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Improving the
physician-patient
interaction
Communication is a major barrier to
achieving patient health outcomes

55% concerns not identified
60% instructions not understood
50% medication adherence
70% serious adverse outcomes
Sources: WHO, 2013; Joint Commission, 2009;
Starfield, 1981; Stewart, 1979.
Communication disconnect affects
performance and profitability
MALPRACTICE
INSURER
PHYSICIAN
GROUP
HEALTH SYSTEM
/ HOSPITAL
Providers have $$$ at risk due to
low patient experience ratings
Significant reductions in Medicare reimbursements
Penalties apply when patients readmitted with same problem
Negotiated contracts to share losses (or savings) with Medicare
Lower patient volumes due to poor public ratings
Higher risk of malpractice litigation
Our goal is to reduce the
communication disconnect
between physician and patient
Astute Doctor delivers interpersonal
skills training for physicians
State-of-the-art tech platform
400 techniques proven to reduce
communication disconnect
Improves patient experience scores
Reduced risk of malpractice litigation
350 sources of research
4,000 physician participants to date
50#
55#
60#
65#
70#
75#
80#
85#
90#
Doctor's(Involving(Pa1ent(in((
Decision3Making(Process(
36#
41#
46#
51#
56#
61#
66#
Doctor's(Understanding(and(Caring(
50#
55#
60#
65#
70#
75#
80#
85#
90#
Doctor's(Communica1on(/(Keeping(Pa1ent(
Informed(
Interpersonal skills training improves
patient experience scores…
Training!
begins!
Training!
begins!
Training!
begins!
Source: Mission Health, 2013
…and helps hospitals and physician
groups improve performance.
IMPROVE
PATIENT
SATISFACTION
REDUCE
COST OF
CARE DELIVERY
REDUCE
MALPRACTICE
RISK
DELIVER
QUALITY
PATIENT CARE
Interpersonal skills drive overall
patient experience scores
0
0.1
0.2
0.3
0.4
0.5
0.6
0.7
Relative impact on overall patient experience scores
Office
Staff
Provider
Communication
Access to
Services
Source: Healthstream, 2013
Correlationtooverallscore
Improving patient experience is a top priority for health providers because it
directly affects income. Improving the communication between physician and
patient can increase patient experience scores more than any other factor.
Improve physician communication by
8% to be a top performing hospital
82%!
90%!
0%! 50%! 100%!
National Average!
Top Performing Hospital!
Percentage of patients that answered ‘Always’!
“How often did doctors treat you with respect and courtesy, listen
carefully to you, explain things in a way you could understand.”!
Source: Centers for Medicare and Medicaid, 2014
What do patients want?
1.  Simple explanations
2.  Careful listening
3.  Show respect
4.  Enough time to
address concerns
5.  Knowledge of
medical history
Source: Stelfox, 2005!
Online courses provide techniques to
improve every patient encounter
Building Strong!
Patient Relationships!
Eliciting Patient
Concerns!
Patient-Centered
Information Gathering!
Maximizing Patient
Understanding!
and Recall!
Motivating!
Patients!
Setting Mutually!
Agreed Goals!
Managing Difficult!
Patients!
Cross Cultural
Communication!
Astute Doctor courses are CME accredited through our ‘Joint Sponsor’
agreement with Cleveland Clinic Foundation for Continuing Education!
Patient-centered
communication

Empathic care
for patients

Patient
health outcomes


Each course has been built on
3 important educational themes
Practical techniques,
immediately useful
•  We go beyond a simple list of
WHAT doctors need to do
•  We focus on HOW doctors can
actually use interpersonal skills
with patients
Engaging, interactive experience
facilitates deep learning
Narrated audiovisual experience
Interactive learning formats
 User-friendly navigation and reporting
Case studies and examples
We also offer immersive ‘blended’
learning to drive behavior change
Live Webinars
Quarterly
Small Group
Workshops
Large Group
Lectures
Online Courses
Live webinars
•  Interactive ‘chat show’ style format
•  1-hour, fast paced, engaging presentation
•  Audience participation via interactive polls, Q&A chat
•  2 facilitators per webinar
•  Quarterly in 2015
Small group workshops
•  Intensive small group sessions with expert facilitators
–  Optional Train-the-Trainer format
•  Opportunity to fine-tune the implementation of key
techniques
•  Includes examples, simulations, role-plays, peer discussion
•  Pre-work required – participants to complete relevant
online courses and other material prior to attendance
•  Full-day or half-day format, onsite at your institution
•  2 facilitators, 12 participants maximum
Live interactive lectures
•  Large group lecture, interactive presentation
•  Opportunity to learn through series of examples
•  Audience members to participate as ‘patients’
•  Demonstration of good v poor techniques
•  1-hour, onsite at your institution
•  Audience participation via red/green voting, Q&A
•  1 speaker (Sessions repeated twice per day)
Plan pricing
Easy start Essential Premium Enterprise
$109
per educational activity
(no subscription)
$199
per user per year
$299
per user per year
$499+
per user per year
(min 500 users,
2 year contract)
Online
Courses
Live Webinars
Quarterly
Online
Courses
Online
Courses
Live Webinars
Quarterly
Online
Courses
Live Webinars
Quarterly
Small Group
Workshops
Large Group
Lectures
Over 4,000 physician participants –
positive feedback
96%#
of physicians say they are likely
to use techniques from courses
Source: Astute Doctor User Survey October 2014
of physicians believe Astute Doctor
content will improve communication
of physicians will use course strategies
in more than 20 patients per month
91%#
91%#
For further information please contact:!
!
GRANT SIMIC, Co-founder & Chief Executive Officer!
grantsimic@astutedoctor.com +1 (949) 295 1484

