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

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.