Tag Archives: patient access to clinician notes

What’s in store for mHealth?


From the 2014 mHealth Summit they had 4 “take-aways” – all four were ones that we have heard before and ones that we should be listening to.

I’ll start with the easy one, in my opinion – (and their #1 on the list) – Consumer Engagement is the buzzword. I’ve been talking about this one off and on for a while. We are a culture that is becoming more informed. We have access to health information much more easily than those who have come before us. Google, WebMD, and just about any health related organization, such as providers and support sites. For me, personally, I am paying attention to more on the Breast Cancer site than before because my mom is fighting breast cancer. And we’ve talked before about access to your own health information and how we all want to see what our health record looks like and find out what did the doctor realllly say in my last visit with him/her?

The next one, in my numbering system, is that Apple’s HealthKit could be a game changer. I’m still waiting on this one. It could be the game changer – I hope it is the game changer. Basically, it could connect all those wonderful health apps to the Apple Health and keep all the nifty data there for us.

Well, that brings me to my favorite of the 4 – data analysis! Now, I hope I don’t lose my non-nerd friends on this one (as my kiddos would say). I am blessed to have just started a job with a company that provides data analytics to health providers. And, let me say, WOW, I am excited! This is the meat of it all! We have sooooooooo much information on our health, health standards, metrics for health measurement and just oodles and bunches of good stuff that can help us monitor our health as individuals and as communities! We are capturing data in mobile devices, devices worn on the body, devices used in the practice of health care, electronic health records and even in the data that our insurance company holds on us – well, except Anthem – they can’t seem to hold onto our information…. (sarcasm). This is great stuff. It is time we put it to good use!

And that leads to the last of the 4 – Care Coordination works! – Why, yes, Sherlock, it does. If my care providers know what is going on with me, my labs, my meds and my tests then I get better care – or I should expect better care. More effective care. If I make sure that my nutritionist knows that my iron levels came in low on my last blood tests that my general practitioner ordered then I get better guidance on my diet. You can see where I am going here…

So – what do you see in store for mHealth in 2015?


The OpenNotes Initiative: How Transparency is Leading to Consumerism in Healthcare


Take a look at my blog contribution on the OpenNotes project!

If you haven’t heard about it, OpenNotes is a project that initiated in 2010 to see how patients and care providers would react to the patient having access their visit note after they saw the provider. If you want to find out what the patients thought of the experience check out the blog. Did they like having the access and information? How did they use the information after they saw it? And what did the care providers think of the experience?


OpenNotes link


Take 5 minutes of your day today to read about and familiarize yourself with this initiative. It is well worth it. Then come back and tell me what you think. I’ve been blogging on this topic for a few days now and found this site and initiative very informative and inspiring, actually.

OpenNotes 

Shared/copyright OpenNotes


More on patient access to clinician notes


It was exciting to see another article on the patient access to clinician notes in their medical records that served as a good followup for the article that I shared with you on October 3rd about this topic. And this one was just what I wanted to know – anybody try it yet and if so how did it work out?

The OpenNotes study (this is the technical post) results led to a post on Group Health Research Institute. They found that doctors’ fears of the impact were more than the actual time impact. One note I think that is important, and am surprised on the admission, is that there was a change

“in the way their notes addressed substance abuse, mental health issues, malignancies and obesity, a smaller minority spent more time preparing their notes, and some commented that they were improved.”

And here are some actual statistics on the study:

Of 5,391 patients who opened at least one note and returned surveys, between 77 and 87 percent reported open notes made them feel more in control of their care, with 60 to 78 percent reporting increased adherence to medications. Only 1 to 8 percent of patients reported worry, confusion, or offense; three out of five felt they should be able to add comments to their doctors’ notes; and 86 percent agreed that availability of notes would influence their choice of providers in the future.

My WOW on these numbers is the 86 percent that said it would affect their choice of provider! That is significant! It is so easy to go to the clinician, tell a short story, be asked leading questions, come out with a prescription that you don’t know what it truly does or how it will help you and then have side effects you don’t know if you are supposed to have or if you need to ask about them. This is common, folks!!

I also like that the 3 out of 5 felt they should be able to add comments to the notes! Heck yeah! I want the record to reflect my own words. Let’s all admit – what we say can be heard differently than what we meant. So confirmation of what the clinician heard is very important. Recently, with a stomach virus the physician offered me a prescription for stomach cramps – though I never complained of stomach cramps. The hospital my father was in noted that he took medication for asthma and he never has.

My question to you is are you interested in those mysterious notes that your clinician writes about you?

 


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