A presentation to describe the purpose for pursuing an IHS personal health record and early plans for development. This is part one of a two part presentation given at the IHS IHIM conference this year.
this is a report of my summer internship that i had done in Ruby hall clinic(550 beds) Pune.Title of my project is "Feasiablity study of implementation of personal health records in Ruby hall clinic".
The Learning Health System: Thinking and Acting Across ScalesPhilip Payne
A Learning Health System (LHS) can be defined as an environment in which knowledge generation processes are embedded into daily clinical practice in order to continually improve the quality, safety, and outcomes of healthcare delivery. While still largely an aspirational goal, the promise of the LHS is a future in which every patient encounter is an opportunity to learn and improve that patient’s care, as well as the care their family and broader community receives. The foundation for building such an LHS can and should be the Electronic Health Record (EHR), which provides the basis for the comprehensive instrumentation and measurement of clinical phenotypes, as well as a means of delivering new evidence at the patient- and population levels. In this presentation, we will explore the ways in which such EHR-derived phenotypes can be combined with complementary data across a spectrum from biomolecules to population level trends, to both generate insights and deliver such knowledge in the right time, place, and format, ultimately improving clinical outcomes and value.
Dr. Ostrovsky describes the promise and concerns surrounding the precision medicine initiative and the importance of taking into account all determinants of health.
A presentation to describe the purpose for pursuing an IHS personal health record and early plans for development. This is part one of a two part presentation given at the IHS IHIM conference this year.
this is a report of my summer internship that i had done in Ruby hall clinic(550 beds) Pune.Title of my project is "Feasiablity study of implementation of personal health records in Ruby hall clinic".
The Learning Health System: Thinking and Acting Across ScalesPhilip Payne
A Learning Health System (LHS) can be defined as an environment in which knowledge generation processes are embedded into daily clinical practice in order to continually improve the quality, safety, and outcomes of healthcare delivery. While still largely an aspirational goal, the promise of the LHS is a future in which every patient encounter is an opportunity to learn and improve that patient’s care, as well as the care their family and broader community receives. The foundation for building such an LHS can and should be the Electronic Health Record (EHR), which provides the basis for the comprehensive instrumentation and measurement of clinical phenotypes, as well as a means of delivering new evidence at the patient- and population levels. In this presentation, we will explore the ways in which such EHR-derived phenotypes can be combined with complementary data across a spectrum from biomolecules to population level trends, to both generate insights and deliver such knowledge in the right time, place, and format, ultimately improving clinical outcomes and value.
Dr. Ostrovsky describes the promise and concerns surrounding the precision medicine initiative and the importance of taking into account all determinants of health.
This presentation was given to an intimate group of attendees at the offices of Kegler, Brown, Hill & Ritter on 10/22/2009. Presenters included Robert Marotta, Elise Spriggs, Jeff Porter, Ralph Breitfeller, Geoffrey Stern, Rex Plouck and Jennifer Covich Bordenick.
Big Data Analytics using in Healthcare Management Systemijtsrd
Big data is the new technology for healthcare management system. Present day's big data analytics are using in everywhere because of its good data management and its large storage capacity. In hospital managements the patients and doctors record keeping safe is the important role in healthcare system. In worldwide the big data method is extended use in the area of medicine and healthcare system. In this sector so many problems are there in implementing big data in healthcare system especially in relation to securities, privacy matters, standard records, good governance, managing of data, data storing and maintenance, etc. It is critical that these challenges to overcome before big data can be implemented successfully in healthcare. The amount of data being digitally collected and stored safely in big data Hadoop clusters. This paper introduces healthcare data, big data in healthcare systems, applications, advantages, issues of Big Data analytics in healthcare sector. Gagana H. S | Bhavani B. T | Gouthami H. S "Big Data Analytics using in Healthcare Management System" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd31014.pdf Paper Url :https://www.ijtsrd.com/computer-science/other/31014/big-data-analytics-using-in-healthcare-management-system/gagana-h-s
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Information Communication Technology in E-Health System, this is useful for healthcare and medical system.E-health means providing citizens with access to quality health information & to view their own health records line, even when travelling in Europe.
This presentation talks about the context of developing the Electronic Health records for India. the guidelines as mentioned in the GOI site is described vividly with examples, for better understanding.
