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thanga prabhu

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What's Happening Now

May 1, 2013 7:20 pm

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.

May 2, 2013 9:10 pm

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.

May 2, 2013 11:02 am

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?

May 2, 2013 10:43 pm

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?

April 2, 2013 3:41 pm

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.