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The Rise of the Empowered Patient

The Rise of the Empowered Patient | Patient Information | Scoop.it

Today’s patients distrust many aspects of the healthcare system—the regulators, the medical gatekeepers, the drug producers—and grow continually more resolved to take charge of their own treatments. The well-publicized examples of unsafe drugs and the rising cost of healthcare are key drivers of today’s movement toward “patient- centricity.” As out-of-pocket expenses increase—due to the dwindling levels of insurance coverage, rising co-pays and large numbers of people completely uninsured—patients insist on knowing more about potential treatment options, and demand that this information be supported by real-world evidence.

 

At the same time, expanding knowledge resources, such as the Internet, provide consumers with the opportunity to proactively learn more about their own or their loved ones’ medical conditions, treatment options and to even interact with other patients around the world. Consequently, patients play a crucial role in today’s healthcare, and that trend appears poised to escalate and drive further changes in the industry.

 

After decades of pushing by advocacy groups, the concept of a more consumer-based healthcare model has finally begun to take hold, even among healthcare providers. Although medical professionals many remain wary of the patient who arrives at an appointment with a list of questions and stack of Internet research, others are beginning to see the benefits of a more knowledgeable, engaged patient—not just for their own practice, but also for the healthcare system as a whole.

 

Still, no simple strategy empowers all patients. No obvious steps can magically make every treatment safe and effective for every patient in all scenarios. No technology will prevent all medication errors. Nothing will ever make the Internet or any other means of electronic communication infallible. In fact, medical challenges sweep across every aspect of human health and the role of patients in it. Still, these very challenges set the bar for future healthcare. Although the bar for improved health sits high, life and death literally depend on getting over this obstacle, and it cannot be scaled alone.


Via PEAS Healthcare
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Patient Information
Articles and discussions on healthcare information & patient engagement.
Relevant to Hospitals, Physicians, Healthcare Organsiations, Pharma, Insurance.
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How GPS Is Being Used to Fight the Asthma Epidemic

How GPS Is Being Used to Fight the Asthma Epidemic | Patient Information | Scoop.it

In the mid-2000s, Dr. David Van Sickle had a more critical cause in mind. While working as a respiratory disease detective in the Epidemic Intelligence Service at the Centers for Disease Control and Prevention (CDC) in Atlanta, he didn’t need to dig much to identify a major problem in the health care system. That was easy as breathing—breathing for him, anyway. “People think about asthma, and think we must have a handle on it in the U.S.,” Van Sickle said. “But the grim reality is that most patients’ asthma in this country is uncontrolled. There’s a higher rate of going to the hospital than there should be. We have been doing the same thing about asthma for years, and we have made basically no dent in hospitalizations. The majority of those people think they are doing fine, so no one treats them with a course correction. And, so, there’s inexcusable morbidity. There’s this really ridiculous gap between what we should be able to do and what we’ve been able to accomplish.”


Read more: http://www.newrepublic.com/article/117085/innovative-state-aneesh-chopra-excerpt-asthma-and-gps

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App-Using Patients Less Likely To Be Readmitted

App-Using Patients Less Likely To Be Readmitted | Patient Information | Scoop.it
The Mayo Clinic has found cardiac rehab patients who use apps to monitor their health were less likely to be readmitted. By Katie Wike, contributing...
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5 ways to build trust between patients and physicians to dispel health care myths

5 ways to build trust between patients and physicians to dispel health care myths | Patient Information | Scoop.it

One of the most interesting parts of the TEDMED Google Hangout on how to dispel health care myths were the exchanges that revolved around how physicians and patients could improve their interactions. Trust is essential to improving patient engagement but that’s required on both sides. The level of interest patients demonstrate in their own health and a lack of understanding of the point of view their patients bring with them.


Physicians need to work to understand their patients perspective. Myths such as needing to drink eight glasses of water a day, cold weather increases risk of sickness and vaccines as a source of autism tend to come from people perceived as authority figures from parents to celebrities. The vaccine issue dominated the conversation, which isn’t surprising considering the tremendous risk it has created after so many years of reducing incidents of measles and mumps in the U.S.


Here are five insights to boost trust and improve patient-physician relationships.


Read more: http://medcitynews.com/2014/03/5-ways-to-build-trust-between-patients-and-physicians-to-dispel-health-care-myths/

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5 strategies for improving health literacy with digital signage

5 strategies for improving health literacy with digital signage | Patient Information | Scoop.it

Let’s tackle health literacy once and for all and move our health care system forward. Let’s remove complex and hard-to-understand messaging in all forms of communication. Let’s use innovative technology such as digital signage in hospitals to consistently engage patients and employees at the point of care.