N.B: Please download the ppt first, for the animations to work better.
BOARD OF GOVERNORS In supersession of the Medical Council of India
Telemedicine Practice Guidelines Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine
These Guidelines have been prepared in partnership with NITI Aayog
Anurati Mathur & Propeller Health @ Madison's Big Data MeetupAnurati Mathur
Using healthcare data - context & considerations for collecting, cleansing, analyzing, and displaying geospatial and temporal data, with a focus on Propeller Health's program in Louisville, KY.
Improve participation and functional outcomes through creativity out of the gym. Functionally based treatment will ensure patients receive medically necessary physical therapy, occupational therapy and speech services. The presentation reviews practical application to Medicare requirements.
1. Learn to identify creative treatment strategies.
2. Learn to define Medicare coverage and Medicare documentation.
3. Learn to identify the clinical benefits of Functional Based Therapies.
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events.
Let us see what Pharmacists, Doctors and Patients can do about it.
MV Balasubramanyam is an entrepreneur, startup advisor & angel investor. Currently the Founder of Lalitham Innovation Labs, Bengaluru after his 8 years of experience as the CEO, Director of Board of Ramyam Intelligence Lab. Keeping up with the current need for maintaining the comprehensive health data by the patients at their finger tips, this presentation is on the various technologies used for connecting Doctor and patient digitally.
Visit our Website : https://www.medetalks.com/
Contact Us @ https://www.medetalks.com/contact-us.html
Like our Facebook page @ https://www.facebook.com/MedeTalks
Follow us on Twitter @ https://twitter.com/MedeTalks
Follow us on Linkedin@ https://www.linkedin.com/company/medetalks-2019/
This presentation was given to an intimate group of attendees at the offices of Kegler, Brown, Hill & Ritter on 10/22/2009. Presenters included Robert Marotta, Elise Spriggs, Jeff Porter, Ralph Breitfeller, Geoffrey Stern, Rex Plouck and Jennifer Covich Bordenick.
Big Data Analytics using in Healthcare Management Systemijtsrd
Big data is the new technology for healthcare management system. Present day's big data analytics are using in everywhere because of its good data management and its large storage capacity. In hospital managements the patients and doctors record keeping safe is the important role in healthcare system. In worldwide the big data method is extended use in the area of medicine and healthcare system. In this sector so many problems are there in implementing big data in healthcare system especially in relation to securities, privacy matters, standard records, good governance, managing of data, data storing and maintenance, etc. It is critical that these challenges to overcome before big data can be implemented successfully in healthcare. The amount of data being digitally collected and stored safely in big data Hadoop clusters. This paper introduces healthcare data, big data in healthcare systems, applications, advantages, issues of Big Data analytics in healthcare sector. Gagana H. S | Bhavani B. T | Gouthami H. S "Big Data Analytics using in Healthcare Management System" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-4 | Issue-4 , June 2020, URL: https://www.ijtsrd.com/papers/ijtsrd31014.pdf Paper Url :https://www.ijtsrd.com/computer-science/other/31014/big-data-analytics-using-in-healthcare-management-system/gagana-h-s
e-health & quality of care - business research and practice - medicinfo & twe...Bart Brandenburg
Lecture held at Twente University, about the challenges, possibilities, lessons learned and research questions involved with developing e-health at Medicinfo.
Business, research and practice put into action!
FTC Spring Privacy Series: Consumer Generated and Controlled Health DataBrian Ahier
Increasingly, consumers are taking a more active role in managing and generating their own health data. For example, consumers are researching their health conditions and diagnosing themselves online. Consumers are also uploading their information into personal health records and apps that allow them to manage and analyze their data, and utilizing connected health and fitness devices that regularly collect information about them and transmit this information to other entities.
The movement of health data outside the traditional medical provider context has many potential benefits; however, it also raises potential privacy concerns. The seminar will address questions such as:
What types of websites, products, and services are consumers using to generate and control their health data, and how are consumers using them?
Who are the companies behind these websites, products, and services, what are their business models, and what does the current marketplace look like?
How can consumers benefit from these companies’ websites, products, and services?
What actions are these companies taking to protect consumers’ privacy and security?
What do consumers expect from these companies regarding privacy and security protections?
Do consumers differentiate between these companies and those that offer traditional medical products and services that are covered by HIPAA?
