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Patient Portal Template

Transcript: Patient Portal Utilization Meaningful use is using certified electronic health record (EHR) technology to: Improve quality, safety, efficiency, and reduce health disparities Engage patients and family Improve care coordination, and population and public health Maintain privacy and security of patient health information Meaningful use sets specific objectives that eligible professionals (EPs) and hospitals must achieve to qualify for Centers for Medicare & Medicaid Services (CMS) Incentive Programs. Two metrics: Patient Electronic Access 1: 50% target Measure 1: More than 50 percent of all unique patients seen by the EP during the EHR reporting period are provided timely access to view online, download, and transmit to a third party their health information subject to the EP's discretion to withhold certain information. Patient Electronic Access 2: 5% target For an EHR reporting period in 2017, more than 5 percent of unique patients seen by the EP during the EHR reporting period (or his or her authorized representatives) view, download or transmit to a third party their health information during the EHR reporting period. “When patients interact with their test results, they need to know the purpose of the test, the interpretation of the result, and next steps. Addressing these issues may help improve patient-centered care” (Baldwin, Singh, Sittig, & Giardina, 2016). References 2016 Program Requirements. Retrieved September 25, 2016, from https://www.cms.gov/Regulations-and-Guidance/Legislation/EHRIncentivePrograms/2016ProgramRequirements.html Baldwin, J. L., Singh, H., Sittig, D. F., & Giardina, T. D. (2016, October). Patient portals and health apps: Pitfalls, promises, and what one might learn from the other. In Healthcare. Elsevier. Eschler, J., Liu, L. S., Vizer, L. M., McClure, J. B., Lozano, P., Pratt, W., & Ralston, J. D. (2015). Designing Asynchronous Communication Tools for Optimization of Patient-Clinician Coordination. In AMIA Annual Symposium Proceedings (Vol. 2015, p. 543). American Medical Informatics Association. Heyworth, L., Paquin, A. M., Clark, J., Kamenker, V., Stewart, M., Martin, T., & Simon, S. R. (2014). Engaging patients in medication reconciliation via a patient portal following hospital discharge. Journal of the American Medical Informatics Association, 21(e1), e157-e162. Snyder, E., & Oliver, J. (2014). Evidence based strategies for attesting to Meaningful Use of electronic health records: An integrative review. Available in the. Online Journal of Nursing Informatics (OJNI), 18(3). Wade-Vuturo, A. E., Mayberry, L. S., & Osborn, C. Y. (2013). Secure messaging and diabetes management: experiences and perspectives of patient portal users. Journal of the American Medical Informatics Association, 20(3), 519-525. Wilcox, L., Patel, R., Back, A., Czerwinski, M., Gorman, P., Horvitz, E., & Pratt, W. (2013, April). Patient-clinician communication: the roadmap for HCI. In CHI'13 Extended Abstracts on Human Factors in Computing Systems (pp. 3291-3294). ACM. Stage 3 and MACRA Meaningful Use and the Patient Portal Literature “regular internet use and having a personal computer partially accounted for differences in use of the portal to send messages to health care providers by age, race, and income, whereas education and sex-related differences remained statistically significant even after controlling for internet access and care preference” (Graetz, Gordon, Fung, Hamity, & Reed, 2016). Meaningful Use Usability and Functionality Wanjiku Kariuki Viola B. Leal Mohammad Tabatabai Ana Ibarra Noriega MyUofMHealth.org Secure Messaging “over two-thirds had at least one medication discrepancy at discharge, and nearly one-third had at least one potential ADE” (Heyworth et al., 2014). The authors found that “virtual medication reconciliation following hospital discharge has the potential to improve medication safety in the transition from inpatient to outpatient care” “more effort on the part of the provider is needed to encourage patients to use a portal system. If providers take a more active role in educating patients as to the benefit of the portal, provide a positive view of the system, provide consistent standardized information, and remind the patients in multiple ways and times, patients are more likely to enroll in the portal system” (Snyder & Oliver, 2014). Objective 8: Patient Electronic Access (VDT) Provide patients the ability to view online, download, and transmit their health information within 4 business days of the information being available to the EP. Patient Portal Metric Provider Buy-in Portal on Newer Internet Browser Lab Test Results DMC Patient Portal “patient and provider attitudes toward patient portal use found that the most negatively-perceived feature was user-friendliness, making the portal difficult to navigate” (Baldwin, Singh, Sittig, & Giardina, 2016). “When patients interact with their test results, they need to know the purpose of the test, the interpretation of the

