Patient Preferences for Information Sharing

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En provenance du cours de Columbia University

HI-FIVE: Health Informatics For Innovation, Value & Enrichment (Clinical Perspective)

103 notes

Columbia University

HI-FIVE: Health Informatics For Innovation, Value & Enrichment (Clinical Perspective)

103 notes

HI-FIVE (Health Informatics For Innovation, Value & Enrichment) Training is a 12-hour online course designed by Columbia University in 2016, with sponsorship from the Office of the National Coordinator for Health Information Technology (ONC). The training is role-based and uses case scenarios. Also, it has additional, optional modules on other topics of interest or relevance. Although we suggest to complete the course within a month's timeframe, the course is self-paced and so you can start and finish the course at anytime during a month's time period. No additional hardware or software are required for this course. Our nation’s healthcare system is changing at a rapid pace. Transformative health care delivery programs depend heavily on health information technology to improve and coordinate care, maintain patient registries, support patient engagement, develop and sustain data infrastructure necessary for multi-payer value-based payment, and enable analytical capacities to inform decision making and streamline reporting. The accelerated pace of change from new and expanding technology will continue to be a challenge for preparing a skilled workforce so taking this training will help you to stay current in the dynamic landscape of health care. This course is one of three related courses in the HI-FIVE training program, which has topics on population health, care coordination and interoperability, value-based care, healthcare data analytics, and patient-centered care. Each of the three courses is designed from a different perspective based on various healthcare roles. This first course is from a clinical perspective, geared towards physicians, nurse practitioners, physician assistants, nurses, clinical executives and managers, medical assistants, and other clinical support roles. However, we encourage anyone working in healthcare, health IT, public health, and population health to participate in any of the three trainings. If you would like to obtain continuing medical education (CME) or continuing nursing education (CNE) credits, you will need to have eligible credentials, complete the entire course, and complete the evaluation survey at the end. The HI-FIVE team verifies after each month that these requirements have been met and then a separate certificate (fee may apply) is distributed to you from our accreditation office. Please allow time for processing. If you have any further questions about continuing education, please see our website at www.hi-fivetraining.org. Accreditation Statement The College of Physicians and Surgeons of Columbia University is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. AMA Credit Designation Statement The College of Physcians and Surgeons designates this enduring material for 12.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity. The planning committee members are: Rita Kukafka, DrPH, MA, FACMI; Bruce Forman, MD; Gil Kuperman, MD, PhD; Virginia Lorenzi, MS, CPHIMS, FHL7, and Victoria Tiase, MSN, BN. None of the members of the committee, who planned this CME Activity, have any relevant financial relationships to disclose. The release date is 2/1/17 and the expiration date is 1/31/18. This activity is eligible for 12 continuing nursing education (CNE) credits. Columbia University School of Nursing, Continuing Nursing Education Program is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

À partir de la leçon

Mr. Osner Santana Meets Dr. Jefferson (Part 2)

Overview of Patient-Provider Communication0:00

Trust and Respectful Interactions0:00

Informatics Tools to Support Patient-Provider Communication0:00

Patient-Initiated Information Exchange11:59

Patient Preferences for Information Sharing11:59

Information-Driven Patient Education12:00

Health IT-Supported Communication Between Primary Care Provider and Specialist7:24

Rencontrer les enseignants

Rita Kukafka
Associate Professor
Biomedical Informatics

Welcome to Patient-Centered Care,

Supporting Patient Driven Care Coordination.

This is lecture b, which will discuss patient preferences for

information sharing.

This unit will cover the following learning objectives.

One, explaining importance of patient-driven care coordination.

Two, list ways a patient can use technology to drive care decisions.

And three, describe the concept of patient-initiated information exchange.

This unit will explore the use of technology to support and

enable patient-driven coordinated care.

How can patients be supported to share health information with health

care providers?

Technology must be designed to match patient needs, wants and abilities.

Patient preferences guide the type of tools that are developed and

implemented by health care providers.

In addition, preferences guide how information is shared with patients.

Most people in the US use technology in their daily lives for

banking, shopping, communicating, learning and managing life's details.

Use of technology has been slow to cross over into health care, but

use is rapidly increasing.

In fact,

over 60% of adults now track at least one health metric using a mobile health app.

In addition to health apps, some tools that are used for

health information sharing include email, web based patient portals,

secure text messaging and patient initiated registries.

In order to support patient and population health,

organizations have been formed to inform and

support patient participation in their healthcare and information sharing.

Some of these organizations are the Society for

Participatory Medicine, Patient Safety and Quality Healthcare.

And the Office of the National Coordinator for Health Information Technology,

functioning within the US Department of Health and Human Services.

Patients are interested in collecting and sharing their personal health data.

A 2015 national survey shows that a majority of patients

would use personal monitoring devices and 57% of the respondents would

should share that information with their health care professionals.

In that same survey, participants were asked about their

attitudes towards partnership with their clinicians to improve their health.

88% of the survey respondents believed that working with

their healthcare provider as a partner would improve their health.

The use of the patient portal and other health information sharing technology

allows the patient to choose who and how to share information with family and

friends.

Although race and financial status had an insignificant impact on information

sharing, there were differences in information sharing preferences by age.

This means that when developing strategies to support patient information sharing,

the age of the patient must be considered.

As a group the elderly are less inhibited about sharing their health information

with family, friends and the public.

Even though the elderly share their information with their family,

they wish to retain control of their healthcare as much as possible.

Sharing of information can lead to control struggles over healthcare decisions.

For the elderly, the information sharing and health management process should

remain fluid as the elderly's condition and self management abilities change.

There is an inability to adjust the level of health information that is shared

with family, as most current PHRs and

patient portals often have a broad based, all or nothing approach to sharing.

Adults are more engaged in using health information technology, and

are comfortable with tracking and sharing information with their health care team.

However, adults prefer to keep heath details private and

tend to be more reluctant to share personal health information

with their families and friends.

However, adults are comfortable sharing their health goals with the public.

Over 84% of teenagers research health concerns using the Internet.

However, most do not feel comfortable sharing health concerns or

health information with others using social media.

Teens and students were reluctant to share health information with friends and

family for fear of being judged.

But far more likely to share with their family than the public.

In one study, 88% of teens stated that they did not feel

comfortable sharing their health concerns or health information using social media.

And in contrast with adults,

teens and students were less likely to share their health goals publicly.

There are still barriers to overcome in order to fully realize seamless sharing of

patient data based on preferences of each demographic group.

Some of these barriers include incentives for

providers to change their practices and accommodate information sharing.

Physicians practicing under the physician directed care model

may view information sharing as a challenge to their authority.

Thus, inhibiting information sharing.

As the physician culture changes from physician directed care

to partnership based care, the patient culture is changing.

Patients must feel enabled to share information, ask questions and

express thoughts and opinions about their healthcare options.

This concludes lecture B of supporting patient driven care coordination.

To summarize, although tools are emerging that support easier access to information

sharing, there are technical and cultural barriers yet to be addressed.

In addition, patient preferences for information sharing

are influenced by the age and demographics of the patient and family.

And this must be taken into consideration when developing tools and

processes for information sharing.

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