Transformative Tools for Consumer- Centric Care. PHR models. Today, there is a spectrum of dominant PHR models . Standalone or free- standing PHRs are often PC- based and require manual data entry to populate and update the record. Expanding The Reach And Impact Of Consumer Ehealth Tools You Can UseStandalone PHRs help consumers organize and store medical data, can be accessed anytime and anywhere, and enable information sharing with providers. The most common free- standing PHRs are either paper- based, personal computer- based, or enabled by an Internet application. Some free- standing PHRs enable consumers to copy data onto convenient, portable storage devices. Some online variations of this model are offered by commercial organizations that derive revenue from sponsor advertising or data mining, while others charge a fee for maintaining information on a secure web page. The content of the free- standing PHR is typically created by and is under the physical control of the patient. Key limiting factors of the free- standing PHR are that manual data entry is typically required to populate and update the record . And, like paper records, non- web- based PHRs (i. PC, mass storage devices) are vulnerable to destruction, theft, and loss. Integrated, interconnected, or networked web- based PHRs can be populated with patient information from a variety of sources, including EHRs, insurance claims, pharmacy data, and home diagnostics and can provide consumers as well as providers with a more complete view of relevant health information. These tools are designed to help you understand the official document better and aid in comparing the online edition to the print edition. These markup elements allow the user to see how the document follows. Editorial Policies Sections Close Sections; Focus and Scope; Section Policies; Peer Review Process; Publication Frequency; Author Self-Archiving; Why you should choose JMIR to publish your research - advantages of the journal. InformationWeek.com: News, analysis and research for business technology professionals, plus peer-to-peer knowledge sharing. Engage with our community. Health Communication Inquiry and Health Promotion: A State of the Art Review. Center for Health and Risk Communication, George Mason University, 4400 University Drive, MS 3D6, Fairfax, VA 22030, USA. This is a tentative agenda. Please use it for initial planning purposes only. There is a short break between each breakout session. During each breakout time slot there will be a minimum of 4 sessions from which to choose. Welcome to our Open Government Plan 3.0. This plan reflects our continuing effort to become more transparent to the American public; invite greater public participation in the policies and decisions of our agency; and foster. 6:57 pm Famous Dave's appoints Michael Lister as CEO succeeding Adam Wright (DAVE): Co announced that Adam J. Wright, Chief Executive Officer, is no longer an employee of the Company, and has resigned from the Board. Expanding the Reach and Impact of Consumer E-Health Tools Wired for Health and Well-Being: The Emergence of Interactive Health Communication Identifying Appropriate Federal Roles in the Development of Electronic Personal. Word ukeha definition for letters. Many traditional board games are now being played online, and many people want the skills necessary to win. Play Buddy offers interactive software which assists players with online game. August 3, 2016 Crossroads: Learning culture, coding programs, how to talk with kids about racism. We are continually amazed by the important work being done in libraries. Not only are you serving your patrons and changing your. The consumer is an important contributor to the interconnected PHR content and is typically allowed to enter information into selected areas of the record. Integrated PHRs provide access for consumers to provider- based records; may eliminate manual re- entry of data; serve as a patient- provider communication channel; may reduce medical errors, eliminate duplication, and improve quality; enhance efficiency and convenience with online transaction tools; and promote a more comprehensive view of health status and health care activity. Some interconnected PHRs are offered in connection with services related to a specific health condition or disease and feature patient data integrated with personalized health advice and guidance . Additional functionality is often available with these systems, including the ability to e- mail medical providers, make follow- up appointments and renew prescriptions. These PHRs are a patient- facing extension of the clinician- controlled EHR, accessed via the Internet . Patient data are under the physical control of the health care provider; however, in some systems, consumers can add to or annotate portions of the record. Another approach receiving increased attention is the creation of PHRs using data derived from a patient's health insurance claims. While seeming to offer information to patients with minimal effort, the known, long- standing inadequacies of billing codes could result in as much confusion and misinformation as help. Further, these records could place significant burden on providers who will be forced to clarify or amend partial or erroneous diagnoses or related information. PHR functionality. Most standalone PHRs provide basic tools that help people collect, organize and store their health information . These include medical history, medical and emergency contacts, outpatient and hospital visits, immunization tracking, insurance records, and health- related alerts and reminders. More advanced PHRs (particularly those with digitally- networked services) offer additional functions. When PHRs allow iterative communication between patients and providers, export data to and import data from other information systems, and transform clinical measurements and observations into meaningful and actionable information, fundamental changes in health care delivery and self- care by patients are possible. In this context, the value proposition of the integrated PHR far surpasses the value of the standalone PHR. Thus, the transformative potential of integrated PHRs is realized through enhanced functionality. The data within an electronic PHR record