Eve Cunningham

Scaling Remote Patient Care: The Mechanics of a Paradigm Shift in Chronic Disease Management @NEJM @nejmcatalyst catalyst.nejm.org/doi/full/10.10… #RPM helped patients achieve goal blood pressure, reduce health care costs and utilization, including inpatient admissions

Link to the study: catalyst.nejm.org/doi/full/10.10…

“It’s pretty easy to appear to do something in innovation… but it’s actually really hard to do it” No more 💨 and 🪩! At Cadence, we are doing the hard stuff - executing on clinical innovation at scale!

Great interview with Dr. Ken Kooser and Health Innovation about the power and promise of remote patient care. Providence RPM Leader Describes Scaling Up With Partner Cadence | HCI Innovation Group hcinnovationgroup.com/population-hea…

@caltchek This is awesome!

“It was like 190/150, and I had no idea and so when I say it saved my life” said Mary R. “It’s an everyday thing, and so if there’s a concern, they call me." fox23.com/news/local/loc…

A nationwide remote patient care #hypertension program can drive high patient engagement & facilitate clinical encounters at scale, resulting in reduced BP levels & more patients achieving BP goals across the U.S. jacc.org/doi/10.1016/j.… #JACCAdvances @Difeldman4 @FudimMarat

📲 (In Depth) Scaling Remote Patient Care: The Mechanics of a Paradigm Shift in Chronic Disease Management nej.md/3KCB3ea

Improving chronic disease management in the US isn’t going to be easy. Remote patient care is a vehicle for us to deliver the support that clinicians and health systems need and patients and families deserve. ⁦@nejmcatalyst⁩ ⁦⁦ catalyst.nejm.org/doi/full/10.10…

Thanks @nejmcatalyst for the opportunity to highlight the Cadence model, which will hopefully facilitate further discussion about the best ways to expand, innovate, and improve this solution so we can achieve a future where chronic disease is controlled for all patients.

Improving chronic disease management in the US isn’t going to be easy. Remote patient care is a vehicle for us to deliver the support that clinicians and health systems need and patients and families deserve. ⁦@caltchek⁩ catalyst.nejm.org/doi/full/10.10…

Can you lead Digital Health & Virtual Care for a 50+ hospital system while founding a Digital Health startup? The answer is Yes… if you’re the brilliant Dr. @drevecunningham Chief of Virtual Care and Digital Health at @providence In our recent podcast, we unpack so many insights from Dr. Cunningham: 🎯 Why it’s critical for to have crystal clear priorities for your Digital Health roadmap For Providence there are 3: workforce shortage & burnout, hospital capacity & throughput and patient retention/loyalty 🤝 A unique approach to Remote Patient Monitoring (RPM) - leveraging not only a vendor partner for the tech, but also the vendor’s clinical monitoring teams For health systems facing workforce challenges, this innovative approach is a way to deliver RPM at scale. 🚀 Founding MedPearl within Providence and navigating from MVP to system-wide solution, now used by 7,000+ clinicians at Providence MedPearl leverages AI to bring specialist knowledge to primary and urgent care, leading to higher quality treatment plans and appropriate referrals - all within the normal clinician workflow. 💬 How Providence is using LLMs to organize and categorize patient portal messages - leading to more efficient responses to patients Providence achieved a 35% increase in message turnaround time, leading to more same-day appointments for urgent patient issues (I actually covered this amazing story in a previous post) All of this… and so much more!

