Patientsite experiences with shared health records
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PatientSite: Experiences with Shared Health Records. PatientSite 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. Mail : Secure

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PatientSite: Experiences with Shared Health Records

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Patientsite experiences with shared health records

PatientSite: Experiences with Shared Health Records


Patientsite project

PatientSite 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


Patientsite experiences with shared health records

Mail:

  • Secure

  • Automated routing

  • Task assignment

Services:

  • Prescription refills

  • Appointment requests

  • Referrals

  • View bill

Records:

  • Secure

  • Visit history

  • Meds/Problems/Results

  • Personal records

Education:

  • Info prescriptions

  • Patient selected links

  • Predefined collections

  • Videos


Security

Security

  • Secure Communication

    • Encrypted connections

    • Secure Messaging

    • Audited (Audit trail available to patient)


Compose a clinical message

Compose a Clinical Message


Patientsite experiences with shared health records

Provider Screen


Service requests

Service Requests


Patient access to record

Patient Access to Record

What should they see?

When should they see it?

Who else should have access?

How should we present it?


Personal health record

Personal Health Record

Patient-entered and maintained

Data types:

Text

Numeric data

Documents and other objects


Educational partners

Educational Partners

PreOp – Patient Education

PostCare – Recovery Series

UpToDate – Provider Edition

UpToDate – Patient Edition

Medical Dictionary

Multum – medication information database

Lab Test Online


Patientsite experiences with shared health records

  • 19,200 Patients

  • 168 Attendings (+ 17 NP’s)

  • 320 Office Staff


Messaging volume

Messaging Volume

Clinical messages: 27.8*

Prescription renewals: 3.1*

Referrals: 2.1*

Appointment requests: 2.6*

*monthly volume per 100 patients


Patients

Patients

Wide diversity

57% female

Median age ~43

4% over 70 years old


Patient drivers

Patient 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


Summary

Summary

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


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