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Engaging Patients in Their Health Care Through the Innovative Use of Health IT
 

Engaging Patients in Their Health Care Through the Innovative Use of Health IT

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Engaging Patients in Their Health Care Through the Innovative Use of Health IT as presented by Linda Dimitropoulos, PhD; RTI’s Center for Advancement of Health IT at Ohio State's 2010 Personalized ...

Engaging Patients in Their Health Care Through the Innovative Use of Health IT as presented by Linda Dimitropoulos, PhD; RTI’s Center for Advancement of Health IT at Ohio State's 2010 Personalized Health Care National Conference

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  • Good morning. I’m here to talk to you today about the challenges of patient engagement and some of the ways that health IT can help to engage patients in their health care. In a healthcare system that has for so long encouraged patients to be passive, how can putting them at the center of decision making benefit the system as a whole? One advantage is better outcomes. The “National Healthcare Quality Report, 2009,” produced by the U.S. Department of Health and Human Services’ Agency for Healthcare Research and Quality, states that patient-centered approaches improve patients’ health status, lessen symptom burdens and “can reduce the chance of misdiagnosis due to poor communication.”
  • ensuring patient and caregiver access to easily understandable, timely, and unbiased health information. Integrating these resources into health information technologies such as electronic medical records and personal health records will empower patients and move care toward a more patient-centered approach.
  • Giving patients access to their health records opens up a whole new set of possibilities for engaging patients in their own healthcare. Integrating Personal health records (PHRs)—which are maintained by the patient, with EHRs is key to promoting patient-centered care and ultimately improving health outcomes. I have a couple of examples: Project Health Design is an effort to explore the use of personal health records to effect changes in behavior. One project under that program is Project activ health which was designed to increase activity among sedentary adults by providing the tools to monitor their activity, providing alerts through text messages or email and giving people access to test results so that they can see their progress. Another example is a project called MyPreventive Care which is aimed at finding ways to increase preventive care activity. MyPreventive Care is a PHR that links patients directly to the information in their primary care doc’s EHR to provide tailored recommendations, links to educational resources, and patient and clinician reminders for appointments and screenings and such. This is the area where we will see the development of tools that will facilitate our move toward personalized medicine. There is a lot of potential here and we are just beginning to scratch the surface in this area.
  • Patients use smartphones and biomonitors to capture and report observations of daily living (ODLs) – such as use of controller and rescue medications, symptom levels, quality of life, and smoking. Clinicians use Web-based dashboard, simple analysis and visualization tools to quickly view patient data, evaluate health status, and communicate any changes in treatment or monitoring.
  • Thank you and I’m happy to take questions or comments.

Engaging Patients in Their Health Care Through the Innovative Use of Health IT Engaging Patients in Their Health Care Through the Innovative Use of Health IT Presentation Transcript

  • Engaging Patients in their Health Care through the Innovative Use of Health IT Linda Dimitropoulos, PhD Center for the Advancement of Health IT Third Annual Personalized Health Care National Conference at The Ohio State University – Advancing Predictive, Preventive, Personalized, and Participatory Medicine October 15, 2010
  • Overview
    • How do we define an “engaged patient”?
    • Challenges to engaging patients
    • Role of health IT in patient engagement
    • Examples from Project Health Design
      • Project ActivHealth: A PHR System for At-Risk Sedentary Adults
      • BreathEasy: A PHR for Adults with Asthma & Depression or Anxiety
    • Conclusion
  • How will we get to “Participatory”?
  • Patient Engagement
    • Actions that individuals must take to obtain the greatest benefit from the health care services available to them
        • -Center for Advancing Health
  • Patient Engagement Behaviors a
  • Challenges to Patient Engagement
      • People tend to be more reactive than proactive
      • Need useful ways to manage health information
      • Need easy ways to communicate about who they are and what their life is like.
  • Health IT Can Help to Engage Patients
    • By ensuring patient and caregiver access to easily understandable, timely health information
    • Providing patients an easy way to record and report their experiences
    • Integrating PHRs with EHRs to enable customized treatment
  • Project ActivHealth: A PHR System for At-Risk Sedentary Adults
    • Creates a customized plan of activities designed to increase a patient’s activity level within the context of their daily routines .
  •  
  • BreathEasy: A PHR for Adults with Asthma & Depression or Anxiety
      • Patients use smart phones and biomonitors to capture and report observations of daily living (ODLs)
      • Clinicians use Web-based dashboard, simple analysis and visualization tools to quickly view patient data, evaluate health status, and communicate any changes in treatment or monitoring.
  • Conclusions
    • Tremendous potential for Web-based and device-based tools to help engage patients in their health care
      • Tools need to solve the problems patients think are important
      • Tools need to connect patient to provider
      • Tools need to be “usable” and fit into a person’s life flow
      • The “coolness factor” only gets us so far
  • Discussion a http://www.cfah.org/pdfs/CFAH_Snapshot_Abridged_2010.pdf b http://www.projecthealthdesign.org/ More information about Project: Activhealth or Breatheasy can be directed to: Dr. Barbara Massoudi [email_address] Dr. Murrey Olmsted [email_address]
  • Contact Information
    • Linda Dimitropoulos, PhD
    • Director
    • Center for the Advancement of Health IT
    • 312.456.5246
    • [email_address]