What restrictions, if any, do advertising networks and others impose on tracking of health data?
Information Communication Technology in E-Health System, this is useful for healthcare and medical system.E-health means providing citizens with access to quality health information & to view their own health records line, even when travelling in Europe.
This presentation talks about the context of developing the Electronic Health records for India. the guidelines as mentioned in the GOI site is described vividly with examples, for better understanding.
N.B: Please download the ppt first, for the animations to work better.
BOARD OF GOVERNORS In supersession of the Medical Council of India
Telemedicine Practice Guidelines Enabling Registered Medical Practitioners to Provide Healthcare Using Telemedicine
These Guidelines have been prepared in partnership with NITI Aayog
Anurati Mathur & Propeller Health @ Madison's Big Data MeetupAnurati Mathur
Using healthcare data - context & considerations for collecting, cleansing, analyzing, and displaying geospatial and temporal data, with a focus on Propeller Health's program in Louisville, KY.
Improve participation and functional outcomes through creativity out of the gym. Functionally based treatment will ensure patients receive medically necessary physical therapy, occupational therapy and speech services. The presentation reviews practical application to Medicare requirements.
1. Learn to identify creative treatment strategies.
2. Learn to define Medicare coverage and Medicare documentation.
3. Learn to identify the clinical benefits of Functional Based Therapies.
Patient Safety is a health care discipline that emerged with the evolving complexity in health care systems and the resulting rise of patient harm in health care facilities.
It aims to prevent and reduce risks, errors and harm that occur to patients during provision of health care.
A cornerstone of the discipline is continuous improvement based on learning from errors and adverse events.
Let us see what Pharmacists, Doctors and Patients can do about it.
MV Balasubramanyam is an entrepreneur, startup advisor & angel investor. Currently the Founder of Lalitham Innovation Labs, Bengaluru after his 8 years of experience as the CEO, Director of Board of Ramyam Intelligence Lab. Keeping up with the current need for maintaining the comprehensive health data by the patients at their finger tips, this presentation is on the various technologies used for connecting Doctor and patient digitally.
Visit our Website : https://www.medetalks.com/
Contact Us @ https://www.medetalks.com/contact-us.html
Like our Facebook page @ https://www.facebook.com/MedeTalks
Follow us on Twitter @ https://twitter.com/MedeTalks
Follow us on Linkedin@ https://www.linkedin.com/company/medetalks-2019/
mobile Personal Health Record iOS applicationSejal Vora
mPHR application is designed to overcome the many bottlenecks and redundancies existing in today’s healthcare system that limit real-time access to individual patient health information.
mPHR is an interoperable Personal Health Record software currently applied on iPhone and android to support chronically ill patients by accurately documenting and communicating patient history to physicians and other healthcare providers.
You can transfer your health data to another personal health record anitramcroberts
You can transfer your health data to another personal health record provider such as Microsoft HealthVault. What privacy issues are involved? Express your views on using this type of system, make sure to include the potential benefits and risks.
Reply-1(Shiva)
Electronic personal health record systems (PHRs) are introduced to develop patient-centered health care by providing medical records and other required information accessible to patients with the idea of helping patients in health self-management. There is a number of different fundamental designs for PHRs. As primary care physicians will play a major role in patient health, PHRs are also to be linked to physician’s electronic medical record systems, so the adoption of PHRs dependent on growth in electronic medical record adoption. Also, many PHRs are physician-oriented and which does not include patient orientated functionalities. PHRs need to provide to support self-management and disease prevention if improvements in health outcomes are to be expected.
There has been a surge in activity around the adoption of PHRs for patients and consumers. There are some issues surrounding PHRs where they are more than just a static repository for patient’s data, they help combine data and convert that into information and provide knowledge which helps patients to participate actively in their own care.
Benefits:
PHRs have a wide variety of potential benefits for consumers. Out of it one of the most important PHR benefits is it has greater patient access to wide array of useful health data, information, and knowledge. Patients can use that to improve their health and manage their diseases. Those kinds of information are highly customized to make PHRs more successful and useful. Patients with illness will be able to track their diseases in conjunction with the providers, by providing earlier help when they see a problem. PHRs will help in improving communication between patients and caregivers which will make it easier for patients and caregivers to ask general questions, to request refills, to set up appointments and also to report problems. PHRs will also benefits to the payers and purchasers for health care include lower diseases, lower management cost, lower medication cost.
