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Transcript of Smart Health Centers-Navigator Training
Smart Health Centers Health Navigator Training Handbook
Alliance of Chicago Community Health Services L3C The Smart Chicago Collaborative Chicago Community TrustOtho S A Sprague Memorial InstituteCatherine T MacArthur Foundation
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
Acknowledgements
We would like to thank
Our Sponsors The Smart Chicago Collaborative
The Chicago Community Trust
John D and Catherine T MacArthur Foundation
Otho SA Sprague Memorial Institute
Smart Chicago Collaborative
Alliance of Chicago Community Health Services L3C (Phase I)
2
IntroductionThe Smart Health Centers project (SHC) empowers underserved patients by bringing the knowledge of technology and medical records to improve health outcomes directly to the fingertips of community members
Smart Health Centers increases confidence for those navigating the use of technology by demonstrating its uses within Community Health Centers SHC provides accessible and user-friendly education in health and wellness solutions
This training manual is designed to provide training and development to Health IT Navigators Their skills will be used to provide the necessary knowledge to patientsclientsconsumers of the Smart Health Center project
The Smart Health Centers project offers an integrated approach to enhancing health and wellness SHC provides online access of health information to improve the medical experience so that individuals may better understand and make well-informed decisions about their health Patients are ensured high-quality online material personalized culturally-sensitive advice and access to their own electronic records SHC partners with community health centers to enhance public computing resources and ultimately patients become ldquofull users of electronic health record systems
3
Authors PageValerie Brown is a Masters in Public Health Candidate in Community Health Sciences at the University of Illinois at Chicago She has an earned certificate in Community Public Health Practice from UIC For several years she has worked with CEEDChicago in Health Literacy and Community Health Workers and two years on a Patient Centered Care Collaborative to Improve Minority Health research project Valerie has an MBA and BS Computer Information Systems from Keller Graduate School of Management and DeVry University Professional experience includes Computer Networking and managing and operating IT helpdesks She co-authored this manual while working as an intern at CHITREC and Alliance of Chicago
Diana Beasley is a consultant with Human Resources and Organizational Development experience which includes Program Design TrainingDevelopment Human Resource Management Organizational Management and Group Dynamics Ms Beasley also has several years of experience in Management Consulting and Coaching Technical Assistance Leadership Training and Project Management to major corporations nonprofit organizations and FQHC health centers Ms Beasley has degrees in Psychology Urban Studies and Business Administration and a certificate in Human Resources She is Founder and Managing Consultant of Management Synergistics Inc a 14th year WMBE management-consulting firm in Chicago Ms Beasley is a native Chicagoan maintains an active lifestyle and has many affiliations in several groups and associations
4
Table of ContentsbullModule 1bull Project Overview
bullModule 2bull Health Navigator Role
bullModule 3bull Basic Health Information and Security of Information
bullModule 4bull Basic Computer Skills
bullModule 5bull Health Information Technology and Personal Health Records
bullModule 6bull Patient Portals
5
Module 1 Project OverviewProject Overview
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
6
Module 1 Project OverviewLEARNING OBJECTIVES
Have a strong knowledge of the project its goals and objectives
Understand and identify partners amp staff
Understand the Health roles ie supervisory role staff policies and procedures
Understand information about sponsoring organization
Participate in activities to reinforce learning
7
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Acknowledgements
We would like to thank
Our Sponsors The Smart Chicago Collaborative
The Chicago Community Trust
John D and Catherine T MacArthur Foundation
Otho SA Sprague Memorial Institute
Smart Chicago Collaborative
Alliance of Chicago Community Health Services L3C (Phase I)
2
IntroductionThe Smart Health Centers project (SHC) empowers underserved patients by bringing the knowledge of technology and medical records to improve health outcomes directly to the fingertips of community members
Smart Health Centers increases confidence for those navigating the use of technology by demonstrating its uses within Community Health Centers SHC provides accessible and user-friendly education in health and wellness solutions
This training manual is designed to provide training and development to Health IT Navigators Their skills will be used to provide the necessary knowledge to patientsclientsconsumers of the Smart Health Center project
The Smart Health Centers project offers an integrated approach to enhancing health and wellness SHC provides online access of health information to improve the medical experience so that individuals may better understand and make well-informed decisions about their health Patients are ensured high-quality online material personalized culturally-sensitive advice and access to their own electronic records SHC partners with community health centers to enhance public computing resources and ultimately patients become ldquofull users of electronic health record systems
3
Authors PageValerie Brown is a Masters in Public Health Candidate in Community Health Sciences at the University of Illinois at Chicago She has an earned certificate in Community Public Health Practice from UIC For several years she has worked with CEEDChicago in Health Literacy and Community Health Workers and two years on a Patient Centered Care Collaborative to Improve Minority Health research project Valerie has an MBA and BS Computer Information Systems from Keller Graduate School of Management and DeVry University Professional experience includes Computer Networking and managing and operating IT helpdesks She co-authored this manual while working as an intern at CHITREC and Alliance of Chicago
Diana Beasley is a consultant with Human Resources and Organizational Development experience which includes Program Design TrainingDevelopment Human Resource Management Organizational Management and Group Dynamics Ms Beasley also has several years of experience in Management Consulting and Coaching Technical Assistance Leadership Training and Project Management to major corporations nonprofit organizations and FQHC health centers Ms Beasley has degrees in Psychology Urban Studies and Business Administration and a certificate in Human Resources She is Founder and Managing Consultant of Management Synergistics Inc a 14th year WMBE management-consulting firm in Chicago Ms Beasley is a native Chicagoan maintains an active lifestyle and has many affiliations in several groups and associations
4
Table of ContentsbullModule 1bull Project Overview
bullModule 2bull Health Navigator Role
bullModule 3bull Basic Health Information and Security of Information
bullModule 4bull Basic Computer Skills
bullModule 5bull Health Information Technology and Personal Health Records
bullModule 6bull Patient Portals
5
Module 1 Project OverviewProject Overview
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
6
Module 1 Project OverviewLEARNING OBJECTIVES
Have a strong knowledge of the project its goals and objectives
Understand and identify partners amp staff
Understand the Health roles ie supervisory role staff policies and procedures
Understand information about sponsoring organization
Participate in activities to reinforce learning
7
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
IntroductionThe Smart Health Centers project (SHC) empowers underserved patients by bringing the knowledge of technology and medical records to improve health outcomes directly to the fingertips of community members
Smart Health Centers increases confidence for those navigating the use of technology by demonstrating its uses within Community Health Centers SHC provides accessible and user-friendly education in health and wellness solutions
