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Chapter 5

Electronic Health Records for Allied Health Careers. Cover goes here when ready. Chapter 5. Personal Health Records. Learning Outcomes. 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.

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Chapter 5

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  1. Electronic Health Records for Allied Health Careers Cover goes here when ready Chapter 5 Personal Health Records

  2. Learning Outcomes 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. • 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.

  3. consumer-driven health plans (CDHPs) networked personal health record patient portal personal health record (PHR) tethered untethered Key Terms

  4. 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.

  5. Need for PHRs • Consumer Responsibility • The Rise of Consumer-Driven Health Plans • Consumer Health Information on the Internet

  6. 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

  7. 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

  8. Types of PHRs • Computer-Based Stand-Alone • Internet-Based, Tethered • Internet-Based, Untethered • Internet-Based, Networked and Interoperable

  9. 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

  10. 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

  11. 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.

  12. 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)

  13. HL7 PHR System Functional Model • Personal Health Functions • Supportive Functions • Information Infrastructure Functions

  14. 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

  15. Barriers to Implementation • Interoperability • Consumer Awareness • Privacy and Security

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