Tell people what they need to do and where to get help and watch them take action. When you are clear and direct you help people assimilate, absorb, and retain information. You are empowering them to them to change their thoughts and behaviors, ultimately increasing the trust between patient and provider.


Improve health literacy and optimize digital signage communications with these five strategies:

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Patient Engagement Is A Physician-Patient Communication Challenge…Not A Health Information Technology Challenge

Patient Engagement Is A Physician-Patient Communication Challenge…Not A Health Information Technology Challenge | Patient Information | Scoop.it

There is no app for engaging patients in their own health care absent a strong doctor-patient relationship.


Physicians, hospitals and other providers are being misled by  industry pundits claiming that more health information technology (as in EMRs, PHRs, Smart Phone apps, and web portals) is the key to greater patient engagement.   It’s not.


If health information technology were all that was needed to “engage” patients then  patient and member adoption rates of provider and payer web portals offering Personal Health Records (PHRs) and Electronic Health Records (EHRs) would not still be hovering around a disappointing 7% (with  several notable exceptions Kaiser, Group Health and the VA).*


Part of the misunderstanding concerning the role of HIT comes from how the discussion about patient engagement is being framed.  According to the pundits, patient engagement is the physician or hospital’s responsibility… and like everything else these days…we can fix it if we just throw more technology at the problem.   Can anyone say Stage 2 Meaningful Use requirements?


Here’s Why HIT Will Not Solve The Patient Engagement Challenge  


Read more: http://mindthegapacademy.com/blog/2012/09/10/patient-engagement-is-a-physician-patient-communication-challenge-not-a-health-information-technology-challenge/

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A 10-step process to finding a good doctor

A 10-step process to finding a good doctor | Patient Information | Scoop.it
Most people, including physicians, rely on personal references to find a good doctor. But what do you do when you’re far from home?
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Patient Engagement - The Blockbuster of HIMSS14

Patient Engagement - The Blockbuster of HIMSS14 | Patient Information | Scoop.it

The HIMSS14 conference in Orlando had many themes and trends, most having to do with the evolution of electronic health records, analytics, mobile and other technologies being buoyed by Meaningful Use incentives or other financial considerations. But Patient Engagement has emerged as a strong current rushing through the educational sessions and exhibit floor. The first Consumer and Patient Engagement Pre-Conference Symposiumkicked things off with plenty of thought-provoking presentations including the voice of the patient, a caregiver panel, provider viewpoint, discussion of culture and behavior change and how to design systems and processes which are truly patient-centered.


Read more: http://blog.himss.org/2014/03/24/patient-engagement-the-blockbuster-of-himss14/

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Making Patients Part of the Healthcare Conversation

Making Patients Part of the Healthcare Conversation | Patient Information | Scoop.it
The doctor-patient relationship has, for centuries, been a one-way street. In most cases, the physician asks a few questions, does a quick examination and
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Top Patient Engagement Mistakes to Avoid

Top Patient Engagement Mistakes to Avoid | Patient Information | Scoop.it

1. Too many parameters to consider when measuring patient engagement: HCAHPS scores, health outcomes, improvement benchmarks, hospital readmission rates, patient survey results and financial data are just several of the ways that hospitals measure patient engagement.  While all of these metrics are valid, Chouffani recommends selecting parameters based on an organization’s targeted objectives.


2. Assuming patient engagement means the same thing to all:  Not all patients are created equal and not all technologies can apply to all socio-economic levels. Health care providers should consider financial challenges, language barriers and lack of access to (or familiarity with) smartphones when crafting their patient communications plan.


3. Skipping patient engagement at the point of care:  With so many demands in an average day, clinicians are short on time. But a recent JAMA Internal Medicine study showed improved outcomes in patients who received individual attention at the point of care from professionals equipped with training in motivational interviewing techniques (readmission rates dropped from 40 to 15.2 percent).


4. Using inadequate or out-of-context data: The lack of interoperability between mHealth apps or health vitals monitoring devices can generate out-of-context data. As such, data streams must be viewed within the context of the patient’s overall health record.


5. Engaging enough to satisfy Meaningful Use and stopping there:  Many questions still exist around Meaningful Use Stage 3, including what measures will be selected. It remains to be seen which will be perceived as having an impact across patient populations and which will be an exercise in “checking the box.