This training manual is designed to provide training and development to Health IT Navigators Their skills will be used to provide the necessary knowledge to patientsclientsconsumers of the Smart Health Center project
The Smart Health Centers project offers an integrated approach to enhancing health and wellness SHC provides online access of health information to improve the medical experience so that individuals may better understand and make well-informed decisions about their health Patients are ensured high-quality online material personalized culturally-sensitive advice and access to their own electronic records SHC partners with community health centers to enhance public computing resources and ultimately patients become ldquofull users of electronic health record systems
3
Authors PageValerie Brown is a Masters in Public Health Candidate in Community Health Sciences at the University of Illinois at Chicago She has an earned certificate in Community Public Health Practice from UIC For several years she has worked with CEEDChicago in Health Literacy and Community Health Workers and two years on a Patient Centered Care Collaborative to Improve Minority Health research project Valerie has an MBA and BS Computer Information Systems from Keller Graduate School of Management and DeVry University Professional experience includes Computer Networking and managing and operating IT helpdesks She co-authored this manual while working as an intern at CHITREC and Alliance of Chicago
Diana Beasley is a consultant with Human Resources and Organizational Development experience which includes Program Design TrainingDevelopment Human Resource Management Organizational Management and Group Dynamics Ms Beasley also has several years of experience in Management Consulting and Coaching Technical Assistance Leadership Training and Project Management to major corporations nonprofit organizations and FQHC health centers Ms Beasley has degrees in Psychology Urban Studies and Business Administration and a certificate in Human Resources She is Founder and Managing Consultant of Management Synergistics Inc a 14th year WMBE management-consulting firm in Chicago Ms Beasley is a native Chicagoan maintains an active lifestyle and has many affiliations in several groups and associations
4
Table of ContentsbullModule 1bull Project Overview
bullModule 2bull Health Navigator Role
bullModule 3bull Basic Health Information and Security of Information
bullModule 4bull Basic Computer Skills
bullModule 5bull Health Information Technology and Personal Health Records
bullModule 6bull Patient Portals
5
Module 1 Project OverviewProject Overview
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
6
Module 1 Project OverviewLEARNING OBJECTIVES
Have a strong knowledge of the project its goals and objectives
Understand and identify partners amp staff
Understand the Health roles ie supervisory role staff policies and procedures
Understand information about sponsoring organization
Participate in activities to reinforce learning
7
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Authors PageValerie Brown is a Masters in Public Health Candidate in Community Health Sciences at the University of Illinois at Chicago She has an earned certificate in Community Public Health Practice from UIC For several years she has worked with CEEDChicago in Health Literacy and Community Health Workers and two years on a Patient Centered Care Collaborative to Improve Minority Health research project Valerie has an MBA and BS Computer Information Systems from Keller Graduate School of Management and DeVry University Professional experience includes Computer Networking and managing and operating IT helpdesks She co-authored this manual while working as an intern at CHITREC and Alliance of Chicago
Diana Beasley is a consultant with Human Resources and Organizational Development experience which includes Program Design TrainingDevelopment Human Resource Management Organizational Management and Group Dynamics Ms Beasley also has several years of experience in Management Consulting and Coaching Technical Assistance Leadership Training and Project Management to major corporations nonprofit organizations and FQHC health centers Ms Beasley has degrees in Psychology Urban Studies and Business Administration and a certificate in Human Resources She is Founder and Managing Consultant of Management Synergistics Inc a 14th year WMBE management-consulting firm in Chicago Ms Beasley is a native Chicagoan maintains an active lifestyle and has many affiliations in several groups and associations
4
Table of ContentsbullModule 1bull Project Overview
bullModule 2bull Health Navigator Role
bullModule 3bull Basic Health Information and Security of Information
bullModule 4bull Basic Computer Skills
bullModule 5bull Health Information Technology and Personal Health Records
bullModule 6bull Patient Portals
5
Module 1 Project OverviewProject Overview
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
6
Module 1 Project OverviewLEARNING OBJECTIVES
Have a strong knowledge of the project its goals and objectives
Understand and identify partners amp staff
Understand the Health roles ie supervisory role staff policies and procedures
Understand information about sponsoring organization
Participate in activities to reinforce learning
7
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Table of ContentsbullModule 1bull Project Overview
bullModule 2bull Health Navigator Role
bullModule 3bull Basic Health Information and Security of Information
bullModule 4bull Basic Computer Skills
bullModule 5bull Health Information Technology and Personal Health Records
bullModule 6bull Patient Portals
5
Module 1 Project OverviewProject Overview
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
6
Module 1 Project OverviewLEARNING OBJECTIVES
Have a strong knowledge of the project its goals and objectives
Understand and identify partners amp staff
Understand the Health roles ie supervisory role staff policies and procedures
Understand information about sponsoring organization
Participate in activities to reinforce learning
7
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 1 Project OverviewProject Overview
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
6
Module 1 Project OverviewLEARNING OBJECTIVES
Have a strong knowledge of the project its goals and objectives
Understand and identify partners amp staff
Understand the Health roles ie supervisory role staff policies and procedures
Understand information about sponsoring organization
Participate in activities to reinforce learning
7
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 1 Project OverviewLEARNING OBJECTIVES
Have a strong knowledge of the project its goals and objectives
Understand and identify partners amp staff
Understand the Health roles ie supervisory role staff policies and procedures
Understand information about sponsoring organization
Participate in activities to reinforce learning
7
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 1 Project OverviewAs the nation moves toward a 21st Century technology-based health care system providers medical staff and patients must also
The goals for the Smart Health Centers include
Expanding underserved residentsrsquo access to online health and wellness information
Educating patients on how to access adopt and maintain health information for themselves and their families
Educating patients on how to identify trusted online health information including a set of provider suggested web based resources and tools
Helping consumers achieve ldquomeaningful userdquo of electronic health information such as healthcare patient portals and personal health records
8
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 1 Project Overview - Collaboration
9
Smart Collaborative of Chicago Community Trust
City of Chicago
Otho Sprague Foundation
Smart Collaborative Sitebull Family Focusbull Laurie Children Hospital bull Acts of Faithbull Lawrence Hallbull CCHSbull Health Leads of Chicagobull Erie Health Centerbull Near North Health Center
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 1 Project Perspective
The Smart Health Center model revolves around the information Navigator at each site The Navigator is part subject matter expert and part teacher By helping patients access their own health records online they empower to patients to take control of their own health Navigators also help patients find information online health information and support groups for chronic illnesses The wealth of information on the internet can enable residents to make health better choices
