MARCH 2018
The Healthy Nudge
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 .
Nudges in the ICU
In a recent Critical Care Medicine article, Scott Halpern, MD, PhD, MBE outlines scenarios in which nudges may improve care in the ICU, noting that critical care decisions "may be more effectively or ethically influenced by some nudges rather than others." Dr. Halpern leads the Fostering Improvement in End-of-Life Decision (FIELDS) program, a partnership between CHIBE and the PAIR Center.
Online Courses in Health Care Innovation
CHIBE's academic home, the Division of Health Policy, offers specialized courses for working professionals looking to develop expertise to shape health policy, improve patient outcomes, and transform processes. Students may enroll in courses individually or take four courses to earn a certificate. The next course, Behavioral Economics and Decision Making with CHIBE Director Kevin Volpp, MD, PhD begins April 3rd. A virtual information session for the Online Masters of Health Care Innovation program will be held on April 12th.
Reciprocal Giving Decays with Time
CHIBE affiliated faculty Judd Kessler, PhD and Katherine Milkman, PhD were co-authors in a recent PNAS field study examining the impact of time on charitable donations by former patients to a hospital system where they had been treated. The study found that donation rates declined as the time separating a patient’s hospital visit and solicitation increased.
Blog Spotlight
What is the role of choice architecture in physician communication and how can we measure competency in this area? Joanna Hart, MD, MSHP explores these questions in her ongoing work with the FIELDS Program.
  Upcoming
Events
CHIBE Affiliate Damon Centola, PhD joins fellow panelists during Penn's Teach-In
03/19 @ Noon
Rubenstein Auditorium
Smilow Center for Translational Research
In The News
Key to Reducing Opioid Prescribing: Default to Fewer Pills

Innovation is Much More Than Just Using New Tech

Need a Medical Procedure? Pick the Right Provider and Get Cash Back

Taking Steps to Improve Activity-Tracking Results

It’s All About Timing: How Nonprofits Can Increase Charitable Donations

Two States Question Aetna's Prior-Authorization Practices Amid CVS Merger

Why Amazon Pays Some of Its Workers to Quit

Employee Wellness: Montco Company Has an App for That

Financial Shortcuts to Avoid and Use When Saving and Investing for Retirement

Recent Study Looks at How Consumers Use Wearables That Generate Biometric Data

People Don't Actually Know Themselves Very Well

CMS is Leading the Way Toward Bundled Payments. Should It Be?
 CHIBE Profile
Mohan Balachandran currently leads the Way to Health team at CHIBE. Way to Health is a web-based platform that automates many of the research functions necessary for conducting randomized controlled trials of behavioral interventions.
What is your role at Way to Health and what do you find most rewarding about your work?
My responsibility is to make sure Way To Health provides the best possible product and service to researchers here at Penn and beyond. I also work closely with our leadership, the team (6 engineers and 2 operations staff) and our customers (researchers, innovation teams, clinicians) to define our product direction and strategy. I've worked in large companies and founded startups but what I find most rewarding is that we're helping discover and create evidence-based guidelines to engage patients in their health, which I honestly believe is the "blockbuster drug of the 21st century."
 
What kinds of projects does Way to Health play a part in?
Firstly, I must say that the team at W2H is amazing. We're currently supporting 45 studies on the platform with a small team. One study that I find very innovative is the cryptically named m.SGrow, with principal investigator Jonathan Mitchell. The study aims to test the link between sleep and obesity in 8-9 year-old children, and also build a behavioral intervention aimed at improving sleep with overweight/obese children. The study is interesting not only because of the patient population and the problem that it's addressing but also because it incorporates aspects of behavioral economics, gamification, activity tracking and vigilance tracking. 

What's next for Way to Health?
Looking ahead, we expect to continue to add capabilities such as making patient engagement more interactive and natural language-based, closer integration with Epic, additional device integrations and, most importantly, we'll be focusing on increasing platform reliability and testing speed.
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 healthcare delivery and increase healthy behavior.
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