Transcript PatientSite: Experiences with Shared Health Records

PatientSite:
Experiences with Shared
Health Records
PatientSite Project
• Goals:
– Patient involvement
– Patient access to information
– Secure communication
• 2 person-years
– 50% planning and infrastructure
– 50% programming
• US$ $250,000 to pilot go-live April 2000
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Mail:
Secure
Automated routing
Task assignment
Services:
Prescription refills
Appointment requests
Referrals
View bill
Records:
Secure
Visit history
Meds/Problems/Results
Personal records
Education:
Info prescriptions
Patient selected links
Predefined collections
Videos
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Security
Secure Communication
Encrypted connections
Secure Messaging
Audited (Audit trail available to patient)
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Compose a Clinical Message
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Provider Screen
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Service Requests
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Patient Access to Record
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What should they see?
When should they see it?
Who else should have access?
How should we present it?
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Personal Health Record
• Patient-entered and maintained
• Data types:
– Text
– Numeric data
– Documents and other objects
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Educational Partners
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PreOp – Patient Education
PostCare – Recovery Series
UpToDate – Provider Edition
UpToDate – Patient Edition
Medical Dictionary
Multum – medication information database
Lab Test Online
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–19,200 Patients
–168 Attendings (+ 17 NP’s)
–320 Office Staff
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Messaging Volume
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Clinical messages: 27.8*
Prescription renewals: 3.1*
Referrals: 2.1*
Appointment requests: 2.6*
*monthly volume per 100 patients
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Patients
• Wide diversity
• 57% female
• Median age ~43
– 4% over 70 years old
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Patient Drivers
• Secure Messaging with Provider
• Access to Medical Records
• Convenience
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Request Appointments
Medication Refills
Referrals to Specialists
Review Bills Online
• Education
– Disease specific content by experts at CareGroup
– Links to medication information
– Personalized drug interaction information
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Summary
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Rapid Growth
Enthusiastic Use by Patients
Strong Provider Acceptance
Patients have not abused direct access to providers
Significant evidence confirms value to patients,
providers and institutions
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