HINF-501 Course Slides Week 7 Fall 2024 PDF

HINF-501 Foundations of Healthcare Informatics Prof. Cristina Mills, MS, RN, CPHIMS Week #7 Fall 2024  Agenda Mid-Term Exam feedback The Engaged ePatient Personal Health Records mHealth: The Intersection of Mobile Tec...

HINF-501 Foundations of Healthcare Informatics Prof. Cristina Mills, MS, RN, CPHIMS Week #7 Fall 2024  Agenda Mid-Term Exam feedback The Engaged ePatient Personal Health Records mHealth: The Intersection of Mobile Technology and Health mHealth Group Project - Overview Mid-Term Exam Feedback The Engaged ePatient eHealth Broad concept used to describe internet or web-based activities that relate to healthcare Considered a bridge for both the clinical and nonclinical sectors capable of supporting health-related tools for individuals and populations. What is an ePatient? A person who: Uses technology to actively partake in their healthcare and manages the responsibility for their own health and wellness Is digitally enabled, seeks information, shares knowledge, connects with others Manages health decisions and uses the internet and digital devices to supplement their health journey Drivers of the ePatient Rising healthcare costs / changes in reimbursement avoidance of incurring expenses related to various services Shift to caregivers assuming more responsibility for increasingly complex patient health needs Quality and patient safety flaws in the American healthcare system has led many people to become vigilant advocates Use of the internet and improved access to information, sharing, and connectedness Patient and Caregiver Journey Copyright © 2018, Elsevier Inc. All rights reserved. 8 Participatory Patient-Centered Care Patient is not only at the center of care but also a full member and partner of the healthcare team Participatory Medicine A cooperative model of healthcare that encourages and expects active involvement by all connected parties, including patients, caregivers, and healthcare professionals, as integral to the full continuum of care Health Informatics and ePatients Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) – survey for measuring patients' perceptions of their hospital experience Public reporting of results can be used by patients to compare healthcare organizations HCAHPS star ratings published to CMS “Care Compare” website https://www.medicare.gov/care-compare/  Health Informatics and ePatients Zocdoc - Web-based patient driven service Find providers based on specialty and insurance Read and write provider reviews Book an appointment directly https://www.zocdoc.com/ Health Informatics and ePatients Patient Generated Health Data (PGHD) Health-related data that is created, recorded, or gathered by patients, family members, and caregivers to address a health concern Additional layer of data architecture is required to support the integration of PGHD at the point of care ePatient Tools mHealth applications Comprehensive web-based content Interactive social networks (i.e., online health or virtual communities) Wearable sensors Personal Health Records (PHRs) Personal Health Records What is a Personal Health Record (PHR)? PHR = Persistent data storage that is portable and sharable. Could be paper or electronic Electronic PHR – additional functions can include: access to EHR data secure messaging with clinicians and providers scheduling appointments PHR Adoption Some drivers to PHR adoption include: Rise of personal computing devices and the internet Development and expanded adoption of EHRs Governmental policies (i.e., HIPAA and HITECH) [to be discussed further during week #8’s lecture] Consumer demands (i.e., ePatients) PHR Benefits Improved care coordination and patient safety Reduction in repetitive tests and conflicting therapies Ability to grant access to a proxy or caregiver Improved self management of health Types of PHRs Stand-alone PHR Store health information on an individual’s computer or USB Untethered PHR Web-based system, not connected to any Provider or healthcare organization Types of PHRs (cont’d) Tethered PHR Linked to a single clinic or healthcare system. Allows patients to communicate with providers (i.e., secure health messaging, Rx refill requests, scheduling requests, etc.) Example: Kaiser Permanente’s system-wide EHR with tethered PHR called My Health Manager Types of PHRs (cont’d) Networked PHR Integrate data from multiple sources (i.e., different healthcare providers, health plans, or labs) Microsoft HealthVault was shut down on November 20, 2019 Referred their existing subscribers to alternative PHR solutions such as: Follow My Health Barriers to PHR Adoption Awareness Usability Privacy concerns The Digital Divide Provider engagement Interoperability Law and policy SHU Student Health Portal & MyChart SHU Student Health Portal & MyChart SHU Student Health Portal & MyChart mHealth: The Intersection of Mobile Technology and Health What is mHealth? Mobile Health = mHealth Use of mobile devices or wireless technology to achieve health objectives Distinction between mHealth and telehealth: Telehealth requires more advanced technology mHealth uses consumer-grade hardware and allows for use of the technology with greater mobility Example: Headspace Meditation App Example: KardiaMobile EKG monitor Example: Dexcom Glucose Monitoring (Wearable) mHealth Tools and Capabilities Client education and behavior change Sensors and point of care diagnostics Registries and vital events tracking Data collection and reporting EHRs (i.e., mobile device interface that enables EHR data entry) Electronic decision support: information, protocols, algorithms, checklists Communication (provider-provider, patient-provider) user