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Overcoming Barriers to Successful Digital Health Patient Engagement

Tuesday, October 31st, 2023

Effective patient engagement is a goal for many healthcare organizations because of the benefits. When patients are engaged in their healthcare, illnesses are diagnosed sooner, bills are paid faster, and patient satisfaction is increased, leading to better business outcomes for the healthcare organization. Advances in technology have made it easier to achieve successful digital health patient engagement. Nevertheless, barriers remain when using digital channels to engage patients effectively. This article discusses the main barriers to digital patient engagement and how to overcome them to drive better results.

hand pointing at ipad with digital health symbols

Barriers to Digital Health Engagement

Patient engagement involves encouraging patients to make informed decisions about their health. Engaged patients are activated patients, meaning they participate in positive behaviors to manage their health. Proactive management of healthcare conditions helps improve outcomes and achieve lower costs. Digital health tools offer scalable ways to engage patients but must be thoughtfully implemented and deployed to achieve the best results.

Let’s review the most common barriers to digital health patient engagement and potential solutions for these issues.

Limited Access to Technology

Digital patient engagement tools may be a poor choice for patients without access to the internet, smartphones, or other digital devices. Though broadband access and smartphone users have risen over the past few years, the individuals without access are often the most in need of patient engagement efforts.

Solution: Invest in Consumer Technology

Some organizations have experimented with providing low-income, at-risk populations with the tools they need to monitor their health digitally. Providing smartphones, internet-connected medical devices, and even mobile hotspots can help increase access to digital health tools that drastically improve patient lives.

Low Health Literacy

If you’ve ever received a bloodwork report and struggled to understand what it meant, you can relate to the struggles that patients with low health literacy face. Suppose the digital health patient engagement tactics you employ are heavy with medical jargon and unclear to lay people. In that situation, patients cannot act on the information to improve their health.

Solution: Create Content for Users

Strip technical jargon from patient communications and keep patients from being overwhelmed with information. Engagement messages should be easily understood and clearly define the patient’s next step.

For example, if you use remote patient monitoring tools for patients with diabetes and send weekly reports on their average A1c levels, you must 1) make sure the patient knows what the reading means and 2) provide a clear direction for what the patient should do with that information. If the reading is too high, clearly state that and provide some next best steps. If the reading looks good- celebrate that and encourage them to continue to make the right choices to manage their diabetes.

Privacy and Security Concerns

It’s no secret that healthcare data is valuable to cybercriminals, and many high-profile breaches have made patients wary about digitally sharing health information. Patients may be concerned about the privacy and security of their personal health information, particularly if they are unsure how it is used.

Solution: Invest in Tools Designed for HIPAA Compliance

Ensure that the digital tools you use to engage with patients have recommended security features, including encryption and access controls like multifactor authentication. You can also work with your legal and security teams to craft policies that outline how patient data is used and when it will be securely disposed of. Patients have a right to control their data, and these policies can help build trust and increase confidence in your patient population to boost the adoption of digital health tools.

Limited Provider Support

Patients may be less likely to engage with digital health tools if they do not receive adequate support or encouragement from their healthcare providers. Even basic patient portals are more likely to be used by patients to review their health information only once prompted by their healthcare provider.

Solution: Work with Providers to Encourage Adoption

Digital health patient engagement tools must have buy-in from providers to be effectively deployed. Eighty-five percent of patients say they always trust their healthcare providers, meaning their support can influence patient adoption rates. Having providers explain the solution, why it is in use, and how patients can utilize it to improve their health can significantly increase engagement with the tools.

Age and Cultural Differences

Patients from different ages and cultural backgrounds may have different preferences and expectations regarding digital health tools. We are all familiar with the stereotypes of older people not understanding how to use technology. That does not mean digital health engagement tools cannot be used, but instead must be deployed in a culturally specific way.

