Twistle Advances MemorialCare’s Efforts to Provide World-Class Care to Women

National Women’s Health Month seeks to encourage women and girls to make their health a priority. As the month aims to inspire more engagement among women, we’re highlighting one hospital system whose forward-thinking approach to women’s health is driving health outcomes, improving care quality, and earning national recognition.

MemorialCare, a national leader in value-based care and evidence-based medicine with 225 care locations throughout Orange and Los Angeles counties, has had a longstanding commitment to women’s health. The hospital system’s many accolades include Best Breast Centers, Newsweek Top 100 Hospitals, Best Maternity Hospitals, and Best Hospitals in the World. The hospital system and its physicians value scientific research and data, high-level access to clinical trials, breakthrough treatments, and innovative healthcare technologies.

In stride with their tradition of staying on the leading-edge, MemorialCare has partnered with Twistle by Health Catalyst to empower patients with improved insight into their health and a seamless continuity of care.

The specific Twistle pathways adopted by MemorialCare offer women visibility and control of various areas of their health and wellbeing, including a communication pathway that provides better understanding and support of their recovery after a general hospital discharge, a messaging pathway for labor and delivery, as well as one for breast cancer screening and detection.

“It’s vital for patients to be empowered and supported during their medical journey. Providing them with the right information, tools and education, at the right time in their care, allows patients to partner with their providers to make the best decisions for them,” says Liz Acord, vice president, oncology, MemorialCare. “From screenings to treatment, making it easier for patients to engage in their own care is critical to successful recovery and prevention.”

Continued Support in Recovery

MemorialCare增强女性患者健康能力的一种方式是，为她们提供出院后继续与护理团队沟通的机会。

“Going through a major health event, whether it be the happiness, yet overwhelming feeling of being a new parent to leaving the hospital after a lumpectomy, it’s understandable all the discharge information is not entirely absorbed or understood by the patient,” says Shela Kaneshiro, chief nursing officer, MemorialCare Orange Coast Medical Center. “Often there is great excitement in leaving the hospital and getting to go home, but once there, it can be overwhelming to think about the balance of meds and the follow up appointments needed. Having an extra layer of communication to support them once they get home is crucial.”

In a report published online in The BMJ, a weekly peer-reviewed medical trade journal,researchers at Stanfordcalled for more providers to place emphasis on the importance of individual mindsets and social context in healing.

MemorialCare’s consideration of female patients’ mindset and wellbeing can be seen in the follow up it has created for patients with the help of Twistle. The pathway is not only designed to educate patients with HIPAA-compliant text messages and reminders but also provide access to medical professionals – giving each patient continued care and social support from the comfort of their home.

For example, Twistle’s home support program monitors female patients while they’re recovering at home by sending them a brief text message survey to complete. The responses are monitored by nurses who will call to check in with the patient if their feedback suggests they may be getting worse or having trouble managing their recovery at home.

当患者第一次回复该通路时，他们会收到一个电话号码，可以用来直接与MemorialCare电话咨询护士联系，以防他们有任何需要立即回答的医疗问题。

MemorialCare’s use of this tool can result in significantly improved health outcomes for female patients, assome case studieshave shown a 62 percent increase in patients monitored post-discharge and a 28 percent reduction in readmissions after implementing the Twistle by Health Catalyst platform for post-discharge monitoring.

这一信息传递途径使MemorialCare能够简化对女性患者的出院后跟进，从而惠及更广泛的患者，护士也能够将外联重点放在最弱势的患者身上。这项服务不仅避免了不必要的就诊和再次入院，而且让病人安心，在最舒适的地方放松和恢复。

Additional Support for Personalized Labor and Delivery

MemorialCare also provides tailored communication to the thousands of postpartum mothers it serves annually – the hospital system’s labor and delivery team welcomes nearly 9,500 babies per year.

The dedication of the hospital system to ensuring every mother receives personalized, high-quality, and compassionate care is apparent at all of MemorialCare’s hospitalsthat provide maternity servicesto the Southern California region.Saddleback Medical Center,Orange Coast Medical Center, andMiller Children’s & Women’s Hospital Long Beachwere all – recognized in 2021 as High Performing in Maternity Care by U.S. News & World Report.

“MemorialCare is uniquely positioned to provide maternity care from the South Bay to South Orange County, whether at the only children’s and women’s hospital in the region or an acute care adult specialty hospital,” says Christine Huff, director, Women’s and Children’s Services, MemorialCare Saddleback Medical Center. “Our highly skilled clinicians are dedicated to ensuring every maternity patient receives the high-quality compassionate care they deserve and are accustomed to receiving at MemorialCare medical centers.”

MemorialCare earned these accolades because of its high-quality clinical care and by offering various resources for women, including childbirth education classes for women and families, world class labor and delivery care, postpartum services to address mental health challenges among new mothers, as well as ongoing lactation support for patients.

MemorialCare通过实施Twistle的分娩和分娩出院信息传递途径，进一步加强了为女性提供全面护理的努力。

这些信息专门为产后全年提供支持，包括关于产后恢复、健康的产后生活方式选择、心理健康、饮食和锻炼以及重返工作等话题的重要沟通。

The messaging pathway also provides support for infant concerns including general infant care, safe sleeping, feeding, SIDS (Sudden Infant Death Syndrome), infant massage, and more.

“Especially for first time moms, there can be general anxiety around infant feeding, ensuring safe sleep and overall infant care – especially those first few nights after leaving the hospital,” says Jennifer Ayala, director, maternal child health services, MemorialCare Orange Coast Medical Center. “Having a full year of postpartum support through communications would really put new moms at ease and reassure them that they are taking great care of their new baby.”

Twistle基于文本的监测已经被证明可以显著改善母亲产后血压监测的健康结果。One case studyreported remote monitoring drove 91 percent of new mothers to submit at least one blood pressure reading up from the 30 percent of patients who attended postpartum office visits – a 203 percent increase.

Additionally, the pathway can provide healthcare organizations with real-time data about when and how often patients are opening texts, how much time they are spending reading educational information, and how satisfied they are with the content.

This data can then be used to rapidly modify engagement protocols and drive personalized outreach specifically prioritizing an individual’s preferences, values, and needs in all postpartum-related communication.

Gentle Reminders About Critical Appointments

每年有超过25万人被诊断出患有乳腺癌，但如果及早发现，成功的健康结果是非常可能的。

然而，许多没有得到定期医疗护理的女性没有意识到，她们早该做乳房x光检查了，这是早期发现乳腺癌的关键工具。

MemorialCare has adopted Twistle’s digital communication platform, to provide automated, proactive, digital communication to female patients based upon their age, history, and other determinants, prompting them to take their breast health seriously.

The breast health pathway’s prompt will remind patients about their mammogram appointments and quickly share results, once available. The ease and tailored communication of this tool provide women the opportunity to take proactive control of their health.

无论女性是结束女性健康探访还是带着新生儿回家，由患者独特的医疗保健历史推动的个性化交流都是帮助患者感到赋权和支持的关键驱动力。

MemorialCare’s use of Twistle helps streamline patient workflows, limit clinician burden, optimize care for patients who need it most, and effectively help MemorialCare’s entire patient population feel valued.