246593 PHI Interoperability to improve Consumer and Population Health

Monday, October 31, 2011: 10:30 AM

Ralph Donaldson Jr., MBA Certification Program , Executive Vice President, PRISM Health Services, Kennesaw, GA
     
Background: A Personal Health Information (PHI) Demonstration project will be conducted to analyze the use of PHI that is exchanged with a provider's EHR/EMR to improve clinical outcomes, introduce preventive care methods and enable real-time patient monitoring in a metropolitan/rural area.

Methods: Consumers/Patients associated with a health system/hospital, or managed care organization will enter their PHI into a portal, smart phone, or voice system. The PHI will be integrated into the provider's EHR/EMR to offer additional information to improve care quality outcomes. After discharge, consumer/patient's that require medication management will be expected to update their PHI electronically on a predefined frequency giving the providers visibility to the consumer/patient's health stability and improvement progress. A Health Information Service Provider will electronically monitor and send alerts to providers for abnormalities in PHI.

Results: Metrics regarding the consumer /patient's satisfaction with the real-life practicality of exchanging PHI are analyzed. Metrics measuring the care quality, cost, care collaboration, as well as, improving outcomes that are defined by care measures are analyzed.

Discussion/Conclusions: PHI will have a critical role in the total continuity of care. PHI is a complimentary component to the provider's EHR, and, PHI interoperability is just as important as EHR interoperability because: • Healthcare Reform – Healthcare reform requires the provider to be accountable for patient outcomes, and, reimbursing the providers accordingly • Quality Improvements - As the clinical impact of PHI utilization is better understood by providers and the healthcare community at large, PHI will be required to achieve the expected quality levels necessary for sustainability • Technology Pervasiveness – PHI will be captured from smart-phones, medical devices, kiosk/ATMs, home appliances/televisions, and cable providers • Commerce - New PHI demands will emerge driving new commercial uses worldwide • Population Health - PHI will be used for population health and biosurveillance worldwide

Learning Areas:
Basic medical science applied in public health
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Public health or related education

Learning Objectives:
By the end of this session, the participant will be able to: 1.Discuss the technical infrastructure required to clinically exchange PHI information 2.Identify the top uses of Personal Health Information that is clinically exchanged with the provider’s EHR/EMR for patients with chronic disease (Note: one of the following chronic diseases will be reviewed: Diabetes, Asthma, Hypertension, Cardiovascular Disease, Obesity) 3. Explain the uses of Personal Health Information to improve post-discharge, medication management and care coordination between the patient, provider and health community 4.Discuss new and improved care measures for population health organizations 5.List the Consumer benefits associated with Personal Health Information clinical exchange

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I am qualified to present this abstract, as I have multiple years of Consumer, wireless/telecom and healthcare industry experience and currently lead the PHI/EHR clinical exchange services for my organization.
Any relevant financial relationships? No

I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.

See more of: PHI Interoperability Initiatives - Part I
See more of: Health Informatics Information Technology