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Providing Patients with Access to their Personal Medical Records On-The-Go


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Nrip Nihalani speaking at the 2nd Annual Wireless Healthcare Asia Summit 2012 in Singapore - Providing Patients with Access to their Personal Medical Records On-The-Go

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  • Doctors need to prescribe PHRs ! This will also help them to get more patients, as patients are much happier when they are confident that their doctor has updated accurate medical information about them

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Providing Patients with Access to their Personal Medical Records On-The-Go

  1. 1. Providing Patients with Access totheir Personal Medical Records On-The-GoNrip Nihalani
  2. 2. introduction• Paper-based records are the most common method of recording patient information• In an Integrated Healthcare Delivery system, Electronic Record Systems are required so that Patient Medical Data can be “used effectively” – Accessibility and Immediate retrieval – Easy sharing – Intelligence – Automating Alerts and Reminders
  3. 3. eRecords for Patients– A Personal Health Record, or PHR, is a system where health data and information related to the care of a patient is maintained by the patient– A Patient Portal provides patients with controlled access to a Hospital EHR– Some Patient Portals also have the PHR feature… and vice versa some PHR’s also link to provider EMR’s
  4. 4. How have they fared?•  Electronic Patient Records have been a hot topic for the past decade•  The ideology behind them is sound•  Some nations have implemented policies to ensure Digitization of Records•  WE ARE STILL TALKING ABOUT IMPLEMENTING THEM ?•  Long way off from being proved useful
  5. 5. What’s the Problem? (OPPORTUNITY)• Solutions not matching the ideology• Employer driven PHR != Provider driven PHR• PHR considered separate from Patient Records• Poor Usability of Existing Systems• People are not using them enough• No Universally Accepted Standards for PHR’s
  6. 6. Some Survey Results• 58 % of Adults without a PHR would be interested in using one, “IF THE PHR WAS OFFERED BY THEIR HOSPITAL OR MEDICAL PRACTICE”• 57 % of Adults want to access an Online PHR connected to their Doctors Office• Patients Feel that a Provider knows best about what features in a PHR help in care.
  7. 7. Patient Surveys: PHR’s Need to Provide• Test Results• Prescriptions• Wellness + Illness Data linked with EHRs• Proxy Access to Other Medical Records – Family Data• Online Bill Payment• Messaging Features• Summarized Reports• Personalized Medical Info and Patient Education• Support for eVisits
  8. 8. How can PHR’s Work?• Hospitals Offer PHRs using Integrated IT Paradigms using a wide variety of popular technologies• Drive Patient Engagement – Collaborate with Other Stakeholders – Use Information Therapy• Share Decision Making
  9. 9. Use everything at your disposal• When Technology has advanced  Why avoid using it• Different Technologies have different purposes• Web Opens Doors for Distributing Content• Mobile takes content to the horse’s mouth• “Record Data is also Content”• And then there is more useful content to provide with Record Data
  10. 10. Integrate T for Integrated H Integrated Technology Paradigm for an Integrated Healthcare System
  11. 11. Integrate T for Integrated H• Healthcare  Stakeholders – Patients – Hospitals/Providers – Physicians – Insurers and Pharma cos• Integrated Technology Offerings – Provide EHR Data in PHR’s – Ensure Mobile Interfaces and Alerting – Personal Monitoring Data in PHR’s – Tablet Friendly Simple User Interfaces – Preventive Questionnaires in PHR’s
  12. 12. How does one Drive Engagement?• Information Therapy• Provide Simple Interactive Mobile Tools• Collaboration with other Providers• Educational Workshops and Webinars• Offer HealthCards• Use the Green Initiative• Preventive Care
  13. 13. Cue from Consumers In Today’s Times
  14. 14. What are Patients Doing?• A lot of people are going online, using Google, they are trying to self-diagnose and coming to their physician and asking about various things.• They are tweeting and facebooking … Health social networking is essentially patient run and driven.• They are creating Google groups and discussing on Forums about their symptoms
  15. 15. Use this to push engagement• Online healthcare interaction can mature• Doctors must provide quality medical information on their websites linked from PHR’s• And also meaningfully respond to queries inside PHR messaging Systems linking patients to Information and Patient Education AV’s• Patients will be only too happy to logon to their PHR’s instead of Dr Google if they had a chance• Patients Going online is then a 2 way street• They will go online to find meaningful engagement instead of only meaningful information
  16. 16. Information Therapy Pushes Engagement
  17. 17. Engage using Mobile Solutions• Effective Information Therapy• Simple Diagnostic Tools• Health Trackers
  18. 18. Engage Beyond MobileUse Multiple Communication technologies Mobile + Social
  19. 19. Audio Visual Patient Education
  20. 20. Educating The Patient• Physicians need to talk up the PHR during the visit as a great way to interact with the Practice/Hospitals• Hospitals need to educate patients on the time saving benefits such as – Ability to receive timely healthcare information – Schedule their own visits• FAQ’s and Videos of Using the PHR must be made easily available
  21. 21. Collaborate to Engage better• Multiple Hospitals Educate Patients• Physicians form Focus Groups with patients• Hospitals allow PHR’s from collaborating hospitals to access EHR Data for Patient Hospitals Physicians Staff
  22. 22. Why Collaborate• Every Hospital wants to see better engagement• Together one can educate Patients better• Moreover, If they collaborate on PHR’s, by sharing EMR data, patients get more value.• Also this drives down the cost of Technology• And Step towards a common standard• Hence Offers More meaningful engagement
  23. 23. Preventive Health Data Helps Engage• Improves Activation & willingness of the patient to take on the role of managing their health• Real Time Reports after filling in short simple questionnaires keep patients engaged• Game based Preventive Tools drive engagement further
  24. 24. Shared Decision Making• Addresses the ethical need to fully inform patients about the risks and benefits of treatments• Patients are willing to participate
  25. 25. Best Practices from Early Adopters• Be Open to It• Communicate Possibilities Early• Provide Diagnostic Tools• Patient Driven Blogs• Create Patient Groups• Patient Education AV’s• Informed Consent
  26. 26. Summarizing : Make PHR’s Work• Hospitals Offer PHRs using Integrated IT Paradigms using a wide variety of popular technologies• Drive Patient Engagement – Collaborate with Other Stakeholders – Use Information Therapy• Share Decision Making
  27. 27. Questions & Discussionsemail me at n.nihalani@plus91.inor send a tweet to @nrip