🤔 Why do we expect patients to take action if we don’t explain WHY they should? Recently I spoke with the Medical Director of a Pre-Operative Center. Her team assesses patient readiness before surgery, ensuring they are healthy enough and fully prepared. She told me stories about patients who revealed they were ignoring key pre-op instructions simply because they didn’t understand why they had to do them. “I had a patient come in saying their surgeon told them to stop smoking, BUT never explained why. When I explained to him that smoking before surgery increases the risk of complications, such as infections, the patient finally understood and was more than happy to stop.” I’ve heard similar stories from patients and providers: patients knew WHAT they should do, but they didn’t believe it was that important to take action because the WHY was missing. This concept isn’t new to me because it’s been drilled into my head over the years by our Patient Education team at @SeamlessMD. It’s grounded in behaviour learning theory and adult learning theory. The idea is that patients are more engaged with their care plans when they know WHY they should do something, so they understand how it’s relevant to them. Understanding the WHY behind an action helps build intrinsic motivation for patients. It’s why when patients are assigned a task on SeamlessMD, such as to stop smoking before surgery, we don’t just stop there. We also empower patients with evidence-based education on WHY they should act. (See screenshots below) And given all the data our health system partners have produced on using SeamlessMD to reduce complications and recovery times, I truly believe there’s something there. The question is: how do we better infuse this approach in how clinicians educate patients? Or perhaps, given the time constraints on clinicians, should we leave that work to technology to develop that intrinsic motivation at scale? #digitalhealth #healthcareinnovation #patientsafety

In this episode of #SmartCareTeamSpotlight, @drevecunningham, MD, MBA, Chief of Virtual Care & Digital Health at @Providence, discusses their groundbreaking work in #healthcare innovation in integrating Ambient Intelligence, #AI, and LLMs to enhance #patientcare. Listen today!

Dying to know what happened at HLTH yesterday? Most interesting ideas I heard on #HLTH2023 Day 2: 1️⃣ We failed to train physicians on how to succeed in a value-based care environment - we just expected them to succeed with payment reform. Instead, we need to iterate medical education in parallel with iterating VBC models. - @CPegusMD Managing Director @MorganHealth 2️⃣ Advice to Digital Health vendors: Health systems need platforms, not point solutions. We don’t have space for solutions that only tackle one disease state. - @drevecunningham Chief of Digital Health @providence 3️⃣ The healthcare industry is huge - it’s not a zero sum game. I’m actually friends with all my competitors - we can all co-exist. Omada just crossed 1M members and that’s just a drop in the bucket! - @seanduffy CEO @omadahealth 4️⃣ On retail’s foray into healthcare: Are the 3 existing networks of hospitals, doctors offices and urgent care centers good enough? No, we need a 4th network of Community Driven Healthcare to meet the needs of consumers. @Type2CCO President & Chief Customer Officer, @Walgreens 5️⃣ We need to take care of our Mental Health the way we take care of our Dental Health. - @howiemandel Comedian, Actor, Host and long-time partner of @treatmyocd 6️⃣ It’s not enough to be a First Mover. You need to be the “Right” First Mover. - Margo Georgiadis, CEO @MontaiHealth & former CEO Ancestry 7️⃣ Where are we in the value-based care evolution? We are still in the early innings of VBC, but not so early that we don’t have any learnings yet. - @ASlavitt Founder, Town HallVentures & previous Acting Administrator for @CMSGov

Advice for #digitalhealth vendors: 1. Know your customer 2. Fulfill a purchaser need 3. Be ROI & KPI obsessed. 🙏to Richard Safeer (JHU), Henry Tang (Delta), @drevecunningham (Providence), and Heather Dlugolenski (Cigna) for an insider look @CF_Pearson #hlth2023

Advice for digital health vendors? If I’m not looking to buy a boat, I don’t care how good your boat is or how cheap it is. I’m never buying a boat. Don’t sell me a boat. - Dr Henry Ting, Chief Health Officer, @Delta (Goes back to solving an actual problem…) #HLTH2023

I’m excited by technology that helps us get rid of the “stupid stuff” in healthcare So we can free up more time for providers to spend with patients - @drevecunningham Chief of Digital Health @providence #HLTH2023

For an initial pilot or phase 1 of a Digital Health implementation, vendors and health systems need to be obsessed with the KPIs and ROI to earn the right to scale across the enterprise - @drevecunningham Chief of Digital Health @providence #HLTH2023