patient medical report

Transcript: High blood sugar levels means that your already at risk for devloping a heart disease or diabetes -the fatty deposits increases buildup in the arteries and narrow them Smoking can lead to cancer,lung disease,heart disease and numerous health problems Nutritionist/dieticians Ramon jordana smokes a pipe occasionally which is just as risky as cigarettes Being overweight can lead to numerous health problems such as high blood pressure, stroke,certain cancers, heart disease, etc. Goal:less than 100 mg/DL A Cardiologist can help Ramon diagnose his current or possible heart problems by running tests such as ECG, x-ray and blood tests.they can help determine if heart conditions are in Ramon's genetic lineage Actions to lose weight EATING HEALTHY &PHYSICAL ACTIVITY = LOSING WEIGHT Ramon has a very high LDL and low HDL Patient #4- Ramon Jordana Control blood sugar A physical trainer helps people of all ages and fitness levels to safely improve their physical condition through exercise and proper diet. Reduce blood sugar levels by: Eat foods low in sat fats, trans fat, &cholesterol A Cardiologist is a doctor with special training and skill in finding, treating and preventing diseases of the heart and blood vessels. Cardiologist They can help ramon plan meals that limit fats and sugar. help with healthy eating habits and diagnose nutrition issues. If Ramon continues with a healthy diet and exercise with prescribed medicine he can avoid the risk of having a heart attack MANAGE CHOLESTEROL attending local support groups/ programs use therapy, such as nicotine patch and gum take mind off smoking(traveling, eating a snack, deep breaths) get prescription medicine from doctor lose weight follow healthy diet regular physical activity take prescribed medicine Give up smoking Goal: lose 10% of body fat change diet lose weight take medicines eat more HDL Dietitians and nutritionists evaluate the health of their clients. based on the patient, dietitians and nutritionists advise clients on which foods to eat—and those foods to avoid—to improve their health. A physical trainer can help Ramon to lose weight by exercising properly. Ramon is in a wheelchair basketball league THE END RESULT Medical Information: 196 pounds 115-158 Blood pressure :120/71 Cholesterol:190 LDL:100 HDL:39 Tryglycerides:75 60 year old male that smokes weighs 196 pounds and is 5'7 in a wheel chair since he was 18 years old he is changing his diet instead of taking prescribed medicines Physical trainer Actions to give up smoking:

Medical Patient Assessement

Transcript: Superior/Inferior Vena Cava > Right Atrium > Tricuspid > Right Ventricle > Pulmonary Valve > Pulmonary Arteries > Lungs (exchange) > Pulmonary Veins > Left Atrium > Bicuspid > Left Ventricle > Aortic Valve > Aorta > Arteries > Arterioles > Capillaries > Venuoles > Veins > Superior/ Inferior Vena Cava Edema Postictal State- the state following a seizure where the patient's muscles relax becoming floppy and breathing becomes labored and fast. Patient will probably present as confused and lethargic Ischemic strokes are caused by a blockage (clot) in a blood vessel. Thrombolytic therapy within 3 hours of the symptoms occuring insures the best outcome. Numbness Primary Assessment Rashes Strokes Extremities A simple partial seizure is characterized by twitching in one extremity moving to another. These twitches are less dramatic as generalized. Complex partial seizures are characterized by AMS and not acting normally with their environment. Croup- inflammation and swelling of the pharynx, larynx, and trachea. Secondary from an acute viral infection. Common Cold- viral infection usually associated with swollen mucus membranes Diphtheria- formation of diphtheritic membrane lining the pharynx and obstructs the airway Epiglottitis- inflammation of the epiglottis due to infection BSI and Scene Safety NOI/MOI # of Patients Additional Resources Consider C-Spine Hemorrhagic strokes are caused by bleeding into the brain. These strokes are less common and harder to treat. Medical Patient Assessement Abdominal Conditions Cont. Extremities Pertussis (whooping cough)- mostly in children 6 and younger, bacterial infection causing a whooping cough Meningitis- inflammation of meningeal coverings of the brain; flu like symptoms with severe headache and light sensitivity Hay Fever- allergic reaction to outdoor allergens with flu like symptoms Anaphylactic- mostly upper airway, dilation of blood vessels all over the body Bronchitis- inflammation of the airway passage due to infection (coughing, wheezing, cyanosis) Asthma- acute spasm of smaller airway passage Congestive Heart Failure- after a heart attack muscle cannot function properly; can cause dependent edema (often pulmonary) A TIA (transient ischemic stroke) is like a mini stroke. The symptoms are relieved in less than 24 hours. These strokes are emergencies and can be a warning sign for larger strokes. Scene Size Up Inadequate Circulation Onset Provocation Quality Radiation Severity Time facial drooping sudden weakness one sided weakness or paralysis sudden vision loss in one eye difficulty swallowing slurred speech sudden severe headache dissiness confusion combativeness restlessness tongue deviation Febrile seizures typically occur in children with a fever. Their parents usually have not tried to treat it. Tonic-clonic seizures may cause the patient to have bilateral movement characterized by muscle rigidity and relaxation lasting one to three minutes. Peritonitis- irritation of the peritoneum *pain anywhere in the abdomen* Ulcer- protective mucus lining erode *pain upper midabdomen or upper part of the back* Gallstones/Cholecystitis- gallstones block the outlet of the gallbladder and if they do not pass they can cause inflammation of the gallbladder *pain in the right upper quadrant and reffered right shoulder pain* Pancreatitis- inflammation of the pancreas *pain in the upper abdomen (both quadrants) and radiate to the back* Appendicitis- inflammation or infection of the appendix *pain in the lower right quadrant and radiating pain to the navel* Hemorrhage- symptom of other diseases not a disease in itself Esophagitis- inflamed esophagus from infection or acids from the stomach *pain in the throat and upon swallowing* - a convulsion with temporary alteration in consciousness abdominal aortic aneurysm- symptoms are rare and minimal, use caution in trying to detect it; a pulsating mass may be felt and if there is a rupture, hemorrhaging will occur ***pneumonia may cause abdominal pain hernia- protrusion of an organ or tissue through a hole or opening in a body cavity reducible: mass will disappear back into the cavity where it belongs; lowest risk incarcerated: if the mass cannot simply be pushed back into the body strangulation: when a hernia becomes compressed by surrounding tissue and cuts off blood supply Urology Head DTV or Clot Tuberculosis- bacterial infection spread by cough and resistant to many antibiotics Pneumonia- acute bacterial infection that damages lung tissue and is usually associated with a fever and productive cough SARS- viral infection that starts with flu like symptoms, then pneumonia, and then respiratory failure Headaches Generalized seizures (grand mal) is characterized by unconsciousness and generalized severe twitching of all the body's muscles History Taking Atherosclerosis- plaque build up in the blood vessels compromising their ability to dilate and constrict Ischemia- decrease in blood flow AMI (acute myocardial infarction)- heart attack,

