You are previewing Using Person-Centered Health Analytics to Live Longer: Leveraging Engagement, Behavior Change, and Technology for a Healthy Life.
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Using Person-Centered Health Analytics to Live Longer: Leveraging Engagement, Behavior Change, and Technology for a Healthy Life

Book Description

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.

Table of Contents

  1. About This eBook
  2. Title Page
  3. Copyright Page
  4. Praise for Using Person-Centered Health Analytics to Live Longer
  5. Books in the FT Press Analytics Series
  6. Dedication Page
  7. Contents
  8. Acknowledgments
  9. About the Author
  10. Introduction
    1. Background
    2. Solutions
      1. Toolkit for People
    3. Opportunities Portfolio for Stakeholders
      1. Stakeholders
      2. Barriers to Widespread Adoption of pchA
      3. Areas of Opportunity
      4. Visualize SOPrDiMoCa
      5. Design for People
      6. Tailor Best Fit
      7. Sustain Passively and Actively
      8. Discover Alien Intelligence
      9. Extend...Don’t Stand Alone
      10. Shape Momentum
      11. Rework Hackathons
      12. Assure Privacy
      13. Welcome Aboard!
  11. Part I: Improving Health Outcomes: The Fusion of Health, Engagement, Democracy, Technology, and Behavior
    1. 1. It’s About Health Outcomes!
      1. Health Care’s Veiled Purpose
        1. Measuring Health Outcomes
      2. The Uneasy Business of Health Outcomes
        1. Missed Opportunities
        2. New Pressures on the Business and Analytics
      3. Occupy Health Care
        1. Rebuilding the System
        2. Generation Unmoored
        3. Taking Off the White Coat
    2. 2. More Prevention, Less Treatment
      1. It Has to Be More about Health than Health Care
        1. More Prevention, Less Treatment
        2. More Upstream, Less Downstream
        3. More Socialized, Less Medicalized
        4. More Systems Thinking, Less Siloes
        5. More People, Less Patients
      2. Personal Behavior = 67%
        1. Chronic Diseases “R” Us
        2. Measuring Burden and Risk
        3. Learning from Finland (Maybe)
        4. Let’s Get Back to the 67%
      3. Everyone’s Eyes on Five Behaviors
        1. Five Behaviors and the 20% Rule
        2. Whose Responsibility Is It?
        3. A Culture of Health
    3. 3. Driving Health through Engagement
      1. Integrating Our Four Selves in Health
        1. Consumer
        2. Patient
        3. Citizen
        4. Customer
        5. Our Integrated Self
      2. Patient Engagement: What, Why, and Why Not
        1. What Is Patient Engagement?
        2. Why Patient Engagement?
        3. Why Is Patient Engagement So Rare?
      3. Making Patient Engagement Work Better
        1. What Health Care Organizations Can Do
        2. What Patients Should Do
      4. Becoming Un-Patient
    4. 4. Forces of Democracy for Health
      1. Data Truths
        1. Whole Health Catalogue
        2. Show Me the Data
        3. The Case of 23andMe
        4. Am I Lab Worthy?
      2. Superconsumers
        1. A Caveat on Self-Service
        2. Redirecting Our Free Time?
        3. Crossing the Gap
      3. Relying on Me...and We
        1. Health Social Networks
        2. Examples of Health Social Networks
        3. Observations
    5. 5. High-Definition (HD) Health Data
      1. Overview
        1. pchA Data
        2. pchA Technical Cornerstones
        3. Beyond Personalized Medicine
      2. Genomics
        1. Consumer Genomics
        2. What’s a Person to Do?
      3. Sensors
        1. Not Ubiquitous, but Promising
        2. Achieving Results with Sensors
        3. Finally...Proof
      4. HIT and Health Records
        1. Electronic Health Records
        2. Challenges
        3. Kaiser Permanente
        4. Personal Health Records (PHRs)
        5. Two Best Practices: Blue Button and My Health Manager
        6. The Connection between Data Availability and Quality of Care
    6. 6. The BIG Challenge of Behavior Change
      1. Paternalism
      2. Making Behavioral Changes Happen
        1. An Example: CAD
        2. Approaches to Behavior Change
      3. Comprehensive Modulate Programs
        1. Integrative Lifestyle Medicine
        2. Stages of Change
        3. Trusted Peers
