Nrip Nihalani speaking at the 2nd Annual Wireless Healthcare Asia Summit 2012 in Singapore - Providing Patients with Access to their Personal Medical Records On-The-Go
2. introduction
⢠Paper-based records are the most common
method of recording patient information
⢠In an Integrated Healthcare Delivery system,
Electronic Record Systems are required so
that Patient Medical Data can be âused
effectivelyâ
â Accessibility and Immediate retrieval
â Easy sharing
â Intelligence
â Automating Alerts and Reminders
3. eRecords for Patients
â A Personal Health Record, or PHR, is a system where
health data and information related to the care of a
patient is maintained by the patient
â A Patient Portal provides patients with controlled
access to a Hospital EHR
â Some Patient Portals also have the PHR feature⌠and
vice versa some PHRâs also link to provider EMRâs
4. How have they fared?
⢠ď Electronic Patient Records have been a hot
topic for the past decade
⢠ď The ideology behind them is sound
⢠ď Some nations have implemented policies to
ensure Digitization of Records
⢠ď WE ARE STILL TALKING ABOUT
IMPLEMENTING THEM ?
⢠ď Long way off from being proved useful
5. Whatâs the Problem? (OPPORTUNITY)
⢠Solutions not matching the ideology
⢠Employer driven PHR != Provider driven PHR
⢠PHR considered separate from Patient Records
⢠Poor Usability of Existing Systems
⢠People are not using them enough
⢠No Universally Accepted Standards for PHRâs
6. Some Survey Results
⢠58 % of Adults without a PHR would be
interested in using one, âIF THE PHR WAS
OFFERED BY THEIR HOSPITAL OR MEDICAL
PRACTICEâ
⢠57 % of Adults want to access an Online PHR
connected to their Doctors Office
⢠Patients Feel that a Provider knows best about
what features in a PHR help in care.
7. Patient Surveys: PHRâs Need to Provide
⢠Test Results
⢠Prescriptions
⢠Wellness + Illness Data linked with EHRs
⢠Proxy Access to Other Medical Records
â Family Data
⢠Online Bill Payment
⢠Messaging Features
⢠Summarized Reports
⢠Personalized Medical Info and Patient Education
⢠Support for eVisits
8. How can PHRâs Work?
⢠Hospitals Offer PHRs using Integrated IT
Paradigms using a wide variety of popular
technologies
⢠Drive Patient Engagement
â Collaborate with Other Stakeholders
â Use Information Therapy
⢠Share Decision Making
9. Use everything at your disposal
⢠When Technology has advanced ď Why avoid
using it
⢠Different Technologies have different purposes
⢠Web Opens Doors for Distributing Content
⢠Mobile takes content to the horseâs mouth
⢠âRecord Data is also Contentâ
⢠And then there is more useful content to
provide with Record Data
10. Integrate T for Integrated H
Integrated Technology Paradigm for an
Integrated Healthcare System
11. Integrate T for Integrated H
⢠Healthcare ď Stakeholders
â Patients
â Hospitals/Providers
â Physicians
â Insurers and Pharma cos
⢠Integrated Technology Offerings
â Provide EHR Data in PHRâs
â Ensure Mobile Interfaces and Alerting
â Personal Monitoring Data in PHRâs
â Tablet Friendly Simple User Interfaces
â Preventive Questionnaires' in PHRâs
12. How does one Drive Engagement?
⢠Information Therapy
⢠Provide Simple Interactive Mobile Tools
⢠Collaboration with other Providers
⢠Educational Workshops and Webinars
⢠Offer HealthCards
⢠Use the Green Initiative
⢠Preventive Care
14. What are Patients Doing?
⢠A lot of people are going online, using Google,
they are trying to self-diagnose and coming to
their physician and asking about various
things.
⢠They are tweeting and facebooking ⌠Health
social networking is essentially patient run
and driven.
⢠They are creating Google groups and
discussing on Forums about their symptoms
15. Use this to push engagement
⢠Online healthcare interaction can mature
⢠Doctors must provide quality medical information
on their websites linked from PHRâs
⢠And also meaningfully respond to queries inside
PHR messaging Systems linking patients to
Information and Patient Education AVâs
⢠Patients will be only too happy to logon to their
PHRâs instead of Dr Google if they had a chance
⢠Patients Going online is then a 2 way street
⢠They will go online to find meaningful
engagement instead of only meaningful
information
20. Educating The Patient
⢠Physicians need to talk up the PHR during the
visit as a great way to interact with the
Practice/Hospitals
⢠Hospitals need to educate patients on the
time saving benefits such as
â Ability to receive timely healthcare information
â Schedule their own visits
⢠FAQâs and Videos of Using the PHR must be
made easily available
21. Collaborate to Engage better
⢠Multiple Hospitals Educate Patients
⢠Physicians form Focus Groups with patients
⢠Hospitals allow PHRâs from collaborating
hospitals to access EHR Data for Patient
Hospitals Physicians Staff
22. Why Collaborate
⢠Every Hospital wants to see better
engagement
⢠Together one can educate Patients better
⢠Moreover, If they collaborate on PHRâs, by
sharing EMR data, patients get more value.
⢠Also this drives down the cost of Technology
⢠And Step towards a common standard
⢠Hence Offers More meaningful engagement
23. Preventive Health Data Helps Engage
⢠Improves Activation & willingness of the
patient to take on the role of managing their
health
⢠Real Time Reports after filling in short simple
questionnaires keep patients engaged
⢠Game based Preventive Tools drive
engagement further
24. Shared Decision Making
⢠Addresses the ethical need to fully inform
patients about the risks and benefits of
treatments
⢠Patients are willing to participate
25. Best Practices from Early Adopters
⢠Be Open to It
⢠Communicate Possibilities Early
⢠Provide Diagnostic Tools
⢠Patient Driven Blogs
⢠Create Patient Groups
⢠Patient Education AVâs
⢠Informed Consent
26. Summarizing : Make PHRâs Work
⢠Hospitals Offer PHRs using Integrated IT
Paradigms using a wide variety of popular
technologies
⢠Drive Patient Engagement
â Collaborate with Other Stakeholders
â Use Information Therapy
⢠Share Decision Making
This is what PHRâs must provide for them to be used
PHRs need to work so that medical records can be provided on the go
Collaboration and focus can ensure that true engagement can be realized to a level where patients can drive it themselves
Using a smartphone application as an additional delivery method to a website-delivered physical activity intervention may assist in maintaining participant engagement and behavior change.A wide range of apps aimed at boosting preventive health care measures, including calorie counters, pedometers and monitoring tools for diabetics, are readily available for download onto mobile devices.
PHRs need to work so that medical records can be provided on the go