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The Intersection of Patient-Centered Records and Electronic Health Records and                      Implications for Chron...
Contributing causes: Complexity of scientific knowledge  that practitioners need to manage Increased numbers of patients...
 100 million people with chronic  conditions $425 billion dollars in direct costs Additional indirect costs in time  lo...
 Collaboration between the patient  and the health care team is  essential Patients need to understand their  treatment ...
 Care that is respectful of  and responsive to  individual patient  preferences  needs  values Care that ensures that...
   Strong sense of individualism   Demanding consumers   Intolerant of discrimination   “Doctor Knows Best” doesn’t fl...
 Patient Profile Chief Concerns (not complaints!) History of Present Illness   Biomedical perspective   Patient’s per...
   About Me   My Personal Health Goals   My Ongoing Health Activities   My Ongoing Action Steps   My Challenges and S...
   Appointment scheduling   Health history   Inquiries   Diagnostic test results   Patient education materials   Int...
EHR’sPatientPortals               Patient-             centric Care
Care at a Crossroads: The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chro...
Care at a Crossroads: The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chro...
Care at a Crossroads: The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chro...
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Care at a Crossroads: The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chronic Disease Management in America

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Guyla C. Evans

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Care at a Crossroads: The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chronic Disease Management in America

  1. 1. The Intersection of Patient-Centered Records and Electronic Health Records and Implications for Chronic Disease Management in America Guyla C. Evans HIMA 5060 Fall 2012
  2. 2. Contributing causes: Complexity of scientific knowledge that practitioners need to manage Increased numbers of patients with chronic conditions Poorly-organized delivery systems Constraints on leveraging information technology to mitigate the preceding circumstances
  3. 3.  100 million people with chronic conditions $425 billion dollars in direct costs Additional indirect costs in time lost from work, etc. One fifth of the population considered “elderly” by 2030, as baby boomers enter the ranks of the aged
  4. 4.  Collaboration between the patient and the health care team is essential Patients need to understand their treatment regimens, and the implications for non-compliance Patients must buy into their therapeutic regimens and act in their own self-interests, sometimes by performing self-monitoring Family members or caretakers may be needed to help
  5. 5.  Care that is respectful of and responsive to individual patient  preferences  needs  values Care that ensures that patient values guide all clinical decisions
  6. 6.  Strong sense of individualism Demanding consumers Intolerant of discrimination “Doctor Knows Best” doesn’t fly Greater percentage of singles May be caring for parents Higher risk for certain unhealthy behaviors
  7. 7.  Patient Profile Chief Concerns (not complaints!) History of Present Illness  Biomedical perspective  Patient’s perspective Assessment and Plan  HOAP, not SOAP Problem List  Biomedical perspective  Patient’s perspective Progress Notes Attending Physician’s Notes on Teaching Services Hospital Discharge Summary
  8. 8.  About Me My Personal Health Goals My Ongoing Health Activities My Ongoing Action Steps My Challenges and Successes
  9. 9.  Appointment scheduling Health history Inquiries Diagnostic test results Patient education materials Integration with an EHR
  10. 10. EHR’sPatientPortals Patient- centric Care

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