phr intro pt2

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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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