It’s Not About The Box Improving Care at Group Health with People, Process and Technology

March 26, 2009

Who Owns the Patient Data? JAMA Commentary

Filed under: Uncategorized — Tags: — Gwen O'Keefe MD @ 2:41 pm

We (the Informatics group) have been struggling with a few patient issues lately regarding incorrect entry of an HIV diagnosis into patients charts.  These errors have been made both by staff in the past and at least once by the patient.   Our gut instinct is that this needs to really be  removed, not just deleted from view, so it can’t accidentally be released in paper form in the future.    HIPAA does give patients the right to inspect and ask for corrections, but the law seems to get a bit murkier after that. It is not clear on what our responsibility is and how far we can go when we (health care providers) make a mistake. Even more interesting is what to do when the patient makes a mistake?

Much of the discussion had been occuring with our colleagues in HIM, Legal and the Privacy office and I think we have all been surprised by the lack of clarity surrounding the law on who ultimately owns the information, what does “removing” something from the record really mean and how do we assure it never affects the patient in the future.

The JAMA commentary published today addresses this and how the lack of clarity and onerous nature of some of the laws needs to be addressed in order for us to attain the full benefit of the stimulus package push to increase EMR use. We have to get it all right in order for patients to attain the full benefit and I hope we are going to be leaders in figuring this out!

JAMA commentary
Posted by Gwen O’Keefe

March 25, 2009

The Shared Health Record – Better than Personal Health Records (PHR)

Filed under: Epic,Medical Home,MyGroupHealth — Tags: , , — Matt Handley @ 6:15 pm

Today’s NEJM has a great piece that makes clear the distinction between a personal health record (PHR) and what we have at Group Health – both patients and clinicians sharing access to a single electronic health record.  I believe that there are considerable advantages to what we have –  it sets us up as the integrator of information on behalf of the patient, rather than require the patient to integrate their information, and it strengthens the relationshoip between the patient and the clinical team.  It does require an accountable integrated care delivery system – but that is always the best approach for value in health care.  This is just another demonstration of that value.

Shared Health Record vs Personal Health Records-nejm

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