6. Ignoring the examples of Facebook and Amazon.com: Amazon’s and Facebook’s focused marketing can serve as a model for making the engagement process customized specifically to the individual patient. Using research and well-defined parameters to personalize care can increase the likelihood of success.


Read more: http://transformativehealth.info/a-c-suite-view/top-patient-engagement-mistakes-avoid

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Engage Patients: 16 Creative Healthcare Strategies

Engage Patients: 16 Creative Healthcare Strategies | Patient Information | Scoop.it
Hospitals can go beyond Meaningful Use requirements to make patients happier and healthier and the bottom line better. Consider these ideas.
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3 Insights on Social Media and Healthcare From @ePatientDave

3 Insights on Social Media and Healthcare From @ePatientDave | Patient Information | Scoop.it
A couple of weeks ago, Dave deBronkart says a friend of his was having "such a bad time" in a hospital. "She had to go walking down the hall to find her nurse because a half hour earlier, her IV had fallen out, and she got no responses to her call button," he says.
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Measuring patient engagement 'a science, not a dark art'

In this era of patient-centered healthcare, more and more importance is being placed on how a hospital communicates with a patient. Be it through a portal or mobile-optimized website, that connection ties into patient satisfaction rates and, eventually, the bottom line.


A new collaboration announced at HIMSS14 aims to rank all of the nation's hospitals on their patient engagement abilities, much like hospitals are now ranked for their health IT acumen or their beauty.


"The best hospitals realize the patient gets well outside the hospital," said Joanne Rohde, CEO of Axial Exchange. "They've been doing this long before Meaningful Use 1, 2 or 3 … and now it's time for the rest to catch up."


Axial Exchange, a Raleigh, N.C.-based developer of mobile engagement tools for hospitals and their patients, has been creating so-called Patient Engagement Indexes (PEIs) for specific states. At HIMSS14 last month in Orlando, the company announced a partnership with Becker's Hospital Review to expand that system to a national stage, with the rankings set to be released in May.


"Patient engagement is increasingly at the center of healthcare reform, and achieving excellence in clinical outcomes has been proven dependent upon enhanced patient involvement," said Lindsey Dunn, editor-in-chief ofBecker's Hospital Review, in a press reelase. 


Read more: http://www.mhealthnews.com/news/measuring-patient-engagement-science-not-dark-art?single-page=true

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Derail your patient engagement strategy in six easy steps

Derail your patient engagement strategy in six easy steps | Patient Information | Scoop.it

Common subjects frequently discussed during HIMSS 2014 were lessons learned and best practices around patient engagement. And in almost all the sessions I attended, the takeaway hasn't always been driving engagement with technology or mobile apps. In fact, out of all the recommendations and success stories, apps are just one piece of this complex, ever-changing puzzle to solve: What activates and engages patients now that it's a criterion in meaningful use stage 2?


The need for a patient engagement strategy comes from the common goal that many physicians and hospitals share around improving patient outcomes, reducing hospital readmissions and overall helping manage population health to address chronic disease.


Read more: http://searchhealthit.techtarget.com/tip/Derail-your-patient-engagement-strategy-in-six-easy-steps#.UyFSJnmvSbg.twitter

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Three Ideas to Help Boost Patient Engagement

Three Ideas to Help Boost Patient Engagement | Patient Information | Scoop.it

In December 2013, the Centers for Medicare & Medicaid Services (CMS) extended Meaningful Use Stage 2 and Stage 3 deadlines after healthcare providers and electronic health record (EHR) developers lobbied for more time to improve interoperability, patient engagement, and other requirements. In particular, patient engagement has been at the forefront of the meaningful use movement recently. This is likely due to the fact that as the industry adopts a system more heavily focused on value, giving patients access to their health information has become a critical way to make healthcare more patient-centered, and in turn, value-based. However, with requirements such as mandating that five percent of patients communicate with healthcare providers through secure electronic messages, many hospitals and physician practices are becoming increasingly nervous about meeting patient engagement standards. To help boost patient engagement and calm some meaningful use concerns, here are three ideas for healthcare providers to consider implementing if they are concerned about patient engagement.


