The Healthy Nudge
April 2020
Welcome to The Healthy Nudge . Each month, we'll get you up to speed on the latest developments in policy-relevant health behavioral economics research at CHIBE. Want more frequent updates? Follow us on Twitter @PennCHIBE and visit our website .
COVID-19: How CHIBE is making a difference
COVID19
A COVID-19 Chatbot for FAQs
A Penn team led by CHIBE's Roy Rosin, MBA , and Kevin Volpp, MD, PhD , and a team from Google have created an AI chatbot to help answer common questions related to COVID-19. This chatbot helps offload call volume from Penn Medicine’s phone lines to unburden our clinicians and shorten wait times for patients, while also making it faster and easier to find answers whether you’re a nurse managing the hotline or an anxious patient seeking accurate information. Soon, this chatbot will expand to assess symptoms and triage patients to make sure they are routed to the most appropriate clinical intake level . An open-source version of the chatbot will be made available to other health systems through Google for free. 

COVID-19 Watch Monitoring Program
The Way to Health team created COVID-19 Watch , a way to monitor low to moderate risk patients at home more safely so that they do not need to present in person, nor have to have home care workers visit their homes. This program automatically checks in with patients who are self-isolating at home. Patients whose symptoms are concerning will be automatically escalated to receive clinical support allowing our clinicians to focus their attention where it is most needed.

CHIME Modeling Tool
CHIBE members were also involved in developing a modeling tool — COVID-19 Hospital Impact Model (CHIME) — that can inform preparations for capacity strain during the early days of a pandemic. Read more in Annals of Internal Medicine and this LDI article by Gary E. Weissman, MD, MSHP, and find the publicly available tool here: https://penn-chime.phl.io/ .
Behavioral economics and technology in cardio-oncology
In this JACC: CardioOncology paper , Mitesh Patel, MD, MBA, MS , a member of CHIBE's leadership team, and his colleagues look at how insights from behavioral economics and technology platforms can help change clinician decisions and patient behaviors to improve cardio-oncology outcomes.
Using behavioral economics to improve adherence
A new study in Pharmacoepidemiology & Drug Safety by CHIBE-affiliated faculty member Stephen Kimmel, MD, MSCE , and colleagues finds that "loss aversion behavioral economics‐based telehealth intervention is a promising approach to improving aspirin adherence following hospitalization for acute coronary syndrome."
CHIBE Profile: Christianne Sevinc, MPH
christianne sevinc headshot
Christianne Sevinc, MPH , is the product owner for Way to Health. In this role, Christianne leads product design, strategy, and implementations for the Way to Health platform.
 
What is the Way to Health team working on right now to address COVID-19?
Way to Health is working on a variety of initiatives to support patient care due to the COVID-19 pandemic. Most notably this includes   COVID-19 Watch , which is a program that enables patients of low to moderate risk to be monitored at home, with escalation to hands-on care when necessary. The program seeks to reduce call center volume, decrease the risk of exposure for patients and health care providers, and offer patients peace of mind about their clinical status. 

A version of this program called Pregnancy Watch has also been deployed and focuses specifically on soon-to-be mothers.   Way to Health is also powering remote registration across all emergency departments at Penn Medicine. This will enable emergency departments to quickly move and triage patients appropriately in anticipation of surges. In addition to this work, we are quickly scaling other existing patient monitoring programs to keep healthy patients safely at home.

What do you find rewarding about your work?
The cross section of technology and healthcare energizes me. As the product owner of a patient engagement platform, I’m the central gear that connects clinicians, researchers, developers and designers in the development of meaningful solutions that can improve health care delivery and help people make healthier choices in their daily lives. I love being involved in the design, creation, and execution of these programs that can help so many people.

What do you wish more people knew about the Way to Health platform?
Way to Health is an extremely powerful and dynamic tool. Individual researchers and clinicians may only tap the surface of our capabilities to cover their unique request for patient monitoring or research. For example, some people may know us as “just a text messaging platform,” while others refer to us as “kind of like RedCap.” The truth is that Way to Health is like a chameleon. We can adapt it to meet   so many different needs .   Bill Hanson, Chief Medical Information Officer at Penn Medicine, recently  compared us to a Swiss army knife . The platform combines behavioral science strategies, a rules engine that supports algorithmic care, integration with biometric and other Bluetooth devices, texting chatbot and automated feedback, data collection through surveys, and communication with Penn Medicine’s electronic health record, just to name a few.
Events
Recessions and Health in the Time of COVID-19
Friday, April 17
12-1 PM EST

LDI will host a virtual seminar this Friday at noon on Recessions and Health in the Time of COVID-19. This will be a c onversation with Atheendar Venkataramani, MD, PhD , and moderated by Rachel Werner, MD, PhD .
Society of Behavior Change Video Lecture
April 27, 2-3 PM EST
 
The Society of Behavior Change will host a video lecture and discussion with CHIBE Director Kevin Volpp, MD, PhD , who will present on behavioral economics and health.
 
Access the lecture via the following information:
Meeting Number: 191 616 728
 
COVID-19 Selected Media Coverage
Selected New Publications
The Center for Health Incentives and Behavioral Economics (CHIBE) at the University of Pennsylvania conducts behavioral economics research aimed at reducing the disease burden from major U.S. public health problems. Originally founded within the Leonard Davis Institute of Health Economics , our mission is to inform health policy, improve health care delivery, and increase healthy behavior.