groups, consultation Nelson R., Staggers N. (2017). Health Informatics: An Interprofessional Approach (2nd ed.). St. Louis MO: Elsevier Mosby mHealth Driving Forces Technology (access, reduced cost, and its increasing functionality) The consumer/patient engagement movement Global health or connected health (expanding healthcare services to remote and marginalized populations) Research, policy, and business (both cost savings and earning potential) Nelson R., Staggers N. (2017). Health Informatics: An Interprofessional Approach (2nd ed.). St. Louis MO: Elsevier Mosby mHealth Benefits Increasing the reach and access to healthcare services (i.e., routine or emergency) and information (i.e., diagnostic, specialty services) Improving efficiencies and lowering healthcare systems expenses (i.e., increased data collection accuracy and completeness, rapid collection) Empowering individuals or populations for health behavior modifications and disease prevention Greater patient access to medical information to improve health outcomes Greater access to personal data Decrease in operational stresses on healthcare organizations Nelson R., Staggers N. (2017). Health Informatics: An Interprofessional Approach (2nd ed.). St. Louis MO: Elsevier Mosby mHealth Challenges People misinterpreting their own data Data privacy risks Legal risks – safety, regulation, and oversight of data Nelson R., Staggers N. (2017). Health Informatics: An Interprofessional Approach (2nd ed.). St. Louis MO: Elsevier Mosby Reflective Journal #3 Due Thursday, October 21, 2024 @ 11:59pm Eastern Reflective Journal #3 Reflect on this hypothetical situation and respond with what you would say in this scenario. You just started to work as an IT Analyst at a large academic medical center. You have only been with the IT department for 2 weeks. You walk into an elevator by yourself, and on the next floor, the doors open and the hospital's Chief Information Officer (CIO) walks in the elevator, smiles, and says "hello". You have about a minute to ask her a question and have dialogue with her. What question do you ask your hospital's CIO in this brief time? mHealth Group Project Due October 28, 2024 @ 11:59pm Eastern Mobile Health Group Project Students will be randomly assigned to groups of 3 or 4. Each group will use the “medical” category of mobile applications and decide on a health topic of focus they will study and compare (i.e., weight loss, stress reduction/meditation, fitness, pedometers, heart rate monitors, diabetes trackers, etc.). Select one topic of focus. All four mHealth apps should be related to the same focus area, for like-for-like comparisons. Students will download the mobile health applications, assess/evaluate each, compare all (4) mobile health applications, and conclude with a recommendation for their #1 pick. Mobile Health Group Project There are three sections for this project, including: Section one - Mobile Health App Assessment Includes a narrative write-up on some key features of each of the (4) mobile health applications. Each mobile health application should be evaluated with the following criteria: Function – description of the purpose or function that the application serves Usability – description and examples of ease of use, barriers of use Review – evaluate the ability for the app to meet the intended function. Can also include the overall star rating / total number of ratings based on the app store (i.e., received a 4.7/5 stars based on 16,788 ratings).  Mobile Health Group Project Section two – Comparison Grid Summarize in a grid format your key findings and compare all as follows: App #1 App #2 App #3 App #4 Function Ease of use Barriers of use Ability to meet the intended function Other considerations (if applicable) App Store’s star rating (out of 5) Group’s star rating (out of 5) Mobile Health Group Project Section three – Recommendation Based on the information gathered during the assessment/evaluation of each mobile health application and comparison of all, identify the group’s #1 pick and briefly summarize why you would recommend that specific app. Mobile Health Group Project Formatting Requirements - Content Section one: Mobile Health Application Assessment Include a single written assessment (narrative format) for each of the (4) mobile health applications. Each assessment should be approx. 250 words or less (do not exceed one page per application). Section two: Comparison Grid Grid should be in a table format on a single-page and be completed with a high-level summary for each of the criteria indicated above. Section three: Recommendation Should be a clear, brief, and succinct written paragraph. Should not exceed more than 150 words. Mobile Health Group Project Formatting Requirements - General File Type:.doc or.docx Cover Page: Include a title, your name, instructors name, course (HINF 501- A), assignment due date Format: Times New Roman, Calibri, or Cambria fonts (size 12 pt.), with double line spacing. Standard 1” margins on 8.5”x11” letter page size References: not required for this assignment. If references are used, they must be cited in APA format with appropriate in-text citation. Grammar: repetitive grammatical errors will result in deduction of points  What’s next? Reflective Journal #3 due October 21, 2024 @ 11:59pm Eastern mHealth Group Project due October 28, 2024 @ 11:59pm Eastern Looking Next week’s lecture and reading assignments: Ahead… Improving the User Experience for Health Information Technology (Chapter 21) Workflow (see Blackboard - Week 8 folder for additional readings) Legal Issues, Federal Regulations, and Accreditation (HITECH; MU; MACRA/MIPS) (Chapter 22)