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Health activation, care coordination platform for chronic conditions

Greg Weidner, M.D., has a distinct interest in putting Twine Health Inc.'s health activation and care coordination platform to work with his hypertension patients at Carolinas HealthCare System: reducing costs and readmissions.

In this video recorded at the Connected Health Symposium 2016 in Boston, Weidner, medical director for primary care and innovation and proactive health at the healthcare system based in Charlotte, N.C., explains how Twine's approach becomes a care coordination platform centered on the patient.

A companion video shot by SearchHealthIT at the symposium features Twine CEO and co-founder John Moore, M.D.

"We've developed a model of care that is team-based," Weidner says in the video. "We use Twine to engage patients. We work in a very skill-optimized way, collaborating with the patient and among our team to get the patient the right care from the right member of our team at the right time."

It's a real joy to practice in such a collaborative way.
Greg Weidner, M.D.medical director for primary care and innovation and proactive health at Carolinas HealthCare System

Twine's system is a form of patient engagement technology that weaves together patient medication adherence tracking, wellness metrics and healthcare coaching into a care coordination platform that Twine calls a health activation platform.

Weidner notes that the Twine platform is best used in value-based reimbursement settings such as those set up by self-insured employers and healthcare providers such as accountable care organizations that assume financial risk.

"In an evolving value-based world it's very desirable because we've provided a lower-cost, better patient experience, better outcome mechanism," Weidner says.

Some 80% of the 250 patients in the Carolinas HealthCare Twine deployment have, after 90 days, shown positive results in managing their previously uncontrolled hypertension, without additional doctor visits.

Also, 93% of the patients in the group have indicated they would recommend using the mobile and desktop-based system to others, Weidner says.

Physicians and other clinicians also like it, he says.

"It's a real joy to practice in such a collaborative way," he says.

The healthcare system, which spans both North Carolina and South Carolina and is one of the biggest in the Southeast, hopes to expand its use of the Twine Health activation platform.

"We really think of it as an operating system approach for patient engagement and interactive, collaborative care as opposed to disease specific," Weidner concludes in the video.

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