phtr 498 spring 2015 health informatics. patient empowerment and personal health records and...
TRANSCRIPT
PHTR 498Spring 2015
Health Informatics
Patient empowerment and personal health records
and Consumers Informatics
“You cannot teach a man anything. You can only help him
discover it within himself”. (Galileo Galilei)
Empowerment
Patient empowerment is considered a paramount skill in the prescribing arena
It can be defined as:1. “To give power or authority to – to authorize”2. “To give ability to; enable or permit”
Sinclair et al 1999 pp. 468
In health promotion, empowerment is a process through which people gain greater control over decisions and actions affecting their health (WHO 1998).
• counselling is based on principles of health promotion • key issues are partnership, networking and mutual conversation in a
confidential relationship• recognize patients’ competence, resources, and explanations of
action styles as well as coping and support networks• patients have an opportunity to plan what to do next, how to go on,
and to construct their own solutions to health issues
Professional centred Patient centred
Effectiveness & efficiency Value
Opinion based Evidence based
Event Pathway
Organisation Network
Structure System
Clinical practice peripheral Clinical practice central
Money driven Knowledge driven
Research findings Systematic reviews
2006-------------------------------------2011
(Sir Muir Gray)
A new Health System for the 21st Century
Change Our ThinkingFrom
• Patients are Non-Compliant To • Patients are unsuccessful at
managing their own care• Patients are not yet
engaged in their own care
The Facts• 40-80% medical information given forgotten immediately; half retained is incorrect1
• Physicians thought 89% of patients understood medication side effects, only 57% of patients understood2
1. Kessels, R. P. (2003). Patients' memory for medical information. Journal of Social Medicine, 96(5), 219-222. 2.Training to Advance Physicians‘ Communication Skills. (n. d). Retrieved from AHRQ Website.
Health Literacy• The capacity to obtain, process, and understand basic
health information and services needed to make appropriate health decisions.
Healthy People. (2010). Cited in What is Health Literacy? Retrieved from www.chcs.org
• Only 12% of adults have proficient health literacy• Lower literacy = more admissions, ER visits, costs, higher risk
of poor health
Advocate for Health Literacy in your organization (n.. d.) Quick Guide to Health Literacy. Retrieved from http://HHS.com
Teach-Back Method• Method to confirm patients understand their
medication/treatment: • “Tell me why you need this medication”• “Tell me how you take this medication”
• Teach Back not a test of patients’ knowledge • Is a test of how well we explain something Kessels, R. P. (2003). Patients' memory for medical information. Journal of Social Medicine, 96(5), 219-222.
The internet as Marketplace
• Basically uncontrolled with regards to quality of information• No universal quality check• No universal index• First amendment in full force
Isn’t it time YOU got access to YOUR records and started using it to improve YOUR health and
enter the world of REAL-TIME DIGITAL MEDICINE ?
Dr. Amir [email protected]
What is PHRThe Personal Health Record is (an Internet-based) set of tools that
allows people to access and coordinate their life-long health information and make appropriate parts of it available to those who
need it.
(Personal Health Records Working Group, Markle Foundation, 2003)
The PHR is an electronic, lifelong resource of health information needed by individuals to make health decisions. Individuals oen and manage the information in the PHR, which comes from healthcare providers and the individual. The PHR is maintained in a secure and private environment, with the individual determining rights of access. The
PHR does not replace the legal record of any provider(AHIMA e-HIM Personal Health Record Work Group 2005)
A PHR is a patient-owned and patient-controlled online record of medical information that is interoperable with other sources of personal health
information about a patient (Wes Rishel, Thomas J. Handler, M.D., Gartner, 2008)
Why do we need PHR?
• Keeping personal health information handy can make consumers-providers communication easier and more efficient
• Tracking Rx and clinic visits will keep the person current with health issues
• Makes consumers feel they received higher quality of care• Useful in travel or natural disaster
Benefits of PHRConsumer perspective
• Patients will play a vital role in their health• Informed and active individuals in their healthcare will
have better outcomes, lower costs (IOM 2001)• Empowering the patients (Rassin et al 2006)• Promotes adoption of healthy behaviors (Ralston et al
2004)
What do I need for my care?www.htmc.co.uk
Appointment setting via EMIS Access
Prescription ordering
Access to full health record
Access to full health record
Patient has access to letters
What do I need for my care?www.htmc.co.uk
ConclusioneMPOWERed patients need access to their medical records AND high quality information about their care AND how to manage it.
e
Medical
Patient and the Public
cOmmunication
World wide web
Electronic
Record
www.htmc.co.uk