The document discusses how health IT can support communication between primary care providers and specialists to enable patient-driven care coordination. It describes how seamless information sharing is needed for effective care coordination when patients see specialists. Health information exchange, electronic referral systems, and telemedicine can provide tools to share targeted patient information between providers in different health systems. Further development of these technologies is needed to fully realize the vision of patient-centered care coordination and improve health outcomes.
Providing Patients with Access to their Personal Medical Records On-The-GoNrip Nihalani
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
Providing Patients with Access to their Personal Medical Records On-The-GoNrip Nihalani
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
Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
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It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
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Dear all
Please go through the slides if you want to know something about "Core competencies for public health informatics".
I think these slides will be useful for you.
Patient Engagement in Healthcare Improves Health and Reduces CostsM2SYS Technology
It’s been said that patient engagement develops naturally when there is a regular, focused communication between patient and provider and it leads to behaviors that meet or more closely approach treatment guidelines. It is also believed that patients engaged in their own care make fewer demands on the health care system and more importantly, they experience improved health. Patients who are educated about both their condition and their care are also patients who are most likely to get and stay healthy. In fact, many believe that empowering patients to actively process information, decide how that information fits into their lives, and act on those decisions is a key driver to improving care and reducing costs.
Research shows that informed and engaged patients take a more active role in their own care and furthermore, health care organizations are slowly discovering how patient engagement contributes to their financial and quality objectives. Patient engagement essentially revolves around the theory that if patients understand their condition, know the symptoms to watch for, know why they’re taking medication for example and how to implement the necessary lifestyle changes, the chances of them getting and staying healthy are significantly improved and when you proactively engage patients in their care, the quality of that care improves.
Listen in to our latest podcast with Brad Tritle, Director of Business Development for Vitaphone Health Solutions, chair of the HIMSS Social Media Task Force and contributing editor of the HIMSS book Engage! Transforming Healthcare through Digital Patient Engagement as we discuss the current state of patient engagement in healthcare, how it is defined, whether it really does have a significant impact on improving health and reducing the cost of care, what engagement initiatives are providers using and what the future of patient engagement may look like.
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VISION
Being proactive
Supporting optimal animal and human health
Exploring ways to reduce overall use of antimicrobials
Using the drugs that prevent and treat disease by killing microscopic organisms in a responsible way
GOAL
to prevent the generation and spread of antimicrobial resistance (AMR). Doing so will preserve the effectiveness of these drugs in animals and humans for years to come.
being to preserve human and animal health and the effectiveness of antimicrobial medications.
to implement a multidisciplinary approach in assembling a stewardship team to include an infectious disease physician, a clinical pharmacist with infectious diseases training, infection preventionist, and a close collaboration with the staff in the clinical microbiology laboratory
to prevent antimicrobial overuse, misuse and abuse.
to minimize the developme
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1. Patient – Centered Care
Unit 4: Supporting Patient – Driven Care Coordination
Lecture d – Health IT – Supported Communication between Primary Care
Provider and Specialist
This material (Comp 25 Unit 4) was developed by Columbia University, funded by the Department of Health and
Human Services, Office of the National Coordinator for Health Information Technology under Award
Number 90WT0004.
This work is licensed under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International
License. To view a copy of this license, visit http://creativecommons.org/licenses/by-nc-sa/4.0/.
2. Supporting Patient – Driven Care
Coordination Learning Objectives
• Objective 1: Explain the importance of
patient – driven care coordination
• Objective 2: List ways a patient can use
technology to drive care decisions
• Objective 3: Describe the concept of
patient – initiated information exchange
2
3. Introduction
• Information must freely flow between all
providers in order for effective care
coordination to occur
– Primary care provider is coordinator of care for
patient
– Over one – third of adult patients in the U.S. are
referred to a specialist each year
– Over one – half of elderly patients are referred to
a specialist each year
– Seamless information flow is essential for care
coordination
4. Background
• When a patient is sent to see a specialist working in
another health care system, information may not be
shared between the two EHR systems
• Results of the consultation may have to be faxed,
emailed, or mailed to the primary care provider
• Even when information can be sent sent electronically,
the information from the consultation may not integrate
into the primary EHR
• Ineffective information sharing can cause:
– Duplicative treatment
– Over – medication
– Increased health care costs
– Inefficiencies
5. Patient – driven care coordination
• The patient and primary care provider are
partners in managing care
• Imagine the challenges associated with
shared decision – making when the physician
and the patient are missing important pieces
of information after a consultation
• How can they efficiently and accurately
develop a plan of care based on the
information from the consultation?
