1. After the Visit – A Summary for the Patient: Making it Meaningful
My Visit
After the Visit – A Summary for the Patient: Making it Meaningful
Sarah C. Nosal, MD
Institute for Family Health

2. Meaningful Use Core Set Objective
Provide clinical summaries for patients for each office visit

3. Learning Objectives Benefits of the After Visit Summary (AVS)
Key Components of the AVS
Overcoming Provider resistance to the AVS
Future directions for the AVS

4. Benefits of the After Visit Summary
Previous studies have suggested that patients who have high levels of self management have better health outcomes, that visit summaries introduced into ambulatory encounters lead to higher levels of self-management as well as to increase patient safety through better medication reconciliation

5. Patient Engagement
Improved understanding of health issues & treatment plans
Improved adherence
Better outcomes

6. Communication Reference for patients & other providers
Point-of-Care resource & personal health info for those without ready access to computers
Access for patients with no computers
Prefer paper records

7. Pre-Visit Planning Planning for the next visit
“To Do” list for patient
Goals and follow up

8. Key Components of the AVS

9. Maintain an up-to-date problem list of current and active diagnoses
*will add improved problem list for presentation

10. Maintain active medication list

11. To do list
Patient friendly results

12. Patient Instructions – Specific Goals

13. Patient Instructions – Health Education

14. Patient Instructions – Identifying Barriers & Committing to Change
*this may not be most up to date text – well review and update prior to presentation

15. Overcoming Provider Resistance

16. Getting the provider to push the button…
Perceived barriers to AVS – time, physical barriers (printers, etc), remembering

17. *hoping to get PULSE data from Lurio on providers printing out AVS (graph)
Discuss provider resistance,
time,
need for printers,
mandating printing – hard stop?

18. Future Directions
“The Institute is committed to developing innovative ways to provide primary care to disadvantaged populations and addressing health disparities. We believe that our patients should be among the first to benefit from new health technology, rather than among the last is typically seen in underserved communities”

19. Need GENERIC and NAME BRANDs of medications listed
Discuss patients taken duplicates of the same medication

20. Health Literacy level still too high…
Mention complexity of after visit summary instructions – meet criteria but lose value as a tool for patients
Health Literacy level still too high…

21. En Español…

23. Questions?
Ideas?