How to Reduce Patient Waiting Time in a Hospital or Clinic Written by Jeff Tormey on May 18, 2021. Posted in Manage. Time spent in the waiting room seems like such a small fraction of the patient experience, and if you are like most medical practices, you do what you can to make it a pleasant experience. You have magazines, attractive décor, and the radio or TV playing for distraction. Even if the wait times run a little long, it can’t have too much of an impact. Right? Well, we have bad news. Nearly all patients report being frustrated with how long they need to wait at medical offices and hospitals. Feeling like your time has been wasted in a waiting room is essentially a universal experience. The good news is that there are ways to decrease patient wait times and increase patient satisfaction. Here are our top suggestions. 1. Focus on Customer Relationship Management CRM in healthcare manages all interactions between you and your patients, facilitating ease of communication and keeping all essential elements organized. The patient end of this is your online patient portal. Through this, you can have patients upload documents, fill out a health history and HIPAA forms, and even give a brief write-up of the current condition they are seeking treatment for. This helps eliminate time spent sitting in the waiting room filling out paperwork and allows your patient to arrive right on time rather than 15 minutes early. 2. Use Digital Queuing Restaurants already have this one down pat. People hate just waiting in line, so instead, enter their information into an automated system and when it’s five minutes before you can see them, they get a message to head on in. This lets them wait in their cars where they might feel more comfortable or enjoy a latte at the café next door. 3. Be Firm in Your Late Arrivals Policy An excellent way to reduce patient waiting time is by not tolerating late arrivals. While we all know that sometimes, life happens and being late is unavoidable, your other patients shouldn’t have to suffer because of someone’s bad luck or poor planning. Set your policy on how late a patient can arrive and still be seen, and be firm in enforcing it. 4. Set Up Express Care Express care will require another care provider, such as a registered nurse, to be available for walk-ins and short-notice bookings. These appointments should be restricted to simple conditions, such as common colds, splinter removal, and even stitches, depending upon the situation. This way, they do not disrupt the overall flow of the practice. Reducing practice and hospital wait times is possible with the correct approach. Focus on patient engagement solutions, firm policies, and medical technology that can help with time management. For more information about digital solutions or medical online marketing, contact Sequence Health. Schedule your demo today.
How Chronic Care Management Can Improve your Bottom Line Written by Jeff Tormey on May 4, 2021. Posted in Manage. Roughly 130 million Americans have some form of chronic illness—and that number continues to grow each year. To meet the needs of this segment of the population, chronic care management (CCM) programs have been implemented by healthcare providers across the country. CCM in the healthcare industry was developed by the Centers for Medicare and Medicaid Service (CMS). A quality CCM program can revolutionize the lives of patients struggling with managing their conditions. But what is less talked about is how chronic care management can improve your bottom line. Ways CCM Can Improve Your Bottom Line Reliable Revenue The whole idea behind chronic care management is that it is consistent care delivered to patients who need it. Once you take on a patient and establish their CCM program, they are likely to be working with you for the rest of their lives. This can help pad out the other patients you are working with on a less frequent basis. Options for Outsourcing Most CCM program services are not rendered in person and can be offered by staff other than medical doctors. In many cases, CCM programs focus on things like goal setting, monitoring, and assisting patients with things they can do on their own to manage their conditions. How CCM helps your bottom line in this situation comes down to the savings of outsourcing by appointment rather than paying a full-time or even part-time staff member. Improved Patient Outcomes People with chronic conditions need regular care. However, with standard office visits, most providers cannot see their patients more than once a quarter. CCMs help provide patients with the level and frequency of attention they need. This includes care coordination, regular check-ins, help with prescriptions, and the chance to really talk with a healthcare provider. As a result, patients are happier with the care they receive, feeling more seen and being better positioned to manage their condition. The way chronic care management helps your bottom line in this instance is by leaving patients feeling more positive about your practice, positioning them to continue working with you and recommend other patients. Chronic care management is essentially another way to package services you already provide while making them more profitable for you and more beneficial for your patients. If you are interested in setting up CCM programs for your patients, it can become part of your package with your healthcare advertising agency. More than just online ads and medical SEO, many of these companies offer comprehensive solutions, schedule a demo with Sequence Health.
