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Ambulatory Systems
Published in Salvatore Volpe, Health Informatics, 2022
Curtis L. Cole, Adam D. Cheriff, J. Travis Gossey, Sameer Malhotra, Daniel M. Stein
Evidence suggests that engaging with patients to increase health literacy and to conduct shared decision-making can lead to higher patient satisfaction, increased positive behavioral change, and even improved health outcomes.62 Personal health records (PHRs) are seen by many as a key technology to assist with patient engagement. PHRs contain an individual patient’s health information, including medical history, lab test results or imaging studies, medication and problem lists, and so forth. They are accessible via the internet (sometimes referred to as a patient portal) or a smartphone app, and they are controlled and accessed by patients or their proxies. When a PHR is connected to an EHR, it is sometimes referred to as a “tethered” patient portal. The main advantage of a tethered portal is easier communication between patients and providers, whereas non-tethered PHRs offer patients the ability to aggregate data from multiple unaffiliated providers. Adoption of stand-alone (non-tethered) PHRs has not been widespread, though the recent entry of Apple into the market may change that. EHR-connected portals are increasing in use, especially given the critical role they play in the MU incentive programs.63
Better Patient and Population Outcome
Published in Paul Batalden, Tina Foster, Sustainably Improving Health Care, 2022
Eugene C. Nelson, John Butterly, Thomas A. Colacchio, Melanie Mastanduno, Tina Foster, Paul Batalden
The challenge is to make these vital performance measures available both at the point of service and over time for individual patients as well as populations. To achieve this, we must design and implement health information systems that feed forward and feed back core data on changes in health status as well as key indicators of quality and costs. These core data must be drawn from several different sources or data streams, including diagnostic tests from laboratory systems, administrative data from billing and claims systems, clinician reports from health record systems, patient reports from personal health record systems, or patient health assessment portals linked to electronic health records and patient health status surveys. Figure 2.4 provides a diagram that illustrates the use of feedforward and feedback data in the flow of care.
Challenges of Managing Cybersecurity at COVID-19
Published in Kenneth Okereafor, Cybersecurity in the COVID-19 Pandemic, 2021
Loss of confidentiality occurs when information or data is exposed to unauthorized persons, or released prematurely ahead of its time of use or disclosure. Announcing a patient's health condition on social media is unprofessional, unethical, and violates the confidentiality principle. Threats to healthcare data confidentiality during the pandemic included the following: Unauthorized access or knowledge of personal health record.Unauthorized disclosure of sensitive health information.Illegal view of patient's health profile or healthcare identity.Illegal knowledge of patient's medical condition.
Improving Cancer Care Teamwork: Five Patient-Centered Strategies to Strengthen Care Coordination
Published in Oncology Issues, 2022
Elizabeth H. Lazzara, Joseph R. Keebler, Logan M. Gisick, Kimberly N. Williams, Stephanie Zajac, Jillian Gunther
Given the complexity of cancer care and multitude of providers involved, it stands to reason that these benefits could be particularly notable for patients with cancer. Although the benefits of personal health records have been thoroughly modeled26 and their utility supported by government agencies like the Office of the National Coordinator for Health Information Technology,27 many barriers hinder widespread adoption (e.g., technological issues related to interoperability of systems, patient factors affecting use28,29). Several studies cite provider- or organization-initiated education and emphasize the increasing usage of personal health records.25,29,30 Personal health records that are available for use will vary over time and across providers, but providers should educate patients with cancer about personal health records and, where possible, educate patients and caregivers on specific systems that may be available. Patients or caregivers should bring a copy of their personal health record to all appointments irrespective of clinical specialty. For providers, confirming the accuracy of these records and assisting patients in revision of their personal health record when necessary is critical.
Artificial Intelligence in Health Care: The Challenge of Effective Regulation
Published in Journal of Legal Medicine, 2022
One particularly helpful feature to address privacy is a secure login, ensuring that the information can only be shared with the consent of the individual, except in the case of a medical emergency where such consent may not be possible. For example, in the future Australians may have the ability to control access to their personal health records through the use of a password.7 Such factors are still in discussion as the electronic My Health Record system is being rolled out in Australia. Ninety-one percent of public hospitals across Australia are using the system, and more private hospitals and private medical clinics are beginning to use it. At the present time, Australians can opt into or opt out of having their medical records on this electronic system. Privacy safeguards are important to the community, and many have chosen to opt out until strict privacy can be assured. The use of passwords, the provision of specific identity information such as a Medicare number in order to access medical information, and the restriction of access only to registered health care professionals are all components of legislation and governance.8
Internet Of Things and women’s health
Published in Climacteric, 2020
Wearable technologies replenish consumer self-awareness, and advance ‘actionable’ dialogues with care providers, family and friends. Currently wearable technologies have become more clinically focused – for chronic disease monitoring and for data integration with health-care systems. Wearable devices offer richer, actionable data that extend beyond body diagnostics since various aspects of a patient's health are measured in real time. The advancement of mobile and Cloud platforms will allow increased mobile device integration with the electronic health records, personal health records, office systems and patient portals. This integration between wearable devices and an improved expanded and secure Cloud will provide a common platform to store and retrieve information, to interlace devices and systems and to improve diagnostic accuracy and patient engagement1. Midlife women wish to participate more in their health issues. Research has found that they find wearable devices comfortable, convenient, affordable and effective. The customer segments of wearable devices are widening, including women with chronic illness, care-providers and aging seniors. New business models will be adopted where clinical approaches incorporating wearable solutions will engage the patients. The objective is shared accountability, earlier intervention, and better health outcomes.