don kemper comments on patient engagement march 5, 2010 alliance for health reform our health care...
TRANSCRIPT
Don KemperComments on Patient
EngagementMarch 5, 2010
Alliance for Health Reform
Our health care system is perfectly designed….
1970
“The greatest untapped resource in health care...
is the consumer.© 2010 Healthwise, Incorporated
Healthwise Founded In 1975
Not-For-Profit Mission: To Help People Make Better Health Decisions
© 2010 Healthwise, Incorporated
Healthwise 2010
Same Not-For-Profit MissionHospital, Clinic, Health Plan, And Portal Web
SitesUsed 110 Million Times Last Year
No Pharma, Little Government
1. Help people do as much for themselves as they can.
2. Help people ask for the care they need.
3. Help people say “no” to care that isn’t “right” for them.
Three Rules:
Information Therapy
Prescribing:• the right
information • to the right person • at the right time
As part of the process of care
What Is An Ix?Medication Prescription(Medical Therapy)
Information Prescription (Information Therapy)
Information Therapy Changes the Role Of Patient Information:
From:
Information is “about care”To:
Information “is care”
Ix = Patient-Specific Education Resources
9
Demographics
Clinical Data
Clinical Setting
Language
Doctors Have No Time To:• Search for the information• Document the information.• Leave the EHR application.
10
Context-Aware
Knowledge Retrieval Standard
Infobutton Standard
InfobuttonManager
EHR iPatient
Education Information
HL7 HL7
Knowledge Request
Patient, Problem, Context Data
Knowledge Response
InfoButtonHL7 Context-Aware Knowledge Retrieval Standard
PHR
Health Care ReformThree Patient-Centered Requests
1. Meaningful Use2. Patient Decision Aids3. MyMedicare.gov
1. What’s Meaningful to Me?
• Test?• Drug?• Surgery?
Do I need this:
Patient-Specific Education Resources
Your support is essential to patient engagement
Please also protect: Patient Access to Medical Records
Recommended by Health Policy Committee
CMS: • “Critical Component of Patient
Engagement”• but.. “ A paucity of knowledge resources—
integrated into EHRs”There is no paucity:• The information is there• The technology is in place• Its omission will disrupt clinic workflow
2. Patient Decision AidsTools that involve people in decision making by:
• providing information about the options and
outcomes. • clarifying personal values.
Cochrane Review of Decision Aids
55 Trials/ 23 Treatments15% knowledge scores
70% risk perception
Decision Impact
-24% Surgery
O’Connor et al., Cochrane Library, 2009
Revised Prostate Cancer Screening Guidelines: What Has--and Hasn't—Changed American Cancer Society
3/3/2010www.cancer.org
www.healthdialog.com
Because of these complex issues, the American Cancer Society recommends that doctors more heavily involve patients in the decision of whether to get screened for prostate cancer.
Two Minutes More?
MyMedicare.gov
Create a Virtual Health Home:• One-stop for Ix information• With caregiver access options
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Username: congressPassword: health10Valid through: 4/1/10
Our White Paper On Meaningful Use: www.healthwise.org/infobuttonpaper
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