Some Smart Health Centers have computers available for public use for those residents who may not have access to the Internet at home along with 250 other sites throughout Chicago
Behind the desk patients who visit the clinic have their medical records uploaded to a secure server that patients and doctors can access Even if the patient changes doctors or moves to a different city the records can follow the patient with no hassle
10
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 1 Project Organizational Chart
Smart Health Collaborative
Other SitesActs of Faith
Erie Health Care Center
Near North Health Centers
Lawrence Hall
Health Navigator
Health Navigator
Health Navigator
Family Focus Center
Health Navigator
Lurie Children Hospital
Health Navigator
11
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
bullHealth Navigatorsndash Are employees andor volunteers at Community Health Centers (CHCs) churches or
Community Based Organizations (CBOs)ndash Are oriented on organizational polices roles and responsibilities of facility or
healthcare centers
bullSitesndash Provide training and development on other policies and procedures for the center Including the Affordable Care Act (ACA) and the Health Insurance Portability and Accountability Act (HIPAA) etcndash Provide training on health care practices andor chronic diseases etc
12
Module 1 Health Navigators amp Project Sites
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 1 Activity Knowledge Test
13
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 The Role of the Health Navigator
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
14
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Health Navigator Role
LEARNING OBJECTIVES
Identify the role and responsibilities of a Health Navigator
Identify the core competency skills of a Health Navigator
Recognize similarities in Community Health Workers and Health Navigators
Understand the role of Health Literacy in patient engagement
Understand the role of Cultural Competency in patient engagement
Recognize role of theory in delivering health education and its influence on health behavior
Discuss the influence of Generational perspectives
Activity Patient Engagement Role Play
Provide feedback on the patient engagement
15
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Health Navigator Role
New role
Support (Technical Assistance)
Perform demos using technology
Hands-on for patientsclients
Look up Quality Health Information
Explain Personal Health Record
Navigate Patient Portals
16
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Health Navigator Responsibilities
Promoting the Smart Health Center to patients and stake holders
Educate and demonstrate use of technology to patients
Assist patients care givers and family members - logins and navigation of Smart Health Center technology
Provide privacy and safety information for using technology for health
Educate patients on benefits and usage of Personal Health Records
Tracking feedback and information to understand patients needs in using technology for health
Collaborating with other team members to reduce barriers and improve education of community members
Building additional knowledge and improving skills through self-study webinars virtual and in-person trainings and workshops
17
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 CHW and Health Navigator
COMMUNITY HEALTH WORKER (CHW)
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (asthma diabetes HIV)
Culturally appropriate care
HEALTH NAVIGATOR
Part of Health Care Team
Provides Outreach
ID Services and Referrals
Health Education
Specialized health knowledge (Health Information Technology)
Culturally appropriate care
18
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
21-1094 Community Health Workers (Navigator)
Assist individuals and communities to adopt healthy behaviors
Conduct outreach for medical personnel or health organizations to implement programs in the community that promote maintain and improve individual and community health
May provide information on available resources provide social support and informal counseling advocate for individuals and community health needs and provide services such as first aid and blood pressure screening
May collect data to help identify community health needs Excludes Health Educators (21-1091)
Illustrative examples Peer Health Promoter Lay Health Advocate
Source US Department of Labor Bureau of Labor Statistics
httpwwwblsgovsoc2010soc211094htm
19
Module 2 Health Navigator Role
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Core Competencies
Communication Skills
Interpersonal Skills
Knowledge base about the community health issues and available services
Service coordination
Advocacy skills
Teaching skills
Organizational skills
Privacy and Confidentiality
20
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p13)
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Soft Skills
Interpersonal warmth
Trustworthiness
Open-mindedness
Objectivity
Sensitivity
Competence
Commitment to social justice
Good psychological health
Self-awareness and understanding
Empathy
21
Source (Berthold Miller Avila-Esparza 2009 Foundations for Community Health Workers p15)
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
22httpwwwlatitudelearningcom
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 LMS To Increase Soft Skills
Module 2 Soft SkillsSelf-paced web-based improvement in customer service listening presentation communication diversity and empowerment courses
bull Giving an Effective Presentation 25 hour(s)
bull Learn effective communication skills and audience-involvement techniques that can be used during presentations
bull Communication Fundamentals 2 hour(s)
bull This online training course presents the essential skills needed to communicate effectively in the work environment
bull Dealing with Diversity 1 hour(s)
bull This course discusses how to recognize and respect individual differences and describes some strategies that can be used to dealwith diversity
bull Listen for Understanding 15 hour(s)
bull This course is on Listening for Understanding This online training course teaches communications and active listening skills
bull Empowerment in the Workplace 175 hour(s)
bull Online training to develop empowerment initiatives in the workplace This online learning path outlines the benefits of empowerment and provides tools and techniques to help promote empowerment at all levels of the organization
bull Customer Service Excellence 1 hour(s)
bull This course outlines how to maintain excellence in customer service
bull Facilitating Improvement 2 hour(s)
bull Learn to lead an audience to new ideas or understandings
23
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Cultural CompetenciesWhen you hear the term ldquocultural competency ldquo what comes to mind
24
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Cultural Competencies
Why is cultural competency important
-People come from diverse backgrounds with many different kinds of beliefs and practices
-We want to connect with others in a genuine way We want to show authenticity (realness) respect true understanding and build trust
25
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Health Literacy
Definition of Health Literacy
The degree to which individuals have the capacity to obtain process and understand basic health information amp services needed to make appropriate health decisions
Healthy People 2010
26
Source httpnnlmgovoutreachconsumerhlthlithtml Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
27
Source httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2Health Education Theory
28
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Health Education TheoryConsumer Information Processing Model
29
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Health Education Theory ndash Stages of Change
