1. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Chapter 8 The Personal Health Record

2. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. The Personal Health Record 1. Define and explain the purpose of keeping a personal health record (PHR). 2. Describe the three ways of storing PHR data, and outline the advantages and drawbacks of each. 3. Describe how a PHR can be synchronized with medical devices, such as blood pressure cuffs, blood glucose meters for patients with diabetes, and peak flow meters for patients with asthma. 2 Lesson 8.1

3. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. The Personal Health Record 4. Discuss the need for interoperability between PHR systems, electronic health records (EHRs) systems, and related systems. 5. Explain how direct-to-consumer laboratory services can help protect a patient's privacy. 6. Discuss the benefits for consumers and for providers of creating a PHR. 7. Identify steps in setting up a PHR. 8. Identify steps in maintaining the PHR. 3 Lesson 8.1

4. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. What Is a Personal Health Record?  Comprehensive, electronic or paper-based record of health information controlled by the individual, through which he or she can access, manage, and share confidential health information  A means of keeping health information current, safe, and in a single location 4

5. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Personal Health Record  Improves continuity of care  Helps the patient save time and money by keeping various specialists from ordering duplicate tests and procedures 5

6. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. The Personal Health Record vs. the Medical Record  Both are a means of keeping health information up to date  Both offer some protection against loss of or damage to records that are stored elsewhere  Both aggregate data from doctors, hospitals, and allied health professionals into a single record 6

7. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. What Information Is Stored in a Personal Health Record?  Patient demographics  Past medical, family, and social history  ICE (in case of emergency) contact information  Allergies  Current medications  Previous hospitalizations  Doctor visits 7

8. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Types of Personal Health Records  Paper-based personal health record  Personal health record software  Online personal health record 8

9. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Paper-Based Personal Health Record  This method is inexpensive, easy to maintain, and secure  Organized into three-ring binders so that documents can easily be added or removed  Tabbed dividers can be used to organize and identify documents  Difficult to share information 9

10. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Personal Health Records Software  Health information in electronic form  Not online; a standalone software product  Allows the individual to create and save health information to a desktop or laptop computer  Files can also be made portable by saving them to a USB drive 10

11. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Online Personal Health Record  Accessible from any computer in the world that has an Internet connection  Many Web sites have free PHR systems  Sites with advanced services and security charge a subscription fee  Gives the patient easy access to a database of health information 11

12. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Innovative Features of Personal Health Records  Synchronization with medical devices  ICE notification  Drug alerts  Limited interoperability  Direct-to-consumer laboratory services  Telephone consults  Satellite and MP3 technology 12

13. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Benefits to Individuals, Patients, and Caregivers  PHRs offer the opportunity to do the following:  Take an active role in a loved one’s healthcare  Plan and coordinate care  Learn about diseases and conditions  Build friendships with and derive support from others who have the same condition  Avoid duplicate tests and procedures 13

14. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Benefits to Providers  PHRs improve patients’ compliance with instructions and medication regimens  Improve patients’ recall of health-related events  Give clinicians an alternative means of communicating with patients if secure email can be exchanged through the PHR 14

15. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Steps in Creating the Personal Health Record  Decide which type of information to store in the PHR and explore the methods of storing it  Request copies of medical records from doctors’ offices by signing records release forms, and be prepared to pay a fee for them  Begin collecting and organizing the health information 15

16. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Maintaining the Personal Health Record  Each time the patient is seen by a healthcare provider, the patient may need to sign a specific authorization for the medical office to release his or her records  Information entered should always be accompanied by a date  Many PHRs provide templates in which such information can be logged and easily retrieved 16

17. Copyright © 2015 by Saunders, an imprint of Elsevier Inc. All rights reserved. Questions? 17