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Decreasing Health Disparities


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Jacksonville University - BSN Program, Group B Presentation …

Jacksonville University - BSN Program, Group B Presentation
Decreasing Health Disparities

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  • 1. The Role of Informatics in Decreasing Healthcare Disparities Presented by: Janet Newton, Valerie Schmidt, Blesson Vargheese, and Shelby Watson NUR 353 Jacksonville University
  • 2. Health Information Technology Adoption barriers among minorities Janet Newton, RN
  • 3. Health Information Technology (HIT) • HIT refers to a number of technologies – Electronic Health Record (EHR) – Personal Health Record (PHR) – Technology used in the management of chronic conditions (email, text messaging, or remote monitoring) – Population health tools (registries and telemedicine) – Consumer Health Informatics (CHI) online health tools used for general health information
  • 4. Health Information Technology (HIT) • There has been a push in recent years to implement HIT, especially a Personal Health Record (PHR) – A PHR is a tool used to document one’s health history electronically. – It can be instrumental in increasing one’s awareness about and involvement in their healthcare. • It is believed that through the implementation of HIT we, as a country can positively impact the quality of care and safety for all Americans.
  • 5. Health Information Technology (HIT) • It has been shown that simply having knowledge about a health issue can enhance one’s health status. • The internet can be a great source of information about a diagnosis or health promotion.
  • 6. Healthcare Disparities • The United States is a country built on the philosophy that “All men are created equal”. However, often there is great disparity in the healthcare opportunities afforded to different groups of individuals.
  • 7. Healthcare Disparities Healthcare disparities can be divided along different lines, including: Race Socio-economic Culture Language Age Geography
  • 8. Adoption Barriers among Minorities • A perceived lack of benefit to the consumer • Lack of trust in the technology or privacy concerns • Limited computer access • Poor computer knowledge, literacy and skills • Limited internet availability either because of financial or geographical reasons Minority consumers are sometimes reluctant to use online Personal Health Records.
  • 9. The Affordable Care Act of 2010 Impact on Decreasing Healthcare Disparities Shelby Watson, RN
  • 10. Affordable Healthcare Act • Signed into law in 2010 • Mandates that all Americans have access to healthcare coverage • Incorporation of new information technology standards and infrastructure requirements • Reimbursement for physicians based on the quality of care provided to patients instead of across-the-board reimbursement of services
  • 11. Affordable Care Act and Data Collection • Section 10334 – Designates a new National Institute on Minority Health and Health Disparities. • Section 4302 – requires population surveys that will address federally funded health care programs and will provide feedback on data including race, ethnicity, sex, primary language, disability status, and information on individuals who live in rural and frontier areas. ("Health Disparities and ACA," 2012, p. 1) • Quality Improvement and Research
  • 12. Affordable Care Act Coverage • Expands Medicaid coverage for minorities, which will cover almost 40% of African American and Latino children • Insurance companies can no longer deny coverage to those with pre- existing conditions, or charge higher premiums • New exchanges afford the opportunity to choose a plan and premium package that provides benefits and alleviates the disparity for those who may not qualify for Medicaid
  • 13. Affordable Care Act in the Community • Community Health Centers (CHCs) expected to play a key role in the future of providing primary and preventative care services to minority groups and underserved populations. • Earmarked $11 billion to facilitate serving an estimated 40 million patients by 2019, which represents double the amount currently being served • Data collected on these CHCs will be utilized to provide targeted care in the future
  • 14. Affordable Care Act and Preventative Care • Focus on preventative care measures and goals for the future of expanding wellness care management. • Section 4102 of the law already includes an oral health campaign and aims to promote oral health for minority groups • Provisions and funding provided for maternal and child health to include $1.5 billion dedicated to services such as home visiting programs and educational support for individuals to improve health outcomes
  • 15. Affordable Care Act and the Future • New requirements to electronically report data will provide insight for needs assessments and healthcare spending of the future • ACA is the first major step since the implementation of Medicaid which aims to relieve the disparity among minority populations regarding health care coverage and preventative care awareness. • Estimated 46 million people currently uninsured • 47% of those individuals live in households with income at or below 133 percent of federal poverty guidelines. ("Health Disparities and ACA," 2012, para. 5) • Expected 32 million additional Americans will have health coverage by 2019 (Saenz, 2010, para. 2)
  • 16. Affordable Care Act and the Future • Expected 32 million additional Americans will have health coverage by 2019 (Saenz, 2010, para. 2) • Aim is to alleviate current dilemma and positively influence the market by driving down the cost of health care
  • 17. Opportunities for HIT to help address healthcare disparities Valerie Schmidt , RN
  • 18. Access to Technology • Mobile phone access to underserved populations has decreased • According to the Institutes for Alternative Futures existing gaps in access to internet have narrowed • Many of the underserved communities in the US were the largest users of cell phone voice minutes per person
  • 19. Access to technology • Existing gaps in access to internet have narrowed • Percentage of adults with broadband internet access at home is consistent among White/non-Hispanic and Hispanic/English speaking population according to PEW Internet and American Life Project
  • 20. Access to Technology • National efforts are encouraging the use of HIT in underserved communities • Health Information Technology Act • Office of the National Coordinator (ONC) • Regional Extension Center Program (REC)
  • 21. Provider Opportunities • Health information technology tools assist providers • Improve decision making processes • Improved Coordination of Care • Facilitate quality improvement reporting • More cost effective