A Guide to Transitional Care Management Written by Jeff Tormey on April 8, 2021. Posted in Manage, Other. Chronic medical conditions such as heart disease, diabetes, dementia, COPD, and others require a transition period between the in-patient phase and the patient settling into care at home. The same is true for major surgical procedures. Transitional care management provides consistent after-discharge care to both groups of patients to avoid a relapse or readmission. What Is Transitional Care Management? Transitional Care Management (TCM) services facilitate the hand-off of patients from an inpatient facility to their community or family setting. Designed to last for 30 days, TCM allows the healthcare provider to guide the patient and family on the road to recovery while minimizing the chances of relapses occurring. TCM usually falls into 3 broad categories: Interactive communications Non-face-to-face service delivery Face-to-face visits Interactive communications are made within the first two days of discharge to ascertain the status and transitional needs of the patient. Healthcare call centers are key solutions in carrying out this stage of TCM. The results of the call can then be, face-to-face visits are carried out seven to 14 days after discharge. Non-face-to-face service delivery fills in the intervals between in-person visits. They can be carried out via phone call or medical patient portals. What Is the Purpose of TCM? The purpose of TCM is to aid the at-home caregiver and the patient in the following areas: Reviewing discharge information Management of medicines and assistance with prescriptions Education and support regarding the treatment regimen and recommended daily activities Assistance in scheduling appointments for follow-up checks or tests Assessment of the need for additional tests or treatments Liaising between patient and the relevant health care professionals Who Qualifies For Transitional Care? Qualifying for TCM is dependant on the facility that discharges you and the recommendations of the attending doctors. Examples of qualifying service facilities are: Skilled nursing facility Inpatient acute care hospital Hospital outpatient observation Partial hospitalization Inpatient psychiatric hospital The patient’s medical record must also state that the patient will need aftercare from a physician, clinical staff, or other healthcare providers. The extent of care providers’ involvement in a patient’s transitional care management is contingent on The risk of serious complications The complexity of medical records and diagnoses made The number of diagnoses Recovery management options Billing Requirements for Transitional Care Management Since transitional care management is temporary, the billing is usually submitted by the healthcare provider at the end of the 30 days. To bill for TCM, a care provider must check off the following criteria: Direct patient contact within two business days of discharge A face-to-face visit within seven or 14 days after discharge Moderate to highly complex medical decision making As regards insurance, the specifics of TCM coverage vary. The patient needs to find out beforehand monthly premiums, deductibles, and copay amounts related specifically to TCM. What Is a Transitional Care Hospital? Patients with complex conditions or who need either an extended recovery period or inpatient rehabilitation are often discharged into a transitional care hospital. They will typically stay in such a facility for upwards of 25 days. These long-term care hospitals offer more specialized care than what a patient can get in skilled nursing facilities or home care. Transitional care management is crucial for the seamless recovery of chronic conditions. It improves the quality of life for the patient and prevents costly readmissions. Invest in TCM solutions to help your chronic care management run efficiently.
Why Hospitals & Practices Should Use Video: Reasons To Use Medical Video Production Written by Jeff Tormey on February 27, 2021. Posted in Manage. Video-Enhanced Medical Interactions: A New Era of Expertise and Patient Engagement Video, particularly online video, is one of the most popular ways that people consume content. YouTube, Vimeo, Facebook, Instagram, and now TikTok have hit it big with video and people from all walks of life are producing video for their viewers. Doctors have been using video to market their practices for years and the opportunity seems to keep growing. Video has several advantages that make it a no-brainer for both marketing and patient education. So what is the importance of video production for healthcare practices and hospitals? Reasons Why Hospitals Use Medical Video Production Improve telehealth offerings. Telehealth has been part of medicine for decades. However, it’s only recently that hospitals have been using video messaging and video content to improve their telehealth services. This article will be primarily focusing on the benefits of using video as an aid to telehealth. Telehealth services can be limited because they require a doctor’s time. Having a patient watch informational videos before or after providing telehealth services can improve a patient’s level of engagement and better equip them to follow through with the prescribed treatment. Provide patients with access to education. Many doctor’s offices rely on pamphlets that a patient may or may not read. This form of education has largely been replaced with digital media formats such as PDFs and now, video. Your patient portal can be used to host videos on various health topics that patients can use to take a more active role in their own healthcare. This can improve patient engagement, which in turn improves patient outcomes. Video marketing can help grow a practice’s brand. Because video is one of the most common ways people consume media, it goes without saying that using it for marketing represents a big opportunity. A hospital or practice that puts out quality video content can show the world that they are trustworthy, knowledgeable, and put the patient’s needs first. Not only that, but having quality content out there on the Internet can improve your hospital or practice’s overall reach. People who would have otherwise never known about your brand are now exposed to it, and if the content helps them, their exposure to your brand will be a positive one. Video is a core part of medical marketing strategies that aim to reach people on multiple channels, from traditional to digital. Sequence Health is a provider of patient engagement solutions and also offers medical online marketing services to practices and hospitals.