alone are not sufficient to realize improvements that can be considered transformative. Significant value will be realized only when PHRs incorporate systems, tools, and other resources that leverage the data in the record and enable consumers to play a more active role in their health and health care. Some of these functionalities exist today; other applications are yet to be developed. The major capabilities underlying integrated PHRs' potential as a transformative technology are outlined below. Integrated PHRs improve the accuracy and completeness of health information provided by patients by capturing the data closer to the patient s experience and by capturing data generated by home monitoring. These data can be sent directly to health care providers when appropriate. When authorized, patient- generated data can be used for public health, research, . Integrated PHRs permit both synchronous and asynchronous communication among patients, providers, and informal caregivers and provide tools for interactive decision- making. Knowledge bases, self- care content, consensus guidelines, and best practices for both clinical and self- care can be integrated with PHRs through Internet connectivity. The true value of portable medical records and other personal health information lies in the ability of consumers to access all relevant sources of content from a single interface accessible anywhere, anytime through the Internet. Integrated PHRs hold this potential. Since many consumers will not have the skills, resources, or patience to compile their own health information, auto- population – the automatic insertion of reusable content – will be a key factor for long- term viability of PHRs . Only through integration with other systems can PHRs systematically reuse information from cross- site data transfer among the disparate sources of content. The alternative (manual re- keying and transfer of information) is inefficient and error- prone. Auto- population of reusable content will increase the value of PHRs to consumers and providers by eliminating redundant data entry and ensuring more accurate, comprehensive, and timely content . Asynchronous Internet- based communication tools available in many integrated PHRs will improve patient- provider communication by avoiding . The opportunities include capture of patient self- management information, data capture from home monitoring devices, links to peer support groups, and online coaching . The likely payoff from online communication between providers and patients with chronic conditions will arise in improved treatment monitoring, more efficient use of time, potentially fewer office visits through substitution of online consultation for in- person visits, and improved continuity of care through common access to test results. Ultimately, integrated PHRs should enable comprehensive care that is 'virtually' accessible, continually available, and patient- centered . The American Academy of Pediatrics (AAP) introduced the medical home concept in 1. In its 2. 00. 2 policy statement, the AAP expanded the medical home concept to include these operational characteristics: accessible, continuous, comprehensive, family- centered, coordinated, compassionate, and culturally effective care. The American Academy of Family Physicians (AAFP) and ACP have since developed their own models for improving patient care called the . Further, they should stimulate patient- oriented decision support for managing chronic illnesses in tandem with clinicians. Creative approaches to fostering health education and lifestyle changes can be enabled with interactive, integrated PHR features that are not commonly available online (e. Fourth, integrated PHRs should offer the following opportunities to reduce costs and improve health care delivery. These factors can be organized into the following major areas. Health Care System Culture and Incentives. While the clinician- patient relationship has evolved significantly towards shared decision- making, the degree to which a historic paternalistic model persists may, depending on the patient s aspirations, create a barrier to collaborative care, information sharing, and joint decision making . This is a particular concern when a patient's preferences (e. Provider resistance to PHRs may stem from concerns about new processes and increased responsibilities associated with interacting with patients and using new health information technologies. Delbanco and Sands suggest that, . Typically, patients are judicious in their communications and many, if not most clinician concerns are mitigated if they take the first step and start using such systems. Indeed, there is a reported decrease in 'phone- tag' and the capacity to carry out 'elective batched serial communications' by clinicians at the time of their choosing. For example, some clinicians report satisfaction from being able to leave the office, have dinner with their families, and then catch up on a few remaining patient e- mails from their home later in the evening since they can access the records via secure web portals. Electronic patient- centered communication creates several categories of unfunded work for practitioners. The lack of compensation or other incentives for responding to patient e- mail, working with data from new sources, and facilitating informed/shared decision- making are key components of the problem. However, using standard evaluation and management (E& M) coding criteria, many electronic message threads can fulfill standard office visit reimbursement criteria (e. Although most patients are not litigious, the widespread use of PHRs and other consumer- centric tools raises new potential areas of liability and risk for health care providers, such as the use of incomplete or inaccurate consumer- reported information, online clinician- patient communication, and privacy and security breaches . Information. Week News Connects The Business Technology Community. Archived Information. Week Radio. Join us for a roundup of the top stories on Information. Week. com for the week of October 9, 2. We'll be talking with the Information. Week. com editors and correspondents who brought you the top stories of the week to get the.
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