Risks:
Although there are many benefits to a PHR system, which may also include some risks. Like, it is very difficult and time consuming to collect all current and past medical information. Patients have to request information from multiple health providers to get complete medical history. Once all the information is collected patients must manual enter the data into their PHR.
References
Tang, C. P, Ash, S. J., & Bates, W. D. (2006). Personal health records: definitions, benefits, and strategies for overcoming barriers to adoption.
Journal of the American Medical Informatics Association, 13(2),
121-126. doi:
10.1197/jamia.M2025
.
Zacher, J. (2016). Benefits, risks, and drawbacks of an electronic personal ...
EHRs, PHRs, EMRs: Making Sense of the Alphabet SoupCHI*Atlanta
CHI*Atlanta's October program tackles health records and the potential of user experience to improve their adoption. Panelists include CDC, Kaiser Permanente, and Greenway Technologies. Hosted at Philips Design to cover public, private, and vendor perspectives.
64 journal of law, medicine & ethicsDreams and Nightmare.docxevonnehoggarth79783
64 journal of law, medicine & ethics
Dreams and
Nightmares:
Practical and
Ethical Issues
for Patients and
Physicians Using
Personal Health
Records
Matthew Wynia and Kyle Dunn
Introduction and Definitions
The term “Electronic Health Records” (EHR) means
something different to each of the stakeholders in
health care, but it always seems to carry a degree of
emotional baggage. Increasingly, EHRs are advert-
ized as a nearly unmitigated good that will transform
medical care, improve safety and efficiency, allow
better patient engagement, and open the door to an
era of cheap, effective, timely, and patient-centered
care.1 Indeed, for some EHR proponents the ben-
efits of adopting them are so obvious that adoption
has become an end in itself.2 But for others — and
especially for a number of skeptical practitioners and
patients — EHR is a code word that portends the cor-
porate transformation of health care delivery, the loss
of patient privacy, the demand that patients bear more
responsibility in health care, and the unreflective take-
over of the health care system by people who do not
understand medical care or how health care relation-
ships unfold.3
For our purposes, we will consider EHRs impar-
tially, as a set of tools that can be used for a variety of
purposes. We define EHRs broadly as any electronic
means of storing and transferring health-related
information. We exclude from this definition the use
of the telephone and fax, arguably precursors to the
electronic means of data exchange now available. Like
face-to-face and paper-based interactions, the tele-
phone and fax are generally limited to two people.
Breaches of phone line security, while possible and
perhaps even frequent, are unlikely to affect thou-
sands of people at once.
In this paper, we examine the development of a new
set of EHR tools, Personal Health Records (PHRs).
PHRs may be variously defined (Table I) and have sev-
eral potential functional and payment models (Table
II), but the general aim of all PHRs is to increase
patients’ access to and sense of ownership over their
health care information. According to the Markle
Foundation, the advent of PHRs “represents a transi-
tion from a patient record that is physician-centered
to one that is patient-centered, prospective, interac-
Matthew Wynia, M.D., M.P.H., is the Director of the In-
stitute for Ethics at the American Medical Association and a
Clinical Assistant Professor at the University of Chicago. He
received his M.D. from the Oregon Health and Science Univer-
sity in Portland, Oregon and his M.P.H. from Harvard Uni-
versity School of Public Health in Boston, MA. Kyle Dunn,
M.H.S., was a Research Assistant at the Institute for Ethics
at the American Medical Association and is now a Ph.D. can-
didate in the Department of Health Policy and Management
at the Johns Hopkins Bloomberg School of Public Health. He
received a B.S. in Molecular, Cellular and Developmental Bi-
ology .
76 CHAPTER 4 Assessing Health and Health Behaviors Objecti.docxpriestmanmable
76
CHAPTER 4
Assessing Health and Health Behaviors
Objectives
this chapter will enable the reader to:
1. Describe the expected outcomes of a nursing health assessment.
2. Identify the components of a nursing health assessment conducted for an individual client.
3. Examine life span, language, and culturally appropriate nursing health assessment tools for children, adults, and older adults.
4. Compare the similarities and differences among the various approaches to assessing the family, mindful of cultural influences.
