IU Health Center PHR Project
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Indiana University Health Center launched a new patient portal and personal health record (PHR) project on February 23, 2009. The PHR will provide over 40,000 IU students with online access to their health information. All incoming IU students, around 7,500 per year, will also receive PHR accounts. The project aims to enable administrative efficiencies, enhance quality of care through improved access to information, and enable students to access their own health data.
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CHAPTER 4
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Chapter4 • AssessingHealthandHealthBehaviors 77
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Implementation of an Electronic Information System to Enhance Practice at an ...
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The document discusses implementing an electronic health information system at an opioid treatment program to enhance practices. It will be a prospective, comparative study over 3 years. Preliminary activities included getting stakeholder buy-in and needs assessments. Five aims were identified: quality, productivity, satisfaction, financial performance, and risk management. Hypotheses were developed for each aim. Data sources and measures were identified for evaluating the hypotheses. The study received NIH funding.Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docx
Pg2 Beginning in 1991, the IOM (which stands for the Institute of Medicine of the National Academies) sponsored studies and created reports that led the way toward the concepts we have in place today for electronic health records. Originally, the IOM called them computer-based patient records.1 During their evolution, the EHR have had many other names, including electronic medical records, computerized medical records, longitudinal patient records, and electronic charts. All of these names referred to essentially the same thing, which in 2003, the IOM renamed as the electronic health records, or EHR.
Note: EHR
The acronym EHR is commonly used as shorthand for Electronic Health Records, and will be used in the remainder of this book.
Institute of Medicine (IOM)
The IOM report2 put forth a set of eight core functions that an EHR should be capable of performing:
Health information and data
This function provides a defined data set that includes such items as medical and nursing diagnoses, a medication list, allergies, demographics, clinical narratives, and laboratory test results. Further, it provides improved access to information needed by care providers when they need it.
Result management
Computerized results can be accessed more easily (than paper reports) by the provider at the time and place they are needed.
· Reduced lag time allows for quicker recognition and treatment of medical problems.
· The automated display of previous test results makes it possible to reduce redundant and additional testing.
· Having electronic results can allow for better interpretation and for easier detection of abnormalities, thereby ensuring appropriate follow-up.
· Access to electronic consults and patient consents can establish critical links and improve care coordination among multiple providers, as well as between provider and patient
Order management
Computerized provider order entry (CPOE) systems can improve workflow processes by eliminating lost orders and ambiguities caused by illegible handwriting, generating related orders automatically, monitoring for duplicate orders, and reducing the time required to fill orders.
· CPOE systems for medications reduce the number of errors in medication dose and frequency, drug allergies, and drug–drug interactions.
· The use of CPOE, in conjunction with an EHR, also improves clinician productivity.
Decision Support
Computerized decision support systems include prevention, prescribing of drugs, diagnosis and management, and detection of adverse events and disease outbreaks.
· Computer reminders and prompts improve preventive practices in areas such as vaccinations, breast cancer screening, colorectal screening, and cardiovascular risk reduction.
Electronic communication and connectivity
Electronic communication among care partners can enhance patient safety and quality of care, especially for patients who have multiple providers in multiple settings that must coordinate care plans.
· Electronic co.
Personal health records
A personal health record (PHR) is an electronic application that allows patients to maintain and manage their health information privately. A PHR contains a patient's medical history and health data, such as lab results, that can be accessed online. PHRs can be paper-based, computer-based, web-based, or accessible through portable devices. PHRs provide benefits like improving patient engagement, coordinating information from multiple healthcare providers, ensuring information is available during emergencies, reducing administrative costs, encouraging family health management, enhancing patient-provider communication, and allowing patients to track and manage their health.
Patient Access to Personal Health Information Across Health Care Settings
The study aimed to characterize patient experiences accessing personal health information across different healthcare settings and understand barriers to meaningful use of electronic health records from the patient perspective. In-depth interviews and focus groups with patients found that in 2012, access times ranged from 3-30 days, with academic medical centers providing information fastest. Community hospitals relied on slower mail/fax delivery. Participants reported physical, financial, and attitudinal barriers. The findings suggest a need for improved health data access policies and technologies to better support patient self-management of chronic conditions.
iHT² Health IT Summit Denver - Laura McCrary,Executive Director, Kansas Hea...
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Case Study "Meeting Meaningful Use Requirements Using HIE"
This presentation will provide an overview of health information exchange in Kansas including a description of how the Kansas Health Information Network (KHIN) is helping Kansas providers meet Stage 1 and Stage 2 Meaningful Use requirements that are necessary to receive Medicare and Medicaid incentive payments. It will include a live demonstration of the health information exchange and a question and answer session.
KHIN provides health information exchange services to all health care providers in Kansas. The KHIN network allows health care providers to share health information at the point of care. Health data includes current diagnosis, medications, allergies, lab results, procedures, immunizations, visit history and summary of care documents.
In August 2012, Via Christi Health Systems and HCA Wesley became the first Kansas health care organizations to share health data. Just 10 months later, 42 Kansas health care systems are live sharing data including all of the largest health systems in Kansas. Nineteen others are actively testing data and 3200 providers have the ability to exchange secure messages. KHIN members can now access information on almost 900,000 Kansas patients, electronically send immunizations to the state registry, electronically send syndromic surveillance data to the CDC and securely communicate with other health care providers through the DIRECT protocols which comply with all HIPAA regulations. Soon, KHIN members will be able to provide a personal health record (PHR) to all of their patients.
Learning Objectives:
∙ Understand the basic principles of health information exchange through a case study of the Kansas Health Information Network (KHIN).
∙ Understand the role of health information exchange in meeting Stage 1 and Stage 2 Meaningful Use requirements.
∙ Describe how health information exchange can facilitate population health and patient engagement. A Patient's Guide to Patient Portals
A patient spent 9 months seeking a diagnosis for recurrent pneumonia which ultimately led to the discovery of a carcinoid tumor in his lung. However, due to the delayed diagnosis caused by the patient's inability to access and share health records across providers, the tumor proliferated and the patient had to have his entire right lung removed. The HITECH Act mandates physicians use electronic medical records (EMRs) with patient portals to improve health outcomes and reduce medical errors and costs. Studies show EMRs can decrease errors by 11-14% and improve efficiency by reducing transcription costs by 75% and admitting time in the ER by 80%. However, only 14% of patients with portal access actually use them due to lack of functionality and
Fin-LR.docx
EHR and HIS systems can improve patient care in several ways:
1. EHR decreases wait times, improves safety by tracking medications and medical history, and allows easy sharing of records between providers.
2. HIS streamlines processes across hospitals and providers, reducing costs. It provides centralized access and management of patient medical records and appointments.
3. Both systems increase productivity and quality of care by giving providers fast access to patient information.
Fin-LR.pdf
EHR and HIS systems can improve patient care in several ways:
1. EHR decreases wait times, improves safety by tracking medications and medical history, and allows easy sharing of records between providers.
2. HIS streamlines processes across hospitals and providers, reducing costs. It provides centralized access and management of patient medical records and appointments.
3. Both systems increase productivity and quality of care by giving providers fast access to patient information.
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Implementation of an Electronic Information System to Enhance Practice at an ...
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Pg2 Beginning in 1991, the IOM (which stands for the Institute o.docx
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Patient Access to Personal Health Information Across Health Care Settings
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