05 Sep Health Care Informatics-DAX-DL01 Deborah Crevecoeur Writing Assignment Week 1 Writing Assignment Conten
Health Care Informatics-DAX-DL01 Deborah Crevecoeur
Writing Assignment Week 1
Writing Assignment Content
- The CMS considers patient engagement a quality metric for a learning healthcare system.
● Patient engagement is a major focal point of stage 2 MU of HER.
● Patient Engagement in Health and Health Care Framework by Carman et al. presents different forms and levels of patient engagement across the healthcare system.
● Institute for Patient- and Family-Centered Care recognizes the vital role families play by providing emotional, social, and developmental support, ensuring the health and well-being of all family members
● The Level of Engagement with Health Care framework considers the engagement, quality, and safety of mobile apps. Clinicians can identify trustworthy apps that serve the engagement of high-need, high-cost populations.Consider content covered in chapter 5 concerning policy changes in the United States and the strategic plan needed to improve care and drive down cost through health information technology. Give at least 3 examples of an information technology policy change that has supported patient engagement.
The submission should be maximum 2 pages not counting the cover page and references.
CHAPTER 5
Consumer Engagement/Activation Enhanced by Technology
BACKGROUND AND PERSPECTIVE
Organizations like Aligning Forces for Quality (AF4Q) intend to put the patient in charge of their healthcare data.
There is evidence that communicating with patients about their healthcare decisions yields optimal outcomes.
As per 2011 Cochrane systemic review of 86 clinical trials, patients’ use of evidence-based decision aid led to:
improved knowledge of options
more accurate expectations of possible benefits and harms
more consistent choices with informed values
greater participation in decision making
The Centers for Medicare & Medicaid Services (CMS) considers patient engagement a quality metric under Health Information Technology for Economic and Clinical Health (HITECH) Act.
It is also a major focal point of stage 2 of MU of HER.
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INTRODUCTION (Cont.)
Office of the National Coordinator (ONC) established the website ( www.healthit.gov) to promote consumer engagement.
The National Quality Strategy report is provided to Congress annually.
It defines the status of health improvement efforts throughout the country.
Flex Medicare Beneficiary Quality Improvement Program provides technical assistance and national benchmarks to participating hospitals.
This improves healthcare outcomes in person-centered care.
National Prevention Strategy endorses preventive healthcare tactics aimed at the top national health concerns.
Affordable Care Act (ACA) expands health insurance coverage in three ways:
By subsidizing private plans offered through health insurance marketplaces.
By increasing eligibility for Medicaid.
By banning insurance practices that penalized people with minor health problems.
Accountable care organizations (ACOs) are charged with providing high-quality care to assigned beneficiaries while also meeting quality metrics and financial targets.
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PATIENT CARE-RELATED ENGAGEMENT APPROACHES
Patient Engagement in Health and Health Care Framework given by Carmen et al. presents:
Different forms of engagement ranging (from consultation to partnership)
Different levels of patient engagement (from direct care setting to organizational design, governance and policy making)
Factors affecting the patient engagement
Center for Patient- and Family-Centered Care Healthcare Information and Management Systems Society (HIMSS) expanded the Carmen framework to include meaningful use (MU) categories.
These support provider efforts to meet the HER federal requirements.
Language clarity and health literacy are important.
DNA analysis in guiding healthcare decisions is becoming more common.
The website Health Tech and You ( www.healthtechandyou.com) is a site:
Dedicated to the use of technology to support self-management of health.
Provide patient-generated data to providers and appropriate caregivers via the fitness apps and wearable devices.
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PROVIDER APPROACHES/COMPETENCIES
Interprofessional approaches to care delivery are most successful.
The interdependencies of the core interprofessional team competencies are:
Utilizing informatics
Providing patient-centered care
Applying quality improvement
Employing evidence-based practices
Patient engagement improves patient outcomes and decreases the cost of delivery.
Social construction of family health has contextual, functional, and structural dimensions.
Neuman Systems Model views client as an open system with physiological, psychological, sociocultural, developmental, and spiritual variables.
These respond to external stressors.
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PROVIDER APPROACHES/COMPETENCIES (Cont.)
Institute for Patient- and Family-Centered Care (IPFCC) recognizes the:
Vital role families play in ensuring health and well-being of family members of all ages
Emotional, social, and developmental support.
Hospital Readiness Assessment document is an extensive survey.
It rates a hospital’s patient and family centeredness characteristics.
Students and working professionals must maintain proficiency in core areas of patient-centered interprofessional competencies.
Using the Nancy Staggers model of information technology, 216 competencies were categorized.
The range of competencies were quantified to computer skills, informatics knowledge, and informatics skill.
Precision medicine focuses on individuals and the unique needs of each family member.
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PROVIDER APPROACHES/COMPETENCIES (Cont.)
i2b2 program:
Is an example of an NIH-funded National Center for Biomedical Computing (NCBC)
Charged with initiating development of national computational infrastructure for biomedical computing.
Citizen science encourages members of public to voluntarily participate in the scientific process.
American Lung Association’s COVID-19 Citizen Science research initiative is one of the latest citizen science initiatives.
Collective community impact initiatives ensure effective use of resources.
This improves social and health status.
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TECHNOLOGY AND HEALTH COACHING FOR HEALTH BEHAVIOR CHANGE
Patients empower consumer movement.
Provides patient-generated health information (PGHI).
Give patients the tools to understand:
what makes them sick
how to stay healthy
what to do if their condition worsens
Technology-based personal health record (PHR) and mobile applications are important for consumer engagement efforts.
Clinicians can use the Level of Engagement with Health Care framework.
To identify trustworthy apps to recommend to patients.
Work with health and wellness coaches and use mobile devices to manage chronic illnesses.
This reduces costs at the individual, community, and organizational levels.
AMA has approved New Category III Current Procedural Terminology (CPT) Codes for health coaching services reimbursement.
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HEALTHCARE COSTS AND TECHNOLOGY
Report by the Consumer Union:
The current approach to healthcare reform is unsustainable.
Good quality healthcare can be delivered for less money.
Characteristics of a learning healthcare system are:
Science and informatics—real-time access to knowledge and digital capture of the care experience
Patient-clinician partnership—engaged, empowered patients
Incentives—aligned for value and full transparency
Culture—leadership-instilled culture of learning and supportive system competencies
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SUMMARY
In light of the COVID-19 pandemic, patient engagement/activation has gained traction to maintain efficient healthcare delivery.
Government also encouraged patient activation by providing value-based reimbursement initiatives.
Community science promotes patient engagement by involving the community in healthcare delivery.
Use of technology to engage patients helps in reducing the delivery costs of healthcare.
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