5. Evaluate the criteria for conducting a screening in the community.
6. Compare the similarities and differences among the various approaches to assessing
the community.
Athorough assessment of health and health behaviors is the foundation for tailoring a health promotion-prevention plan. Assessment provides the database for making clinical judgments about the client’s health strengths, health problems, nursing diagnoses, desired health or behavioral outcomes, as well as the interventions likely to be effective. This information also forms the nature of the client–nurse partnership such as the frequency of con- tact and the need for coordination with other health professionals. The portfolio of assessment measures depends on the characteristics of the client, including developmental stage and cul- tural orientation. The nurse assesses age, language, and cultural appropriateness of the various measures selected.
Cultural competence is the ability to communicate effectively with people of different cultures. Providing culturally competent care is the cornerstone of the nursing assessment. The nurse’s aware- ness of her own attitude toward cultural differences and her cultural worldview and characteristics
Chapter4 • AssessingHealthandHealthBehaviors 77
are critical to her understanding and knowledge of various cultures. Recognizing that diversity exists in all cultures based on educational level, socioeconomic status, religion, rural/urban residence, and individual and family characteristics will ensure a more successful encounter (The Office of Minority Health, 2013). An online cultural educational program, designed specifically for nurses and featur- ing videotaped case studies and interactive tools, is available.
The Enhanced National Standards for Culturally and Linguistically Appropriate Services, based on a definition of culture expanded to include geography, spirituality, language, race and ethnicity, and biology, provides a practical guide to culturally and linguistically sensitive care (The Office of Minority Health, 2013).
Technology is having a significant impact on health care. The Electronic Health Record (EHR) promotes involvement of the client in developing a dynamic, tailored database. The EHR offers great promise to improve health and increase the client’s satisfaction with his care. Data aggregation, cross-continuum coordination, and clinical care plan management are critical com- ponents of the.
Why Can't More People Use My Health Records.pdfssuserbed838
My Health Records is an online summary of health information created for patient usage. Individuals can share sensitive files with regular healthcare providers.
My Health Records Enhanced Patient Care Process.pdfssuserbed838
Hospital or clinical management must educate the importance of My Health Records to everyone on the employee list, and doctors must carry forward the same intent to the patient list.
In search of a digital health compass: My data, my decision, our powerchronaki
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
Innovations and Trends in Health Care: The Advent and Use of Personal Health ...Mark Silverberg
My semester-long research project in HSCI 2109 is about the advent and use of a very interesting innovation in health care: the Personal Health Record). This presentation is a mid-semester check-in with my fellow students to educate them about some key definitions, stakeholders, barriers, and recommendations I have gathered around system development and implementation of PHRs.
This is a topic I am very interested and invested in so I would be happy to discuss it with anyone who is interested!
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
share - Lions, tigers, AI and health misinformation, oh my!.pptxTina Purnat
• Pitfalls and pivots needed to use AI effectively in public health
• Evidence-based strategies to address health misinformation effectively
• Building trust with communities online and offline
• Equipping health professionals to address questions, concerns and health misinformation
• Assessing risk and mitigating harm from adverse health narratives in communities, health workforce and health system
Basavarajeeyam is a Sreshta Sangraha grantha (Compiled book ), written by Neelkanta kotturu Basavaraja Virachita. It contains 25 Prakaranas, First 24 Chapters related to Rogas& 25th to Rasadravyas.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
Here is the updated list of Top Best Ayurvedic medicine for Gas and Indigestion and those are Gas-O-Go Syp for Dyspepsia | Lavizyme Syrup for Acidity | Yumzyme Hepatoprotective Capsules etc
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
1. PHR
The Personal Health Record
Jacksonville University School of Nursing
Kimberlee Przybysz and Jessika Reinhardt
December 1, 2012
2. Definition
• There are various definitions
from multiple agencies and
organizations so there is not
consensus on exactly what
defines a PHR.
• Some say it is a record of
health information that only
comes from the patient.
• Others say it is a record of
health information that
comes from both the patient
and from health care
professionals.
3. PHRs are electronic systems that
allow people to record, process,
and share health-related
information in order to help them
better manage their health and
healthcare (Hebda&Czar,2009).
4. What the PHR is:
1. A tool to collect, track, and share information about your health.
2. Info about you and your health usually compiled by you and maintained
by you.