Solution: Improve Accessibility and Invest in Training

Based on the patient’s comfort level with technology, allocate resources to help educate and train individuals on how best to use the tools. Make sure any technology you use is adequately designed to support individuals with disabilities, i.e., is accessible by screen readers and can support assistive technologies. Also, make sure the digital health tools support the patient’s first language and are personalized to their cultural context.

Lack of Personalization

Digital health engagement tools that do not account for individual patient preferences or needs may not be as effective at engaging patients as tools tailored to their specific needs. After the 2020 pandemic, patients have higher expectations for personalized digital experiences. 90% of patients surveyed want to receive communications that reflect where they are in their healthcare journey. If your tools cannot provide a personalized experience, you may be annoying patients rather than helping them.

Solution: Adopt Tools That Enable the Use of PHI

Use digital health engagement tools that are secure enough to transmit protected health information. When patient data is adequately protected, it can be used to transform your digital patient engagement efforts and improve the patient experience.

Conclusion: Successful Digital Health Patient Engagement starts with the Right Tools

Digital health tools for patient engagement can be quite effective if properly configured and deployed. When looking at ways to improve patient engagement, ensure you are using tools that are easy for patients to use and fit seamlessly into their day-to-day lives. With over 90% of adults already using email, secure email messaging is an effective way to reach patients and provide them with the information they need to improve their health. Contact LuxSci today to learn more strategies for improving patient engagement with digital health tools.

Tags: digital health, email personalization, health literacy, patient engagement, personalization, phi, technology access
Posted in LuxSci Library: HIPAA
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Fuel Your Cross-Channel Marketing Strategy with Email

Monday, July 24th, 2023

Moving to an omnichannel or multichannel marketing strategy requires time and investment. However, you don’t have to reinvent the wheel to drive behavior and achieve results. For reasons we will explore in this article, email is a powerful tool in patient engagement and driving a successful cross-channel marketing strategy.

Email is Everywhere

One of the main reasons email is so essential to a cross-channel marketing strategy is its high adoption rates. Compared to other channels, email has an almost universal adoption rate. 92% of Americans have email accounts, and 49% check them multiple times daily. Let’s look at some other tech adoption rates. In the United States:

  • 80% text
  • 72% are social media users
  • 85% have a smartphone

As you can see, email has one of the highest adoption rates among popular digital technologies. Even among older populations and disadvantaged communities, email is widely used, making it an essential channel to address health equity.

Email is also excellent at generating revenue and driving patient behavior. Email is one of the most effective channels, delivering an average ROI of $36 for every $1 spent. Delivering results in the email channel drives business success, even if other channels are slow to take off. Best of all, email can be secured to meet HIPAA requirements and protect patient privacy, all while providing a patient-centered experience.

Email Messaging to Drive Cross-Channel Actions

Email is essential in a cross-channel marketing strategy because you can harness an already engaged mailing list and direct them to take action in other channels.

The best way to illustrate this is with examples. Email can:

  • Encourage people to visit a website to take a specific action
  • Drive visits to patient portals for appointment scheduling or viewing medical information
  • Get users to follow accounts on social media channels
  • Solicit reviews and survey responses
  • Direct people to physical locations to address health concerns
  • Prompt patients to opt-in to SMS messaging
  • Alert people to look out for a physical piece of mail

using email messaging to drive cross-channel actions

This list is just a sampling of the types of messages that marketers can send to prompt activity in other channels. When you segment your audience and personalize your messaging for specific audiences, email can effectively drive desired behavior.

Use Email Data to Determine Next-Best Actions

The other benefit of email is the data you can acquire from the campaigns. Most people open and engage with emails within 24 hours of receipt. This data can be used to trigger activity in other channels.

Similar to how there are so many use cases for email campaigns, there are innumerable ways that you can use the data from these campaigns to drive cross-channel activity. For example, if you notice that a patient is engaging with content about scheduling an appointment but failing to complete the process, it can trigger a staff member to make a phone call to help them. It would be too time-consuming and expensive for staff members to contact everyone who has not scheduled an appointment recently. But by looking at your email data and information about the patient, you can identify people who may want to schedule appointments but are hitting roadblocks in the process.

