This guide will discuss the changes to the Patient Adherence Tracker and the Patient Portal, which go into effect on March 27, 2019.
What features are available in the new Patient Adherence Tracker?
The Patient Adherence Tracker allows you to quickly see how your patients are doing with the exercise and education programs you assign. Your patients will also have the opportunity to communicate with you in between their appointments so you can know:
- If they are completing the program as assigned
- If and why they are skipping exercises
- If they are experiencing any pain during their exercises
- If they find the assigned exercise too challenging or too easy
The adherence reporting dashboard (in the patient profile) will show you how well your patient is adhering to the program. You’ll also be able to view more detailed information for the entire episode of care.
These features are part of HEP Plus. MedBridge HEP Plus creates individual patient profiles within MedBridge, allowing organizations to attach assigned home exercise programs to actual patient names instead of access codes. Because the program is linked to the patient, providers can track patient adherence and program feedback as well as message patients directly. HEP Plus is available for organizations with five or more clinicians. If you’d like access to HEP Plus, our client success team can help you through the process, which includes a HIPAA Business Associate Agreement (BAA) and an updated agreement with your organization.
Pain and Difficulty Tracking
When creating and assigning each patient’s exercise and education program, you have the option to turn on pain and difficulty tracking. This allows you to receive valuable information from your patient, which you can then use to make adjustments to that patient’s program.
How do I use the Patient Adherence Tracker?
1. Start by creating and assigning your patient’s HEP and education program in the HEP Builder, which is linked to the patient’s profile. If you’d like additional insights, be sure to turn on the pain and/or difficulty tracking options. If you are working with an existing patient, you have the option to toggle pain and difficulty tracking options using the Edit Details button in the patient’s profile.
2. Your patient completes their program at home using either the desktop Patient Portal or the MedBridge GO app. When pain and difficulty reporting are turned on, your patient has the opportunity to rate their pain and the difficulty of each assigned exercise.
3. View reports to see your patient’s adherence score over a period of time and whether they completed the program as assigned or skipped exercises.
a. Click on the patient’s name from the Patient tab
b. View the new patient profile with updated adherence tracking. Here, you’ll find an overview of your patient’s adherence to their home program.
c. Dive deeper into the reasons behind your patient’s adherence score by clicking
d. With pain and difficulty tracking turned on, you’ll see which exercises your patients marked as painful, too easy, or too difficult along with reasons why an exercise was skipped. These insights will help you determine whether changes should be made to the program.
e. If messaging is turned on for the organization and the patient, you’ll be able to receive messages. Messages from patients will appear under your message tab. Click to open the message drawer and respond to your patient.
f. If a patient sends you a message, you will be able to respond to them directly.
All communications are secure and HIPAA compliant.
How is patient adherence calculated?
The chart graphic provides feedback based on average completions throughout an episode of care as well as individual points in time (see the legend, available when you click the “info” icon). If a patient has yet to complete their exercise but they still have time to complete it within the week (for example, an exercise that is assigned three times a week), they are given the benefit of the doubt. If they miss the exercise and will not be able to complete it within the week (for example, missing an exercise that is assigned daily), this will count against their total completions.
In addition to the new Patient Adherence Tracker, we’ve revamped and improved the user experience for both you and your patients!
Changes to the Healthcare Professional Experience
- The Adherence Tracker now tracks patient adherence for the entire episode of care. Previously, only the past seven days of the most recent program were detailed in the Tracker.
- Adherence tracking for Patient Education resources is now available.
- Adherence details now show which exercises are completed each day along with which were skipped and why. Patients have the option to rate the difficulty of the exercise and their pain levels or leave an explanation as to why an exercise was not completed.
- When patients mark an exercise as painful, difficult (a rating of 4 or 5), or too easy (a rating of 1 or 2), the exercise will be flagged for the clinician. The record expands to offer more detailed information if it is available.
Changes to the Patient Portal
The updated look and feel of the patient portal allows patients to easily navigate and follow along with their prescribed program.
- Patients can now log activity multiple times a day using the new “Log Activity” button, allowing for better insights on programs that require exercises to be completed two or more times per day.
- If ratings are turned on for the patient, patients of organizations using HEP Plus will be able to see the pain and difficulty rating options and log their reasons for skipping exercises. Patients of clinicians who are NOT using HEP Plus will only see exercise completions.
- Data now shares and seamlessly syncs between the Patient Portal on desktop and the MedBridge GO app.
Changes to the MedBridge GO app (iOS)
These changes will be available on the Android app
in Summer 2019!
- A clinician’s prescribed program is now presented to the patient exactly as prescribed by the clinician and is no longer divided across seven days.
- Patients have more control and can now select which exercises they are going to complete and in which order.
- Patients of organizations using HEP Plus are able to report pain and difficulty levels.
- If a patient chooses to skip an exercise, they will be prompted to select or type in a reason for skipping the exercise.
- Patients now have the option to break up their exercise program and partially complete exercises at different points throughout the day.
- The new smart playlist keeps track of which exercises the patient has completed versus which ones still need to be done and lets the patient know how long their program will take to complete.
While all patients will be able to see the updated patient portal and patient app, only patients of clinicians using HEP Plus will have access to pain and difficulty ratings. Additionally, while all patients can track the reasons why an exercise was skipped, only healthcare professionals on HEP Plus will be able to see this data. To upgrade to HEP Plus, please contact your organization’s administrator.