3. A way for you to access certain aspects of your health info to share with
whom you decide whenever and wherever you need it.
4. A way to keep all your health info in one easily accessed place by
computer through the internet (past versions may have been paper files
or booklets).
5. A way for you to be more involved in your healthcare by assisting you
with decisions about your care.
6. Tethered- tied to a single organization or system and may contain
info from actual visits such as lab or radiology results.
OR
Stand alone- Not tied to a single organization or system. Can be on
internet or smartcard, CDs, or flash drives.
5. • It is not a complete medical record.
• It does not contain your entire EHR.
• It is not a replacement of a legal health record
of a provider.
• It does not allow for order entry or results
management by the provider.
6. On the Horizon
A possible alternative in the future is a
networked PHR.
This PHR would access information from
various sources such as various
providers, health plans, health record
banks, or laboratories.
(Hebda&Czar,2009)
7. Common Items in a PHR
Name, D.O.B., Blood Type, Emergency Contact
Dates of previous visits or upcoming appts.
Dates and results of tests and screenings
Major and chronic illnesses and surgeries
Medication List
Allergies
Family History
Immunizations
8. How can you get started with a PHR?
Health Care
Health Plans
Providers
Private
Vendors
Companies
9. Impact of the PHR on Healthcare
Increased patient
Gets people involvement in
involved in their care helps
their own meet objectives
healthcare and of Healthy People
in their overall 2020.
health.
10. PHR and Healthy People 2020
Healthy People 2020 Objectives
HC/HIT-5
Increase the proportion of persons who
use electronic personal health
management tools.
HC/HIT-5.1
Increase the proportion of HC/HIT-5.2
persons who use the internet to Increase the proportion of
keep track of personal health persons who use the internet to
information, such as care communicate with their health
received, test results, or upcoming provider.
medical appts.
11. Role of PHR in Managing Health
• Provide health care information to selected individuals
• Send email messages to providers
• Schedule appointments
• Tracking compliance with recommended screening guidelines
• Obtain information about disease and treatment
• Renew prescriptions
• Access self assessment tools
• Track insurance claims
• Check medical record for errors
• Record data from home care devices such as glucose monitors
• Record symptoms, observations, and responses to medications
12. Benefits of PHR
• Managed and controlled by the individual
• Helps individuals become active participants in their own care by
combining essential data, knowledge, and software tool (JAIMA, 2006).
• Helps maintain and promote health and wellness
• Can include decision support capabilities that can assist in managing
chronic conditions (Gandhi, 2003).
• Collaborates care for the individual that receives care from multiple
providers, facilities, and pharmacies.
• Can help decrease health care costs and improve quality of care
13. Benefit of PHR (cont.)
• Can help maintain a continuous connection and improved communication
between the patient and provider.
• Can be a life saver in a medical emergency
14. Barriers to PHR
• Lack of awareness by consumers
• Not everyone has access to PHR systems, computers, or devices
• Reliability is limited by the individual’s computer, reading, and health
literacy
• Time: It takes a lot of time to gather and enter health information
• Individuals may not keep PHR up to date
• Doesn’t include clinicians interpretations or reliable objective data
15. Barriers to PHR (cont)
• Legal concerns by providers related to treatment based on inaccurate
patient entered information
• Privacy and security concerns by the individual
• Consumers are unlikely to want PHRs that exchanges data over the
internet unless they feel confident that
their online health information is safe
and secure.
16. Privacy and Security
Online health services that store PHRs are not covered entities under the
Health Insurance Portability and Accountability Act of 1996 (HIPAA) and are
not subject to the Privacy Rule.
• HIPAA is a federal regulation which provides methods for maintaining the
safety and security of individually identifiable health information.
• Privacy Rule protects health information that is transmitted or maintained
in any form or media.
Individual PHR vendors or online health services determine their own level of
security and confidentiality and disclose that information to the consumer.
• Some insurance companies provide PHRs. Insurance companies ARE
covered entities under HIPAA and subject to HIPAA
Privacy Rule.
17. Privacy and Security (cont)
Consumers are concerned with hackers and employees misusing access to
patient information. There are technological interventions to improve system
security (Rindfleisch, 1997)
• Deterrents such as audit trails that record identity, time and circumstances
of users accessing information
• Technological obstacles which control the ability of a user to access info,
ensures users only access information they need to know. Examples are
authorization, authentication, encryption, and firewalls.