A counter-example is that if people are not engaging with your emails, you can focus your marketing efforts on other channels like paid advertising and direct mail. These channels are often more expensive than email, so by only targeting those who are hard to reach, you see a better ROI and don’t waste valuable marketing dollars.

Conclusion

If you are struggling to drive conversions in other channels, consider focusing on email. It’s easy to get started with, and once you build a solid list, it can be used to drive cross-channel behavior. To learn more about the benefits of email marketing, contact LuxSci today.

Tags: email marketing, email reporting, email reports, health equity, marketing strategy, multi-channel marketing, omnichannel marketing, patient engagement, personalization
Posted in HIPAA Marketing
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Digital Strategies to Address Health Equity

Wednesday, July 5th, 2023

According to a HIMSS Market Insights study, nine out of ten healthcare executives see health equity as a top business priority. Improving health equity can drive value for other business metrics, including patient satisfaction, provider retention, health outcomes, and cost reduction. Email is an excellent way to address health equity issues, thanks to its widespread adoption across different ethnic and demographic groups.

 

doctor sending an email to patient

What is Health Equity?

According to the CDC, health equity is “achieved when every person has the opportunity to attain his or her full health potential and no one is disadvantaged from achieving this potential because of social position or other socially determined circumstances.”

 

Under President Biden, the Department of Health and Human Services has prioritized health equity in response to the COVID-19 pandemic. COVID-19 highlighted the healthcare system’s racial, economic, and social disparities. For example, COVID-19 killed Black, Latino, and Indigenous people at double the rate of White people. Native Hawaiians and Pacific Islanders remain three times more likely to contract the illness than White people. Addressing the social, cultural, racial, and economic factors contributing to this disparity is essential to improving individual and population health.

Improve Health Equity with Email Communications

Email is an excellent tool for patient engagement because of its widespread adoption across different demographic groups. As you can see in the data below, email has an overall adoption rate of 92%, and across all age and ethnic groups surveyed, adoption rates are above 80%.

email usage charts by age and ethnicity

Unlike phone numbers and addresses, email addresses seldom change because of economic instability. Email addresses are free to create and are typically accessed at least once a day. Broadband access continues to expand, though it still presents a barrier to email communication. However, even when broadband is unavailable, slower connections still permit text-based emails to be sent and received. Email is reliable, easy to use, and widely accessible to most individuals, making it an excellent channel for patient engagement.

The Technical Advantages of Email

Email also offers several advantages on the technical side to address digital health equity. Email’s main benefit is its ability to be personalized at scale. When using a secure email provider like LuxSci, you can create groups or segments of patients and send them relevant information about their health conditions or risk factors. These workflows can be automatically triggered when certain criteria are met to streamline operations and improve efficiency.

Thanks to the nearly universal use of EHR systems, healthcare marketers can access a wide variety of first-party patient data. Health records not only contain information about health conditions, but also information about patient demographics and preferences.

Intelligent marketers can use this data to close care gaps and improve health equity. Let’s take a look at an example.

An Example of Personalization and Segmentation to Address Health Equity

There are so many options when it comes to segmenting your patient population. To address health equity, you can use information like the patient’s native language and communication preferences to create personalized messaging. By doing so, you can increase response rates and close care gaps.

 

For example, say you have a significant portion of your patient population that speaks Spanish, and they are more likely to miss an appointment or not schedule a follow-up. How can you drive appointment attendance and reduce churn? The first step is to create an audience segment composed of patients who speak Spanish as their first language. Next, create email messages that are designed for the audience. This means writing the subject line and email contents in Spanish and using imagery they can identify with. But you can do more than that. Point people in this audience to schedule appointments with doctors who are fluent in Spanish. If there are other reasons this audience struggles to attend appointments, extend opportunities to help them with transportation, child/elder care, or access healthcare outside of regular working hours. Once you understand the barriers to attending appointments, you can extend personalized offers that help increase attendance and improve health outcomes. 

