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NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation Care4Today ® Organization Overview • Janssen Healthcare Innovation (JHI) is an entrepreneurial group within Janssen, the Pharmaceuticals Companies of Johnson & Johnson • The vision of JHI is to transform healthcare delivery by connecting, supporting, and empowering patients and providers • The JHI team operates as an innovation engine, developing scalable tools that improve outcomes Background Janssen was formed in 2011, shortly after the Affordable Care Act was signed into law. The group’s focus is to create cutting-edge, patient-centered health offerings, such as the Care4Today ® brand and associated tools, to deliver value-based care. Digital technologies for chronic disease management have been a key focus area for the JHI group, because of the unmet needs of this patient population and the high costs associated with poor adherence. Approximately 50% of patients with chronic illnesses do not take their medications as prescribed. In the U.S., medication-related hospitalizations, including admissions due to poor medication adherence cost the healthcare system approximately $300 Billion per year. Program Details The Care4Today ® platform enables better connectivity and pathway transparency between chronic care patients, their healthcare teams, and their caregivers. These products also empower patients to take a leading role in managing their own healthcare. The Mobile Health Manager platform was launched in 2012 to help patients improve adherence, increase engagement, and enhance efficiency of care. Mobile Health Manager is available to patients as a secure website and mobile application. Key features of the platform include: • Medication adherence reminders, which can be sent to the patient and/or family members • Healthcare provider dashboard, which organizes all patient self-reported data into one location and provides real-time visibility into these metrics for providers • Secure messaging platform to enable direct communication between patients and providers Several techniques were used in designing the technology platform including care pathway mapping, new product feature assessment, human factor design testing, and patient and provider usability testing. An Initiative of the 17 | Care4Today ®
NDHI NAT IONAL DIALOGUE FOR Healthcare Innovation Payer, provider, and pharmacy groups have been involved in testing and evaluating the platform in real world practice. The current version of the program was introduced in August 2013, and continues to be enhanced through user feedback. Value Delivered • Over 350,000 patients have experienced the program in either consumer-focused or HCPdirected interactions • A pilot randomized controlled trial of Care4Today ® Mobile Health Manager among persons living with HIV demonstrated non-statistical increases in: –– Antiretroviral adherence rate, from 57.5% to 66.8% –– Proportion of patients achieving high adherence levels (over 90%), from 17% to 32% • In an August 2015 study of Care4Today ® Mobile Health Manager users: –– 97% of users indicated that the application helps them take medications as prescribed –– 94% of users indicate that they plan to continue using the application –– The overall Net Promoter Score for the application was 69% Path Forward • Based on user and provider feedback from Mobile Health Manager, the Care4Today team is actively working on the development of a new platform, which is set to launch in fall 2016. • The continuation of value-based care and the shift toward quality-based measurements will expand the need for digital health offerings such as Care4Today ® . While current tools use retrospective generalized data to improve care, JHI’s long-term goal is to move toward predictive personalized data. This will enable a shift toward true coordination of care and, ultimately, to data-driven care personalization. Care4Today ® | 18
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