6. Information needs
• During the consultation process, the
specialist may be lacking information that
would help them, such as:
– Current medications
– Lab results
– Diagnostic test results
– Diagnoses
– Care plans
7. Technology tools
• Health information technology can provide
tools for more efficient information sharing
– Interoperable health IT
– Email export of patient information from the
EHR
– Health information exchange
– Electronic referral systems
– Telemedicine consultation
8. Barriers
• Inability to select and send targeted
information, resulting in information
overload
• Mismatch in technology between sender
and receiver
• Lack of consensus on what information is
essential to share
9. Solutions
• Health information exchanges allow providers to select
and view just the information that they want to see
– For more information on health information exchanges,
see component 22 unit 8
• Electronic referral systems are separate from the EHR
and provide the means to send specific information,
follow up, and provide a means for communication and
care coordination
• Telemedicine virtual consults allow the primary
provider and specialist to confer in real time,
supporting care coordination
– For more information on telemedicine, see component 22
unit 9
10. Unit 4: Supporting Patient-Driven Care
Coordination, Summary – Lecture d, Health IT –
Supported Communication between Primary Care
Provider and Specialist
• The vision for patient – driven care coordination can
only be realized if there is seamless communication
between the primary care provider and specialists
• Technology to support communication includes
health information exchange, referral system
software, and telemedicine
• Further development of these technologies will
improve the ability of the patient to partner with their
primary care physician to coordinate care and
improve health
10
11. Unit 4 Summary: Supporting Patient –
Driven Care Coordination
• The goal of patient – initiated information exchange is to place
the patient at the center of all of their data and to create a
seamless flow of information
• Although there is technology to support patient – initiated
information exchange, work still needs to be done to achieve
fully seamless sharing of data
• Although tools are emerging for patients that support easier
access to information sharing, there are technical and cultural
barriers yet to be addressed
• Age and demographics must be taken into consideration
when developing tools and processes for information sharing
• A knowledgeable and educated patient is better prepared to
participate in shared decision – making
11
12. Unit 4 Summary: Supporting Patient –
Driven Care Coordination (Cont’d – 1)
• Although barriers such as health literacy, limited
English proficiency, and culture exist, there are many
types of technology that have been designed to
empower the patient to gain the knowledge needed to
successfully manage their own health
• The vision for patient – driven care coordination can
only be realized if there is seamless communication
between the primary care provider and specialists
• Further development of health information exchange,
referral system software, and telemedicine will
improve the ability of the patient to partner with their
primary care physician to coordinate care and improve
health
12
13. Supporting Patient – Driven Care
Coordination References – Lecture d
References
Agency for Healthcare Research and Quality. (2011). Coordinating Care in the Medical
Neighborhood: Critical Components and Available Mechanisms. Available from:
https://pcmh.ahrq.gov/sites/default/files/attachments/Coordinating%20Care%20in%2
0the%20Medical%20Neighborhood.pdf
Bates D. (2015). Health information technology and care coordination: the next big
opportunity for informatics?. IMIA Yearbook. 10(1):11-14.
Mehotra, A, Forrest, C, & Lin, C. (2011). Dropping the baton: specialty referrals in the
United States. Milbank Quarterly. 89(1):39-68.
13
14. Unit 11: Supporting Patient – Driven
Care Coordination, Lecture d – Health
IT-Supported Communication between
Primary Care Provider and Specialist
This material was developed by Columbia
University, funded by the Department of
Health and Human Services, Office of the
National Coordinator for Health Information
Technology under Award Number
90WT0004.
