Health Information Technology for Economic and Clinical Health Act
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ion • Transfer of data in paper chart to structured data elements in the electronic chart Abstraction (keys to success)ion (keys to success) • Focus on high value data to make chart effective • Current medications and allergies • Problem list, medical ,and surgical history • Immunizations Abstraction (keys to success) • Coordinate the necessary resources • Physicians • Staff • Outside resources • Plan for which patient charts will be abstracted and when. Allergy (Structured Data) Medication List Best Practice Alert Generate lists of patients by condition to use for quality improvement Generate lists of patients by condition to use for quality improvement • Find Patients • Between 8/28/10 (M-3) and 11/28/10 (T) • Patient Base – My Patients • Problem List Diabetes type II, controlled (250.00) Diabetes type II, uncontrolled (250.02) EMR Generates Patient List Name DOB Gender BP HbA1c LDL Patient # 1 DOB Gender 130/80 6.2 105 Patient # 2 DOB Gender 138/86 7.1 78 Patient # 3 DOB Gender 160/92 9.2 142 Electronic Patient Portal (E-Health, Web 2.0) Features of Electronic Patient Portals • View key components of the record • Interact with Medical Staff • Test results • Proxy access to family member records • Access patient educational materials View Key Components of the Chart • Active problem list • Medical and surgical history • Medications • Allergies • Immunizations • Test results • NO ACCESS TO PHYSICIAN NOTES Interact with Medical Staff Online • Medical advice • Prescription refills • Appointment requests Electronic Patient Portal (E-Health, Web 2.0) Patient/physician online communication: many patients want it, would pay for it, and it would influence their choice of doctors and health plans. Health Care News 2002 Apr 10 [cited 2010, August 5th] at www.harris interactive.com • Harris Interactive Poll (2002) • Over 66% of US adults are online • 90% of these adults would like to communicate with their physicians online • >70% would like to Ask medical questions Fix appointments Receive test results • Harris Interactive 2010 • 8% have the ability to: Email to communicate with your doctor Schedule an appointment via the internet Receive test results online Harris Interactive, Health Day ‐ from June 8‐10 among 2,035 U.S. adults. Electronic Patient Portal (E-Health, Web 2.0) Stats on Message Volume and Content • Physicians received 2 – 12 messages per day • Average response time was 3.5 minutes • 63% required clinical assessment & decision Improved Quality at Kaiser Permanente through E‐Mail Between Physicians and Patients, Health Affairs July 2010 Summary • EMRs enable improvements in health care by storing data in a structured fashion • Physician, staff, and patient remain key to the successful deployment and usage of this powerful tool