Untangled healthcare lecture series patient advocacy series part one
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Untangled healthcare lecture series patient advocacy series part one

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The first in a four part series integrating patient advocacy, care coordination, personal health records and other HIT components. For Nurses, Other Paraprofessionals

The first in a four part series integrating patient advocacy, care coordination, personal health records and other HIT components. For Nurses, Other Paraprofessionals

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Untangled healthcare lecture series patient advocacy series part one Untangled healthcare lecture series patient advocacy series part one Presentation Transcript

  • Jeffrey Harris Untangled Healthcare Jeffrey Halbstein-Harris Untangled Healthcare Assisting communities to monitor and improve healthcare 919 627-5038 Cell 919-779-7368 Office Fax 888 783-6178 (Jeffrey Harris) email: JeffHarris@untangledhealthcare.com LinkedIn: http://www.linkedin.com/in/untangledhealth Blog: http://www.untangledhealth.com/ Website: http://www.untangledhealthcare.com/ Twitter: http://twitter.com/UntangledHealth Slide share: http://www.slideshare.net/jeffharris7510/24/2011 1
  • Syllabus1. Defining a persons needs and the evolving National Health Information Infrastructure 1. Defining an emerging Health Information Technology within the context of the US HealthCare System2. An example for you 1. Real Use Case 2011 2. Samples of Levels of Support Based on Functional Status3. Personal Health Records Selection Components Security 1. Process4. A Transition Model5. Why We Do It10/24/2011 2
  • Untangled Healthcare Patient Advocacy Series Part One: Defining a Persons Needs – Defining a persons needs – Defining an emerging Health Information Technology within the context of the US HealthCare System10/24/2011 3
  • Advocate and Instruct10/24/2011 4
  • Instruct• "Go to the people, live with them, learn from them.... Start with what they know, build with what they have...." Lao Tzu10/24/2011 5
  • Life Cycle Birth Death Education Loss of Illness Work Chronic Work Illness Illness10/24/2011 6
  • Advocacy by Patient Type1. Healthy (consumer - retain customer goal)2. Worried-well (counsel)3. Self-limited sick (do nothing unusual)4. Catastrophic sick (coordinate episode)5. Asymptomatic / Minor chronic conditions 1. Patient education and self-advocacy with monitoring6. Symptomatic / Major chronic conditions 1. Care Management - reverse / slow progression / maintain health7. Hospice / end-of-life 1. Care Management - maintain / comfort10/24/2011 7
  • Episodic Care Diagnosis Hospitalization Rehabilitation Return to Community Start time Process Time Stop Time10/24/2011 8
  • Chronic Continuum of Care Assess Monitor Plan Coordinate Educate10/24/2011 9
  • Acute Care Hospital Advocating the Mess Sub-Acute Facility Acute Rehab. Facility intense illness short term medical manage pulmonary rehab. repeat 1st rehab. chronic vent. dependent requires nocturnal management SNF custodial Long Term 1st rehab Day Rehab. care Case Manager Care safe at night Facility home bound with services post IP or sub acute or first rehab Home Health O2 etc.. mild to moderate post rehab Care disease independent or fitness supervised programs referral to ISN Out Patient Home Care Facility DME Residential Living Fitness Center with Maintenance YMCA etc..program patient / family Patient and Familyprovider needs Enter System LEGEND10/24/2011 10
  • Acute Care Hospital Advocating for What? Sub-Acute Facility Acute Rehab. Facility intense illness short term medical manage And Care Is Continuous And Payment rehab. repeat pulmonary Happens 1st rehab. Insurance dependent chronic vent. No Gaps In Treatment requires nocturnal management Commercial No Gaps in Meds SNF Long Term Public custodial And Care has Continuity 1st rehab Day Rehab. care Care Safety Net Case Manager HealthcareatProviders Share safe night Facility Health Insurance Exchange Care Plan Charity bound And Care has Quality home Selfwith services Pay Healthcare Providers Share Same Evidencefirst sub acute post IP or or Based rehab Home Health O2 etc.. post rehab Guideline mild to moderate Care disease independent or fitness supervised programs referral to ISN Out Patient Home Care Facility DME Residential Living Fitness Center with Maintenance YMCA etc..program patient / family Patient and Familyprovider needs Enter System LEGEND10/24/2011 11
  • Untangled Healthcare Patient Advocacy Series Components of National Health Information Infrastructure• E-HR Electronic Health Records – Capable of exchanging data between disparate systems across the USA• Electronic Medical Records – Capable of exchanging data within an isolated organizational entity e.g. Duke Medicine• P-HR Personal Health Records – A subset of critical information managed by patient• HIE Health Information Exchange – The communications technology, security and privacy standards, governance structure for passing information among members. Requires patient consent.10/24/2011 12
  • E-Healthcare The Evolving National HIT Making sense of it all System Jeffrey Harris Untangled HealthcareFrom Confusion To Fusion (we hope?)• Patient recall (interview) • Digital shared continuous history• Paper records • Magical transfer of data across vast• Manual processes with forms distances including pictures, treatments, diagnosis, test results• X-ray film and Fluoroscopy • Computers converting data to information• Microscopes and Cell Counts shared with the service providers who• Postal Service include patient and family as active• Telephones component of treatment team• Fax Machines • Shared accountability for well-being• Human Computers Who are you We are I am more people? better healthy., What are you informed knowledgeable, doing? motivated and I can’t remember accountable all of my doctors and why my parents passed away? Past Present Future10/24/2011 13
  • 10/24/2011 14
  • Graphic Representation of National Initiative Data Exchange Illustrated Non Integrated System Integrated System with e-HR PHR PCMHSingle PracticeEMR Silo Specialist EHR Various Labs Communication Barrier EHR LIMS Local hospital affiliate PACS EHR f Imaging Sure Hospital System Scripts PharmacyLocal Pharmacy Health Info Exchange 10/24/2011 15
  • Syllabus1. Defining a persons needs and the evolving National Health Information Infrastructure 1. Defining an emerging Health Information Technology within the context of the US HealthCare System2. An example for you 1. Real Use Case 2011 2. Samples of Levels of Support Based on Functional Status3. Personal Health Records Selection Components Security 1. Process4. A Transition Model5. Why We Do It10/24/2011 16
  • Jeffrey Harris Untangled Healthcare Jeffrey Halbstein-Harris Untangled Healthcare Assisting communities to monitor and improve healthcare 919 627-5038 Cell 919-779-7368 Office Fax 888 783-6178 (Jeffrey Harris) email: JeffHarris@untangledhealthcare.com LinkedIn: http://www.linkedin.com/in/untangledhealth Blog: http://www.untangledhealth.com/ Website: http://www.untangledhealthcare.com/ Twitter: http://twitter.com/UntangledHealth Slide share: http://www.slideshare.net/jeffharris7510/24/2011 17