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HM311 Ab103417 ch10
1.
© 2019 AHIMA ahima.orgahima.org Introduction
to Information Systems for Health Information Technology Chapter 10: Consumer Informatics © 2020 American Health Information Management Association
2.
© 2019 AHIMA ahima.org
2 Learning Objectives Explain consumer informatics Differentiate between the patient portal and a personal health record Explain impact of health literacy on patients
3.
© 2019 AHIMA ahima.org
3 Introduction Patients use technology for their health • Keep in touch with their healthcare providers • Access health information
4.
© 2019 AHIMA ahima.org
4 Health Literacy “The degree to which individuals have the capacity to obtain, process, and understand basic health information and services needed to make appropriate health decisions” (Selden et al.)
5.
© 2019 AHIMA ahima.org
5 Health Literacy—National Action Plan, 1 Access Improve health information and communication Incorporate health information in schools Support adult education programs
6.
© 2019 AHIMA ahima.org
6 Health Literacy—National Action Plan, 2 Conduct research Use evidence-based practices Goals
7.
© 2019 AHIMA ahima.org
7 Health Literacy—Includes, 1 Prescriptions Discharge instructions Consent forms Appointment scheduling
8.
© 2019 AHIMA ahima.org
8 Health Literacy—Includes, 2 Requests for information Navigating healthcare Ability to understand
9.
© 2019 AHIMA ahima.org
9 Health Literacy—Contributing Factors, 1 Communication skills Knowledge of healthcare Culture Demands on healthcare facility Age greater than 65
10.
© 2019 AHIMA ahima.org
10 Health Literacy—Contributing Factors, 2 Nonwhite ethnicity Recent immigrant Poverty level or below English as second language
11.
© 2019 AHIMA ahima.org
11 Health Literacy Resources Resources • Magazines and other news sources • Marketing • Family/friends • Websites • Commercials Varying degrees of quality
12.
© 2019 AHIMA ahima.org
12 Health Literacy Issues Jargon Ensuring understanding
13.
© 2019 AHIMA ahima.org
13 Health Literacy Tools Using pictures Teach Back communication Ask Me 3 initiative
14.
© 2019 AHIMA ahima.org
14 Consumer Health Applications, 1 Healthcare technology used by patients or providers on smart phones, tablets, or other computers • Used to • Access health information • Encourage healthy lifestyle • Track (calories, steps, and more) • Manage conditions • Access PHR
15.
© 2019 AHIMA ahima.org
15 Consumer Health Applications, 2 Healthcare provider uses: • Access patient information • Communication • Monitor patients • Telemedicine (Athenahealth 2017)
16.
© 2019 AHIMA ahima.org
16 Telehealth, 1 Technology used for remote patient care/monitoring • Video conferencing • Internet • Store-and-forward imaging • Streaming media • Communications
17.
© 2019 AHIMA ahima.org
17 Telehealth versus Telemedicine Telemedicine • Subset of telehealth • Focus is patient care Telehealth • Broader term • Includes administrative purposes and education
18.
© 2019 AHIMA ahima.org
18 Telehealth—Benefits of e-Visits, 1 Improved access to care Flexibility in care provided Quality of care Improved efficiency Decrease in costs
19.
© 2019 AHIMA ahima.org
19 Telehealth—Benefits of e-Visits, 2 Reduced travel Monitoring Reduced hospitalization Reduced time away from work Patient reporting results to physician
20.
© 2019 AHIMA ahima.org
20 Telehealth, 2 Disadvantages • Lack of provider funds • No face-to-face interaction • Issues with patient’s technology • Reimbursement
21.
© 2019 AHIMA ahima.org
21 Consumer Informatics Applications, 1 Consumer engagement: “A diverse set of activities that can include interacting with healthcare providers, seeking health information, maintaining a PHR, and playing an active role in making decisions in regard to personal healthcare” (Aschettino et al. 2016).
22.
© 2019 AHIMA ahima.org
22 Consumer Informatics Applications, 2 Consumer engagement • Benefits • Reduced costs • Increased communications • Improved patient satisfaction • Population health Blue Button campaign Population health
23.
© 2019 AHIMA ahima.org
23 Patient Portals Patient portal is an information system established and maintained by the healthcare facility that allows patients to: • Obtain health information • Schedule/register for appointments • Email • Access forms • Update demographics • Request prescription refill
24.
© 2019 AHIMA ahima.org
24 Patient Portals—Benefits Improve communications Provide health information Provide resources Encourage patient engagement Improve efficiency of healthcare staff
25.
© 2019 AHIMA ahima.org
25 Patient Portals—Types Standalone System integrated
26.
© 2019 AHIMA ahima.org
26 Personal Health Record, 1 Electronic or paper health record maintained and updated by an individual for him- or herself A tool that individuals can use to collect, track, and share past and current information about their health or the health of someone in their care Controlled by patient Shared data record
27.
© 2019 AHIMA ahima.org
27 Personal Health Record, 2 Includes • Patient demographics • Emergency contact • Physician contact information • Insurance information • Advanced directives • Organ donation information • Significant illnesses and surgical procedures
28.
© 2019 AHIMA ahima.org
28 Consumer Informatics Applications – Personal Health Record Includes Current medications and dosages Immunizations and their dates Allergies Family history Key test results
29.
© 2019 AHIMA ahima.org
29 Personal Health Record Formats Paper Personal computer Internet Portable devices
30.
© 2019 AHIMA ahima.org
30 Social Media, 1 Online communication tools Used by healthcare to: • Advertise • Promote wellness • Provide health education • Manage support forums • Communication
31.
© 2019 AHIMA ahima.org
31 Social Media—Benefits Community for patients with chronic diseases Patients are better informed Search for clinical trials Builds awareness of conditions
32.
© 2019 AHIMA ahima.org
32 Social Media, 2 E-patients Cannot share patient information Policies and procedures required
33.
© 2019 AHIMA ahima.org
33 References Athenahealth. 2017. What is mobile health technology? https://www.athenahealth.com/knowledge-hub /mobile-health-technology/what- is-mobile-health-technology Aschettino, L., K. M. Baldwin, L. Bouma, B. Burton, D. Collier, M. Davis, M. Dolan, K. Fahy, C. Gardner, E. Gorton, L. Grebner, M. Hennings, L. Kadlec, A. Kirby, N. LaFianzo, M. Nelson., P. Reinger, and A.R. Smith. 2016a. Consumer Engagement Toolkit. http://bok.ahima.org/PdfView?oid=301404. Selden, C.R., M. Zorn, S. Ratzan, and R. M. Parker. 2000. Health Literacy. https://www.researchgate .net/publication/230877250_National_Library_of_Medicine_Current_Bibliographi es_in_Medicine _Health_Literacy.
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