In early 2011, Group Health set out to find ways to use mobile to help members manage their health and make better decisions about where, how and when to get care. “We view mobile as another channel of delivering patient care which is important to us given our mission of serving the greatest number of people”, explains Colby Voorhees, Senior Product Manager at Group Health. 

Group Health launched their award winning mobile application with key capabilities such as care management with “My Care”, care guidance with “Consulting Nurse” and care planning with “Wait Times” for Pharmacy and Laboratory services.

Group Health’s app moves beyond the mobile capabilities enabled by other health plans which let consumers look up health information, check symptoms or find urgent care.

“We’ve received very positive feedback from members on our version 1.0 app but were surprised that members expected our mobile application to have more capabilities out of the gate such as refilling a prescription or accessing information on the entire family”, Colby reports.

     “Love the new app but am frustrated that I have to go to the full site to reorder meds. Will this be available on the new app soon?”

     “Please provide a Parental Access feature in the next update, soon.  I have to take my kids in much more than I go in so most of the time I end up using a web version on my phone (not fun)  instead of the app.”

Last summer, Group Health released their 1.5 version with prescription refill and parental access capabilities. Their mobile app now has over 36K downloads (iPhone 25+K) and Android 11+K) by 14% of their web access users and 5% of their total members.

The two most used mobile app features are “My Care” (37%) and “Wait Times” (36%) followed by “Symptom Checker” a distant third (10%).

In “My Care”, consumers can now see their personalized list of care reminders for preventive and chronic conditions (if applicable), communicate with their clinicians (e.g. primary care and specialists), review their ‘after visit summary’, refill a prescription and access care information for children under twelve such as immunization timing. Members can also use the scheduling feature to check available appointments and book them with their PCPs. “It’s like picking a seat on the plane that you want instead of having someone else select it for you”, exclaims Colby.

Within “My Care”, the top three features used are Reading Messages (32%), Viewing Lab Results (25%) and Making Future Appointments (16%).

Group Health’s Mobile Motivation

The product team at Group Health remains focused on taking complex tasks that the consumer is trying to do and making them simple. Group Health collaborates with consumers to get input on mobile concepts and works closely with them through usability research to make sure the capabilities meet expectations and the interface is intuitive. 

While Colby discussed their mobile research, I heard members voice their desire for increased convenience and an improved customer experience.

“If they had an app that made it that easy to interact with healthcare, I would choose Group Health.”

"My spouse would absolutely download that app to take care of his health since he can use it while commuting to work on the bus or while he is waiting in line.”

“I absolutely appreciate the forward thinking technological advances that Group Health has. Something seemingly as simple as an iPhone app to access my health records, completely changes and improves my experience in a way that other knuckle dragging change adverse medical providers just can't comprehend. Thank you.”

What is next for Group Health on the mobile front? Colby reminded me that they are only on their 1.5 mobile app version and there are opportunities ahead such pushing communications to consumers instead of relying on them to access their My Care dashboard.

As an integrated care system, Group Health has the advantage of leveraging their common platform for patients and providers to support care collaboration and self- management. Consumers can use mobile to access a single source for their care communication and transactional needs.

“We are thinking about the continuity of the care interaction with the clinician. There is a big divide between phone calls and in person visits. We already have secure messaging and can see where video might be the opportunity to bridge the gap in a low cost and high convenience way for patients and providers” shares Colby. 

Within healthcare, the consumer demand for mobile services is quickly outpacing the apps being supplied by organizations. Consumers want all the features available on their specific mobile device, which poses a big challenge to organizations that don’t have the resources to fund all of the mobile platforms. The key will be to identify, prioritize and deliver the most meaningful features which will enhance the member experience, enable care collaboration and empower consumers to simply engage in their health. 

World Congress Leadership Summit on Mobile Health, July 25-27th in Boston

Over the past three years, I have participated in this interesting event by running a workshop or panel.

Health Plans are finding new ways to bring value to consumers by empowering them with tools and guidance to manage their health while on the go.

At many conferences, health plans present their newest mobile application or texting campaign to engage consumers.

UnitedHealth Group announced their latest move at the recent Consumer Electronics Show to integrate several mobile health applications into their OptumizeMe solution, through partnerships with CareSpeak Communications, FitNow and FitBit. UnitedHealth is integrating content and tools to bring new capabilities to both consumers and caregivers.

Through the CareSpeak Communications’ partnership, consumers sign up to receive two-way texts to help them manage their medication and condition. UnitedHealth delivers CareSpeak’s personalized messaging to provide relevant content to each consumer segment ( e.g. asthma, diabetes, cancer, etc). A patient with diabetes opts in to receive customized education and reminder messages and can give a caregiver permission to monitor her health. The patient’s clinician is also kept in the loop with medication and condition management data to discuss during patient interactions. Patients are further engaged by receiving text based educational quizzes and viewing online reporting showing their effectiveness in managing their medication and condition over time.

With the integration of FitNow’s Lose It! mobile app, consumers can better manage their weight through fitness and food tracking tools, educational nutrition information, motivational reminders and social peer support.

