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Care at a Crossroads: The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chronic Disease Management in America
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Care at a Crossroads: The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chronic Disease Management in America

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Guyla C. Evans

Guyla C. Evans


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  • 1. The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chronic Disease Management in America Guyla C. Evans HIMA 5060 Fall 2012
  • 2. Contributing causes: Complexity of scientific knowledge that practitioners need to manage Increased numbers of patients with chronic conditions Poorly-organized delivery systems Constraints on leveraging information technology to mitigate the preceding circumstances
  • 3.  100 million people with chronic conditions $425 billion dollars in direct costs Additional indirect costs in time lost from work, etc. One fifth of the population considered “elderly” by 2030, as baby boomers enter the ranks of the aged
  • 4.  Collaboration between the patient and the health care team is essential Patients need to understand their treatment regimens, and the implications for non-compliance Patients must buy into their therapeutic regimens and act in their own self-interests, sometimes by performing self-monitoring Family members or caretakers may be needed to help
  • 5.  Care that is respectful of and responsive to individual patient  preferences  needs  values Care that ensures that patient values guide all clinical decisions
  • 6.  Strong sense of individualism Demanding consumers Intolerant of discrimination “Doctor Knows Best” doesn’t fly Greater percentage of singles May be caring for parents Higher risk for certain unhealthy behaviors
  • 7.  Patient Profile Chief Concerns (not complaints!) History of Present Illness  Biomedical perspective  Patient’s perspective Assessment and Plan  HOAP, not SOAP Problem List  Biomedical perspective  Patient’s perspective Progress Notes Attending Physician’s Notes on Teaching Services Hospital Discharge Summary
  • 8.  About Me My Personal Health Goals My Ongoing Health Activities My Ongoing Action Steps My Challenges and Successes
  • 9.  Appointment scheduling Health history Inquiries Diagnostic test results Patient education materials Integration with an EHR
  • 10. EHR’sPatientPortals Patient- centric Care