Precontemplation - the person is unaware of the behavior change and has no intention to take action and has not seriously thought about change (step before being introduced to HIT at the CHC ndash2) Contemplation - the person is seriously thinking about a change (in the near future) (accepts HIT navigator invitation to learn role of HIT in their health) 3) Preparation - the person is planning to take action and is making final adjustments before changing behavior (engaged consumer asks questions and creates a logon) 4) Action - the person implements some specific action (patient creates a PHR) 5) Maintenance - the person continues with the desired action (continues to update PHR on their own with historical information after initially created) 6) Termination - the person has zero temptation to go back to former behavior and has 100 confidence in their new ability (patient works to build and maintain PHRs for mate children and other family members)
Source Health Education Models httpmsucarescomhealthhealthappa1htm )
30
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Health Education Theory ndash Stages of Change
31
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2The GenerationsTodayrsquos workforce has 5 types of workers with differing styles These workers include
The BuildersMatureSilent
The Boomers
The X-ers
The Net Millennials
The iGen
32
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2Generation ValuesVALUES INhellip
BUILDERSMATURESILENT BOOMERS XERS Net MillennialiGen
MOTHER Homemaker Working Mother Single Mother Single Mother Father
FAMILY Close Family Dispersed Family Latchkey Kids Looser Family Structure
MARRIAGE Married Once Divorced Remarried Single Parent Undetermined
HAIR Short Hair Long Hair Any Style Hair Bleached Spiked
CLOTHES Formal Casual Bizarre Anything Goes
MUSIC Big Band Swing Rock n Roll Alternative Rap Very Diverse
MONEY Save It Now Buy It Now Want It Now Get It Now (online)
PURCHASING Purchase w Cash Purchase w credit card Struggling to Purchase Purchase Online
MARKETING Ford Marketing Concept GE Marketing Concept Ignored Market Interactive Global Market
HIGH-TECH Slide Rule Calculator Computer Internet
WORK STYLE Team Work Personal Fulfillment Tentative Divided Loyalty Networking
WAR Win a War Why a War Watch A War Winless War
MORALS Puritan Ethics Sensual Cautious Tolerant
LEARNING STYLES 100Print Media (Books)
90Print Media 10 Electronics
65 Electronics35 Print Media
90 Electronics10 Print Media
33
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Patient Engagement
Introductions are important in patient engagement Tone body language and energy are important
Strategy and Tips for Introduction
bull30 second intro
bull Initial impressions often sets the tone
bull Introduce yourself
bullTone
bullBody language
bullExplain who you are
bullExplain why you are there
bull Include role of technology in healthcare
bull Include benefits to patients
bull Invite them to experience technology
34
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Patient EngagementConducting Interviews and Demonstrations
1 Introduction the interview and the end
2 Conversational
3 Understanding the response techniques
4 Checking responses
5 Follow-up questions
6 Staying on track and getting back on track
7 Good Listening Skills
35
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Patient Feedback
bullComplete feedback form on all Encounters (manual) Spreadsheet
bullWithin a few months the feedback form will be electronic (Score card)
bullThis information is important feedback to report to project leadership and measure program effectiveness
36
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Patient Engagement Feedback
Date Start time Age Range Gender Topics discussed
Length of time with patient
(approximate) Navigator notesobservations
37
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 2 Patient Engagement Role Play
38
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Basic Health Information amp Security of Health Information
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
39
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
LEARNING OBJECTIVES
40
bull Overview of the Affordable Care Act (ACA)
bull Overview the Health Insurance Portability amp Accountability Act (HIPAA)
bull Personal Health Records (PHR) Privacy and Security IssuesVideo
bull Overview of Government Insurance Marketplace amp County Care
bull Tips for Creating Private and Secure User IDs and Passwords
bull Privacy amp Security Clearing Your Internet Browser
Module 3 Basic Health Information amp Security of Health Information
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Affordable Care Act (ACA)
Health care reform refers to a federal law called the Affordable Care Act passed in March 2010
To most people health care reform means
New and better ways to get affordable health care coverage
More options for receiving quality medical care
As of January 1 2014 citizens are required to have health insurance or pay a penalty
The only people who wont have to buy health insurance or pay a penalty are
Those with certain religious beliefs
Members of Native American tribes
Undocumented immigrants
Those who are in prison
Those whose income is below a certain level
Those with pre-existing conditions
41
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 HIPAA
HIPAA stands for the ldquoHealth Insurance Portability and Accountability Actrdquo a federal law passed in 1996
HIPAA imposes several requirements related to health insurance and health records
One aspect of HIPAA known as the Privacy Rule provides patients with certain rights with respect to their health information requires that health care providers protect the privacy of health information and requires that those working for health care providers be trained in policies and procedures related to maintaining privacy
This aspect of HIPAA went into effect on April 14 2003 and applies to health information in any form including paper electronic and verbal health information
42
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 HIPAA (continued)Recently the HIPAA Security RuleHITECH Act went into effect which requires that electronic health information be maintained in a way that protects the availability integrity and confidentiality of these records
Individuals who will work with electronic versions of health information must also complete training on the HIPAA Security Rule which is available on-line or provided by their health care facility
43
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 HIPAA (continued)What is ldquoProtected Health Informationrdquo
Comes from a health care provider or a health plan
Identifies an individual or
Could be used to identify an individual
Describes the health care condition or payments of an individual
Describes the demographics of an individual
44
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 PHR Privacy and Security HIPAA features
Health Insurance Portability amp Accountability Act (HIPAA) 1996
Ensures portability of insurance coverage between jobs
Improves efficiency of health care transactions
Ensures security and privacy of health information
Covers electronic written and spoken medical information
Grants consumers right to request copies and change info
Protects how medical information is used
Protects who has access
45
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Privacy amp Security Issues Video
46
HIPAA SECURITY RULEhttpwwwyoutubecomwatchv=QWRn2r5R7tsampfeature=plcp
YOUR HEALTH INFORMATION YOUR RIGHTShttpwwwyoutubHIPAAwatchv=FKTHncn-5Vsampfeature=plcpSpanish httpwwwyoutubecomwatchv=moQvCt4stykampfeature=plcp
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Privacy amp Security
Virus software
Firewalls
Strong User idrsquos and passwords
Secure websites
Trusted emails and attachments
SSL certificates
Encryption
47
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
48
Module 3 Government Insurance Marketplaceorg
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
When deciding on a purchase as important as health insurance coverage you need to empower yourself with as much knowledge as possible Speaking with a licensed agent is always strongly recommended They can supply you with all the tools you need to make an informed decision and make you aware of health insurance options that you may not even know you have
Youve likely heard of PPOs and HMOs These are groups of doctors hospitals and medical specialists who provide health care services to members at a discount Before choosing a specific provider network check out how large it is and if there are participating doctors and hospitals close to where you live
49
Module 3 Government Insurance Marketplaceorg
