Tuesday, April 24, 2012

Consumer/Patient Engagement Power Team Unveils Recommendations

The Consumer/Patient Engagement Power Team is assessing the Standards and Certification Criteria NPRM and providing recommendations for strengthening consumer/patient engagement components. The Power Team has prioritized recommendations to enable patients to participate as partners in their care. These recommendations can be downloaded here, and I have embedded them below. The presentation to the April 18, 2012 HIT Standards Committee meeting by Leslie K. Hall was truly outstanding. Take a few minutes to listen to this presentation:

Jim Hansen, Dossia Consortium in the document "Two key EHR-related catalysts to support patient engagement and accelerated health system transformation: Effective view, download and transmit capabilities and actionable recorded patient preferences" outlined the work of this group very well. One of the areas of focus was effective EHR View, Download and Transmit (VDT) Capabilities:
Effective view, download and transmit EHR capabilities are foundational not only for patient engagement but also to support the transformational shift to a learning health and health care system. Each function (view, download and transmit) plays a complementary role in addressing the required use scenarios.
Three core principals emerged from the Power Team discussions in support of this premise:
  • Designated Proxy - The patient has the right to designate a proxy (or proxies) indicating that interactions traditionally intended for the patient are handled by the designee(s) with and/or instead of the patient herself. Thus all comments related to patients below also apply to their designee(s), if any.
  • CC:ME - Any health information that is shared with providers and/or with the patient as an information exchange, discussion item or handout should be made available electronically with discrete computable fields and/or human readable format, based on patient preferences.
  • Incorporation of Patient Generated Data – Much of the information required to inform care decisions is gathered through a variety of inefficient and ad-hoc methods which can be significantly streamlined for efficiency and effectiveness. Standards developed for surveys of patient experience of care can be used in other applications.
The FACA Template for Input on the Certification Criteria to Support MU Stage 2 Objectives and Measures
FACA Template for Input on the Certification Criteria to Support MU Stage 2 Objectives and Measures

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