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Using Person-Centered Health Analytics to Live Longer - Dwight McNeill

Using Person-Centered Health Analytics to Live Longer

Leveraging Engagement, Behavior Change, and Technology for a Healthy Life

(Autor)

Buch | Hardcover
384 Seiten
2015
Pearson FT Press (Verlag)
978-0-13-388997-0 (ISBN)
CHF 109,95 inkl. MwSt
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The American way of producing health is failing. It continues to rank very low among developed countries on our most vital need…to live a long and healthy life. Despite the well-intentioned actions on the part of government, life sciences, and technology, the most important resource for achieving our full health potential is ourselves.

This book is about how you can do so, and how others can help you. Dwight McNeill introduces person-centered health analytics (pchA) and shows how you can use it to master five everyday behaviors that cause and perpetuate most chronic diseases.

 

Using Person-Centered Health Analytics to Live Longer combines deep insight, a comprehensive framework, and practical tools for living longer and healthier lives. It offers a clear path forward for both individuals and stakeholders, including providers, payers, health promotion companies, technology innovators, government, and analytics practitioners.

Dwight McNeill, PhD, MPH, is a teacher, writer, and consultant. He is a Lecturer at Suffolk University where he teaches courses in population health and health policy.   Dwight has published two previous books on health analytics, including A Framework for Applying Analytics in Healthcare: What Can Be Learned from the Best Practices in Retail, Banking, Politics, and Sports and (editor) Analytics in Healthcare and the Life Sciences: Strategies, Implementation Methods, and Best Practices. He has also published many journal articles, including “Building Organizational Capacity: A Cornerstone of Health System Reform” (with Janet Corrigan) in Health Affairs.   Over his 30-year career, he has worked in corporate settings, most recently as Global Leader for Business Analytics and Optimization for the Healthcare Industry for IBM, and previously at GTE; government settings at the federal (Agency for Healthcare Research and Quality) and state (Commonwealth of MA) levels; analytics companies; and provider settings. He consults on analytics innovations to improve population health management and person-centered health.   Dwight earned his PhD from Brandeis University in Health and Social Policy and his MPH from Yale University in Public Health and Epidemiology.

Introduction   1
Background   4
Solutions   7
Toolkit for People   7
Opportunities Portfolio for Stakeholders   12
  Stakeholders   12
Barriers to Widespread Adoption of pchA   13
Areas of Opportunity   14
Visualize SOPrDiMoCa   14
Design for People   15
Tailor Best Fit   15
Sustain Passively and Actively   16
Discover Alien Intelligence   16
Extend...Don’t Stand Alone   17
Shape Momentum   17
Rework Hackathons   18
Assure Privacy   18
Welcome Aboard   19

PART I:  IMPROVING HEALTH OUTCOMES: THE FUSION OF HEALTH, ENGAGEMENT, DEMOCRACY, TECHNOLOGY, AND BEHAVIOR   21
Chapter 1  It’s About Health Outcomes   25
Health Care’s Veiled Purpose   25
Measuring Health Outcomes   27
The Uneasy Business of Health Outcomes   31
Missed Opportunities   31
New Pressures on the Business and Analytics   34
Occupy Health Care   36
Rebuilding the System   36
Generation Unmoored   37
Taking Off the White Coat   39
Chapter 2  More Prevention, Less Treatment   43
It Has to Be More about Health than Health Care   43
More Prevention, Less Treatment   44
More Upstream, Less Downstream   45
More Socialized, Less Medicalized   46
More Systems Thinking, Less Siloes   49
More People, Less Patients   51
Personal Behavior = 67   51
Chronic Diseases “R” Us   51
Measuring Burden and Risk   53
Learning from Finland (Maybe   56
Let’s Get Back to the 67   57
Everyone’s Eyes on Five Behaviors   58
Five Behaviors and the 20% Rule   58
Whose Responsibility Is It   62
A Culture of Health   62
Chapter 3  Driving Health through Engagement   65
Integrating Our Four Selves in Health   65
Consumer   66
Patient   67
Citizen   68
Customer   69
Our Integrated Self   69
Patient Engagement: What, Why, and Why Not   70
What Is Patient Engagement   71
Why Patient Engagement   72
Why Is Patient Engagement So Rare   73
Making Patient Engagement Work Better   76
What Health Care Organizations Can Do   76
What Patients Should Do   83
Becoming Un-Patient   84
Chapter 4  Forces of Democracy for Health   87
Data Truths   87
Whole Health Catalogue   87
Show Me the Data   88
The Case of 23andMe   90
Am I Lab Worthy   91
Superconsumers   92
A Caveat on Self-Service   94
Redirecting Our Free Time   95
Crossing the Gap   97
Relying on Me...and We   98
Health Social Networks   99
Examples of Health Social Networks   100
Observations   104
Chapter 5  High-Definition (HD) Health Data   105
Overview   105
pchA Data   105
pchA Technical Cornerstones   106
Beyond Personalized Medicine   107
Genomics   108
Consumer Genomics   110
What’s a Person to Do   113
Sensors   114
Not Ubiquitous, but Promising   116
Achieving Results with Sensors   117
Finally...Proof   121
HIT and Health Records   122
Electronic Health Records   123
Challenges   124
Kaiser Permanente   125
Personal Health Records (PHRs   125
Two Best Practices: Blue Button and My Health Manager   127
The Connection between Data Availability and Quality of Care   129
Chapter 6  The BIG Challenge of Behavior Change   131
Paternalism   132
Making Behavioral Changes Happen   134
An Example: CAD   134
Approaches to Behavior Change   135
Comprehensive Modulate Programs   138
Integrative Lifestyle Medicine   138
Stages of Change   139
Trusted Peers   141
Common Features   143
New Wave: Behavioral Economics   144
Connected Devices and Apps   146
Social Networks   147
Gamification   148
Overall: Promise and Pitfalls   149
Analytics to Support Behavioral Change   150
Opportunities/Challenges   151