• System management precautions such as antivirus software
18. Selecting a PHR
According to the Medicare and Health and Human Services
(2012), in choosing the right PHR we should consider these
important features:
• Does the PHR provide proper tools for storing information about medical
conditions, procedures, allergies, medications and other personal
information?
• Can information about insurance claims or medical information from
doctors be uploaded to the PHR?
• Does the PHR offer the ability to print a list of medications or conditions
so it can be brought to a provider or hospital?
• Does the PHR provide education on key health topics?
• Are the features/tools in the PHR worth the costs?
19. Selecting a PHR (Cont)
• Does the PHR provide a tool to communicate with a provider’s office to
request refills for medication, ask questions or make appointments?
• Does the PHR provide emergency access to health information?
• Does the PHR have a plan for what would happen to the information if the
company either goes out of business or merges with another company?
• Does the PHR have policies for privacy and security of protected health
information?
20. Conclusion
• A PHR applies health information technology to your personal life to
improve safety, reduces medical errors, reduces gaps in communication
and reduce delays in receiving proper care.
• PHRs give all of us, as consumers of health care, control over our own
health information so that we can protect and improve our own health
and wellness through health promotion and disease management
• PHRs are a big part of the future of healthcare and will gain more and
more popularity as people become more aware of what it can do for them
and will continue to evolve as the electronic healthcare age evolves.
21. References
Ahima. (2012). Your privacy rights. Retrieved from http://www.myphr.com/
index.php/privacy_and_phrs/your_privacy_rights/.
Ahima. (2012). What is a personal health record (PHR)? Retrieved from http://
www.myphr.com/StartaPHR/what_is_a_phr.aspx.
Czar, P., & Hebda, T. (2009). Handbook of informatics for nurses & healthcare
professionals. (5th ed.). Upper Saddle River, NJ:Pearson.
Gandhi, TK., Weingart, SN, Borus, J., et al. (2003). Adverse drug events in
ambulatory care. New England Journal of Medicine, vol 308. Retrieved
from http:// www.myhealtharchive.com/m/pages/BenefitsofPHR.
Health and Human Services. (2012). Medicine, learn more about personal health
record. Retrieved from http://www.medicare.gov/PHR/LearnMoreAbout
PHR.asp#PHRChoose.
22. References (cont)
HealthyPeople. (2012). Health communication and health information technology.
Retrieved from http://www.healthypeople.gov/2020/ topicsobjectives
2020/objectivelist.aspx?topicld=18.
Journal of the American Medical Informatics Association. (2006). Personal health
records: definition, benefits, and strategies for overcoming barriers to
adoption. Retrieved from http:// www.ncbi.nlm.gov/pmc/articles/PMC
1447551.
Medicare. (2012). Personal health records (PHRs). Retrieved from http://www.
medicare. gov/manage-your-health/personal-health-records/personal-
health-records.html.
MedlinePlus.(2011). Personal health records. Retrieved from http:// www.nlm.
nih.gov/medlineplus/personalhealthrecords.html.
Rindfleisch, T.C. (1997). Privacy, information tech & health care. Retrieved from
http://www.dl.acm.org/citation.cfm?doid=257874.257896
Editor's Notes
The Personal Health Record or PHR.
A consensus has not yet been reached on a common definition of the personal health record. Many different agencies and organizations have various definitions and can’t agree on the best overall. Some believe it is a record of health information that is solely provided by the patient. Others say that it’s a record of health information provided by both the patient and from health care professionals.
more comprehensive approach is the definition from Hebda and Czar’s Handbook of Informatics for Nurses and Healthcare Professionals which says that personal health records are electronic systems that allow people to record, process, and share health related information in order to help them better manage their health and healthcare.
