In addition to providing a two-way communication platform, this mobile application also tracks and scores how well practitioners and patients are connecting. It does this by collecting interaction data between patients and practitioners and assigning a score in four specific categories of engagement—new patient information, patient education, patient satisfaction and social media, and referral information. Each category contains specific elements easily customized by the provider, clinic, or health care system to direct health professionals’ behaviors around such issues as revenue, cost, time saved, and healthier patients.

Leading Reach has been used in more than 75 countries worldwide and was provided to some of ANPF’s nurse practitioners so they could study how well the mobile app connects the nurse practitioners to their patients, whether quality of care is improved, and whether ANPF should make it more widely available to their nurses.

Crump was asked why ANPF decided to use this particular patient engagement app over the other communication device options, why it chose this method for rolling it out, and what is the business case for its rollout. She began her response by citing statistics on what is currently known about the state of health care in the United States:

  • Fifty-five percent of doctors do not communicate with their patients between visits (Televox, 2011).
  • Seventy-two percent of hospital patients do not schedule a follow-up appointment (Scott, 2012).
  • Eighty-three percent of patients do not follow treatment plans (Televox, 2011).
  • Seventy-eight percent of U.S. consumers are interested in mobile health solutions (Float Mobile Learning, n.d.).
  • Seventy-four percent of U.S. households have Internet access (U.S. Census Bureau, 2012).

Then she explained that within the first 175 days of existence, more than 100 clinics and 800 referring doctors used Leading Reach for processing and generating thousands of referrals and emails that produced more than 75,000 content downloads by their patients.

With that as background, Crump went on to explain that ANPF selected this particular app to increase their scholarship and research grant area by partnering with a group focused on technology. In her opinion, having technology partners at the table and as part of the conversation is key to development. ANPF studied many different technology-based innovations, but it selected Leading Reach because of the ability to link providers to patients on an educational and informational platform and because of



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