* is an active 68-year-old retiree who recently moved from Maryland to Massachusetts to be closer to her son Charles. Although she suffers from several chronic conditions, including diabetes, Betsy leads an active lifestyle that includes daily walks. Betsy is also a tech-savvy healthcare consumer who takes an active role in monitoring her health. She uses an app to track her blood pressure, she keeps up with her medication through reminders, and she tracks her steps and heart recovery time with an iWatch.
When Betsy had a stroke and fell while alone in her apartment, her iWatch automatically called 911 after she remained unresponsive for over a minute.
What makes Betsy’s case different is that as she made her way through the healthcare system following her stroke, her providers all had access to her most current clinical data. This allowed them to provide her with the best care. This solution was enabled by a patient-centric clinical record that accompanied Betsy as she travelled from one facility to the next.
Betsy was lucky. Poor coordination among care providers and a lack of access to current and accurate patient data can have deadly consequences. Fifty percent of the time crucial information, such as medications, equipment needs, or the presenting problems are not available when the patient arrives at a facility.
In this story, the payer who provides Betsy’s Medicare Advantage Plan offered an innovative program to help reduce overall healthcare-related costs and improve her outcomes. Initially this was part of a pilot provided to Medicare patients, who are more likely to have multiple chronic issues and encounter a transition of care event.
Powered by Smile Digital Health, a FHIR-based data and integration platform, and PatientShare, which enables secure data sharing, this system includes a longitudinal health record that follows a patient throughout their healthcare journey, and includes security, privacy and transparency features.
Prior to her fall, Betsy set up an account and made sure her son Charles was named as her healthcare proxy. The system includes patient-mediated exchange features powered by user-managed access and consent. This enabled Betsy to create consents about who could access her data. These computable consents enable the system, which includes patient-mediated exchange features, to immediately grant access to authorized users so that Betsy’s entire care team has access when needed.
The end result for Betsy was a seamless care experience, while her providers were empowered to make informed decisions about her care and treatment.