Archive | Patient Engagement

Big Things in Patient Engagement: Context and Transparency

It was apparent that health IT is really moving toward accountable, value-based care, which ultimately has its success rooted in better decisions by patients, physicians and caregivers. The interoperability must ultimately lead to delivering more transparent cost and quality data in context. To make effective decisions, and to effectively engage, we must understand all the factors influencing a person at a given time, we must understand contexts, and get key information placed into that context. That’s how we can put mHealth, interoperability and patient engagement into a framework that drives patient engagement.

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Social Conquest of Medicine III: 10 Recommendations

The benefits of sharing this data are just too great to be ignored on both a personal and population level, and people now approve of sharing medical data to improve care by an overwhelming majority.We have a unique opportunity to drive the Social Conquest of Medicine, to work together to solve big problems–the key will be to find the right middle line between transparency and privacy. Based on exploring the 23andMe case, here’s what author Leonard Kish thinks we can do.

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Opening Up About Medical Records: OpenNotes Gives Patients Access to Provider Notes

Who has the right to read a patient’s chart? What sort of discussion should take place around physicians’ notes? Will patients be upset with what is written in the chart? How will physicians handle it if they are questioned by patients? Is there a culture of retribution against patients who ask questions?

Many of these questions were addressed in The OpenNotes project. The study, which began in 2010 and involved more than 100 primary care doctors from three U.S. medical institutions, explored how sharing physicians’ notes may affect health care… the results were staggering.

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Should Physicians or Patients be Responsible for Health History Accuracy?

Jennifer Thew, RN, provides a personal story about medical errors that illustrates the need for better patient involvement in their care, which begins with ownership of patient data. The future possibility of patient-generated health data being incorporated into the patient’s actual medical record, per meaningful use proposals, poses many difficult questions such as, ‘Who needs to accept responsibility here?’ A great post that needs your comments.

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PGHD

Patient Generated Health Data: With Great Power Comes Great Responsibility

Will giving patients the privilege to capture and record their own health data, and have it incorporated into the EMR, be the first step to a future where patients are responsible (and held accountable through the documentation) for carrying out and documenting their physician’s orders? Will patients be penalized for failing their responsibility?

These questions, and more, will arise as we enter Meaningful Use Stage 3, which contains a provision allowing just that — the ability of the patient to input their data into their medical record. Let’s discuss this game-changing topic.

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karen_desalvo

Health IT in 2013: A Year in Review

Brian Ahier takes a look back on 2013 and the significant developments in health IT. According to Brian, we made some great progress in 2013 on EHR adoption, which is really all about data capture and the digitization of health data. Technologically speaking, we are finally beginning to drag the healthcare industry kicking and screaming into the 21st Century. And we’re making strides in interoperability, or data sharing. HIE infrastructure is in place and the policy framework will continue to drive adoption – the business case for sharing data is even more pressing as new payment and care delivery models continue to spring up.

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