Qualities of a Successful Medical Information Call Center Agent Written by Jeff Tormey on February 3, 2021. Posted in Manage. When a patient calls a hospital, they’re usually directed to a call center whose job is to triage them to the right department and get them the information they need so that they’re satisfied enough to end the conversation. Call centers are used for appointment scheduling, providing information about the hospital, insurance matters, and more. Now, think about it from a patient’s point of view. They’re in a vulnerable place and they’re doing something that they’d rather not do, whether that’s scheduling an appointment or trying to figure out when they can see their sick relative. You want someone with the right qualities to answer the phone and provide the support that the patient needs. So what qualities does a successful medical call center agent have? Qualities That A Medical Call Center Agent Should Have The ability to communicate with compassion. When someone calls a hospital call center, they’re not exactly in the best frame of mind. They might be short with an agent, or they might express sadness and frustration with their situation. Someone who wants to see their sick relative is not looking to waste a lot of time on the phone and might be feeling overwhelmed. A successful medical call center agent is compassionate and shows it through their tone of voice and their choice of words. An agent should show that they understand what the person on the other line is going through and that they’re not alone, and that the agent is there to help. A willingness and ability to handle pressure. Medical call center jobs are not easy, and some situations can literally be life or death. Having the ability to work under pressure is key for a call center agent because of the stakes. This might be something you want to filter out during the hiring process, but training for high-pressure situations is also recommended. A thorough understanding of your hospital’s or practice’s offerings. Nobody wants to be directed to someone on the phone that doesn’t know what they’re talking about. By training a call center agent on what your hospital or practice does, they will be able to sound more knowledgeable over the phone and they’ll be in a better position to represent your brand in the most positive light. Attention to detail As stated earlier, these jobs are pretty high stakes and one crucial missed detail could be a problem for things like insurance and relaying important information about an appointment. A good call center agent should have a high level of attention to detail and they must be able to juggle multiple things while keeping those details straight. Ability to retain and recall important information This can’t be understated, because call center agents are bombarded with information that they might not be able to record right then and there. Remembering key information for when someone gets on the line next time will be the difference between providing poor service and excellent service. Encourage agents to utilize their resources and keep good notes so that they can use their recall abilities on the most important info. Sequence Health is a top provider of patient engagement solutions for healthcare businesses of all sizes.
How Mobile Health Clinics Make Care More Accessible to Vulnerable Patients Written by Jeff Tormey on December 24, 2020. Posted in Manage. Mobile health clinics have been used for decades, particularly in the developing world, in order to provide low or no-cost care to vulnerable populations. Due to the healthcare situation in the US, they number about 2,000 as of 2017. A CDC report found that about 17% of patients do not have access to a place where they can regularly get care, regardless of their insurance. As a result, millions of people are not able to get care from a primary care physician, nor do they have much access to preventative care. Ultimately, the healthcare system has to eat the costs associated with this. Patients without access to preventative or primary care may end up with an emergency acute condition that could have been prevented. Healthcare marketing trends indicate that mobile health clinics may continue to grow in popularity as vulnerable populations grow. How Mobile Health Management Services work Mobile health clinics exist for the purpose of providing healthcare services to vulnerable patients that they would otherwise be unable to access. There exist barriers to healthcare access, such as a lack of transportation, a lack of time to utilize these services, cost, and a general distrust of doctors and the American health system. These mobile clinics are a remarkable way to provide healthcare services to underserved populations. According to Harvard Medical School’s Mobile Health Map, it’s estimated that 6.5 million visits to mobile health clinics occur annually. 60% of patients who use them are uninsured. The most common services that these mobile health clinics offer are preventative screenings, primary care services, and dental services. These services, often taken for granted by people who get them every year, are highly effective at improving long term health outcomes. Not only that, they’ve been found to be highly cost effective. The average annual operational cost of a mobile program is $429,000 and returns $12 for every $1 invested. Goals of Mobile Health Clinics There are three main goals to mobile health clinics. The first is to provide an entry point for access to the healthcare system. Vulnerable populations may have a level of distrust in the system, so an easy, comfortable access point will help them become more engaged in their health. The second goal is to remove barriers to care that are due to logistics. For example, urban working poor individuals may not be able to take time off work during the time that most clinics are open. Or, they may not be anywhere near an accessible health clinic. The third goal is to fill the service gap that exists in these communities. People in these communities may not have access due to the factors described above, and these mobile health clinics provide a great way to bridge that gap. All in all, mobile health clinics or healthcare call centers provide an excellent way to help underserved communities get access to affordable care.
