patientsite: experiences with shared health records
Post on 22-Dec-2015
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PatientSite: Experiences with Shared
Health Records
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PatientSite ProjectPatientSite Project
• Goals:– Patient involvement– Patient access to information– Secure communication
• 2 person-years– 50% planning and infrastructure– 50% programming
• US$ $250,000 to pilot go-live April 2000
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Mail:SecureAutomated routingTask assignment
Services:Prescription refillsAppointment requestsReferralsView bill
Records:SecureVisit historyMeds/Problems/ResultsPersonal records
Education:Info prescriptionsPatient selected linksPredefined collectionsVideos
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SecuritySecurity
Secure CommunicationEncrypted connections
Secure Messaging
Audited (Audit trail available to patient)
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Compose a Clinical MessageCompose a Clinical Message
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Provider ScreenProvider Screen
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Service RequestsService Requests
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Patient Access to RecordPatient Access to Record
• What should they see?
• When should they see it?• Who else should have access?• How should we present it?
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Personal Health RecordPersonal Health Record
• Patient-entered and maintained
• Data types:– Text– Numeric data– Documents and other objects
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Educational PartnersEducational Partners
• PreOp – Patient Education
• PostCare – Recovery Series
• UpToDate – Provider Edition
• UpToDate – Patient Edition
• Medical Dictionary
• Multum – medication information database
• Lab Test Online
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–19,200 Patients
–168 Attendings (+ 17 NP’s)
–320 Office Staff
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Messaging VolumeMessaging Volume
• Clinical messages: 27.8*
• Prescription renewals: 3.1*
• Referrals: 2.1*
• Appointment requests: 2.6**monthly volume per 100 patients
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PatientsPatients
• Wide diversity
• 57% female• Median age ~43
– 4% over 70 years old
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Patient DriversPatient Drivers
• Secure Messaging with Provider • Access to Medical Records• Convenience
– Request Appointments– Medication Refills– Referrals to Specialists– Review Bills Online
• Education– Disease specific content by experts at CareGroup– Links to medication information– Personalized drug interaction information
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SummarySummary
• Rapid Growth• Enthusiastic Use by Patients• Strong Provider Acceptance• Patients have not abused direct access to providers• Significant evidence confirms value to patients,
providers and institutions