The next couple slides will give an overview of what the personal health record is and what it isn’t. First, what the personal health record is… It’s a tool to collect, track, and share information about your health. It’s information about you and your health which is usually compiled by you and maintained by you. It’s a way for you to access certain parts of your health information to share with whom you decide whenever and wherever you need it. So, it’s something you can have when you travel in case you are ill or injured or if your physician refers you to a specialist’s office. It’s also a way to keep all your health information in one place that you can easily access by computer through the internet. Early versions may have been paper files or booklets. Those of you who have had children may have kept the little booklet that the pediatrician gave you to record weights, milestones, feedings, etc… Those were a very basic, simple form of the personal health record. It can be a way for you to be more involved in your own healthcare by assisting you with decisions about your care. A personal health record can be tethered or stand alone. A tethered personal health record is tied to a single organization or system such as the clinic where you see your physician and so it may contain information from actual visits such as lab or radiology results. You may also be able to communicate by email with your provider or request appts. A stand alone personal health record is not tied to a single organization or system. It may be on the internet or on something like a smartcard or CD or a flash drive.
Next, what the personal health record isn’t: It is not a complete medical record. It only contains parts of your health information and records. It cannot replace your legal health record that your provider maintains and it does not allow for order entry or results management by your provider.
According to Hebda and Czar, something that is on the horizon or in the future of the personal health record is an alternative to the tethered and stand alone records. It is a networked personal health record. This personal health record would access information from various providers, health plans, health record banks, and laboratories.
Here we’ll talk a little bit about some of the common items you might find in a personal health record. Obviously, you would see basic demographic data such as your name and date of birth and probably an emergency contact. You may also have blood type information. there could be dates of previous hospitalizations or physician visits and dates of upcoming appointments. You may also see dates and results of various tests and screenings as well as lists of major and chronic illnesses and surgeries. A medication list is usually included and can be very helpful for obtaining refills or providing information to new physicians or if you are hospitalized. Any allergies you have may also be listed as well as family history and a list of immunizations you have received and dates.
So, how can you go about getting a personal health record set up for yourself? They are offered by a variety sourcces such as health care providers or the system they work for, your health insurance plan, private companies or employers, and individual vendors. A helpful website to visit in getting started is www.myPHR.com.
In the next couple slides, we’ll talk about how the personal health record impacts healthcare. First, it gets people involved in their overall health and this increased patient involvement helps meet the objectives of healthy People 2020.
The following are the healthy people 2020 objectives that are related to the personal health record. First, to increase the proportion of persons who use electronic health management tools. The other two objectives shown here are kind of offshoots of the previously mentioned objective… They are to increase the proportion of persons who use the internet to keep track of personal health information, such as care received, test results, or upcoming medical appts and to increase the proportion of persons who use the internet to communicate with their health provider.
the ways that the PHR can help your manage your overall health are listed here but of course as mentioned earlier, it depends on whether your PHR is tethered or stand alone.
There are many benefits of the PHR. One of the greatest benefits is individuals are encouraged to becomes active participants in their own health and wellness. The PHR also helps maintain patient safety by collaborating care for the person who is seen by multiple providers.
Another benefit of the PHR can be seen in an emergent situation. Health care providers can have the individual’s pertinent health information that is contained within the PHR right at their fingertips.
A major barrier to the use of PHR is a lack of awareness by the consumer of its existence. Also needing consideration are finances (as everyone can not afford a computer) and education level which includes reading and health literacy.
Physician are also concerned about the implications of potentially treating a person incorrectly based on information that was entered in a PHR incorrectly. Consumers may also be deterred because of information security issues.
Private companies such as GoogleHealth and Microsoft’s HealthVault are NOT mandated by HIPAA’s privacy rules. Insurance companies such as Aetna and BlueCrossBlueShield ARE covered subject to HIPAA regulations.
As a consumer it is important to understand the safety and security measures of the PHR vendor.
When selecting a PHR, it is important to determine if your needs can be met. Medicare and health and human services have compiled a list of important questions for consideration when selecting a PHR. This slide and the next list these important questions.
First, you should ask yourself if the PHR has a way to communicate with your provider’s office so you can request refills, ask questions and make appts. The next question to consider is does the pHR provide emergency access to your health information in the event you are ill or injured. Another important question to consider is if the PHR has a plan for what happens to your information if the company goes out of business or merges with another company.
So, in conclusion, the PHR applies health information technology to your personal life to improve safety, reduce medical errors, reduce gaps in communication and reduce delays in receiving proper care all by having your personal health information in one easily accessible place. They also give you control over your own health information so you can improve your own health and wellness through health promotion and management. PHRs are part of the future of healthcare and will continue to gain popularity with increased public awareness and the evolution of the electronic healthcare age.