Changing Your Healthcare Marketing After Coronavirus Written by Jeff Tormey on April 21, 2020. Posted in Convert, Manage. The COVID-19 pandemic has had a huge impact on the global economy. But the reverberations are most felt in the healthcare world. Focus on healthcare investment has shifted greatly toward dealing with the virus. Many healthcare businesses that weren’t directly involved with dealing with the virus have seen a drastic decrease in revenue. If you’re thinking about reducing your marketing budget, we highly encourage you to think in different terms. Instead of just cutting back on your marketing budget, where else can you put that spend to work? What other strategies can you use to prepare for when businesses open up again? Here are our recommendations. Why Now Is the Time to Prioritize Digital Marketing If you haven’t already been putting digital marketing initiatives first, then now is the time to do it. Investing in digital marketing has always been a solid investment, but for the near term with everyone in quarantine, digital marketing has never been more important. Invest in search engine optimization, where you’re producing content and optimizing your site and copy to be found by people on Google. Invest in social media marketing, where you post shareable content to social media and interact with your followers. You may even want to invest in paid search and paid social. Best of all, starting now will also have some ripple effects in the long term. Your search engine rankings will increase, your social media following will grow, and you’ll have much more data if you’re investing in advertising. Why? Because digital investments are a long term play, especially with SEO and SMM. Build Authority and Stay Connected During Lockdown Now that everything is under lockdown, your business can use this time to create content and make your brand an authority in your space by producing helpful, interesting content that’s better than anything else out there. Write content. Create videos. Do live workshops and webinars. But that’s not all. After you do all of these, use the opportunity to get people’s info and stay connected. Talk directly to your prospects, and use email marketing to keep in touch with them after the shutdown’s end. By doing this, you’ll have access to them when they’re much more prepared to buy. Read more: Healthcare Email Marketing: Why it’s Powerful and Popular You can even use this opportunity to give back to your community. Let your local Chamber of Commerce or Board of Trade know that you’ll be giving workshops on important health topics, and they may be able to help get the word out in your community. Prepare Now to Thrive in a Post-Lockdown World It’s tough if your business’s financial situation isn’t all that great. But the lockdowns will end, and people will be back to normal. If you’re able to invest the time and effort into crafting strategies for the post-shutdown world, you’ll be able to thrive even greater than before. Stay safe, and be prepared for when businesses open again!
