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PatientSite: Experiences with Shared Health Records

PatientSite: Experiences with Shared Health Records. PatientSite Project. Goals: Patient involvement Patient access to information Secure communication 2 person-years 50% planning and infrastructure 50% programming US$ $250,000 to pilot go-live April 2000. Mail : Secure

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PatientSite: Experiences with Shared Health Records

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  1. PatientSite: Experiences with Shared Health Records

  2. PatientSite Project Goals: Patient involvement Patient access to information Secure communication 2 person-years 50% planning and infrastructure 50% programming US$ $250,000 to pilot go-live April 2000

  3. Mail: • Secure • Automated routing • Task assignment Services: • Prescription refills • Appointment requests • Referrals • View bill Records: • Secure • Visit history • Meds/Problems/Results • Personal records Education: • Info prescriptions • Patient selected links • Predefined collections • Videos

  4. Security • Secure Communication • Encrypted connections • Secure Messaging • Audited (Audit trail available to patient)

  5. Compose a Clinical Message

  6. Provider Screen

  7. Service Requests

  8. Patient Access to Record What should they see? When should they see it? Who else should have access? How should we present it?

  9. Personal Health Record Patient-entered and maintained Data types: Text Numeric data Documents and other objects

  10. Educational Partners PreOp – Patient Education PostCare – Recovery Series UpToDate – Provider Edition UpToDate – Patient Edition Medical Dictionary Multum – medication information database Lab Test Online

  11. 19,200 Patients • 168 Attendings (+ 17 NP’s) • 320 Office Staff

  12. Messaging Volume Clinical messages: 27.8* Prescription renewals: 3.1* Referrals: 2.1* Appointment requests: 2.6* *monthly volume per 100 patients

  13. Patients Wide diversity 57% female Median age ~43 4% over 70 years old

  14. Patient Drivers Secure Messaging with Provider Access to Medical Records Convenience Request Appointments Medication Refills Referrals to Specialists Review Bills Online Education Disease specific content by experts at CareGroup Links to medication information Personalized drug interaction information

  15. Summary Rapid Growth Enthusiastic Use by Patients Strong Provider Acceptance Patients have not abused direct access to providers Significant evidence confirms value to patients, providers and institutions

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