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Second part of the IHIM PHR presentation. This portion was done by Dan Weikart from Incremental Tech.
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IHS Plans for PHR
Agenda• Lessons Learned from outside IHS
– PHRs and Organizational Change– Successful and Unsuccessful PHRs
• IHS PHR project overview• Sample IHS PHR screens• Q&A
May, 2010 PHR Pilot 2
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PHRs AND ORGANIZATIONAL CHANGE
Lessons Learned:
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PHRs and Organizational Change
• Policies/Process Change• Jobs Change• Patient Behaviors Change• Clinical Behaviors Change
May, 2010PHR Pilot 4
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• This is not your typical release!
VA My HealtheVet Program:• Implementation plans – ex. local site
POCs• Communications – ex., online
communications, facility handouts• Training – ex., online, on-site • Patient Recruitment/Participation!
– Powerful advocates
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PHRs and Organizational Change
PHRs and Organizational Change
Example of Change: Registration to view IHS records
1.Register online for your PHR account
2.Apply to view your RPMS data– Communications: Online instructions
3.Get In-person authentication (IPA)– Training: train local facility resources to
access associate a patient with a PHR user
4.View your records in your PHR
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• New Policies/Process (In-Person Authentication)
• Jobs Change (Local IHS employee performed verification)
• Patient Behaviors Change (Proactively view their RPMS information)
• Clinical Behaviors Change (more ‘aware’ patients)
May, 2010 PHR Pilot 7
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PHRs and Organizational Change
ATTRIBUTES OF SUCCESSFUL AND UNSUCCESSFUL PHRS
Lessons Learned:
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Most Used Features
• Prescription Management (Rx Refill, etc.)
• Secure Messaging• Tracking Labs• Reminders• Appointments• Wallet Card• NOTE: “Pre-Populated”
PHR Pilot 9
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Characteristics for Non-Use• Login is difficult• General use is difficult• Preference for another mechanism
(real people, didn’t want to use computers)
PHR Pilot 10May, 2010
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Patient-focusP
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Rec
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PHR Use• PHR usage doubled in two years. One in
14 Americans say they have used PHR.• Less educated, lower-income and
chronically ill patients report greater value from using a PHR.
• Consumers prefer to use a PHR from their health care provider.
• Two out of three Americans are concerned about the privacy of their health information; concern is reduced by experience with and benefits received from a PHR.May, 2010 12
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Desired Positive Results of PHRs
• Empower patients– Easy access to information– More/better healthcare info & understanding– Opt to share info with healthcare workers
• Health care workers provide better care at lower cost– More knowledge of patient conditions, status &
opinions– More productive patient visits and improved triage
• Improved Patient-Healthcare Worker communication– Better decisions 13May, 2010
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IHS PHR PROJECT OVERVIEW
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Privacy and Security Concerns
• comfort levels rise when they interact with and receive benefits from a PHR
• 66 percent of respondents agreed that privacy concerns should not stop efforts to learn how technology can improve our healthcare
• CMS survey: (surprisingly) less concern around privacy and security
PHR Pilot 15May, 2010
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Status of IHS PHR Project
• Work completed to date:
– Application architecture developed
– Initial feature development: Registration, View Meds
• Next Steps:– Allergies
– Laboratory results
– Problem List
– Procedure Information
– Discharge summaries
– PHR account set-up and administration
February 9, 2010 16PHR Pilot
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Timeline
• Initial Development Release – Summer 2010
• Pilot – Fall 2010• Rollout – Winter/Spring 2011
May, 2010PHR Pilot 17
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SAMPLE IHS PHR SCREENS
February 5, 2010 PHR Pilot 18
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Sample IHS PHR Screens
PHR Pilot 19May, 2010
May, 2010 PHR Pilot 20
May, 2010 PHR Pilot 21
May, 2010 PHR Pilot 22
May, 2010 PHR Pilot 23
May, 2010 PHR Pilot 24
May, 2010 PHR Pilot 25
Questions & Answers
26PHR PilotMay, 2010
Backup Slides
PHR Pilot 27May, 2010
Sources• HIMSS Presentation: Medicare Advantage
PHR Pilots• California HealthCare Foundation:
Consumers and Health Information Technology: A National Survey Lake Research Partners April 2010
PHR Pilot 28May, 2010
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