Y khoa, y dược - Chapter 5: Personal health records

Chapter 5Personal Health RecordsElectronic Health Records for Allied Health CareersCover goes here when readyLearning OutcomesAfter studying this chapter, you should be able to:Explain why consumers are being encouraged to take a more active role in their health care.List five tools that personal health records offer that enable individuals to manage their health care.Explain the differences among the four types of personal health records.Explain the major advantage that a networked personal health record has over the other types of personal health records.Describe the three major barriers to the implementation of networked personal health records.Key Termsconsumer-driven health plans (CDHPs)networked personal health recordpatient portalpersonal health record (PHR)tethereduntetheredWhat is a Personal Health RecordA 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.Need for PHRsConsumer ResponsibilityThe Rise of Consumer-Driven Health PlansConsumer Health Information on the Internet5Role of PHRs in Managing HealthView personal health informationSend e-mail messages to providersProvide health care information to selected individualsReceive, review, and graph test resultsSchedule appointments Track compliance with recommended screening guidelinesObtain information about diseases and treatmentsRole of PHRs in Managing HealthRenew prescriptionsAccess self-assessment toolsSet up alerts and reminders regarding appointments, tests, and so onTrack insurance claims, deductibles, and health savings accounts onlineCheck medical records for errorsRecord data from home care devices such as glucose monitorsRecord symptoms, observations, and responses to medications7Types of PHRsComputer-Based Stand-AloneInternet-Based, TetheredInternet-Based, UntetheredInternet-Based, Networked and InteroperableTypes of PHRsComputer-Based Stand-AloneSoftware resides on individual’s computer; individual enters informationAlso called untethered: not connected to any other computer or system; does not exchange any information9Types of PHRsInternet-Based, TetheredInformation stored and maintained on website owned by outside organizationTethered: connected to the health information system of a particular organizationSome physician practices and insurance companies offer a patient portal: website that allows patients to communicate with them and view their EHRTypes of PHRsInternet-Based, UntetheredInformation stored on website owned by application providerUntethered: not connected to any other health information system; all information entered and controlled by individualMany employers providing web-based PHRs to employees; often includes educational materials, self-help tools, etc.Types of PHRsInternet-Based, Networked and InteroperableNetworked personal health records allow the transfer of information between multiple systems (e.g., providers, insurance carriers, pharmacies)12HL7 PHR System Functional ModelPersonal Health FunctionsSupportive FunctionsInformation Infrastructure Functions13Benefits of Networked, Interoperable PHRsAccess to Evidence-Based Health InformationAssessment of RiskEnhanced Communication with ProvidersEmpowerment of PatientsIncreased Patient SafetyImproved Quality of CareImproved Emergency CarePotential Cost SavingsBarriers to ImplementationInteroperabilityConsumer AwarenessPrivacy and Security