Astute Doctor Education, Inc, 30262 Crown Valley Pkwy, Suite B395, Laguna Niguel, CA 92677 www.astutedoctor.com

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AstuteDoctor Overview

  • 2. Communication is a major barrier to achieving patient health outcomes 55% concerns not identified 60% instructions not understood 50% medication adherence 70% serious adverse outcomes Sources: WHO, 2013; Joint Commission, 2009; Starfield, 1981; Stewart, 1979.
  • 3. Communication disconnect affects performance and profitability MALPRACTICE INSURER PHYSICIAN GROUP HEALTH SYSTEM / HOSPITAL
  • 4. Providers have $$$ at risk due to low patient experience ratings Significant reductions in Medicare reimbursements Penalties apply when patients readmitted with same problem Negotiated contracts to share losses (or savings) with Medicare Lower patient volumes due to poor public ratings Higher risk of malpractice litigation
  • 5. Our goal is to reduce the communication disconnect between physician and patient
  • 6. Astute Doctor delivers interpersonal skills training for physicians State-of-the-art tech platform 400 techniques proven to reduce communication disconnect Improves patient experience scores Reduced risk of malpractice litigation 350 sources of research 4,000 physician participants to date
  • 8. …and helps hospitals and physician groups improve performance. IMPROVE PATIENT SATISFACTION REDUCE COST OF CARE DELIVERY REDUCE MALPRACTICE RISK DELIVER QUALITY PATIENT CARE
  • 9. Interpersonal skills drive overall patient experience scores 0 0.1 0.2 0.3 0.4 0.5 0.6 0.7 Relative impact on overall patient experience scores Office Staff Provider Communication Access to Services Source: Healthstream, 2013 Correlationtooverallscore Improving patient experience is a top priority for health providers because it directly affects income. Improving the communication between physician and patient can increase patient experience scores more than any other factor.
  • 10. Improve physician communication by 8% to be a top performing hospital 82%! 90%! 0%! 50%! 100%! National Average! Top Performing Hospital! Percentage of patients that answered ‘Always’! “How often did doctors treat you with respect and courtesy, listen carefully to you, explain things in a way you could understand.”! Source: Centers for Medicare and Medicaid, 2014
  • 11. What do patients want? 1.  Simple explanations 2.  Careful listening 3.  Show respect 4.  Enough time to address concerns 5.  Knowledge of medical history Source: Stelfox, 2005!
  • 12. Online courses provide techniques to improve every patient encounter Building Strong! Patient Relationships! Eliciting Patient Concerns! Patient-Centered Information Gathering! Maximizing Patient Understanding! and Recall! Motivating! Patients! Setting Mutually! Agreed Goals! Managing Difficult! Patients! Cross Cultural Communication! Astute Doctor courses are CME accredited through our ‘Joint Sponsor’ agreement with Cleveland Clinic Foundation for Continuing Education!
  • 13. Patient-centered communication Empathic care for patients Patient health outcomes Each course has been built on 3 important educational themes
  • 14. Practical techniques, immediately useful •  We go beyond a simple list of WHAT doctors need to do •  We focus on HOW doctors can actually use interpersonal skills with patients
  • 15. Engaging, interactive experience facilitates deep learning Narrated audiovisual experience Interactive learning formats User-friendly navigation and reporting Case studies and examples
  • 16. We also offer immersive ‘blended’ learning to drive behavior change Live Webinars Quarterly Small Group Workshops Large Group Lectures Online Courses
  • 17. Live webinars •  Interactive ‘chat show’ style format •  1-hour, fast paced, engaging presentation •  Audience participation via interactive polls, Q&A chat •  2 facilitators per webinar •  Quarterly in 2015
  • 18. Small group workshops •  Intensive small group sessions with expert facilitators –  Optional Train-the-Trainer format •  Opportunity to fine-tune the implementation of key techniques •  Includes examples, simulations, role-plays, peer discussion •  Pre-work required – participants to complete relevant online courses and other material prior to attendance •  Full-day or half-day format, onsite at your institution •  2 facilitators, 12 participants maximum
  • 19. Live interactive lectures •  Large group lecture, interactive presentation •  Opportunity to learn through series of examples •  Audience members to participate as ‘patients’ •  Demonstration of good v poor techniques •  1-hour, onsite at your institution •  Audience participation via red/green voting, Q&A •  1 speaker (Sessions repeated twice per day)
  • 20. Plan pricing Easy start Essential Premium Enterprise $109 per educational activity (no subscription) $199 per user per year $299 per user per year $499+ per user per year (min 500 users, 2 year contract) Online Courses Live Webinars Quarterly Online Courses Online Courses Live Webinars Quarterly Online Courses Live Webinars Quarterly Small Group Workshops Large Group Lectures
  • 21. Over 4,000 physician participants – positive feedback 96%# of physicians say they are likely to use techniques from courses Source: Astute Doctor User Survey October 2014 of physicians believe Astute Doctor content will improve communication of physicians will use course strategies in more than 20 patients per month 91%# 91%#
  • 22. For further information please contact:! ! GRANT SIMIC, Co-founder & Chief Executive Officer! grantsimic@astutedoctor.com +1 (949) 295 1484 Astute Doctor Education, Inc, 30262 Crown Valley Pkwy, Suite B395, Laguna Niguel, CA 92677 www.astutedoctor.com