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Get Covered Illinoisgov
50
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Get Covered Illinoisgov
51
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Since lawmakers have passed the Affordable Care Act itrsquos gotten easier to shop for individual health care insurance Theoretically all you need to do is visit your statersquos Health Insurance Marketplace to compare plans get quotes and enroll in coverage But selecting a personal health care plan does require a certain level of contemplation ndash so make sure you take these factors into consideration when yoursquore shopping for health care for an individual
Outline Your Medical Needs for a Personal Health Care PlanThe first thing you should do when shopping for individual health care insurance is to identify your medical needs If yoursquore relatively young and healthy your medical needs may be minimal If yoursquore planning to start a family though you may need maternity coverage If you regularly take certain medications or have a pre-existing medical condition you need to factor in everything yoursquoll need your health insurance to cover Outline your medical needs and focus on those needs and costs when yoursquore comparing plans
Create Your Budget for Individual Health Care InsuranceFiguring out a budget for health care for individual needs is relatively simple Income minus expenses and a portion of whatrsquos left over should go to personal health care insurance If your needs are minimal a basic personal health care plan with a lower cost is probably right for you No need to overbuy If your medical needs are more complex though itrsquos worthwhile to pay more for individual health care insurance that will cover all of your medical costs
Walk Through Several PlansTake the time to fully walk through what your life would be like with a certain personal health care plan Do it again with a different plan With the passage of the Affordable Care Act insurers are required to issue a Summary of Benefits and Coverage or SBC that can help you understand coverage and compare scenarios under different health care plans Take the time to fully understand how each plan would fit with your lifestyle and needs before you make your final decision and enroll in your new health care plan
52
Module 3 MarketplaceHealth Insurance
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Creating and Managing User IDs and PasswordsFor internet sites creating a unique User ID and password is normal User IDs and passwords help protect the confidentiality of accounts and enables the website owner to verify identity This will be known only to the patient andor a family member or trusted friend should you choose to share it Be careful who you share this information Similar to your social security number or identification card be careful with who you share your information
It is not uncommon to have 5 10 20 or more sets of User ID and passwords for different websites and software applications Also some passwords expire and may have to be changed often A private and secure process to manage all your User ID and passwords is helpful Suggestions follow
Do not write down User IDs and passwords on paper or in a book where others can view it easily Writing down passwords and locking the list up somewhere is a good idea and secure
Storing them electronically in a file that is password protected is a good idea and often secure
53
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Tips for Creating Secure User IDs and PasswordsUser IDs and Passwords help protect the confidentiality of accounts and enables verification of identityFollow these tips to create a good user ID and password
Create a user ID that others cant guess but is easy for you to remember
Use a combination of letters and numbers (eg pat1sten10 or walk2dogs)
Many sites will ask users to use an email address for the User ID
Try not to use the same password for every User ID and Password combination
Avoid using family or pet names your birthday your anniversary or your social security number (It is too easy for others to guess)
Use a word you can remember but replace some of the letters with numbers(eg s1cr1t)
Users will often be given a set of instructions on how to create the User ID and Password for different sites likehellip
Your user ID must be 6ndash16 characters and can contain any character found on your computers keyboard except spaces As an added security measure your user ID and password cannot be the same
54
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Internet Browser
As you browse the Internet everything viewed is saved to the cache on the hard drive Loading from the cache helps everything load faster since it is loaded from the hard drive instead of from a server in a different part of the world To conserve hard drive space or keep your browsing private you can clear or delete the history (cache)
55
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 3 Clear Internet BrowserMicrosoft Windows users running Microsoft Internet Explorer 6 and above can delete their history files by clicking the Tools menu Internet Options and clicking the Delete Files or Delete button Users also have the option of automatically deleting files each time the close the browser window by clicking the Advanced tab and checking Empty Temporary Internet Files folder when browser is closed under the Security section
56
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Basic Computer Skills
Basic Computer Module
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
57
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Basic Computer Skills
58
LEARNING OBJECTIVES
bull Learn Basic Housekeeping for Maintenance of Computer Area
bull Start Up Troubleshooting Turn Off Computer
bull Assess and Provide Basic Computer Skills to PatientsClients
bull Computer Hardware Software Using a Mouse Access Internet Browser
bull Navigating the Smart Health Center Landing Page
bull How to find Quality ldquoReliable and Accurate Health Informationrdquo
bull Sample Google Search Results for ldquoDiabetesrdquo
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Housekeeping ndash Daily Maintenance of Computer Area
59
bull NO FOOD or DRINKS in the computer lab bull Turn cell phones to vibratebull Respect all users time bull Respect the equipmentbull NO game playingbull Not for children usebull NO Personal emails or Websites
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Start Up Troubleshooting Turn off computer
60
bull The first activity of each day will be to turn on the Smart Health Center computers bull Equipment is to be powered off at the end of the day When working with patients
the computer will be turned on and working bull Laptops and tablets are stored in secure locked environment
bull Troubleshooting is a regular and normal part of the Health Navigator job bull Remaining calm when working with patients is very important bull Initiate troubleshooting steps for hardware software or internet problems included
in the handbook If not resolved1) ask the patient to return at a time convenient to them 2) contact the center IT support
bull The last activity of each day will be to exit all applications turn off the Smart Health Center computers and return laptops and tablets to their secure locked locations
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
PURPOSE To assess patientclientrsquos comfort level with computers
1 Do you own or have you used a computer before Score = 0
2 Do you have a smart phone Score = 2
3 Do you know the components of a computer Score = 4
4 Do you know how to access the internet Score = 6
5 Do you have an email account 5 Score = 8
6 Have you used a computer mouse before Score = 10
61
Module 4 Computer Knowledge
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Computer AssessmentPURPOSE Share skills with Health Navigator the higher the score the more basic skills training is required
LIMITED SKILLS USERS Go to Slides Labeled
ID essential parts of computermouse skills open internet browser Privacy amp security navigate landing page find quality health information
MORE EXPERIENCED USERS Go to Slides Labeled
Privacy amp security navigate landing page find quality health information
62
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 4 More Experienced Go to Navigating SHC Landing Page (Slide 70)
EXPERIENCED COMPUTER USERS
