LeadingAge CAST has updated its Shared Care Planning and Coordination Technology Online Tool, which provides hands-on resources to help providers plan for, choose, and adopt the appropriate technology.
 
Updated resources include the Product Matrix and Online Selection Tool, now with 17 products. One new vendor, Mediprocity, has been added. A new case study, To Text or Not to Text? That is the Question, demonstrates how secure texting solutions such as Mediprocity—if managed properly—can lead to tremendous positive impact for care delivery and the safety of patients. For example, this project saw substantially reduced hospitalization rates. 

Overview

The Missouri Quality Initiative (MOQI) used the Mediprocity technology for secure communication “texting” in a Health Insurance Portability and Accountability Act (HIPAA) compliant setting. The goal was to improve communication workflow and support clinical communication primarily on mobile phones used by healthcare workers within nursing homes.
 
The technology is available on the web and a mobile app and includes secure passwords, encryption, and many of the standards required by the Health Information Technology for Economics and Clinical Health (HITECH) Act under the HIPAA Omnibus Rule.
 
The research was a retrospective qualitative content analysis of text messages sent and received using Mediprocity. Sixteen nurses were given the Mediprocity technology to support clinical communication with urban and rural nursing homes over six months. All of the advanced practice registered nurses (APRNs) were trained along with the nursing home users on how to properly use Mediprocity in a healthcare and HIPAA compliant manner. 

Outcomes

Over the six-month period, 8,946 text messages were captured and analyzed. Outcomes included a drastic reduction in hospitalization rates: 40% reductions in all-cause hospitalizations, 58% reduction in avoidable hospitalizations, 54% reduction in all-cause emergency department (ED) visits, and 65% reduction in avoidable ED visits.
 
Other outcomes are as follows:

  • Increased patient/client engagement.
  • Increased family/caregiver engagement.
  • Improved care planning.
  • Improved care coordination and data sharing ability.
  • Improved care transitions.
  • Improved quality of care and outcomes.
  • Reduced cost of care (redundancy). 

Overall, research revealed that healthcare communication ecosystems have a positive impact, secure collaboration with workflow affects patient outcomes, and analytics and escalation help save time and avoid mistakes.
 
The project continues to use secure texting with benefits for post-ambulatory care discharge follow-up, chronic illness management, cardiac rehabilitation in coronary heart disease patients, and more.

Learnings

The potential for adoption is high. If a team begins to use Mediprocity internally after training and add their providers and pharmacy, there is over an 85% success rate for adoption. If a team does not implement after the free training, the chances of usage drop by almost 70%.
 
It’s important to note that organizations pursuing this technology must implement a mobile device policy and add secure messaging and communication to their risk analysis. They should enforce it and update their analysis quarterly. It only takes one mistake to cost an organization of 10 nursing homes close to $1 million dollars in fines and penalties—far more than the cost of a secure messaging system such as Mediprocity. CAST's Cybersecurity Resources can help providers understand how to protect against cyberattacks.

CAST Technology Selection Tools

In addition to the Shared Care Planning and Coordination Technology Selection Tool, CAST offers six portfolios of hands-on resources to help you choose the best technology for your organization. Each portfolio includes a whitepaper, selection matrix, online selection tool and provider case studies: