Patient Access to Clincial Information on the Web: PatCIS

General Features Access to limited view of their own record Ability to add data to their own record Access to general health information Ability to obtain patient-specific advice MLMs Infobuttons

Hypothetical Benefit: Better Decision-Making Timely clinical information Improved content of EMR Education of patient Automated decision support Improved communication with health care provider

Potential Risks Misinterpretation of their own data Entry of erroneous data Misinformation from on-line sources False (positive and negative) decision support

PatCIS: System Architecture SSL and SecurID Questionnaires CGI’s and Javascript DAMs and MED patcis.cgi Session validity Session log

PatCIS: System Architecture Javascript PatCIS Session File patcis.cgi Session Log Application CGI Application CGI Application CGI

Application Features Data Entry: vital signs, blood sugars, insulin doses, health maintenance, pft’s Data Review: patient-entered data, limited views of CIS, diabetes flowsheet Education: selection of on-line resources Advice: MLMs, cholguide.cgi, www applications

Timeline Dec 1 - Mar 31: prototype, recruitment April 1 - Sept 30: pilot patient group Oct 1-Sept 30: full roll-out

Evaluation Formative Summative questions about features session log Perceptions about health information Understanding their own health Participation in decision making Communication with providers

Questions Other data entry? What can we show of CIS? How to certify on-line resources? What MLMs? Evaluation