INFO 648 – Healthcare Informatics ,Fall 2009 – M. Rogers, PhD Team 3 Johari Crews Andrea Kyer Titus Moolathara Gabriel Sirlopu Consumer Health Informatics and Telehealth DREXEL UNIVERSITY
May 26, 2015
INFO 648 – Healthcare Informatics ,Fall 2009 – M. Rogers, PhD
Team 3Johari Crews
Andrea Kyer
Titus Moolathara
Gabriel Sirlopu
Consumer Health Informatics and Telehealth
D R E X E L U N I V E R S I T Y
Contents•Telehealth
• Definitions• Real World Systems• Bridging the Distance
•Consumer Health InformationChanging Roles for Health Professionals• How Can We Make Health Information ‘Consumer Friendly’?
•Conceptual Framework for CHIS• Information Quality Control• Research Methods
•Challenges: Economics and Privacy•The Future…
Complexity and Collaboration
●Complexity: the increasing need to understand health and disease
●Collaboration: active participation between providers, patients, family members and society.
Definition of TelemedicineTelemedicine involves the use of modern
information technology, especially two-way interactive audio/video communications, computers and telemetry to deliver health services to remote patients ad to facilitate information exchange between primary care physicians and specialist at some distance from each other. (Bashshur, et al., 1997)
Telehealth: a broad term
•Excellent collaboration method
•Capture data at one site and interpret at another
•video-conferencing between patients and providers
•Focuses on management rather than diagnosis
Remote Monitoring Telemedicin
e: Telepresenc
e
Remote Interpretati
on
Remote MonitoringSubset of telehealthCommon practice in home health careCaptures clinically relevant data in the
patient’s homeFocuses on management rather than
diagnosis
Remote InterpretationCapture of medical data at one site and
transfer to another for interpretationRadiographsPhotographsWave Form
Advancement in technology increases the availability of these services.
Multi-media, real time interaction…
Video-based TelehealthMode of synchronized video-conferencingThree categories:
TelepsychiatryCorrectional TelehealthHome Telehealth
TelepresenceView situations and act on themExcellent collaboration method
Using the telephone again:
25% of all primary care encounters occur by telephone
Improve cost control. Some insurance providers are reimbursing
for email and text messaging.Reimbursing for telephone contact?
page 513 Figure 14.1ways to bridge the distance between patients and provider
page 513 Figure 14.1ways to bridge the distance between patients and provider
Consumer Health Informatics
Modern consumers of healthcare experience an increased demand to participate in their care.
Reflects a shift in paradigm from the patient being a silent recipient to active collaborator.
The patient is now a case manager.
Inexpensive access to information on health promotion, disease prevention and disease management.
Changing roles for Health Professionals
Medical professionals have the following responsibilities to the field of Consumer Health InformaticsServe as sources for contentProvide important guidance in moderating
public electronic discussion groups and responding to patient’s electronic messages
Act as an information broker and interpreter for patients
How do we present health-related information in a way that is easily understood by the average person?
Can existing decision support systems be adapted for use by consumers, or do we need to build a new system from scratch?
Challenges
NLM –Conceptual framework for consumer health information seeking
Consumer
Information Source
Channel
Outcome
Environment
Information Quality: Who is watching the internet?
Credentialing represents one approach to ensuring the quality of health information available to consumers.
Three disadvantages:The challenge to ensure that every information
element is tested and evaluated fully exceeds the resources available to do so.
Leaves control of the authority for healthcare information in the hands of traditional care providers.
Credentialing alone is inherently contradictory to healthcare consumerism.
How are consumers interacting with health information?
Online Search BehaviorReadabilityConsumer Health Vocabulary aCross-language information retrieval
Research Methods in Use by the NLM
More seniorsMore chronic illnessGreater need for healthcare
$
With so many retirees, the national income decreases because there are fewer people working and earning.
The not-too-distant future…
Long term disease monitoring of patients at home currently represents the most promising application of telehealth technology for delivering cost effective quality care.
Telehealth can reduce healthcare costs
Challenges: Economics
Licensure and Economics in TelehealthLicensure is frequently cited as the single
biggest problem facing telemedicineMedical licensure is state-based
ReimbursementMedicare: synchronous video is reimbursed only
for rural patientsMedicaid: 19 states provide coverage for sync
videoFew insurers: electronic messaging and online
consultationOnly services provided directly by humans are
currently reimbursed by insurance
Challenges: Security
Using the Internet for Consumer Health and Telehealth Applications will mean…Resources are widely availableData freely transmitted over the Internet raises
security concernsThe industry faces the challenge to ensure
integrity and quality of the medical data transmitted over the Internet
Better Primary Care decisions
More accurate secondary referrals
Un-necessary spending is reduced!
On the bright side…
The Future…
Wealth of public health information and provider-oriented information resources are available through the InternetPatients are now researching medical data
Clinicians need to ensure to be prepared to answer all the patient’s questions based on their research
Telehealth technology continues to grow due to the rapid advancement of technology
Facilitating productive collaboration between patients, their caregivers, biomedical scientists, and information technology experts.
Has the use of Consumer Health Informatics helped the consumer or has it made health care more difficult to understand?
Health information on the internet is too plentiful for anyone to realistically keep track of. Experiment by googling – try heavily advertised drugs as your search term; try searching a symptom or something overly broad like ‘healthy diet’. Share and discuss on the board.
How can HIT professionals facilitate productive collaborations between patients, their caregivers, biomedical scientists, and information technology experts?
“Be careful about reading heath books. You may die of misprint.“- Mark Twain
Is it worthwhile to put records (general health information) into the hands of the consumer?
Think about this as you read…
Baker, L. and Gollop, C., Initials. (2004). Medical textbooks: can laypeople read and understand them?. Library Trends, 53(2),
Eysenbach, G. (2000). Recent advances: consumer health informatics. BMJ, doi: 10.1135/bmj.320.7251.1713
Pare, G. Jaana, M. and Sicotte, C. (2007). Systematic review of home telemonitoring for chronic diseases: the evidence base.Journal of the American Medical Informatics Association, 14(3), doi: 10.1197/jamia.M2270.
Consumer Health Informatics & Telehealth –p.511-535 in Shortliffe, E. H. (2006). Biomedical Informatics. Health Informatics. [New York]: Springer Science+Business Media, LLC.
Sullivan, F. and Wyatt, J., Initials. (2005). How Informatics tools help deal with patient problems. BMJ, doi: 10.1136/bmj.331.7522.955
Tse,T. Gemoets, D. and Rosemblat, G. (2004). Consumer health information seeking: a report to the board of scientific counselors. The Lister Hill National Center for Biomedical Communications, doi: LHNCBC-TR-2004-03
References