Read more: http://accretivehealth.com/three-ideas-to-help-boost-patient-engagement/

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Social Media-the Catalyst to Proactively Managing Our Own Health

Social Media-the Catalyst to Proactively Managing Our Own Health | Patient Information | Scoop.it

We can’t turn on the television or listen to the radio without hearing advertisements or commentary on health care whether it be insurance or chronic conditions.  Our country is suffering from sky-rocketing costs and poor overall individual health management, in spite of unprecedented access to information and new technology applications being developed daily to support personal and professional healthcare management. So what will be the catalyst to drive us as individuals to take a more proactive approach to managing our own health?   In my humble opinion, it won’t be the government, employers, or technology applications like Apple’s Healthbook.  The spread of the Internet and the power of social media to inform, connect, support and promote the benefits will be the catalyst to the widespread adoption of proactively managing our own health.


Read more: http://www.spiral16.com/blog/2014/04/social-media-the-catalyst-to-proactively-managing-our-own-health/

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3 keys to engaging more patients

3 keys to engaging more patients | Patient Information | Scoop.it

With overflowing schedules, increased payer and patient demands and flat reimbursement levels, ensuring patient engagement with your practice may be low on the priority list. The good news is improving patient engagement does not need to be another expensive or time-consuming initiative.


An inviting reception area and minor workflow adjustments help create an immediate positive patient experience. Information technology tools, however, make the most long-lasting impact. For example, a flexible, unobtrusive electronic health record (EHR) and practice management (PM) system helps you concentrate on patients instead of the software, while an easy-to-use patient portal keeps patients connected to your practice while they’re at home.


Here are three areas to consider as you strive to deliver the type of excellent service and care that ensures patients will stay adherent to your recommendations and remain loyal to your practice.


Read more: http://www.medicalpracticeinsider.com/best-practices/3-keys-engaging-more-patients

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Humor Can Help Patients Better Manage Chronic Conditions

Humor Can Help Patients Better Manage Chronic Conditions | Patient Information | Scoop.it

Most are familiar with the adage “laughter is the best medicine.”

Emerging research suggests the tactic is an underutilized tool that can help a person understand a diagnosis and help them cope with the emotional turmoil associated with the new life challenge.


“Humor is frequently and naturally used by people with chronic illnesses to help them adjust and understand what is happening to them,” said Dr. Anne Kennedy, from the University of Southampton.


“Our study has shown that cartoons could provide clarity to patients and be a way to engage with them. It is an untapped resource and could be a potential approach to support self-management.”


Read more: http://psychcentral.com/news/2014/03/31/humor-can-help-patients-better-manage-chronic-conditions/67886.html

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7 Best Practices for Pinterest Patient Education

7 Best Practices for Pinterest Patient Education | Patient Information | Scoop.it

Here are 7 best practices for Pinterest patient education to help healthcare marketers:


1. Images should be able to live on Pinterest.


2. Look through the eyes of the patient.


3. Make your website Pinterest-friendly.


4. Make your content easy to discover.


5. Create visuals based on what’s proven popular on Pinterest.


6. Resist the temptation to make it all about yourself.


7. Verify your website.


Read more on each tips at: http://www.parkerwhite.com/7-best-practices-pinterest-patient-education-will-make-healthcare-marketing-pro/

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How can engaged patients save your hospital cash

How can engaged patients save your hospital cash | Patient Information | Scoop.it

In the new world of community (population) management, your role as a health care marketer will change dramatically. Your hospital will receive a single payment to care for all the patients in your community. Your goal will be to treat every patient at the least expensive point. And that will mean keeping patients out of the hospital rather, than driving them in.


The Advisory Board says that three things will be essential to successfully manage patient communities:

  • Information-powered clinical decision-making
  • Primary care-led clinical workforce
  • Patient engagement and community integration


Read more: http://www.healthcarecommunication.com/Main/Articles/11022.aspx#

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Gaining Perspective on Patient Engagement Through Social Media

Gaining Perspective on Patient Engagement Through Social Media | Patient Information | Scoop.it

On the surface, the idea of getting clinicians to interact with patients on social media comes with much apprehension and worry. HIPAAprivacy laws are at the forefront of these concerns, and additionally, doctors have to be very careful about how they construct responses on a social networking forum for patients who might not even be their own. After all, this wouldn’t be the first time the healthcare industry has dealt with social media and privacy concerns.


So you can forgive me for having my doubts leading up to a conference call last week with the Hospital for Special Surgery (HSS) in New York City. As my colleague, Senior Editor Gabe Perna, wrote about back in October, HSS has been using Facebook chats to convey health information and raise awareness of lupus, an autoimmune disease. Last year, the hospital joined forces with a community-based lupus organization, S.L.E. Lupus Foundation, to publicize the chat, and subsequently tripled the number of participants. The chat went from 2,280 users and 60 questions in May 2012 to 6,624 people and 162 questions.


