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Govt has regulatory and money power to create the ecosystem where EDS (essential data set) is available at PoC (point of care). HCIT standards including HL7 C-CCD can ensure every care giver has access to EDS. As an emergency physician I want to know the following: problems,drugs used, allergies and similar info at a minimum. Patient as a passive recipient of care is passe, active partner in care is the new realty and HCIT needs to scale to meet this. Giving access to HIS-EMR and allowing patient to maintain a PHR are two sides of a coin that empowers patient to actively engage in his/her care.
Yes. We ran a PHR (smart card based portable health record) which patients adopted to track blood sugar, BP, vitals, mood etc. Face-to-face encounter is a brief interlude to the continuous healer-patient engagement for chronic diseases, obesity,psychiatry, elder care etc. In spite of the rush that ED workflows have, I take time to explain the disease/problem and get patient buy-in to actively engage them in care. I have seen many myths crumble…patients dont understand medicine, they will lose the records, they will shop around using the info, can lead to litigation. etc.
Welcome to Planning Room and thanks for the comment thanga prabhu. From your experience as a physician have you seen the benefits of EMRs in helping patients become more active in their care?
Thank you for your response, thanga prabhu. Have others had similar (or different) experiences with EMRs in helping patients become more active in their care?
Isn’t shared decision making more than “informed consent?” I thought that this was referring more to ensuring that providers understand the full scope of options they might have when confronted with a medical decision.