From the FitBit integration, consumers automatically track their physical activity instead of having to key it in. Since this activity data is no longer self reported, UnitedHealth Group can use validated information to drive their rewards program. The FitBit app also tracks the consumer’s sleeping behavior for a more complete view of their health.

Integration Delivers Insight

UnitedHealth Group has invested in this set of mobile technologies to capture and connect multiple sources of data for a holistic view covering the consumer’s physical activity, dietary behavior, medication adherence, biometric and mood information.

“With these partnerships in place, we are connecting all the pieces of data across our platform for a common view for the consumer to self manage and share with their coach while creating a personalized experience”, explains Nick Martin, VP Innovation and R&D, UnitedHealth Group.

This supports the trend for “integrated end to end health to care solutions” where technology connects with care management platforms and programs, as noted by IDC Health Insights’ analyst Janice Young.

Coach/CareGiver & Consumer Collaboration

Nick Martin describes how the OptumizeMe application is being used by the consumer with their coach.  “Let’s say you are trying to lose weight. Your coach can push messages to your mobile which are educational and supportive. And if you give your coach permission, she can see your tracked physical activity”.  Think about how much more motivated and accountable the consumer will feel when her coach is monitoring and responding to her daily progress.  On the health side, the asthma patient can give access to her caregiver to monitor and address medication compliance issues. Her caregiver can also send encouraging and educational messages between visits.

UnitedHealth’s partnerships deliver new capabilities to their OptumizeMe mobile app giving consumers a new way to remain in close contact with their coach and to self manage with the social support from caregivers. With the power of the personalized information pushed and pulled from the consumer’s mobile phone, UnitedHealth Group can successfully generate both stronger consumer engagement and better health outcomes.

My wish list grew as I researched how companies were using mobile to generate engagement in consumer- driven industries such as financial services, retail, travel and entertainment.

As I prepared for my Mobile Workshop at World Congress’s Product Innovation Conference, I identified, evaluated and selected mobile applications to inspire the workshop participants with their mobile health strategies.  Each mobile application was chosen because it cleverly incorporated key engagement capabilities.  Some mobile examples were designed to engage short term while others were intended to sustain engagement over the long run.

During the workshop, I presented more than a dozen selected examples which I organized into four groups based on how they engage consumers. Let me share one example from each group with you.

1)     Life Management

Companies are creating mobile applications that help consumers get things done while on the go.

Example: Omnego launched a “Go Travel Wallet” application which enables consumers to load and access their travel documents including digital pictures of their passport and insurance documents. Consumers plan their travel by using all of their travel information such as rewards programs, credit cards and travel providers. They save money with the merchant coupons that are placed in their mobile wallet from social media, QR codes (scanned), emails and texts.

2)     Information Access

By placing QR codes on their promotional materials, companies are grabbing the attention of their customers and offering them access to special content in return.

Example: For an upcoming movie, Fox Spotlight has splashed QR codes across their marketing materials distributed or placed (posters) around the community, all ready to be scanned to access exclusive content.

3)     Social Community & Commerce

Businesses are realizing the power of using mobile to tap into the social networks of their customers.

Example: Amazon’s Back to School mobile application is targeted to the student segment. Students can buy and sell text books, access exclusive deals and share their “finds” with their social network.

4)     Social Gaming

While playing a social game through a mobile application, consumers interact virtually with the company’s brand and are driven into the business’s physical locations.

Example: New Balance gets their customers moving in the community collecting “virtual batons” which can be redeemed in their stores for rewards, These batons appear on the consumer’s mobile phone by using GPS and maps. Consumers are motivated to visit the store quickly since the virtual baton can be stolen by others playing the game.

Mobile Insight & Guidance

During our workshop, my colleague Ahmed Albaiti, CEO of Medullan shared technology and consumer demand trends. After sharing a framework and guidelines for the interactive game, we split our workshop participants into teams.

Ahmed and I worked closely with our team as they defined their target users, thought through their needs and current resources to support them and then conceptualized a mobile application.  

As I observed my group, I noticed that it was easy for them to suggest mobile capabilities from health applications already on the market but I had to continuously challenge them to incorporate innovative ideas from other consumer industries. My role was to help my team see how these innovative examples can be applied to healthcare to meet their business objectives.

It was exciting to watch the teams describe their wish for a mobile application designed for their target consumers.

Imagine a mobile workshop for your company, where all of your internal stakeholders are focusing on the users, identifying their own wish list and defining capabilities to truly engage these consumers.

World Congress Leadership Summit on Shared Decision Making

September 23, 2011

Panel Session:

Moderator:

Sherri Dorfman, MBA, Chief Executive Officer, Stepping Stone Partners

Panelists:

• Mark L. Robitaille, MBA, Head of Care Management Support & Engagement, Aetna
• Changrong Ji, Senior Solutions Architect, CareFirst BCBS (Mobile strategy)
• Zev Lavon, PHD, Director Solution Architecture, CareFirst BCBS (Web strategy)
• James J. Mis, MBA, Communications Manager, Health Care Services, Independent Health