Read more: http://www.healthcare-informatics.com/blogs/rajiv-leventhal/gaining-perspective-patient-engagement-through-social-media

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The role of patient engagement in error prevention

The role of patient engagement in error prevention | Patient Information | Scoop.it

Imagine being told you have a devastating illness, only to find out months later it was a mistake? Medical diagnostic errors are profoundly damaging to the patient, the clinician, and the healthcare system. Yet, as we know, human error is a reality in our clinical practice.


My grandfather had a saying when it came to “doctor visits”: “Remember, they only have a license to practice, and that’s what they’re doing!”  Some wisdom in that; for a man of his generation it was a pretty unusual perspective.


Gone are the days of “just do what the doctor says.” Team work and precise communication have become skills critical to the success of any healthcare model and the diagnostic process.


Read more: http://blogs.bmj.com/bmj/2014/03/12/robin-e-moulder-the-role-of-patient-engagement-in-error-prevention/

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Can I Really Trust Online Health Information?

Can I Really Trust Online Health Information? | Patient Information | Scoop.it

Nearly 75% adult Internet users (and 85% of parents) search online for health information. Often, we are looking for information, not for ourselves, but on behalf of someone else, so-called “peer-to-peer health.”


What is peer-to-peer health? It is the way most people share health advice. Realistically, if you do not feel well, the first person you tell is either a family member or friend. The second “person” who knows you are not feeling well is your internet browser search box. The doctor is actually the third and last person you tell about your problem!


With so many people having internet access and smart phones searching medical topics, it is important to ask, “Can I trust the information?” The answer, of course, depends upon where you look.

In my practice, I encourage and even teach my patients how to use the internet for health information. Online health information may have been dubious in the past, but today, the internet is the world’s best and largest library of medical information.


Read more: https://medium.com/better-humans/ffb0358535fa

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Key Questions to Ask Before Surgery

Key Questions to Ask Before Surgery | Patient Information | Scoop.it
FRIDAY, March 14, 2014 (HealthDay News) -- Before agreeing to have surgery, ask questions about your condition and the treatment options, an expert says. You might want to bring family members or f...
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Big Things in Patient Engagement: Context and Transparency | HL7 Standards

Big Things in Patient Engagement: Context and Transparency | HL7 Standards | Patient Information | Scoop.it

While there were over 38,000 attendees at HIMSS14, and there were some 95,000 tweets, so I was able to see a lot of what stood out from my armchair by some very diligent tweeting, which appears to be growing exponentially around Health IT.


Among several themes, the now usual suspects stood out: patient engagement, meaningful use, mHealth and interoperability. These are all very important, but what I noticed emerging was how each of these fit into a much bigger picture of decision-making driven by context and more transparent data.


Doug Fridsma, Chief Science Officer at the ONC, says, as Farzad Mostashari said in the past, the stages of meaningful use are intended to act as a vehicle to accomplish healthcare’s Triple Aim. Health IT is really moving toward accountable, value-based care, which ultimately has its success rooted in better decisions by patients, physicians and caregivers. The interoperability must ultimately lead to delivering more transparent cost and quality data in context.


Read more: http://www.hl7standards.com/blog/2014/03/13/patient-engagement-context-transparency/?preview=true

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3 ways to boost patient engagement

3 ways to boost patient engagement | Patient Information | Scoop.it

1. Transparency:

Two programs, Aligning Forces Humboldt (Calif.) and Aligning Forces for Quality-South Central Pennsylvania, found increased transparency helped patients understand the system and how it worked, according to the brief. "The groups have found that clear expectations, structured meetings and asking patients for feedback through meeting evaluations increases the satisfaction of both patients and clinicians," the brief states.


2. Engagement:

Patients involved in their own care do a better job of communicating their own needs, according to the brief. Massachusetts Health Quality Partners, which serves the greater Boston area, created the Patient and Public Engagement Council to give providers feedback and foster patient-physician relations.


3. Collaboration:

Aligning Forces Humboldt offers workshops that assist patients with management strategies for chronic conditions, such as diabetes, high cholesterol, heart conditions and obesity. "Initially, the program relied on word-of-mouth recommendations from enthusiastic alumni, public service announcements and newspaper articles to recruit attendees," the brief states. "Those efforts didn't go far enough, however, so program leaders began working with doctors' offices to refer patients with chronic illnesses."


Read more: http://www.fiercehealthcare.com/story/3-ways-boost-patient-engagement/2014-03-11

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