14
Editor's Notes
Welcome to Patient-Centered Care, Supporting Patient-Driven Care Coordination. This is Lecture d, which will cover health-IT supported communication between primary care provider and specialist.
This unit will cover the following learning objectives: 1) explain the importance of patient-driven care coordination; 2) list ways a patient can use technology to drive care decisions; and 3) describe the concept of patient-initiated information exchange. This unit will explore the use of technology to support and enable patient driven coordinated care.
How is care coordination impacted when information is not shared between care providers? How can providers use technology to improve communication between primary care providers and specialists? Information must freely flow between all providers in order for effective care coordination to occur. The primary care provider functions as the coordinator of care for their patients. When the need arises, patients are sent to see specialists. In fact, over one-third of non-elderly and one half of elderly patients in the U.S. are referred to a specialist each year. Without the flow of information between primary care providers and specialists, coordination of patient care can suffer.
When a patient is sent to see a specialist working in another health care system, information may not be shared between the two EHR systems. Instead, the results of the consult may have to be faxed, emailed, or mailed to the primary care provider. Even when sent electronically, the information from the consult may not integrate into the primary EHR. As you can imagine, this creates an information void. When primary care physicians and specialists are not able to communicate all necessary details, the patient can end up with duplicative treatment and over-medication and the health care system can suffer increased health care costs and inefficiencies.
The patient and primary care provider are partners in managing care. Imagine the challenges associated with shared decision-making when the physician and the patient are missing important pieces of information after a consultation. How can they efficiently and accurately develop a plan of care, based on the information from the consultation?
During the consultation process, the specialist may be lacking information that would help them. In order to treat a patient referred to them, a specialist may need information such as current medications, lab results, test results, other diagnoses, and care plans. This information may or may not be sent to the specialist during the referral process.
Health information technology can provide tools for more efficient information sharing. These tools can include interoperable health IT, email export of patient information from the EHR, the use of a health information exchange, electronic referral systems, or telemedicine technology.
There are barriers to the use of health information technology for consultation communication. It can be difficult to select only the information in the EHR that is needed by the specialist, potentially resulting in information overload. The specialist or primary care provider may have different technology, causing an inability to send or receive information electronically. With or without technical barriers, care providers often disagree on what information is essential to share.
Health information exchanges provide a potential solution to this issue, allowing providers to select and view just the information that they want to see. For more information on health information exchange, see component 22 unit 8. Electronic referral systems operate outside of the EHR and provide the means to send specific information, follow up on a consult, and provide a means for communication and care coordination. Telemedicine virtual consults allow the primary provider and consultant to confer in real time, coordinating care through this technology. For more information on telemedicine, see component 22 unit 9.
This concludes lecture d of Supporting Patient-Driven Care Coordination. To summarize, the vision for patient-driven care coordination can only be realized if there is seamless communication between the primary care provider and specialists. Technology to support communication includes health information exchange, referral system software, and telemedicine. Further development of these technologies will improve the ability of the patient to partner with their primary physician to coordinate care and improve health.
This concludes unit 4, Supporting Patient-Driven Care Coordination. The summary of this unit is that the goal of patient-initiated information exchange is to place the patient at the center of all of their data and to create a seamless flow of information. Although there is technology to support patient-initiated information exchange, work still needs to be done to achieve fully seamless sharing of data. Although tools are emerging for patients that support easier access to information sharing, there are technical and cultural barriers yet to be addressed. Age and demographics must be taken into consideration when developing tools and processes for information sharing. Additionally, a knowledgeable and educated patient is better prepared to participate in shared decision-making.
Although barriers such as health literacy, limited English proficiency, and culture exist, there are many types of technology that have been designed to empower the patient to gain the knowledge needed to successfully manage their own health. The vision for patient-driven care coordination can only be realized if there is seamless communication between the primary care provider and specialists. Further development of health information exchange, referral system software, and telemedicine will improve the ability of the patient to partner with their primary care physician to coordinate care and improve health.