Medical Patient Assessment

Transcript: Zoom out for more assets Asset library B C Circulation: 10 second bilateral radial pulse (10 x 6 = aBPM) Normal ranges: 60-100bpm Rate/Rhythmn/Depth CRT - Capillary Refil Time <3 seconds Colour/Texture of skin: clammy, hot, cold, wet, dry Breathing - 10 second respiration rate (10 x 6 = aRRPM) RED (rate, rhythmn, depth) Normal ranges: 12-20bpm FLAPS - Feel: equal rise and fall, equal expansion Look: injuries, asymmetric movements (paradoxical), scars, pursed lips Ausculate if necessary: if you belive there to be a problem, listen in 4/6 spots Percuss if necessary Search: Look and feel around back, under armpits, neck, for anything missed Sats Probe O2 therapy B - Breathing C - Circulation D E Disability Glasgow Coma Score (GCS) A way to score someones conscious level 3-15 No such thing as a patient with a GCS score of 0! Based on their eye response, their voice response and their motor response D - Disability E - Environment/Expose <C> A <C> - External Catastrophic Haemorrhage A - Airway (c-spine) <C> Catastrophic Haemorrhage Any obvious external bleeding More for trauma but good to get in the habit of looking for A - Airway (c-spine) Can the patient manage their own airway or does it need managing? HTCL vs jaw thrust Primary Survey Patient Assessment Triangle Global Overview of Scene ALertness - AVPU Colour - flushed, pale, cyanosed WOB - increased, decrease, normal Its purpose is to highlight any life threatening conditions early, for correction and management. It is important to do this on every patient! Is there anything in the environment that could help give clues about what has happened? Medication MOI Drugs Objects Clutter Score Smells Reassessment Periodically reassess patient's condition and adjust care plan. A Scene Safety and Global Overview Adverse Events Recognize and respond to adverse events promptly. Scene Safety B Continuous Monitoring Is it safe to approach? Think slips, trips, hazards, animals, people, overhead structures, live roads, weather, dangerous objects Do you need more resources? How many patients, is paramedic back up likely, fire service, police, HEMS, HART etc. Look at the scene and deem whether appropriate to advance. Gain a global overview of the scene and the patient Regularly monitor patient's response to treatment. C Outcome Evaluation Evaluate treatment outcomes and make necessary modifications. A Scene Safety/Global Overview Care Coordination Safety Patient Assessment Triangle Conclusion Collaborate with healthcare team for coordinated patient care. Initial Evaluation Summarize assessment process and patient care decisions. Primary Survey and observations B Primary Survey CABCD Patient Education Provide patient with relevant information and guidance. C Assessment Findings Follow-Up Plan Analyze assessment data to determine patient's condition. Establish plan for follow-up care and ongoing support. Medical Patient Assessment Understanding and Diagnosing

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