1. Patient Access to Clincial Information on the Web: PatCIS

2. 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

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

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

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

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

8. 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

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

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

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