HITT 1311 - Study Questions / Check Your Understanding - Chapter 17

How does chapter 17 define Consolidated Clinical Document Architecture?

A suite of templates for different types of health documents, including CCD.

Secure e-mail

Directed exchange

The CCD is a PHR.

False

A concern of physicians regarding personal health records is:

Accuracy of the information contained

Medicare Beneficiaries are encouraged to use a PHR through:

Blue Button

Tele-health

E-visit

List and briefly describe the benefits of the PHR to the consumer.

Empowerment of patients. Improved patient-provider relationships. Increased patient safety. Improved quality of care. More efficient delivery of care. Better safeguards on privacy. Bigger cost savings as a result of improved documentation with PHRs lowering malpractice costs.

Patient engagement in their healthcare is encouraged because it is believed it will:

Encourage patients to share responsibility for their health

A PHR best practice for a provider setting is to encourage its patients to use a health insurer-sponsored PHR.

False

A PHR is a portal.

False

A PHR is the legal health record for a provider.

False

Around 75 percent of Americans currently use an automated form of PHR.

False

It is generally agreed that physicians should not share sensitive diagnoses with patients.

False

Patients should not be permitted to change data they enter into a PHR.

False

Physicians are being reimbursed for review of PHRs in e-visits.

False

Portal is a format for a personal health record (PHR)?

False

Standard content for a PHR is defined by HL7.

False

PHR breach

Federal Trade Commission

How are breaches from standalone PHRs managed?

Federal Trade Commission Health Breach Notification Rule

Which of the following is not a physician concern about PHRs?

Fraudulent use by patients

Users of digital health technology generally are:

From all demographic categories

Reliability of health data on the Internet

HON

Which organization certifies PHRs?

HON Code

Which organization has established standard content that may be used in a personal health record?

Health Level Seven (HL7)

Which statement about health IT for consumers is true?

Health information exchange is the predominant form of personal health record

Transmitting pacemaker data via telephone

IEEE 11073

According to AHIMA, who owns the personal health record?

Individual

A way to overcome any additional time it may take to review personal health records is to:

Make patients clinical data entry partners

PHR Privacy Notice

PHR vendors

Patient engagement

Physician-patient interface

Blood sugar checking

Physiological monitoring devices

Why is the federal government interested in consumer empowerment?

Provide transparency

What is the role of the health plan in consumer empowerment?

Provides quality reports, virtual coaching, integrated EHR and PHR, and HIE to partner efficiently with patients.

Employers are interested in personal health record use by their employees to:

Put more power into consumer hands to improve the value of healthcare

Source for physician referrals

Social media

Barrier: Liability for overlooking red-flag medical symptoms?

Suggestion: Ask patients to use their PHRs as a personal reference

Barrier: Are data faithfully and accurately maintained?

Suggestion: Ensure PHR data are appropriately sourced

Barrier: No reimbursement for PHR review.

Suggestion: Move to patient entry of data via templates to move data to EHRs

Barrier: Will patients understand the content of their health records? Will there be risk of using unscrupulous sources?

Suggestion: Provider workflow changes to educate and explain results saves downstream time. "Cyber seals" of approval can validate legitimacy of websites

Barrier: Are PHRs secure (like a flash drive or download from patient)?

Suggestion: Virus protection and other measures should be the norm for all records

Consumer empowerment

Tech-empowered patients

5 dimensions that characterize PHRs: Integration

Tethered - connected to sponsor, each of which may supply data to or use data from a PHR in different ways. Standalone - independent of any sponsor.

A PHR can be maintained on paper.

True

A consumer access service is a portal.

True

A provider should study workflow to determine the most appropriate way to engage with PHR.

True

Documents structured using the CDA can be sourced to their origin.

True

Many provider-sponsored PHRs do not permit patients to enter information.

True

Many tethered PHRs are not interoperable with other PHRs.

True

More timely access to laboratory test results is a common benefit of PHRs to both patients and providers.

True

Most provider-sponsored PHRs are tethered.

True

PHR use by providers can reduce healthcare costs.

True

Physician concerns about patient-entered data accuracy can be overcome by using the CDA.

True

The VA permits veterans to enter personal medical history into their PHR.

True

How do patients typically access a PHR that is tethered to a provider or health plan?

Via a patient portal.

5 dimensions that characterize PHRs: Business model

how PHR is funded Licensed, subscription, through advertisements, investment by sponsor - e.g. employer seeking a healthy workforce.

5 dimensions that characterize PHRs: Platform

how PHR is technologically supplied

The term used to describe health technology used by consumers for in-home testing, monitoring devices, and other health uses is:

mHealth

5 dimensions that characterize PHRs: Data source

single sponsor supplies data; sources can be mixed: Consumer should always be included as a data source, but frequently is not when sponsor is a provider or payer. Consumer should have the ability to exercise control over who is provided access.

5 dimensions that characterize PHRs: Sponsor

supplier of PHR = provider, payer, employer, HIE, professional organization, or disease-related group - which may be non-profit or commercial

AHIMA organizes PHR attributes into six categories; list and briefly describe the six categories of attributes.

• Functionality- including supporting individual health education and decision making, selected by providers, and many others. • Format and Content

List the key information infrastructure elements in the HL7 PHR system functional model:

• Health record information management • Standards based on interoperability • Security • Auditable reports

What is consumer empowerment?

• Patients can use PHRs to verify the information in their record. • Patients with chronic disease can also use PHRs to monitor their health data for improved care management.

List the characteristics of personal health records

• patient managed • includes information from a variety of sources, like providers and patients • help patients securely, confidentially store, monitor health information. • Separate from, the legal record • Distinct from portals that allow patients to view provider information