Copyright © 2009 by The McGraw-Hill Companies, Inc. All Rights Reserved. McGraw-Hill Chapter 5 Personal Health Records Electronic Health Records for Allied Health Careers Cover goes here when ready

5-2 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.

5-3 Key Terms consumer-driven health plans (CDHPs) networked personal health record patient portal personal health record (PHR) tethered untethered

5-4 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.

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

5-6 Role of PHRs in Managing Health View personal health information Send 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

5-7 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

5-8 Types of PHRs Computer-Based Stand-Alone Internet-Based, Tethered Internet-Based, Untethered Internet-Based, Networked and Interoperable

5-9 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

5-10 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

5-11 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.

5-12 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)

5-13 HL7 PHR System Functional Model Personal Health Functions Supportive Functions Information Infrastructure Functions

5-14 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

5-15 Barriers to Implementation Interoperability Consumer Awareness Privacy and Security