PART II:  BUILDING THE TOOLKIT FOR PERSON-CENTERED HEALTH ANALYTICS   155
Chapter 7  Getting Started with the Toolkit   159
Driving Directions   160
Knowing Me   160
Protecting Health   160
Minding Illness   161
Managing Data   161
Rules for the Road: A Top-Ten List   162
Chapter 8  Driving Directions   165
The Five Stages of Change   165
Chapter 9  Knowing Me   171
Health Status and Risks   172
Annual Physical Exam   172
Health Risk Assessment (HRAs   174
Well-Being Measurement   177
Genomic Health Risks (Optional   180
Engagement and Self-Care   182
Patient Activation   182
Social Risks   185
Personality   188
Analytics Capabilities   189
Health Literacy   191
eHealth Literacy   192
Digital Competencies   193
Summary of Knowing Me Toolkit   195
Chapter 10  Protecting Health   197
Self-Monitoring   200
Sitting   201
Eating   204
Smoking   206
Drinking   207
Information   208
Summary of Protecting Health Toolkit   210
Chapter 11  Minding Illness   213
Self-Monitoring   216
Diabetes   216
Ischemic Heart Disease   220
Taking Medications   222
Self-Triage and Peer Communities   224
Self-Triage   224
Peer Communities   228
Summary of Minding Illness Toolkit   230
Chapter 12  Managing Data   233
Get Data   234
Portals   236
Services   238
Choosing Providers   241
Store Data   244
What Needs to Be Stored   246
How to Store It   248
Protect Data   251
Computer Hygiene   253
Social Media   254
pchA   255
Summary of Managing Data Toolkit   259

PART III:  STAKEHOLDERS SUPPORTING PERSON-CENTERED HEALTH ANALYTICS   261
Chapter 13  Stakeholders: Influencing the Adoption of pchA   263
Roles of Key Stakeholders   264
Health Care Providers   265
Health Companies   266
Health Insurers   267
Government   268
Technology   269
Working Together   270
Chapter 14  Barriers to Widespread Adoption of pchA   271
Physician Practice   272
Value for the Patient   272
Help or Hinder Practice   273
Organizational Integration and Approval   273
Payment and Cost   274
Reimbursement   275
Payment System   276
Cost   276
Proof   277
Tools Ordered by Doctors   277
Tools That Substitute for Doctors   278
Nonmedical Tools   278
Proof Summary   279
Pleasing the Customer   279
The Fizz in Digital Health Product Development   279
The Fizzle in Consumer Demand   280
From Slick and Click...to Tick and Stick   282
The Job Consumers Are Trying to Do   283
Privacy   284
Obfuscation   284
The Feds Taking Notice   285
Chapter 15  Opportunities for Stakeholders to Advance pchA   287
Visualize SOPrDiMoCa   287
Design for People   289
  Understanding the Customer   290
Multiple Methods for Designing for People   290
Tailor Best Fit   291
Learning from Radical Personalization   292
All the Data That’s Fit for Modeling   293
Sustain Passively and Actively   294
Sustain Passively   294
Sustain Actively   295
Discover Alien Intelligence   296
AI Maturity, Finally   296
AI for Health   297
Extend...Don’t Stand Alone   298
Integrated Systems   298
Health Management Programs   299
Medicare and the ACA   300
Shape Momentum   300
Government Actions   301
Multisector Partnerships   302
Profuse Funding   302
Rework Hackathons   303
Hack This   303
Swimming with the Sharks   305
Assure Privacy   306
Regulation   306
Industry Code of Conduct   308
Epilogue   311
Wrapping Up   311
Looking Forward   312
Staying Current   314
References   315
Index   353
 

How to dramatically improve health outcomes by using data, technology, and behavioral science to empower individuals as agents of change.

Erscheint lt. Verlag 20.4.2015
Verlagsort NJ
Sprache englisch
Maße 152 x 229 mm
Gewicht 644 g
Themenwelt Informatik Datenbanken Data Warehouse / Data Mining
Informatik Office Programme Outlook
Studium Querschnittsbereiche Prävention / Gesundheitsförderung
Technik Maschinenbau
Wirtschaft Betriebswirtschaft / Management Logistik / Produktion
Wirtschaft Betriebswirtschaft / Management Unternehmensführung / Management
ISBN-10 0-13-388997-1 / 0133889971
ISBN-13 978-0-13-388997-0 / 9780133889970
Zustand Neuware
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