2. 2 Chris Lamer IHS OIT, Nashville Lisa Lyon Cherokee Nation, Oklahoma Personal Health Record

3. 3 Training Objectives Overview of PHR Demonstration of PHR HIM’s Role in PHR –Administration of the system –Pt Orientation –Pt Identification –Linking accounts –Pt account support 3

4. 4Personal Health Record Purpose of PHR The goal of the PHR is to improve the health of IHS patients through: –improved patient/provider collaboration –patient self-management –increased access to health information 4

5. 5Personal Health Record Benefits of PHR Research shows that when consumers actively participate in their own care, their outcomes are better. –Patients twice as likely to receive suggested routing screening –Improves health communication –Patients perception of quality increases –Decreased no show rates –Time and cost saving for providers 5

6. 6Personal Health Record Current IHS PHR Features Display health information: –Medications –Allergies –Lab test results –Problem list Blue button printing/exporting Link to the National Library of Medicine Mobile views (in development) 6

7. 7Personal Health Record Screenshots of Patient Views 7

8. 8Personal Health Record Patient Views Medicines 8

9. 9Personal Health Record Patient Views Allergies 9

10. 10Personal Health Record Patient Views Labs 10

11. 11Personal Health Record Patient Views Problems 11

12. 12Personal Health Record PHR Architecture 12

13. 13Personal Health Record PHR Roles IHS Administrator National Administrator Area Administrator Service Unit/Facility Administrator Registrar 13

14. 14Personal Health Record PHR Responsibilities Patient Registration –Registrar Amendments Deleting Accounts Breach Incidents Resetting Passwords 14

15. 15Personal Health Record Demonstration of PHR Administrative system –How the patient signs up for the PHR Patient access –How the patient views the PHR 15

16. 16Personal Health Record PHR Policies 16

17. 17Personal Health Record Verify Patient Identity Pre-requisite to Process Application Policy & procedure –IHS http://www.ihs.gov/ihm/index.cfm?module=dsp_ih m_pc_p2c7_ex_rhttp://www.ihs.gov/ihm/index.cfm?module=dsp_ih m_pc_p2c7_ex_r –Registrar knows patient, or –Patient shows identification –Tribal policy and procedures Personal Health Record

18. 18Personal Health Record Process Patient’s Application (Link) Find patient’s PHR account Find patient’s IHS medical record Link PHR account to IHS medical record –Record method of patient verification –Record type of person verified Personal Health Record

19. 19Personal Health Record Orient Patient to PHR Orientation materials available include: –Summary of PHR Features & Benefits –PHR Instructions Page –Demonstration: On internet accessible computer at your facility Via Webex video –Other materials or tools as your facility deems necessary Review these materials with Patient Provide materials for Patient to keep Personal Health Record

20. 20Personal Health Record Unlink PHR from Medical Record Triggers –PHR Account linked to wrong medical record –Patient no longer wants access –Other? Roles with unlink privileges –Registrars –Administrators – all levels Personal Health Record

21. 21Personal Health Record PHR Account Linked To Wrong Record The PHR Account Holder is viewing somebody else’s medical information Is a breach of privacy and security –With 30 minutes of discovery must file an incident report –Implement breach notification procedures –Investigation of this incident is required Personal Health Record

22. 22Personal Health Record Recover Credentials for Patient Verify Patient’s Identity Find Patient’s PHR Account Re-set Patient’s Password Inform Patient of New Password Instruct Patient to Change Password –Patient Log-In –Go to Profile Tab Change Password Personal Health Record

23. 23Personal Health Record Create Reports PHR creates user-selected ad-hoc reports Privileges for Registrars & System Administrators Reports Contain “Event” Information –Patient events –Registrar events –System Administrator events –PHR events –Dependent system events – MPI, RPMS Personal Health Record

24. 24Personal Health Record Inactivate PHR Account To be developed IHS proactively inactivates account –Deceased patient –Issue with patient Different than automated inactivation of account –PHR Account remains unlinked for 1 year Personal Health Record

25. 25Personal Health Record Dependencies on Other Systems Process Application (MPI or RPMS) –Matching PHR Accounts & IHS Records Patient Log-in (MPI or RPMS) –Retrieving updated facility list Unlink Accounts (MPI or RPMS) Patient Views Data (RPMS) Personal Health Record

26. 26Personal Health Record Current Status 26

27. 27 Questions & Discussion Demonstration Personal Health Record