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Consumer Health Information & Telehealth


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Week 7 presentation on Consumer Healthcare Informatics and Telehealth for INFO648 - Biomedical Informatics, iSchool Drexel University, Professor Michelle Rogers, PhD, Fall 2009

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Consumer Health Information & Telehealth

  1. 1. INFO 648 – Healthcare Informatics ,Fall 2009 – M. Rogers, PhD<br />Team 3<br />Johari Crews<br />Andrea Kyer<br />Titus Moolathara<br />Gabriel Sirlopu<br />Consumer Health Informatics and Telehealth<br />drexel university<br />
  2. 2. Contents<br /><ul><li>Telehealth
  3. 3. Definitions
  4. 4. Real World Systems
  5. 5. Bridging the Distance
  6. 6. Consumer Health Information</li></ul>Changing Roles for Health Professionals<br /><ul><li>How Can We Make Health Information ‘Consumer Friendly’?
  7. 7. Conceptual Framework for CHIS
  8. 8. Information Quality Control
  9. 9. Research Methods
  10. 10. Challenges: Economics and Privacy
  11. 11. The Future…</li></li></ul><li>Complexity and Collaboration<br />●Complexity: the increasing need to understand health and disease<br />●Collaboration: active participation between providers, patients, family members and society.<br />
  12. 12. Definition of Telemedicine<br />Telemedicine involves the use of modern information technology, especially two-way interactive audio/video communications, computers and telemetry to deliver health services to remote patients ad to facilitate information exchange between primary care physicians and specialist at some distance from each other. (Bashshur, et al., 1997)<br />
  13. 13. Telehealth: a broad term<br />
  14. 14. Remote Monitoring<br />Subset of telehealth<br />Common practice in home health care<br />Captures clinically relevant data in the patient’s home<br />Focuses on management rather than diagnosis<br />
  15. 15. Remote Interpretation<br />Capture of medical data at one site and transfer to another for interpretation<br />Radiographs<br />Photographs<br />Wave Form<br />Advancement in technology increases the availability of these services.<br />
  16. 16. Multi-media, real time interaction…<br />Video-based Telehealth<br />Mode of synchronized video-conferencing<br />Three categories:<br />Telepsychiatry<br />Correctional Telehealth<br />Home Telehealth<br />Telepresence<br />View situations and act on them<br />Excellent collaboration method<br />
  17. 17. Using the telephone again:<br />25% of all primary care encounters occur by telephone<br />Improve cost control. <br />Some insurance providers are reimbursing for email and text messaging.<br />Reimbursing for telephone contact?<br />
  18. 18. page 513 Figure 14.1ways to bridge the distance between patients and provider<br />
  19. 19. page 513 Figure 14.1ways to bridge the distance between patients and provider<br />
  20. 20. Consumer Health Informatics<br />Modern consumers of healthcare experience an increased demand to participate in their care. <br />Reflects a shift in paradigm from the patient being a silent recipient to active collaborator.<br />The patient is now a case manager.<br />Inexpensive access to information on health promotion, disease prevention and disease management.<br />
  21. 21. Changing roles for Health Professionals<br />Medical professionals have the following responsibilities to the field of Consumer Health Informatics<br />Serve as sources for content<br />Provide important guidance in moderating public electronic discussion groups and responding to patient’s electronic messages<br />Act as an information broker and interpreter for patients<br />
  22. 22. How do we present health-related information in a way that is easily understood by the average person?<br />Can existing decision support systems be adapted for use by consumers, or do we need to build a new system from scratch?<br />Challenges<br />
  23. 23.  NLM –Conceptual framework for consumer health information seeking<br />
  24. 24.  Consumer<br />
  25. 25. Information Source<br />
  26. 26. Channel<br />
  27. 27. Outcome<br />
  28. 28. Environment<br />
  29. 29. Information Quality: Who is watching the internet?<br />Credentialing represents one approach to ensuring the quality of health information available to consumers.<br />Three disadvantages:<br />The challenge to ensure that every information element is tested and evaluated fully exceeds the resources available to do so.<br />Leaves control of the authority for healthcare information in the hands of traditional care providers.<br />Credentialing alone is inherently contradictory to healthcare consumerism.<br />
  30. 30. How are consumers interacting with health information?<br />
  31. 31. Online Search Behavior<br />Readability<br />Consumer Health Vocabulary a<br />Cross-language information retrieval<br />Research Methods in Use by the NLM<br />
  32. 32. More seniors<br />More chronic illness<br />Greater need for healthcare $<br /> With so many retirees, the national income decreases because there are fewer people working and earning.<br />The not-too-distant future…<br />
  33. 33. Telehealth can reduce healthcare costs<br />Long term disease monitoring of patients at home currently represents the most promising application of telehealth technology for delivering cost effective quality care.<br />
  34. 34. Challenges: Economics<br />Licensure and Economics in Telehealth<br />Licensure is frequently cited as the single biggest problem facing telemedicine<br />Medical licensure is state-based<br />Reimbursement<br />Medicare: synchronous video is reimbursed only for rural patients<br />Medicaid: 19 states provide coverage for sync video<br />Few insurers: electronic messaging and online consultation<br />Only services provided directly by humans are currently reimbursed by insurance<br />
  35. 35. Challenges: Security<br />Using the Internet for Consumer Health and Telehealth Applications will mean…<br />Resources are widely available<br />Data freely transmitted over the Internet raises security concerns<br />The industry faces the challenge to ensure integrity and quality of the medical data transmitted over the Internet<br />
  36. 36. On the bright side…<br />
  37. 37. The Future…<br />Wealth of public health information and provider-oriented information resources are available through the Internet<br />Patients are now researching medical data <br />Clinicians need to ensure to be prepared to answer all the patient’s questions based on their research<br />Telehealth technology continues to grow due to the rapid advancement of technology<br />Facilitating productive collaboration between patients, their caregivers, biomedical scientists, and information technology experts.<br />
  38. 38. Has the use of Consumer Health Informatics helped the consumer or has it made health care more difficult to understand? <br />Health information on the internet is too plentiful for anyone to realistically keep track of. Experiment by googling – try heavily advertised drugs as your search term; try searching a symptom or something overly broad like ‘healthy diet’. Share and discuss on the board.<br />How can HIT professionals facilitate productive collaborations between patients, their caregivers, biomedical scientists, and information technology experts?<br />“Be careful about reading heath books. <br />You may die of misprint.“- Mark Twain  Is it worthwhile to put records (general health information) into the hands of the consumer?<br />Think about this as you read…<br />
  39. 39. Baker, L. and Gollop, C., Initials. (2004). Medical textbooks: can laypeople read and understand them?. Library Trends, 53(2),<br />Eysenbach, G. (2000). Recent advances: consumer health informatics. BMJ, doi: 10.1135/bmj.320.7251.1713<br />Pare, G. Jaana, M. and Sicotte, C. (2007). Systematic review of home telemonitoring for chronic diseases: the evidence base.Journal of the American Medical Informatics Association, 14(3), doi: 10.1197/jamia.M2270.<br />Consumer Health Informatics & Telehealth –p.511-535 in Shortliffe, E. H. (2006). Biomedical Informatics. Health Informatics. [New York]: Springer Science+Business Media, LLC. <br />Sullivan, F. and Wyatt, J., Initials. (2005). How Informatics tools help deal with patient problems. BMJ, doi: 10.1136/bmj.331.7522.955<br />Tse,T. Gemoets, D. and Rosemblat, G. (2004). Consumer health information seeking: a report to the board of scientific counselors. The Lister Hill National Center for Biomedical Communications, doi: LHNCBC-TR-2004-03<br />References<br />