An answer of lsquoyesrsquo to either of these questions may indicate a person is familiar with a computer A patient comfortable using the computer can go to the section ldquoPrivacy and Securityrdquo As time permits introducing ldquoPersonal Health Records and Patient Portalrdquo in the next sections can motivate patients to return for more guidance on how technology can be used to take charge of their health Evidence shows patients who invest time reviewing organizing and keeping track of their medical records often receive improved quality care and have good health outcomes
Navigating Smart Health Center Landing Page Finding Quality Health Information
63
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Limited Computer Skills Go to Slide 65
COMPUTER USERS WITH LIMITED SKILLS
Patient encounter(s) where there is limited familiarity with a computer may need review of basic information on the parts of a computer using a mouse and accessing the internet first On average this is about the amount of time available to spend with a patient in an initial session As time permits patients can be invited back to learn ldquoHow to create Personal Health Records and Patient Portalrdquo
ID computer HDW SFW Using a mouse Accessing the Internet Navigating Smart Health Center Landing Page Finding Quality Health Information
64
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Computer Hardware
65
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Computer Software
66
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Using a MouseUSING A MOUSE - New or limited skilled computer users are known to take extra time to acquire the skill of using a mouse Placement of the mouse in the hand and pressing the correct button requires time and patience
Step 1 Relax your hand over the mouse with your index and middle fingers over the two control buttons
Step 2 You will use your index (ie pointing) figure to ldquoclickrdquo on the mouse and make your selections
Step 3 Moving the whole mouse on the pad will move the arrowcursor on the screen
Basic procedures to practice these skills are included in the following links
Two additional good websites for practicing mouse skills are Mousarobicshttpwwwskywaysorgcentralmousepage1html and Mouse Exercises
Source Chris Rippel Central Kansas Library System Great Bend Kansas crippelcklsorg httpwwwskywaysorgcentralmousepage1html
Source Mouse exercises developed by Vic Laurie Ewing Learning Center for SeniorNet httpwwwseniornetorghowtomouseexercisesmousepracticehtml
67
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Opening An Internet Browser
An internet browser allows access the internet Most common ones are Microsoft Internet Explorer Firefox and Google Chrome Macrsquos Safari is popular as well however they are not currently deployed in the Smart Health Centers Use Internet Explorer (or the browser of your choice) You can open the browser by double-clicking on the ICON or going through the Start menu to open up the Internet
68
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Open an Internet Browser
An internet browser allows access the internet Most common are Microsoft Internet Explorer FireFox and Google Chrome Mac Safari is popular as well however Macrsquos are not currently deployed in the Smart Health Centers The internet browser at the Smart Health Center should always be open and available These computers automatically go to the Smart Health Centers page wwwsmarthealthcenterscom
69
Use Internet Explorer (or the browser of your choice) Open the browser by double-clicking on the ICON on the desktop or going through the Start menu to open up the Internet Common internet activities are searching for general information and health information researching a product or service buying a product or service checking weather and news If you know directly where you want to go you can enter the address
(wwwsmarthealthcenterscom )
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 4 Navigating the Smart Health Centers - Landing Page
70
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 4 Navigating the Smart Health Centers Landing Page
71
httpsmart-health-centerssmartchicagoappsorg
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
72
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 4 Navigating the Smart Health Centers Landing PageAdult Health
wwwfamilydoctororg
wwwcdcgov
wwwNorthwesternhospitallearningcenterorg
Pediatric Health
wwwHealthychildrenorg
wwwFamilydoctororg
wwwKidshealthorg
Teen Health
wwwbedsiderorg
wwwyoungwomenshealthorg
wwwadvocatesforyouthorg
wwwsexedlibraryorg
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
73
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Womens Health
wwwwomenshealthgov
wwwFamilydoctororg
Chronic Disease
Diabetes ndash wwwdiabetesorg
Heart Disease ndash wwwheartorg
Cancer ndash wwwcancerorg
wwwcdcgovDiseasesConditions
wwwwinniddknihgovpublicationsindex
htmpublic
PrenatalPregnancyBreastfeeding
wwwbabyfriendlyusaorg
wwwacogorg
wwwwomenshealthgovpregnancy
wwwlalecheleagueorg
Oral Health
wwwhealthyteethorg
74
Mod 4 Navigating the Smart Health Centers Landing Page
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 4 Navigating the Smart Health Centers Landing Page
Nutrition
wwwcloccnet
wwwcspinetorgsmartmouthindex1html
wwwchoosemyplategov
wwwwomenshealthgovbodyworks
wwwhealthyfoodshealthymovesorgabout-ushtml
Physical Activity
wwwcloccnet
wwwstartwalkingnoworg (English only)
wwwbamgovsub_physicalactivity ndash for kids (English only)
wwwwinniddknihgovpublicationsindexhtmpublic
Stop Smoking
wwwcancerorgHealthyStayAwayfromTobaccoGuidetoQuittingSmokingindex
wwwsmokefreegov
HIVAIDS
wwwmedicinenetcomhuman_immunodeficiency_virus_hiv_aids
Community Resources
httpweconnectchicagoorg
75
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 4 Finding Quality Health InformationFINDING QUALITY HEALTH INFORMATION
The providers nurse health center administrators pharmacists dentists and ophthalmologists at your location have carefully selected web health information sites that are trusted reliable and great sources of information for you and your family
Your Community Health Center or our sponsors do not have any financial or personal interests in these websites The content is solely the property of the vendor Please check with your provider for further discussion about articles and topics that appear on these websites Read the information carefully to increase your health care knowledge Remember to check with your provider before changing any treatment plans
76
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
(Regular Internet Search)
When looking up health information use the suggested
Quality Information Checklist to find reliable accurate health information
Yes No
_____ _____ radic Can you read and understand the website
_____ _____ radic Is the purpose of the website clear
_____ _____ radic Is the website easy to use
_____ _____ radic Is the website written by an organization or person you can trust
_____ _____ radic Is the information biased in anyway
_____ _____ radic Has the website been updated recently
______ ____ radic Is the information correct and error-free
Source River Valley Healthy Communities Coalition Rumford Maine Who Can You Trust httpwwwrvhccorgpdfHIL_Sourcebookpdf
77
Module 4 Finding Reliable and Accurate Health Information -Checklist
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
For an activity letrsquos try to identify good and poor sources of reliable information on the internet A popular search topic is normally a population or health topic Examples follow
Population or Community TypehellipMen Women Teens Children Seniors
By topichellipDiabetes Heart Disease High Blood Pressure
Go to google (wwwgooglecom) and type in ldquodiabetesrdquo as search criteria
1 What were the first two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
2 What were the next two or three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
3 What were the next group of three websites that appeared
Measure the first two or three websites with the suggested Quality Information Checklist Share your findings
78
Module 4 Finding Reliable and Accurate Health Information
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 4 Google Search for ldquoDiabetes
79
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
80
Mod 4 Activity - Accurate Health Information
