Transcript What is a Personal Health Record A personal health record

Cover goes here when ready
Electronic Health
Records for Allied
Health Careers
Chapter 5
Personal Health
Records
McGraw-Hill
Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved.
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Learning Outcomes
After studying this chapter, you should be able to:
1. Explain why consumers are being encouraged to take a more active
role in their health care.
2. List five tools that personal health records offer that enable individuals
to manage their health care.
3. Explain the differences among the four types of personal health
records.
4. Explain the major advantage that a networked personal health record
has over the other types of personal health records.
5. Describe the three major barriers to the implementation of networked
personal health records.
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Key Terms
• consumer-driven health
plans (CDHPs)
• networked personal health
record
• patient portal
• personal health record
(PHR)
• tethered
• untethered
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What is a Personal Health Record
• A personal health record (PHR) is a
comprehensive electronic version of a
person’s lifelong health. It is collected and
maintained by the patient who may or may not
share it with providers.
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Need for PHRs
• Consumer Responsibility
• The Rise of Consumer-Driven Health Plans
• Consumer Health Information on the Internet
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Role of PHRs in Managing Health
• View personal health information
• Send e-mail messages to providers
• Provide health care information to selected
individuals
• Receive, review, and graph test results
• Schedule appointments
• Track compliance with recommended screening
guidelines
• Obtain information about diseases and treatments
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Role of PHRs in Managing Health
• Renew prescriptions
• Access self-assessment tools
• Set up alerts and reminders regarding
appointments, tests, and so on
• Track insurance claims, deductibles, and health
savings accounts online
• Check medical records for errors
• Record data from home care devices such as
glucose monitors
• Record symptoms, observations, and responses
to medications
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Types of PHRs
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Computer-Based Stand-Alone
Internet-Based, Tethered
Internet-Based, Untethered
Internet-Based, Networked and Interoperable
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Types of PHRs
• Computer-Based Stand-Alone
– Software resides on individual’s computer; individual
enters information
– Also called untethered: not connected to any other
computer or system; does not exchange any
information
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Types of PHRs
• Internet-Based, Tethered
– Information stored and maintained on website owned by
outside organization
– Tethered: connected to the health information system
of a particular organization
– Some physician practices and insurance companies
offer a patient portal: website that allows patients to
communicate with them and view their EHR
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Types of PHRs
• Internet-Based, Untethered
– Information stored on website owned by application
provider
– Untethered: not connected to any other health
information system; all information entered and
controlled by individual
– Many employers providing web-based PHRs to
employees; often includes educational materials,
self-help tools, etc.
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Types of PHRs
• Internet-Based, Networked and Interoperable
– Networked personal health records allow the transfer
of information between multiple systems (e.g.,
providers, insurance carriers, pharmacies)
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HL7 PHR System Functional Model
• Personal Health Functions
• Supportive Functions
• Information Infrastructure Functions
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Benefits of Networked, Interoperable PHRs
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Access to Evidence-Based Health Information
Assessment of Risk
Enhanced Communication with Providers
Empowerment of Patients
Increased Patient Safety
Improved Quality of Care
Improved Emergency Care
Potential Cost Savings
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Barriers to Implementation
• Interoperability
• Consumer Awareness
• Privacy and Security