Lecture Electronic health records for allied health careers: Chapter 5 - Susan Sanderson

Chapter 5 - Personal health records. After 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,...

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Chapter 5

Personal Health

Records

Records for Allied Health Careers

Learning Outcomes

After studying this chapter, you should be able to:

1 Explain why consumers are being encouraged to take a more active role in their health care.

2 List five tools that personal health records offer that enable individuals

to manage their health care.

3 Explain the differences among the four types of personal health

records.

4 Explain the major advantage that a networked personal health record has over the other types of personal health records.

5 Describe the three major barriers to the implementation of networked personal health records.

Key Terms

• consumer-driven health

plans (CDHPs)

• networked personal health

record

• patient portal

• personal health record

(PHR)

• tethered

• untethered

What is a Personal Health Record

• A 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 PHRs

• Consumer Responsibility

• The Rise of Consumer-Driven Health Plans

• Consumer Health Information on the Internet

Role of PHRs in Managing Health

• View personal health information

• Send e-mail messages to providers

• Provide health care information to selected

individuals

• Receive, review, and graph test results

• Schedule appointments

• Track compliance with recommended screening

guidelines

• Obtain information about diseases and treatments

Role of PHRs in Managing Health

• Renew prescriptions

• Access self-assessment tools

• Set up alerts and reminders regarding

appointments, tests, and so on

• Track insurance claims, deductibles, and health

savings accounts online

• Check medical records for errors

• Record data from home care devices such as

glucose monitors

• Record symptoms, observations, and responses

to medications

Types of PHRs

• Computer-Based Stand-Alone

• Internet-Based, Tethered

• Internet-Based, Untethered

• Internet-Based, Networked and Interoperable

Types of PHRs

• Computer-Based Stand-Alone

– Software resides on individual’s computer; individual

enters information

– Also called untethered: not connected to any other

computer or system; does not exchange any

information

Types of PHRs

• Internet-Based, Tethered

– Information stored and maintained on website owned by outside organization

– Tethered: connected to the health information system

of a particular organization

– Some physician practices and insurance companies

offer a patient portal: website that allows patients to

communicate with them and view their EHR

Types of PHRs

• Internet-Based, Untethered

– Information stored on website owned by application

provider

– Untethered: not connected to any other health

information system; all information entered and

controlled by individual

– Many employers providing web-based PHRs to

employees; often includes educational materials,

self-help tools, etc.

Types of PHRs

• Internet-Based, Networked and Interoperable

– Networked personal health records allow the transfer

of information between multiple systems (e.g.,

providers, insurance carriers, pharmacies)

HL7 PHR System Functional Model

• Personal Health Functions

• Supportive Functions

• Information Infrastructure Functions

Benefits of Networked, Interoperable PHRs

• Access to Evidence-Based Health Information

• Assessment of Risk

• Enhanced Communication with Providers

• Empowerment of Patients

• Increased Patient Safety

• Improved Quality of Care

• Improved Emergency Care

• Potential Cost Savings

Barriers to Implementation

• Interoperability

• Consumer Awareness

• Privacy and Security