Transcript EMR Chapter 8

Chapter 8
The Personal Health Record
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
Lesson 8.1
The Personal Health Record
1.
2.
3.
Define and explain the purpose of keeping a
personal health record (PHR).
Describe the three ways of storing PHR data,
and outline the advantages and drawbacks of
each.
Describe how a PHR can be synchronized with
medical devices, such as blood pressure cuffs,
blood glucose meters for patients with diabetes,
and peak flow meters for patients with asthma.
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
2
Lesson 8.1
The Personal Health Record
4.
5.
6.
7.
8.
Discuss the need for interoperability between
PHR systems, electronic health records (EHRs)
systems, and related systems.
Explain how direct-to-consumer laboratory
services can help protect a patient's privacy.
Discuss the benefits for consumers and for
providers of creating a PHR.
Identify steps in setting up a PHR.
Identify steps in maintaining the PHR.
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
3
What Is a Personal Health Record?
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Comprehensive, electronic or paper-based
record of health information controlled by the
individual, through which he or she can
access, manage, and share confidential
health information
A means of keeping health information
current, safe, and in a single location
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
4
Personal Health Record
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Improves continuity of care
Helps the patient save time and money by
keeping various specialists from ordering
duplicate tests and procedures
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
5
The Personal Health Record vs. the
Medical Record
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Both are a means of keeping health
information up to date
Both offer some protection against loss of or
damage to records that are stored elsewhere
Both aggregate data from doctors, hospitals,
and allied health professionals into a single
record
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
6
What Information Is Stored in a
Personal Health Record?
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Patient demographics
Past medical, family, and social history
ICE (in case of emergency) contact
information
Allergies
Current medications
Previous hospitalizations
Doctor visits
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
7
Types of Personal Health Records
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Paper-based personal health record
Personal health record software
Online personal health record
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
8
Paper-Based Personal Health
Record
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This method is inexpensive, easy to maintain,
and secure
Organized into three-ring binders so that
documents can easily be added or removed
Tabbed dividers can be used to organize and
identify documents
Difficult to share information
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
9
Personal Health Records Software
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Health information in
electronic form
Not online; a standalone
software product
Allows the individual to
create and save health
information to a desktop or
laptop computer
Files can also be made
portable by saving them to
a USB drive
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
10
Online Personal Health Record
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Accessible from any computer in the world
that has an Internet connection
Many Web sites have free PHR systems
Sites with advanced services and security
charge a subscription fee
Gives the patient easy access to a database
of health information
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
11
Innovative Features of Personal
Health Records
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Synchronization with medical devices
ICE notification
Drug alerts
Limited interoperability
Direct-to-consumer laboratory services
Telephone consults
Satellite and MP3 technology
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
12
Benefits to Individuals, Patients, and
Caregivers
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PHRs offer the opportunity to do the
following:
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Take an active role in a loved one’s healthcare
Plan and coordinate care
Learn about diseases and conditions
Build friendships with and derive support from
others who have the same condition
Avoid duplicate tests and procedures
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
13
Benefits to Providers
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PHRs improve patients’ compliance with
instructions and medication regimens
Improve patients’ recall of health-related
events
Give clinicians an alternative means of
communicating with patients if secure email
can be exchanged through the PHR
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
14
Steps in Creating the Personal
Health Record
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Decide which type of information to store in
the PHR and explore the methods of storing it
Request copies of medical records from
doctors’ offices by signing records release
forms, and be prepared to pay a fee for them
Begin collecting and organizing the health
information
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
15
Maintaining the Personal Health
Record
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Each time the patient is seen by a healthcare
provider, the patient may need to sign a
specific authorization for the medical office to
release his or her records
Information entered should always be
accompanied by a date
Many PHRs provide templates in which such
information can be logged and easily
retrieved
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
16
Questions?
Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved.
17