        4. Common Features
      4. New Wave: Behavioral Economics
        1. Connected Devices and Apps
        2. Social Networks
        3. Gamification
        4. Overall: Promise and Pitfalls
      5. Analytics to Support Behavioral Change
        1. Opportunities/Challenges
  12. Part II: Building the Toolkit for Person-Centered Health Analytics
    1. 7. Getting Started with the Toolkit
      1. Driving Directions
      2. Knowing Me
      3. Protecting Health
      4. Minding Illness
      5. Managing Data
      6. Rules for the Road: A Top-Ten List
    2. 8. Driving Directions
      1. The Five Stages of Change
    3. 9. Knowing Me
      1. Health Status and Risks
        1. Annual Physical Exam
        2. Health Risk Assessment (HRAs)
        3. Well-Being Measurement
        4. Genomic Health Risks (Optional)
      2. Engagement and Self-Care
        1. Patient Activation
        2. Social Risks
        3. Personality
      3. Analytics Capabilities
        1. Health Literacy
        2. eHealth Literacy
        3. Digital Competencies
      4. Summary of Knowing Me Toolkit
    4. 10. Protecting Health
      1. Self-Monitoring
        1. Sitting
        2. Eating
        3. Smoking
        4. Drinking
      2. Information
      3. Summary of Protecting Health Toolkit
    5. 11. Minding Illness
      1. Self-Monitoring
        1. Diabetes
        2. Ischemic Heart Disease
        3. Taking Medications
      2. Self-Triage and Peer Communities
        1. Self-Triage
        2. Peer Communities
      3. Summary of Minding Illness Toolkit
    6. 12. Managing Data
      1. Get Data
        1. Portals
        2. Services
        3. Choosing Providers
      2. Store Data
        1. What Needs to Be Stored?
        2. How to Store It
      3. Protect Data
        1. Computer Hygiene
        2. Social Media
        3. pchA
      4. Summary of Managing Data Toolkit
  13. Part III: Stakeholders Supporting Person-Centered Health Analytics
    1. 13. Stakeholders: Influencing the Adoption of pchA
      1. Roles of Key Stakeholders
        1. Health Care Providers
        2. Health Companies
        3. Health Insurers
        4. Government
        5. Technology
      2. Working Together
    2. 14. Barriers to Widespread Adoption of pchA
      1. Physician Practice
        1. Value for the Patient
        2. Help or Hinder Practice
        3. Organizational Integration and Approval
      2. Payment and Cost
        1. Reimbursement
        2. Payment System
        3. Cost
      3. Proof
        1. Tools Ordered by Doctors
        2. Tools That Substitute for Doctors
        3. Nonmedical Tools
        4. Proof Summary
      4. Pleasing the Customer
        1. The Fizz in Digital Health Product Development
        2. The Fizzle in Consumer Demand
        3. From Slick and Click...to Tick and Stick
        4. The Job Consumers Are Trying to Do
      5. Privacy
        1. Obfuscation
        2. The Feds Taking Notice
    3. 15. Opportunities for Stakeholders to Advance pchA
      1. Visualize SOPrDiMoCa
      2. Design for People
        1. Understanding the Customer
        2. Multiple Methods for Designing for People
      3. Tailor Best Fit
        1. Learning from Radical Personalization
        2. All the Data That’s Fit for Modeling
      4. Sustain Passively and Actively
        1. Sustain Passively
        2. Sustain Actively
      5. Discover Alien Intelligence
        1. AI Maturity, Finally
        2. AI for Health
      6. Extend...Don’t Stand Alone
        1. Integrated Systems
        2. Health Management Programs
        3. Medicare and the ACA
      7. Shape Momentum
        1. Government Actions
        2. Multisector Partnerships
        3. Profuse Funding
      8. Rework Hackathons
        1. Hack This
        2. Swimming with the Sharks
      9. Assure Privacy
        1. Regulation
        2. Industry Code of Conduct
  14. Epilogue
    1. Wrapping Up
    2. Looking Forward
    3. Staying Current
  15. References
    1. Introduction
    2. Chapter 1
    3. Chapter 2
    4. Chapter 3
    5. Chapter 4
    6. Chapter 5
    7. Chapter 6
    8. Chapter 7
    9. Chapter 8
    10. Chapter 9
    11. Chapter 10
    12. Chapter 11
    13. Chapter 12
    14. Chapter 13
    15. Chapter 14
    16. Chapter 15
  16. Index