How Practices Can Implement Chronic Care Management (CCM) Written by Jeff Tormey on March 16, 2020. Posted in Manage. If you have patients that deal with chronic conditions, you know that you have to address their concerns differently than other conditions. The Center for Disease Control (CDC) and the Centre for Medicare & Medicaid Services (CMS) both recognize the importance of approach when dealing with patients that have chronic conditions. 21% of Americans between the ages of 45 and 64, according to the CDC, deal with two or more chronic conditions, with the percentage increasing to 45% for those 65 and older. Because these conditions cannot be cured with medical interventions, managing these patients’ care is key to maintaining positive health outcomes and high quality of life. Chronic care management (CCM) consists of all the strategies used to educate, oversee, and manage care for chronic conditions. It entails communication between patient and healthcare workers, managing their medications, and creating and revising care plans. Nowadays, most CCM practices are provided remotely via telephone or online. So how can a practice implement a CCM program? Steps To Implementing Chronic Care Management Identify Who You Will Serve Use your EHR to identify patients who may be a good fit for your CCM program. Check their eligibility with the CMS if they have Medicaid or Medicare. Focus on specific diagnoses, such as diabetes, Alzheimer’s, or COPD. Educate Patients on Services In order for your CCM program to have success, your patients need to know about its benefits. Let your patients know at every opportunity that you provide CCM and that they may be eligible for reimbursement by Medicaid or Medicare. Begin Enrolling Patients To start enrolling patients, you’ll need to verify that they’re eligible, have a face-to-face visit to discuss the program, and get their consent. However, it’s not enough for patients to be on board: your staff needs to know the details of the program and what it entails. Training your staff on CCM will help make implementation much easier. Bill for Reimbursement Reimbursement requires that the practice keep a clear audit trail. As well, only one clinician can bill for CCM services for a particular patient. Since many people with chronic conditions have multiple care providers, they’ll need to understand that they can only have one clinician billing for CCM. Work with a Trusted CCM Partner This is an important consideration, as a trusted CCM partner will help ease the strain on resources that providing CCM services can cause. A good partner will take care of most of the troublesome parts. Outsourcing CCM is one of the best ways that practices can provide quality CCM without causing too much of a burden on the practice.
Physician Practice Operations Efficiency: A Potential Key to Unlocking Your Potential Written by SQHealth-admin on March 13, 2018. Posted in Manage. Data Survey Indicates Link Between Efficiency and Patient Satisfaction If you’ve wondered about what separates the best healthcare practices from the rest, physician practice operations efficiency might be one place to look. That was one of the key takeaways from the 2017 MGMA DataDive Practice Operations Survey.1 The survey gauged more than 1200 U.S. hospital and private-owned practices for their: • Average office wait times • Scheduling availability • Use of patient portals In a news release to announce the survey, MGMA leadership drew lines between efficient physician practice operations and patient satisfaction: Medical practices face a variety of challenges today, and among the most addressable are practice operations which tend to separate top performing practices from the rest. With this survey, we aim to glean insights that will enable practices to improve efficiencies and better serve their patients by making processes as smooth as possible. Dr. Halee Fischer-Wright, MD, MMM, FAAP, CMPE MGMA President and Chief Executive Officer Are You Helping Move the Need for Reducing Patient Wait Times? Medical offices’ wait times are among the obvious indicators of efficiency in healthcare. If your healthcare practice has taken steps to make its practice operations more efficient in the past couple years, give yourself a small pat on the back. That’s because patient wait times were reduced by five minutes from the previous year, according the survey. It further translated into average wait time reductions of: • 20 minutes between the waiting area and the exam room • 17 minutes for hospital-owned practices Is your practice contributing to this positive trend—or is it falling behind? This is an important question your practice needs to be able to answer. How to Improve Your Physician Practice Operations and Join the Elite Other than obvious indicators, you may now be wondering about other ways to improve your physician practice operations so you can either join or solidify your footing in the “best healthcare practices” classification. As a provider of patient satisfaction solutions, we noticed some key survey data that closely relate to the products and services we offer. These might be crucial areas for you to improve your efficiencies! • Ease of Scheduling Appointments: This is vital for hospital-owned practices which—according to the survey—don’t see patients as quickly as physician-owned practices (by a margin of two days!). • Engagement (Phone Calls): This is vital for multi-specialty practices that take an average of 49 seconds to answer incoming calls—as compared to surgical specialties that average 13.5 seconds! • Satisfaction (Surveys): There’s a massive divide between practices that do patient satisfaction surveys (74 percent) and don’t (three percent)! Nate McCormack is Sequence Health’s Director of National Sales. Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care. 1 MGMA Releases Industry Benchmarks for Optimizing Medical Practice Operations, Including Findings That Average Wait Times Decreased by Five Minutes In 2016