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 Health Information Technology and Personal Health Records
81
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
LEARNING OBJECTIVES
bullRecognize Health Information Technology (HIT) terms and acronyms
bullIdentify HIT at the Federal State and Local Level
bullUnderstand the similarities and differences in Electronic Medical Records (EMRs) Electronic Health Records (EHRs) and Personal Health Records (PHRs)
bullName the benefits of PHRs for Patients and Providers
bullRecognize common contents and elements of PHR systems
bullIdentify Privacy and Security PHR issues
bullCreate a PHR
82
Module 5 Health Information Technology and Personal Health Records
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 Introduction
Utilizing the latest technology at theSmart Health Centers the HealthNavigator will invite patients to learnhow creating PHRs can help them takecharge of their health receive efficientcare and track all their health careencounters through their entire healthcare spectrum Patients will be able toshare this information with providers tohelp them coordinate their careefficiently help providers gain a timelyand current view of their health statusand help them develop the mostaccurate diagnosis and treatment plan
83
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 Introduction to Health Information Technology (HIT)
84
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 Introduction to Health Information Technology (HIT)
HIT is the use of electronic hardware software and technologies used to manage and share patient information electronically rather than through paper records
Health IT is designed to improve patient safety health care quality efficiency and data collection and decrease health care costs
85
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 HIT Federal Governance
86
The Office of the National Coordinator for Health Information Technology (ONC) is at the forefront of the administrationrsquos health IT efforts and is a resource to the entire health system to support the adoption of health information technology and the promotion of nationwide health information exchange to improve health care ONC is organizationally located within the Office of the Secretary for the US Department of Health and Human Services (HHS) ONC is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information
Source httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 HITState and Local Governance
87
In Illinois at the state and local level the entity for overseeing HIT planning implementation maintenance and sustainability is the Illinois Office of Health Information Technology (OHIT) They have the responsibility for building the Illinois Health Information Exchange (ILHIE) secure state electronic network that will be used to share the personal health information for patients and consumers among health care providers in Illinois
Source httpwww2illinoisgovgovHIEPagesOHITaspx
Illinois Office of Health Information Technology
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 HIT Video
88
httpwwwhealthitgovpatients-familiesmultimedia
Brochure httpwwwhealthitgovsitesdefaultfilesconsumerfactsheetfinalpdf
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 Paper Medical Records now Electronic Medical Records
Personal health information in a patient medical chart includes identifying information (name date of birth gender ethnicity) demographics insurance emergency information provider information allergies medical conditions medication tests labs and more This information is being converted from a paper chart to various electronic versions of the record namely an EMR EHR or PHR
EMR - Electronic Medical Record EHR - Electronic Health Record PHR ndash Personal Health Record
89
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 Types of Medical Records
90
Electronic Medical Record Electronic Health Record Personal Health Record
SIMILARITIES
An electronic record of
health-related information on
an individual that can be
created gathered managed
and consulted by authorized
clinicians and staff within one
health care organization
An electronic record of health-
related information on an
individual that conforms to
nationally recognized
interoperability standards and that
can be created managed and
consulted by authorized clinicians
and staff across more than one
health care organization
An electronic record of
health-related information on
an individual that conforms to
nationally recognized
interoperability standards and
that can be drawn from
multiple sources while being
managed shared and
controlled by the individual
DIFFERENCES
MANANGED BY
created gathered managed
and consulted by authorized
clinicians and staff
created managed and consulted
by authorized clinicians and staff
managed shared and
controlled by the individual
DIFFERENCES
NUMBER OF
ORGANIZATIONS
INVOLVED
within one health care
organization
across more than one health care
organization
can be drawn from multiple
sources
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 Personal Health Records ndashPHRs
Tool that gives patients the opportunity to collect store track and share important up-to-date information about the health encounters for themselves or someone under their care
The patient controls and grants access to only those they trust
PHRs were once paper based repository systems and are now stored on computers available online and are web-based
Some are free and some are available for a fee
They are available online by third party vendors
Privacy and Security requires consumers to select trustworthy reliable systems
91
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 Benefits of PHRbullTrack health information from multiple providers in different systems in one convenient location
bullThe patient creates manages and controls PHR and content
bullThe patient controls who has access to the personal health information
bull Information is quickly and easily accessible for sharing with hospitals providers and other health care stakeholders on the spot
bullThe patient can correct information keep it accurate and up-to-date anytime
bull Information is always accessible nights weekends holidays as long as the Internet is up
bullA history of test results lab reports and immunization records are available
bull This can eliminate duplicated tests
bullMedication errors can be reduced when a provider has up-to-date current information on medications and allergies
bullParticipating in this type of self management empowers patients to take charge of their health
92
httpwwwyoutubecomwatchv=jQJVceBNXFYAHIMA What a PHR Can Do For You
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 Privacy and Security Issues of PHRs
Protecting personal health information
Patient responsibility and tips Read user agreements and policies
Understand who has access to your information such as vendor staff their partners and if they share information with anyone
Practice basic security measures - strong passwords share only with authorized contacts use trusted secure sites
3rd party vendors who sponsor PHR systems are NOT HIPAA covered entities
93
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 5 Activity ndash Creating a PHR
94
How it works HealthVault lets you gather store use and share health information for you and your family putting you in control of your health information
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 Activity--Creating a PHR
95
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 Activity ndash Creating a PHR
96
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 Activity ndash Creating a PHR
97
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 5 Activity ndash Creating a PHR
98
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
99
Mod 5 Activity Creating a PHR
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Patient Portal
PATIENT ENGAGEMENTHOW TECHNOLOGY CAN BE USED FOR HEALTHCARE
100
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
LEARNING OBJECTIVES
bull Define Patient Portal
bull Describe the Similarities and Differences in Medical Records and Patient Portals
bull Define the Benefits of Patient Portals
bull Recognize How it Works
101
Module 6 Patient Portal
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Patient Portal
ldquo a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web siterdquo
HIMSS definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
102