 

Most importantly, email allows you to test messaging and see what’s working. Review your campaign statistics and adjust your messaging to reach the most people and improve health equity among your patient population.

Conclusion

As we have seen, email is a highly effective way to engage marginalized patient populations. However, don’t forget about HIPAA compliance! Communications personalized and segmented using ePHI need to be secured.

 

LuxSci offers secure email services designed to meet HIPAA requirements. If you want to learn more about addressing health equity with secure communications, please contact us today.

Tags: covid19, diversity, email engagement, email use, ePHI, health equity, inclusion, patient engagement, personalization, phi, segmentation
Posted in HIPAA Marketing
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Email Marketing Metrics: 5 KPIs for Data-Driven Marketers

Wednesday, May 17th, 2023

Open rates only offer a small glimpse into the success of your email marketing campaigns. To determine whether your campaigns successfully drive engagement and behavior, diving deeper is necessary. In this article, we go beyond the basics to look at other email marketing metrics that can help you determine the success of your campaigns.

data-driven email marketing

Click-Through Rate (CTR)

One way to tell if your email content engages your audience is by looking at the click-through rate or CTR. Instead, looking at your messages’ click-through rate can tell you more about how successful the campaign is. The click-through rate can be calculated by dividing the number of total clicks (or unique clicks) by the number of emails delivered.

 This metric tells you how successful the message content is and whether the recipients find the content engaging. Many split tests are designed to find new ways to get more clicks in your emails, and the click-through rate is an essential metric to determine success. Clicks are significant because they often lead to conversions.

Conversion Rate

For most marketers, the conversion rate is the most vital metric to track. The conversion goal you are tracking may change from email to email. For example, the goal of one campaign may be to increase app downloads. In another, the goal may be to increase appointment sign-ups. Whatever your goal, to track the conversion rate, you compare the number of people who completed the desired action to the number of emails delivered. 

To measure the conversion rate of your emails, you may need to integrate your email platform with web analytics. You can do this by creating unique tracking URLs for your email links that identify the source of the click as coming from a specific email campaign. Tracking the source is incredibly important for understanding the ROI of your email campaigns.

Bounce Rate

It’s imperative to keep an eye on your bounce rate. The bounce rate measures how many emails were delivered to the recipients’ inboxes. Bounces can either be soft or hard. Understanding why an email failed to be delivered can help you improve your lists for future sends.

Soft bounces result from a temporary problem with a valid email address, such as a full inbox or a problem with the recipient’s server. The recipient’s server may hold these emails for delivery once the problem clears up, or you can try to resend the message manually. 

Hard bounces result from invalid, closed, or non-existent email addresses. These emails will never be successfully delivered. You should immediately remove addresses that hard bounce from your email list because internet service providers (ISPs) use bounce rates to determine an email sender’s reputation. Keeping your email lists clean is essential to maintaining email deliverability.

Unsubscribes

Similarly, you should be tracking who is unsubscribing from email messages. Seeing a small number of unsubscribes from your email campaign is expected. The average email campaign unsubscribe rate is about 0.2%. Nevertheless, tracking unsubscribes on a per-campaign basis is helpful to ensure your content is hitting the mark. If your unsubscribe rate jumps above the average, it may be time to re-evaluate your content or clean up your lists. Unsubscribing indicates that the recipient did not find your messages engaging, and you should remove any contacts who unsubscribe from future marketing messages. There are also legal ramifications for failing to comply. The CAN-SPAM Act requires companies to honor all opt-out requests and enforces penalties for noncompliance. 

Spam Complaints

Spam complaints can also affect the future deliverability of your emails, so it’s crucial to track who is marking your emails as spam and remove them from your list. Spam complaints are delivered to ISPs, and receiving a lot of them could impact your deliverability and sending reputation. If you aren’t tracking these requests, you could be emailing people who do not want to be contacted by your company.  