  • 22. Patient Opportunities • Consumer Health Technology potential to help patients • Cost effective • Personal Health Records • Increase access to broader range of quality services • Remote monitoring
  • 23. Patient Opportunities Cont. • Patient Education • Provide interpretive programs in various languages • Health Kiosks • Opportunistic kiosks • Integrated kiosks
  • 24. Access Becomes Opportunity • Patient Opportunities • Provider Opportunities • Education • Safety • Patient Involvement
  • 26. Telemedicine • Research shows that there is a critical health disparities among societal members of various racial and ethnic and racial backgrounds. • Geographical inaccessibility, poverty, unavailability of qualified healthcare personnel and lack of consumer awareness critically contributes to this health disparity. • Telemedicine and self management among these vulnerable individuals serve as critical medical mitigation tools that aim at alleviating this predicament. • Telehealthcare and telemedicine systems works as a significant linkage between the healthcare provider and the patients. • Telemedicine assists in offering medical as well as consultation services.
  • 27. Telemedicine • Telemedicine refers to the application of ICT in the provision of healthcare to individuals that have inaccessibility, owing their remote environments. • Telemedicine can be perceived as exchange of information between two physicians and also between a healthcare provider and a patient, in an endeavor to promote self management. • Conversely, telehealth encompasses the definition of telemedicine and also incorporates employment of telecommunication in the delivery of non-clinical services. • Such services within telehealth may also encompass research, and promotion of health education. • ICTs have the prospective to develop information management, access to health services, healthcare improvement, progress of high- quality healthcare, reducing unwarranted costs.
  • 28. Telemedicine • A telehealth is a critical system that enables patients to manage their various ailments better, thereby assisting in improving their wellbeing. • Self management is critical in controlling chronic diseases such as diabetes and aids patients to lead quality lives. • Various telehealthcare systems are available, and among them include the Bosch system. • The Bosch system has been a significant too for self management, owing to its wide acceptability and use across the US and Europe.
  • 29. Telemedicine • Careful adherence and compliance to various systems of self management and telemedicine and self management has had patients experience positive effects on their health, particularly patients with long-term diseases. • Various researches indicates that though numerous flaws may be experienced within the systems, the overall outcomes of the telemedicine systems serves critically to improve the patients’ health. • This was evident in patients who may seem to be racially marginalized. • An example is the African Americans who only constitute 17% of the US population but have a 49% HIV prevalence. • Owing to the employment of the telemedicine systems, the control of this scourge has been significant, thereby improving their health.
  • 30. Telemedicine • Telehealth and telemedicine among individuals that are racially and geographically marginalized significantly employs technology in the mitigation measures. • As such, it is critical to promote the use of various technology modes such as video conferencing and the internet. • Access to the internet also poses another key predicament to these systems, owing to its inaccessibility and illiteracy among various members of these marginalized groups. • It is critical to empower these marginalized members through various campaigns for embracing of technology and education promotion among these groups. • Intervention of the government may critically serve in mitigating over this predicament, through the provision of funding for the process.
  • 31. Telemedicine • Patients and healthcare providers ought to apply ICT in their endeavor to alleviate various ailments. • This will significantly help in reducing costs and improving healthcare to societal members considered to be remote. • Inaccessibility of ICT among remote healthcare providers and patients continue to pose a major challenge to telehealth and telemedicine. • The government ought to intervene in this predicament through the provision of funds and installation of ICT systems within these remote environments. • Healthcare providers also ought to campaign for telemedicine in the remote areas in order to bridge the healthcare disparity and improve healthcare delivery.
  • 32. References Chicago, N. a. (2010). Understanding the Impact of Health IT in Underserved . Bethesda: NORC at the University of Chicago. Davis, O. I., Bean, K., & McBride, D. (2013). Decreasing Health Disparities through Technology: Building a Community Health Website | Davis | The Journal of Community Informatics. Retrieved from Fong, B., Fong, A., & Li, C. (2011). Telemedicine technologies information technologies in medicine and telehealth. Chichester, West Sussex, U.K. Futures, I. f. (2006). The DRA Project Accellerating Disparity Reducing Advances. Alexandria: Institute for Alternative Futures. Garvin, J., Odom-Wesley, B., Rudman, W., & Stewart, R. (2009, June). Healthcare Disparities and the Role of Personal Health Records. Retrieved April 8, 2014, from Gibbons, M. C. (2011). Use of Health Information Technology among Racial and Ethnic Underserved Communities. Retrieved from Health Reform. (2012). Retrieved from partners-health-plans-and-hit-six-areas-of-opportunity-under-the-affordable-care-act-health-it Jacelon, R. (2012). Impact of telehealth on patient self- management of heart failure: a review of literature. PubMed, 27(1), 33-43. Kühne, K. (2010). Patient self-management by telehealth using the Bosch model of care. Pubmed. , 16(4), 33-43. Leadership, education & training program in maternal & child nutrition. (2013, April). Retrieved April 8, 2014, from Lopez, L., Green, A. R., Tan-McGrory, A., King, R., & Betancourt, J. (2011). Bridging the digital divide in health care: The role of health information technology in addressing racial and ethnic disparities. The Joint Commission Journal on Quality and Patient Safety, 37(10), 437-445. Saenz, M. (2010). Health Disparities and the Affordable Care Act. Retrieved from affordable-care-act.asp Swain, M. (2013, May 10). Can Health IT Reduce Health Disparities? New ONC Report Explores Opportunities. Retrieved from Health IT BUZZ Latest on Health information technology from ONC: onc-report-explores-opportunities/