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Patient Portal How it Works
Patient Portal systems vary Each organization has the ability to design personal processes
Step 1 Register by requesting or receiving a PIN User ID andor password from your health care provider
Step 2 Access the online web address location on the Internet
Step 3 Enter information at the field upon request Information can include PIN or access code name date of birth userid and password
Step 4 Answer any questions for creating security questions and answers
Step 5 Read review and accept or decline any terms and conditions such as consent form governing the conditions for the patient portal usagepolicy for responding to communication from the patient the policy for communicating with any partners or other external organizations how email communication is handled and security and confidentiality policies
103
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 6 Similarities amp Differences of Medical Records and Patient Portals
DEFINITION
From the HIMSS definition a patient portal is the starting point for a patient to find information set appointments review lab results andor view general health information on a physician or hospital Web site (or Electronic Health Record)
SIMILARITIES
The Patient Portal is one view usually a limited view of the patientrsquos health care sponsored EMR It is the same (similar) data from the EMR which the provider health care center or hospital owns and manages
DIFFERENCES
It is not affiliated with the Personal Health Record which the patient owns and manages The same information can be contained in other records
It is up to the patient to obtain the information from the provider
It is up to the patient to get the information into the PHR
It is up to the patient to share personal health information that the provider does not have
It is not a total full access view to the health care sponsored EMR or EHR
104
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Benefits of Patient Portals for Patients and Providers
Patients can schedule appointments check appointment schedules or request an appointment at their convenience
Patients can examine and pay their statements
Patient and Provider secure communication
Allows a patient to request a prescription refill
Patients receive reminders and other notifications securely
Patients can complete and update medical record information and forms at their convenience
105
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Privacy and Security Issues of Patient Portals
Healthcare facilities have securely designed systems that protect the EMR from the portion patients are able to access
Healthcare facilities have in place User agreements and policies explaining protections
Secure logon protection and authentications
Limited permissions for who has access to your information
Patients have responsibilities Practice basic security measures - strong passwords share only with
authorized contacts use trusted secure sites
106
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Privacy and Security Issues of Patient Portals
All messages sent between Providers and Patients are sent by secure messaging Secure messaging is the secure and protected transmission of information between patients and their providers including clinicians and their support staff
Traditional email messaging is not performed
HIPAA continues to impose rules and regulations that improve and protect patients privacy and security in health information exchange
HIPAA requires special security authentications for anyone accessing EMR systems remotely
HIPAA requires tracking of personnel dates and times to EMRs
107
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Patient Portal Overview
Patient Portal is a database-driven software application that allows you to build an interactive secure patient Web site
The patient portal is integrated with your existing clinic health record systems so that your patients can access select parts of their medical information
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Patient Portal
From the portal patients can complete secure online forms that are integrated with the EMR
Patients can also view their secure messages from your practice
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 6 Patient Portal DEMONSTRATION Sample Community amp Patient Activities on the Portal
Sample Community content
Sample Patient Activities on the portal View Medical Record Summaries
Refill a Prescription
Fill out forms amp sign them
Use home monitoring forms
Get directions to your office
110
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 6 Patient Portal Attach Chart Summary
Chart Summary includes demographics and structured clinical data such as problems meds allergies
Can be attached as text or in CCR (Continuity of Care Record) or CCD (Continuity of Care Document) structured data format
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Most Common Elements of Patient Portals
Home page of the patient portal
112
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Mod 6 Most Common Elements of Patient Portals
113
Viewing portions of the medical record chart summary includesbull conditions medicationsbull immunizations allergies bull test results and past history
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
Module 6 Most Common Elements of Patient Portals
Sending or reviewing messages from provider
Request refills on prescriptions
Scheduling or cancelling appointments
Bill pay and statement viewing
114
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
QUESTIONS amp ANSWERS
Thank you
Diana Beasley (Management Synergistics Inc and CCT)
synergy033aolcom
115
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
REFERENCESBerthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p13) San Francisco CA Jossey-Bass
US Department of Labor Bureau of Labor Statistics ( 2010 March 11) Standard Occupational Classification -21-1094 Community Health Workers Retrieved from httpwwwblsgovsoc2010soc211094htm
Berthold Miller amp Avila-Esparza (2009) The Role of CHWs Foundations for Community Health Workers (1st
ed) (p15) San Francisco CA Jossey-Bass
Latitude Learning is a Learning Management System site that offers self-paced training courses in communication customer service diversity and more ( httpwwwlatitudelearningcom )
American Medical Association Cultural Competency definition Retrieved August 2 2012 from wwwcshumneduModulesculturecompcp01html
Cultural Competence Photo google images commonwealthfundorg
National Network of Libraries of Medicine (2012) Definition Health Literacy Retrieved August 10 2012 from httpnnlmgovoutreachconsumerhlthlithtml (excerpt article originally produced by Penny Glassman former Technology Coordinator National Network of Libraries of Medicine New England Region Shrewsbury MA)
Saint Vincent Charity Medical Center (2012) 5 Steps to Better Health Literacy (2012) Retrieved August 10 2012 from httpwwwstvincentcharitycomprograms-servicescenters-excellencehealth-literacywhat-isaspx
Kelly Mc Quillen amp Connie Davis BC Health Literacy Prototype - Patients as Partners in Primary Health Care Health Literacy Umbrella (p 36) Retrieved August 10 2012 from httpwwwphabcorguserfilesimageMcQuillenpdf
116
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117
REFERENCES
Stoney Brook University School of Medicine Transtheoretical Model (Stages of Change) Photo Retrieved August 20 2012 from httpmedicinestonybrookmedicineeducolorectalcancerModuleIItranstheoretical_model
Domain Uniform Resource Locator (suffix) Retrieved June 20 2012 from httpwwwdomainregistercomcomorghtml
Robin A Cohen PhD amp Patricia F Adams (July 21 2011) Use of the Internet for Health Information United States 2009 Retrieved July 5 2012 from httpwwwcdcgovnchsdatadatabriefsdb66htm
River Valley Healthy Communities Coalition (2009) Rumford Maine Who Can You Trust Health Information and the Internet Retrieved June 15 2012 from httpwwwrvhccorgpdfHIL_Sourcebookpdf
The Office of the National Coordinator for Health Information Technology (2012) ONC definition Retrieved July 12 2012 from httphealthithhsgovportalserverptcommunityhealthit_hhs_gov__onc1200
Illinois Office of Health Information Technology (OHIT) ILHIE definition Retrieved July 12 2012 from httpwww2illinoisgovgovHIEPagesOHITaspx)
Patient Portal Himss definition httpwwwhimssorgdigital_office20071127_DigitalOfficehtm
117