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Chris LamerIHS OIT, Nashville
Lisa LyonCherokee Nation, Oklahoma
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Training Objectives
• Overview of PHR
• Demonstration of PHR
• HIM’s Role in PHR– Administration of the system– Pt Orientation– Pt Identification– Linking accounts– Pt account support
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Purpose of PHR
• The goal of the PHR is to improve the health of IHS patients through:– improved patient/provider collaboration– patient self-management– increased access to health information
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Benefits of PHR
• Research shows that when consumers actively participate in their own care, their outcomes are better. – Patients twice as likely to receive suggested
routing screening– Improves health communication– Patients perception of quality increases– Decreased no show rates– Time and cost saving for providers
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Current IHS PHR Features
• Display health information:– Medications– Allergies– Lab test results– Problem list
• Blue button printing/exporting
• Link to the National Library of Medicine
• Mobile views (in development)
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Screenshots ofPatient Views
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Patient Views Medicines
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Patient Views Allergies
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Patient Views Labs
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Patient Views Problems
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PHR Architecture
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PHR Roles
• IHS Administrator
• National Administrator
• Area Administrator
• Service Unit/Facility Administrator
• Registrar
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PHR Responsibilities
• Patient Registration– Registrar
• Amendments
• Deleting Accounts
• Breach Incidents
• Resetting Passwords
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Demonstration of PHR
• Administrative system– How the patient signs up for the PHR
• Patient access– How the patient views the PHR
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PHR Policies
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Verify Patient Identity
• Pre-requisite to Process Application
• Policy & procedure– IHS
• http://www.ihs.gov/ihm/index.cfm?module=dsp_ihm_pc_p2c7_ex_r
– Registrar knows patient, or– Patient shows identification
– Tribal policy and procedures
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Process Patient’s Application (Link)
• Find patient’s PHR account
• Find patient’s IHS medical record
• Link PHR account to IHS medical record– Record method of patient verification– Record type of person verified
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Orient Patient to PHR
• Orientation materials available include:– Summary of PHR Features & Benefits– PHR Instructions Page– Demonstration:
• On internet accessible computer at your facility• Via Webex video
– Other materials or tools as your facility deems necessary
• Review these materials with Patient
• Provide materials for Patient to keepPersonal Health Record
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Unlink PHR from Medical Record
• Triggers– PHR Account linked to wrong medical record– Patient no longer wants access– Other?
• Roles with unlink privileges– Registrars – Administrators – all levels
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PHR Account Linked To Wrong Record
• The PHR Account Holder is viewing somebody else’s medical information
• Is a breach of privacy and security– With 30 minutes of discovery must file an
incident report– Implement breach notification procedures– Investigation of this incident is required
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Recover Credentials for Patient
• Verify Patient’s Identity
• Find Patient’s PHR Account
• Re-set Patient’s Password
• Inform Patient of New Password
• Instruct Patient to Change Password– Patient Log-In– Go to Profile Tab
• Change Password
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Create Reports
• PHR creates user-selected ad-hoc reports
• Privileges for Registrars & System Administrators
• Reports Contain “Event” Information– Patient events– Registrar events– System Administrator events– PHR events– Dependent system events – MPI, RPMS
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Inactivate PHR Account
• To be developed
• IHS proactively inactivates account– Deceased patient– Issue with patient
• Different than automated inactivation of account– PHR Account remains unlinked for 1 year
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Dependencies on Other Systems
• Process Application (MPI or RPMS)– Matching PHR Accounts & IHS Records
• Patient Log-in (MPI or RPMS)– Retrieving updated facility list
• Unlink Accounts (MPI or RPMS)
• Patient Views Data (RPMS)
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Current Status
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Questions & Discussion
Demonstration
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