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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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)


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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


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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


Questions & Answers

26PHR PilotMay, 2010

Backup Slides


Sources• HIMSS Presentation: Medicare Advantage

PHR Pilots• California HealthCare Foundation:

Consumers and Health Information Technology: A National Survey Lake Research Partners April 2010


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phr intro pt2

Health & Medicine