269612 Coproducing health and improving diabetic outcomes through the use of PHR with uninsured rural populations

Monday, October 29, 2012

Carrie Lawrence, MS, CFLE, CHES , School of Health Physical Education and Recreation, Indiana University, Bloomington, IN
Linda Wells-Freiberger, NP , IU Health, Jubliee Community Health Clinic, Paoli, IN
Todd Rowland, MD , HealthLinc, Healthlinc, Bloomington, IN
Kathy Church, RN , IU Health, Healthlinc, Bloomington, IN
There are incentives on both sides of the patient–health care provider relationship for co-production of individual health most important, better health outcomes. As a result of current federal policies such as the implementation of Meaningful Use requirements health care providers are integrating technology into their practice. However, This research project identifies and evaluates ways for improving diabetic health outcomes with under/uninsured patients who are more engaged through an electronic personal health records. Disease intervention models tend to involve relatively low levels of involvement by patients and their patients working together, for example as the providers of data or passive recipients of research findings. . So it is important to be clear about the benefits of and barriers to different forms of co-production and to recognize what works best for patients, providers and their families. This study is proposed as an innovative way to add value to the existing Nationwide Health Information Network. Given the clinical and economic importance of helping patients in a rural setting improve diabetes management, this project can serve as an example of practical and affordable innovation that builds on Nw-HIN policies and approaches.This program will provide patients with a text-enabled cell phone, a personalized health record and care-coordination support to the existing team. The goal is to demonstrate that an integrated program that combines HIE and PHR technology with telehealth-assisted management can help patients improve diabetes control, improve clinical outcomes and reduce healthcare costs.

Learning Areas:
Advocacy for health and health education
Chronic disease management and prevention
Implementation of health education strategies, interventions and programs
Other professions or practice related to public health
Public health or related research
Social and behavioral sciences

Learning Objectives:
Understand how utilization of PHRs can change the patient experience Understand how to engage the patient in sharing PHR information with providers Understand existing access, cultural expectations, exposure to technology, and education challenges to the the use of health IT Identify creative ways to engage patients in need of disease management and wellness programs through the use of PHRs

Keywords: Rural Health, Technology

Presenting author's disclosure statement:

Qualified on the content I am responsible for because: I have been working with rural communities for many years through a variety of health and social service organizations. Most of my research interests have been the empowerment of rural communities and uninsured populations in southern Indiana and their ability to take an CBPR approach to research.
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.