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Mental health patients like having access to #EMRs and clinical notes

Mental health patients like having access to #EMRs and clinical notes | healthcare technology | Scoop.it

Patients with mental health conditions had positive perceptions about electronic medical records (EMRs) and physician clinical notes after being given full access to their records, according to a study published in the Annals of Family Medicine.

 

Throughout the last 10 years, EMRs and clinical notes have become more accessible to patients, with some evidence suggesting the access helps patients become more engaged and confident with their doctors. Despite the benefits, some clinicians and doctors have concerns about sharing clinic notes with mental health patients due to safety reasons.

 

In the study, a research team compared the perceptions patients with and without a mental health diagnosis had about EMRs after receiving full access to clinical notes through secure online portals.

 

The team used data from an original OpenNotes study, which provided patients full access to their EMRs and clinical notes from multiple healthcare systems.

 

The patients were then asked to complete a survey on their thoughts using EMRs. The survey was completed by 2,534 total patients—400 patients had a mental health diagnosis, while 2,134 patients did not.

 

According to the results, patients with mental health conditions enjoyed having access to their records.

 

“Compared with patients without mental health diagnoses, primary care patients with mental health diagnoses were similarly enthusiastic about the utility of reading their doctors’ notes online,” the study said.

 

The research team also suggested access to EMRs may increase communication and trust between doctors and mental health patients.

 

 

Access the Annals of Family medicine study at http://www.annfammed.org/content/16/4/343.full

 

read the unedited original article at https://www.clinical-innovation.com/topics/ehr-emr/mental-health-patients-access-emrs-clinical-notes

 

 

nrip's insight:

Its increasingly being found by more than 1 study that there EHRs are a big benefit to Mental health professionals as well as their patients. EHR's with simplified note taking , as well as simple health intervention technologies are a great help in the mental health profession. #HealthIT has a useful role to play in Mental Health.

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AI Software Writing AI Software For Healthcare?

AI Software Writing AI Software For Healthcare? | healthcare technology | Scoop.it

At the World Medical Innovation Forum this week, participants were polled with a loaded question:

“Do you think healthcare will become better or worse from the use of AI?”

Across the respondents, 98 percent said it would be either “Better” or “Much Better” and not a single one thought it would become “Much Worse.” This is an interesting statistic, and the results were not entirely surprising, especially given that artificial intelligence was the theme for the meeting.

This continual stream of adoption of new technologies in both clinical and post clinical settings is remarkable. Today, healthcare is a technology operation. As a case in point, outside of the array of MDs and medical professionals presenting at the forum, there was clearly a strong, advanced technology thread weaved throughout the conversations of the traditional topics of pathology, radiology, bioinformatics, electronic medical records (EMR), and standard healthcare provider issues.

As an example, a panel of senior technology experts from Microsoft, Cisco Systems, Dell EMC, Qualcomm, and Google joined research and information officers from Partners Healthcare and Massachusetts General Hospital to discuss the challenges in what they called “Data Engineering in Healthcare: Liberating Value.” That is a serious title for a panel.

Data portability was clearly a key topic, as was security and the public cloud.

The underlying issue with the cloud is that the EMR was never really designed to be portable.

Health records existed with institutional walls, and were not originally intended for real time care, but more as a means of tracking costs and transactions as the patient traveled through the various systems. As the EMR has not only become more feature rich, the ability to mine that data inside of them with ML and AI methods is clearly at the forefront of everyone’s mind right now.

There was discussion of episodic systems wrapped in policy and technology – this really isn’t quite how we can gain the maximum knowledge from the healthcare version of a Digital Me. A digital object containing all of our many and varied health related attributes. The challenges of discussing how to best build a “marketplace” and healthcare data exchanges and how to integrate “data marts” with existing EMR systems was obvious.

nrip's insight:

AI can help clinicians and nurses do their job better. AI will never replace doctors, but doctors which use AI will replace doctors who dont.

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Estonia and Finland sign trailblazing medication deal

Estonia and Finland sign trailblazing medication deal | healthcare technology | Scoop.it

Estonia and Finland have signed an agreement which will allow Finns to purchase prescription medication in Estonia via e-prescriptions by the end of December.

 

Estonians will receive reciprocal rights in 2019.

 

The two countries hope that the deal will set a precedent other EU members will follow.

 

In an interview with Euractiv, Estonian Health Minister Riina Sikkut said that it is common practice for healthcare professionals in Estonia to use the e-health system to exchange patient medical records.

 

“But it is also important for people who have a need for healthcare services abroad to have his or her health data available to a doctor, nurse or a pharmacist so that they could also provide quality healthcare services and continuity of care,” said Ms Sikkut.

 

One concern which has prevented such agreements gaining traction before now is that digital prescriptions being available EU-wide could lead to medical tourism.

 

“When Finnish digital prescriptions become valid in Estonia, pharmaceutical drugs can only be bought here by the person to whom the drug is prescribed,” Kaidi Kelt, chief executive of Benu Pharmacies in Estonia, told Baltic News Services (BNS). She added that the possibility of medical tourism can thus be ruled out, stating that a person cannot collect all of their acquaintances’ prescriptions and make regular trips to Estonia simply to buy pharmaceutical drugs in bulk.

 

“Pharmaceutical drugs vary in their price and there is no reason to presume that everything is always cheaper in Estonia,” explains Ms Kelt.

 

“All European pharmacists are keeping an eye on us. The success of this project between Estonia and Finland could pave the way for implementing cross-border digital prescriptions in other EU states as well.”

 

Estonia also wants to be one of the first to implement the exchange of patient history, as part of the EU’s e-Health Digital Service Infrastructure (eHDSI) project.

 

read more at https://emerging-europe.com/news/estonia-and-finland-sign-trailblazing-medication-deal/

 

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The Road toward Fully Transparent Medical Records

The Road toward Fully Transparent Medical Records | healthcare technology | Scoop.it

As patients become familiar with medical records and clinical notes, they consider new opportunities and risks. Some say they have become more careful about what information they share with clinicians, and some ask for more control over access to their information.


Providers are experimenting with strategies that help patients protect their privacy with regard to mental health, sexual function, suspected abuse, or other sensitive topics. And though family caregivers may find that reading notes improves their understanding of care plans and reduces stress, it's a complex task to establish separate proxy access based on patients' preferences about who gets to see what.

As transparent practice evolves, it's impossible to predict how much patients may stray from long-standing conventions. Portals afford patients secure access to their information, and doctor–patient confidentiality remains undisturbed.


But patients' attitudes toward privacy may change as online access allows them to share documents, including notes. A third of patients in the OpenNotes study expressed concern about privacy, but more than one in five shared a note with others who could clarify meanings, offer clinical insights or second opinions, or — for those participating in the patient's care — improve their own knowledge. Indeed, some patients may choose to post their providers' progress notes on Facebook, Twitter, medical forums, and other social media, potentially exposing clinicians to public scrutiny and crowd-fueled praise or criticism.

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