Why Long-Term Patient Engagement Tools Are Worth It Written by web_developers on February 1, 2018. Posted in Manage. Key Advantages Include Improved Patient Management and Outcomes As a provider of patient engagement tools, we were a bit dismayed when we read the NEJM Catalyst article, “Patient Engagement Survey: Technology Tools Gain Support—But Cost Is a Hurdle.”1 Although we appreciated its findings for why healthcare decision-makers and stakeholders believe long-term patient engagement tools can deliver many benefits, we weren’t as certain about the findings about cost and other barriers. We know they are worth it. But, don’t take our word for it! Before we look at the NEJM Catalyst survey data, let’s first look at some real-world examples of where patient engagement tools have proven to be invaluable to both healthcare providers and patients. Getting Great Results with Patient Engagement Tools: The Walgreens Reports “Consumers are increasingly more engaged in their own healthcare and wellness. Digital technology that enables easy data tracking of healthy behaviors—combined with incentives and trusted professional support—provide additional motivation for our customers to more easily manage their health.” Harry Leider, M.D. Chief Medical Officer for Walgreens Some of the reports Walgreens has published in recent years attribute their use of patient engagement tools to better-than-average patient satisfaction and outcome scores. Two were particularly noteworthy. The first was their 2013 case study, Measuring Performance in Delivering Quality Care.2 In it, they linked “strong engagement levels” with “[Healthcare Effectiveness Data and Information Set] scores that were significantly above national HEDIS benchmarks” for three commonly treated conditions. Their key engagement measures included: • The amount of time care providers spend with the patient • Effective listening and attention from the provider • Clear explanation of health matters by the provider Walgreens said patient engagement tools produce positive results because they help patients improve: • Personal ownership in their care regimen • Compliance with taking their medications as prescribed • Likelihood to follow doctor’s orders through to a strong recovery and better long-term health • Loyalty to a care provider—which results in returning as needed for follow-up care and recommending the care provider to friends and family The second came in 2016 when they published findings that supported their belief “automated health tracking can significantly improve long-term health engagement.”3 This time, they analyzed “Walgreens Balance Rewards for healthy choices® (BRhc)…a self-monitoring program that allows members to [automatically] track health activities and receive incentives for continued tracking and healthy behaviors.” Compared to participants that manually tracked their activities, BRhc users engaged four times longer and averaged 20 weeks of participation. Neither of these reports mentioned anything about cost or why Walgreens might have been hesitant to embrace and develop patient engagement tools. Instead, they seemed to be confident in the potential benefits and satisfied with the positive results. So, Where’s the Problem with Costs for Patient Engagement Tools? The NEJM Catalyst survey asked executives, clinical leaders and clinicians what they thought were the top three benefits of using digital patient engagement tools. The highest-rated benefits included: • Supporting patients in efforts to be healthy (67%) • Providing input to providers on how patients are doing when not in clinic (60%) • Create ecosystem that allows for better predictive analytics around patient health and more timely intervention (51%) One takeaway is that there is the belief patient engagement tools do have some practical advantages. If there’s a barrier for their widespread adoption, it must be cost, right? Isn’t it always? Although the NEJM Catalyst article’s title clearly indicates cost is the problem, its data isn’t as clear. In fact, if you ignore the four barriers that are cost-related, you are left with six that are either: • Highly subjective: Cost-related barriers like “not covered by insurance” or “lack of funding by providers” are easy to accept and hard to dispute. But others like “unclear benefit” and “complexity of use” have nothing to do with “cost” and are easily refutable…case in point: the Walgreens examples! • Easily solved: If “lack of provider recommendations” and “not currently available as off-the-shelf tools” are barriers, you can trust that makers and sellers would change that very quickly if they truly believed they were the main reasons their products were not selling! Again, neither of these are cost-related barriers. For both individuals and industries, cost is always a factor in adopting new technologies—early adoption is often an expensive and scary endeavor. However, digital patient management tools may always be evolving, but they are not new…and we’re well past of not having confidence in them because of cost. Sequence Health is a cloud-based technology and services company that improves profitability and patient outcomes for hospitals and practices through end-to-end patient engagement solutions backed by clinical and non-clinical teams. Its HIPAA-compliant, SaaS platform improves care team workflows, automates patient communication and tracks patient progress to optimize the patient journey. Since 2004, leading healthcare providers have trusted Sequence Health to help acquire, manage and engage patients through complex episodes of care. 1 Patient Engagement Survey: Technology Tools Gain Support — But Cost Is a Hurdle 2 Measuring Performance in Delivering Quality Care 3 New Research from Walgreens and Scripps Translational Science Institute Demonstrates the Value of Automated Health Tracking