Conclusion: Implement Data-Driven Email Marketing Today

Move beyond top-line email marketing metrics to take your email marketing expertise to the next level. You can better engage patients, drive behavior, and improve outcomes by using data-driven email marketing techniques. Contact LuxSci today to learn more about how our HIPAA-compliant email marketing software can help you achieve results.

Tags: click tracking, conversion rate, data driven email marketing, email analytics, email deliverability, email engagement, email list clean up, email list hygiene, email marketing, email marketing metrics, metrics, patient engagement, precision nudging
Posted in HIPAA Marketing
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Identity-Driven Engagement: The Next Generation of Patient Engagement

Wednesday, April 26th, 2023

A new tech buzzword has come to the healthcare industry: identity-driven engagement. This article explains what precisely identity-driven engagement is and how it applies to the healthcare industry’s patient engagement goals.

 

identity-driven engagement

 

What is Identity-Driven Engagement?

Identity-driven engagement is not a new concept. It has been used outside the healthcare industry for many years to describe how marketers personalize consumer experiences to build community and achieve better results. It relies on using customer or patient data to create relevant communications that speak to individuals where they are in their journeys.

 

Successful identity-driven marketing efforts require accurate and up-to-date data sources, as consumer needs and preferences can rapidly change. In some ways, the healthcare industry is at an advantage compared to retail and other B2C companies because of the data they have about their patients. However, electronic health records only tell part of the story. In order to execute patient engagement efforts, a customer data platform (CDP) or customer relationship management (CRM) system is often required to capture behavior occurring outside of the medical practice. Signals from other digital channels like social media activity, your website, and digital advertising can provide helpful information about what any patient wants at any particular moment.

 

Using identity-driven engagement techniques allows marketers to incorporate this data to create highly relevant messaging. You can expect better ROI from your marketing efforts by demonstrating that you know your users and their communities.

 

How to Incorporate Identity Into Your Patient Engagement Strategy

It can take time to set up the right systems to collect data before rolling out identity-driven engagement on a large scale. It’s best to start small by identifying one community in your patient population that isn’t engaging with your health system as expected.

 

For example, let’s say that in your community, 15% of people speak Spanish as their primary language. Yet, your patient population only contains 2% of this audience. How can you reach more of these people and educate them about your services? By adopting tenets of identity-driven engagement, you can create better messaging and content that speaks to their unique needs. Of course, using Spanish in these messages is vital. But the content should be more than just translations of the other messages you use for your English-speaking patients. This audience has unique needs regarding health concerns, insurance providers, and technology preferences. It’s up to you to learn about these needs and address them with unique messaging that is consistent across all platforms and locations.

 

Email and Identity-Driven Engagement

Email can be an excellent way to execute identity-driven engagement because it allows for trigger-based activity, audience segmentation, and personalization at scale.

 

First, emails can be triggered based on new patient activity to provide relevant and timely information. For example, when a patient visits the scheduling page on the website but exits without making an appointment, you can send them a follow-up email with links to complete the process. Suppose you know that the patient was viewing pages on dermatology. In that case, you can include helpful links to dermatologist profiles, related reviews, and other information that may be relevant as they decide where and when they want to visit.

 

Another core aspect of identity-driven engagement is audience segmentation. Every patient is unique, and it’s important to group patients with similar characteristics to deliver the most relevant messages. Including male patients in an email regarding breast cancer awareness month and the importance of receiving annual screenings doesn’t make sense. By sending the message only to relevant patients, it improves engagement and builds brand trust.

 

Furthermore, it’s possible to personalize the messages to improve their relevance without adding additional work. The same appointment scheduling reminder can be customized according to what you know about the patient. Do they prefer to talk to someone? Include the phone number prominently. Have they historically preferred morning time slots? Include a few available dates and times that are similar to their previous appointments. Making minor tweaks to the message contents can improve response rates and help your organization meet its goals.

Tags: audience segmentation, cdp, crm, customization, email marketing, email personalization, identity driven engagement, patient engagement, personalization, sdoh, segmentation, triggers
Posted in HIPAA Marketing
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