Direct to Consumer

Oral Presentation

(DTC5-01) Transforming Case Management Through Mobile Technology

Monday, April 24
10:15 AM - 10:34 AM
Location: W224 CD

To meet the demands of a growing population, Sharp Rees-Stealy's Population Health's case management department, partnered with a mobile technology company to develop and implement a texting mobile coaching program. Utilizing current capabilities, real time, anytime, anywhere access to care is now delivered to patients newly discharged from the hospital and those living with diabetes. This high impact, low cost strategy, has not only increased our capacity to engage and support patients, evidenced by inbound patient messaging of 4000/month, but has produced quality outcomes as demonstrated by a lowered readmission rate of 12.6%, as well as a decrease in HgA1C by program users.
Scheduled evidenced-based messages are designed to assist individuals in following their discharge instructions, identify early warning signs of potential issues and promote behavioral change. The program also provides reminders, support and tools for patient activation and the management of chronic conditions such as diabetes. Simple behavioral-centric messages engage patients in taking control of their recovery by focusing on their physical and emotional well-being. The program also helps the patient reconcile and manage their medication regime, coordinate follow-up care and builds healthy habits to help patients adapt successfully to the changes in lifestyle and self-care behaviors foundational for health management. Providing case management support, along with interactive communication, triggered by patient's questions, concerns, real time, anytime, anywhere access to care is delivered utilizing current staffing capabilities. This initiative enables staff, in this current healthcare environment, to provide coordinated care to a potentially unlimited number of patients, promoting patient engagement and collaborative relationships between the patient, provider and nurse case manager for patient centered care and shared decision making. The added channel of support has increased staff's ability to reach over 30% more patients with daily outreach and on demand support. It has also extended patient dialog with easy and timely access to care, transforming the way case management services can be delivered within the industry

Learning Objectives:

Vicki Debaca

Vice President, Helath & Provider Services
Sharp Health Care

Vicki DeBaca DNS, RN is Vice President, Health and Provider Services for Sharp Rees Stealy Medical Centers in San Diego California. Sharp Rees Stealy (SRS) is a multi-specialty medical group that is part of Sharp Healthcare in San Diego with 22 locations, over 500 physicians, 1800 employees. In her current role, Vicki provides strategic direction and oversight for population health, utilization management, quality improvement, and health and wellness programs and leads a diverse team of nurses, pharmacists and other ancillary staff.
Dr. Debaca provides leadership for the development and implementation of organizational initiatives focused on performance excellence, technology deployment and clinical program development. Vicki also teaches nursing courses and academic settings and has extensive experience in continuing education programs. She is on the faculty at Northeastern University, Bouve school of nursing and Southwestern Oklahoma State University school of nursing. She received her doctorate in nursing science from the University of San Diego.


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Janet Appel

Director of Population Health
Sharp Rees-Stealy Medical Group

Janet Appel, RN, CCM, MSN is the Director of Population Health for Sharp Rees-Stealy Medical Group. Originally a native of New Jersey, she earned her nursing diploma from Clara Maas School of Nursing, her BSN from Monmouth University and her MSN from Point Loma Nazarene University in San Diego, CA.

Her early nursing career focused on Emergency Care, expanded into Maternal Child Health, and then transitioned into Care Management where she earned her certification in Case Management from CMSA. Janet worked as a Manager and Director of Complex Case Management in Home Care, Hospital and Health Plan settings for both commercial and Medicaid populations.

Janet has over 30 years’ experience in nursing with a focus on the development of inpatient and outpatient programs to engage patients in self-care, and has worked to improve quality and outcomes in all healthcare settings. Her current work focuses on analysis of the patient population and the implementation of innovative solutions to improve patient health and quality of care.


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(DTC5-01) Transforming Case Management Through Mobile Technology

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