Patient-facing health IT tools are designed to engage patients and families in their own care by providing health information and enabling participation in care decisions. These tools promote a model of participatory medicine where patients work as partners with health professionals. When implemented effectively through patient-centered medical homes, these tools can improve outcomes and patient satisfaction by facilitating communication between patients and care teams.

1. Susan Woods, MD, MPH Medical Informatics Office, VHA 1 Leveraging Technology for Patient Centered Medical Home: Patient Facing Resources

2. New Models of Care 2 ..enhance ability of veterans and families to access health information. One example is…tools such as MyHealtheVet. These systems will facilitate the veteran involvement in his or her own care… VA Universal Services Task Force Report, 2009

3. PATIENT-FACING IT DEFINED Health IT used by patients & familes Information and services targeting patients Tools to promote self-care and enable decision-making 3

8. PARTICIPATORY MEDICINE Patients as engaged participants Health professionals and patients working as partners, facilitated by modern tools Outcome of Medical Home: patient-centered teams focused on communication 8

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10. Functions Engaging Patients in Their Own Care 10

11. Kaiser – Patient Portal Usage LAB results 6,000,000 5,000,000 4,000,000 3,000,000 Secure Emails 2,000,000 Rx Refills After Visit Review 1,000,000 0 1Q 07 2Q 07 3Q 07 4Q 07 1Q 08 2Q 08 3Q 08 4Q 08 1Q 09 2Q 09 3Q 09 Courtesy of Jan Oldenburg, Kaiser Internet Services Group

12. Shifting Demand:If e-mail were not available, would you... MyGroupHealthSurvey 2006 N=630 (2004), N=646 Courtesy of Matt Handley, MD 2004 2006

14. At all care sites

15. Decision support

16. Clinical reminders

17. Patient safety

18. Secure web-based portal

19. Patient & family centered

20. Information and services

21. Multiple levels of access

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25. Hypertension Influenza Vaccine Pneumococcal Vaccine Colorectal Cancer Screening Lipid Measurement LDL Target Body Mass Index (BMI)>25.0 Diabetes Foot Exam Diabetes Hemoglobin A1C Diabetes Retinal Exam Mammography Screening Cervical Cancer Screening

26. My HealtheVet Button in CPRS Synchronization of MHV account with VA Master Patient Index Button for authenticated MHV users Button links to MHV website 18

29. How would you rate the value of secure e-mail in enhancing in-person visits? “This is the best health care I have ever had! I love the online services the friendly employees and GHC's overall desire to help me be healthy. I'm from California and GHC beats any health care they had to offer.” MyGroupHealth Satisfaction Survey, N=645 (2004), N=666(2006)

30. Secure Messaging  Medical Home Is patient centered Patients find it convenient and personal Takes a team Triage = specific roles Efficient for all staff Increases knowledge of the patient Predictor of outcomes, satisfaction

31. EXAMPLES: PATIENT-FACING INFORMATION & SERVICES 23

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