Transcript Don Kemper Presentation - Alliance for Health Reform

Don Kemper
Comments on Patient Engagement
March 5, 2010
Alliance for Health Reform
Our health care system is perfectly
designed….
1970
“The greatest untapped resource in health care...
is the consumer.
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Three Rules:
1. Help people do as much for
themselves as they can.
2. Help people ask for the care
they need.
3. Help people say “no” to care
that isn’t “right” for them.
Information Therapy
Prescribing:
• the right information
• to the right person
• at the right time
As part of the process of care
What Is An Ix?
Medication Prescription
(Medical Therapy)
Information Prescription
(Information Therapy)
Information Therapy Changes
the Role Of Patient Information:
From:
Information is “about care”
To:
Information “is care”
Ix = Patient-Specific Education Resources
Demographics
Clinical Setting
Language
Clinical Data
Doctors Have No Time To:
• Search for the information
• Document the information.
• Leave the EHR application.
9
Infobutton Standard
Context-Aware
Knowledge Retrieval Standard
10
InfoButton
HL7 Context-Aware Knowledge Retrieval Standard
PHR
EHR
Knowledge Request
Patient, Problem, Context Data
i
HL7
Infobutton
Manager
Knowledge Response
HL7
Patient
Education
Information
Health Care Reform
Three Patient-Centered Requests
1. Meaningful Use
2. Patient Decision Aids
3. MyMedicare.gov
1. What’s Meaningful to Me?
Do I need this:
• Test?
• Drug?
• Surgery?
Patient-Specific Education Resources
Recommended by Health Policy Committee
CMS:
• “Critical Component of Patient Engagement”
• but.. “ A paucity of knowledge resources—
integrated into EHRs”
There is no paucity:
• The information is there
• The technology is in place
• Its omission will disrupt clinic workflow
Your support is essential to patient engagement
Please also protect: Patient Access to Medical Records
2. Patient Decision Aids
Tools that involve people in decision making by:
• providing information about the options and
outcomes.
• clarifying personal values.
Cochrane Review of Decision Aids
55 Trials/ 23 Treatments
15%  knowledge scores
70%  risk perception
Decision Impact
-24% Surgery
O’Connor et al., Cochrane Library, 2009
Revised Prostate Cancer
Screening Guidelines: What
Has--and Hasn't—Changed
American Cancer Society
3/3/2010
www.cancer.org
www.healthdialog.com
Because of these complex issues, the American Cancer Society
recommends that doctors more heavily involve patients in the decision of
whether to get screened for prostate cancer.
Two Minutes More?
MyMedicare.gov
Create a Virtual Health Home:
• One-stop for Ix information
• With caregiver access options
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