Profile:
sean cahill

This is sean cahill's Profile page. Use it to view sean cahill's comments, other users' replies to these comments, and comments sean cahill has endorsed.

What's Happening Now

May 9, 2013 4:15 pm

To: Office of the National Coordinator of Health Information Technology
From: The Fenway Institute at Fenway Health
Re: Comments on Federal HIT Strategic Plan submitted at http://www.planningroom.org
Date: May 9, 2013
Topic 7: Decreasing health disparities through health
§1. Health IT’s potential role
• Should the federal government or partner organizations develop training or educational materials, targeted at health care navigators and health coaches who work in underserved communities, to inform them about about health IT, mobile health apps, and other eHealth tools that can help their clients improve health?

Yes, the federal government should mandate the collection of data on sexual orientation and gender identity (SO/GI) in Electronic… more »

…Health Records (EHR) as part of Stage 3 meaningful use guidelines, and train health care providers and clinical staff in how to gather these data and talk with patients about SO/GI in a culturally competent way. The National LGBT Health Education Center at The Fenway Institute as well as groups like the Center of Excellence in Transgender Health at UC San Francisco could assist in developing these trainings and materials.
–Sean Cahill, Ph.D.; Harvey Makadon, M.D. « less
May 9, 2013 4:16 pm

To: Office of the National Coordinator of Health Information Technology
From: The Fenway Institute at Fenway Health
Re: Comments on Federal HIT Strategic Plan submitted at http://www.planningroom.org
Date: May 9, 2013
Topic 7: Decreasing health disparities through health
§2. Focusing on low-tech tools.
• How can the federal government reduce or eliminate health disparities using widely available technology such as mobile phones?
The federal government should encourage all patients to disclose their sexual orientation and gender identity to providers and assure them of measures in place to protect privacy and confidentiality. This would allow widespread data collection on lesbian, gay, bisexual and transgender (LGBT) identity, a critical first… more »

…step toward better understanding and reducing LGBT health disparities.
– Sean Cahill, Ph.D.; Harvey Makadon, M.D. « less
May 9, 2013 4:18 pm

To: Office of the National Coordinator of Health Information Technology
From: The Fenway Institute at Fenway Health
Re: Comments on Federal HIT Strategic Plan submitted at http://www.planningroom.org
Date: May 9, 2013
Topic 10: Using health IT to enable research and inform practice
§1. Big data analysis
• How can health IT support the flow of information from patients to researchers through various channels, including health care providers, payers, and patients themselves?
• Would consumers expect to be compensated for donating data?
• How can the federal government best spur innovation and support the flow of information that makes big data analysis possible?
The Office of the National Coordinator of Health Information Technology… more »

…should mandate sexual orientation and gender identity data collection in EHR as part of Stage 3 meaningful use guidelines and provide a functionality to track this information in the core demographic variables section of EHR. This would allow systemic data collection that could dramatically improve research science on LGBT health disparities.
– Sean Cahill, Ph.D.; Harvey Makadon, M.D> « less
May 9, 2013 4:21 pm

To: Office of the National Coordinator of Health Information Technology
From: The Fenway Institute at Fenway Health
Re: Comments on Federal HIT Strategic Plan submitted at http://www.planningroom.org
Date: May 9, 2013
Topic 10: Using health IT to enable research and inform practice

§2. Patient-centered outcomes research (PCOR)

We know that Automatic Computer Assisted Self-Interview technology dramatically increases response rates regarding homosexual and bisexual identity, behavior and attraction (see Villaroel et al, Public Opinion Quarterly, 2006). It is logical to assume, therefore, that Patient Reported Outcomes tablets may also lead to higher and more accurate response rates to questions about LGBT identity, as well as other sensitive… more »

…issues such as health risk behaviors, substance use and mental health issues. The Office of the National Coordinator of Health Information Technology should mandate sexual orientation and gender identity data collection in EHR as part of Stage 3 meaningful use guidelines and provide a functionality to track this information in the core demographic variables section of EHR. This would allow systemic data collection that could dramatically improve research science on LGBT health disparities. Reminding providers about LGBT health disparities—highlighted in Healthy People 2020 and in recent years by the Institute of Medicine—and of the connection between data collection and addressing these disparities, could help educate providers about the importance of data collection and how it can help them to provide better care to their LGBT patients.
– Sean Cahill, Ph.D.; Harvey Makadon, M.D. « less
May 9, 2013 6:20 pm

Thank you for your comment and welcome to Planning Room, sean cahill. It looks like you are already familiar with the commenting process. However, commenting on our site is a little different. The issue posts and sections on Planning Room are designed for targeted commenting, which encourages discussion on specific issues. You can visit our about section for more information. It may be helpful to remove the headings from your comments to give yourself some more room while also making them easier for other commenters to read.


No comments