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George -DNP 710 -pROJECT 2

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nisha george

on 1 December 2012

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Transcript of George -DNP 710 -pROJECT 2

11/30/2012 Discussion with Physicians,Physician assistants,
Nurse practitioners.
All supportive and encouraging about the need for secure patient provider communications Secure messaging ? Discussion with others 11/30/2012 Connecting Care Teams
Healthcare providers networked around each patient
Save Time: Stop Playing Phone Tag
Update entire care teams with a single secure message
Available for iPhone and Android
Use your phone or computer and messages are synced Innovative communication Yes, it is innovative technology to enhance ultimate communication and better patient outcomes .
The Patient Care Social Network
Securely message and collaborate in real-time.
HIPPA Compliant Messaging
Instantly exchange patient information and coordinate care. 11/30/2012 Is it innovative or disruptive? 11/30/2012
Password-protected e-mail system (referred to as Secure messaging) 11/30/2012 Internet-based interactive websites for patient communication (patient portals) may improve communication between patients and their clinics and physicians (Chen- Tan, Wittevrongel, Moore, Beaty, & Ross, 2005). Solution with communication technology 11/30/2012 Frequent use of secure messaging associated with better glycemic control (Harris,2012).
Increase out patient utilization
Increase patient confidence
Increase patient adherence to care
Timely follow up Secure Patient Provider Messaging 11/30/2012 Shared Electronic Medical Records (SMR ) with Secure patient provider messaging (Harris,2012).
Interactive patient-engagement systems for patient- provider specific communication by integrating with an EMR to ensure that patients receive
specific education resources
(George,2011). Proposal for solution 11/30/2012 Patient and Provider have less time for communication
Confusion after office visits
Non adherence to care
Diminished quality and effectiveness Problem with patient provider communication 11/30/2012
Lack of Patient Provider Communication

Lack of interdisciplinary communication Problem? 11/30/2012 Today’s complex world of technology & communication 11/30/2012 Global communication Are we communicating enough with our patients and other providers? 11/30/2012 11/30/2012 Sadasivam, R., Delaughter, K., Crenshaw, K., Sobko, J., Williams, H., Coley, L., . . . Houston, T. (2011). Development of an interactive, web-delivered system to increase provider-patient engagement in smoking cessation. Journal of Medical Internet Research, 13(4), e87. doi: 10.2196/jmir.1721
Schnipper, J. L. (2008). Design and implementation of a web-based patient portal linked to an electronic health record designed to improve medication safety: The patient gateway medications module. Informatics in Primary Care, 16(2), 147.
Trent Rosenbloom, S., Daniels, T. L., Talbot, T. R., McClain, T., Hennes, R., Stenner, S., . . . Purcell Jackson, G. (2012). Triaging patients at risk of influenza using a patient portal. Journal of the American Medical Informatics Association, 19(4), 549-554. References 11/30/2012
Harris, L. T. (2012). Electronic patient-provider communication in diabetes care. ProQuest Dissertations and Theses, (1038153423).
Hogan, S. O., & Kissam, S. M. (2010). Measuring meaningful use. Health Affairs, 29(4), 601-606. doi: 10.1377/hlthaff.2010.0223
Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academies Press.
Kuhn, P. (2008). Patient portals. Health Management Technology, 29(10), 44-44, 43.
Kaiser Permanente research (2002). Doctor-patient communication and antidepressant therapy.  PR Newswire, pp. 1.
Mandl, K. (2012). Meaningful use of electronic health records. Health Affairs (Millwood, Va.), 31(6), 1365B.
Moller, J. E., & Vosegaard, H. (2008). Experiences with electronic health records. IT Professional, 10(2), 19-23.
Moller, J. E., & Vosegaard, H. (2008). Experiences with electronic health records. IT Professional, 10(2), 19-23.
Nagykaldi, Z., Aspy, C. B., Chou, A., & Mold, J. W. (2012). Impact of a wellness portal on the delivery of patient-centered preventive care. Journal of the American Board of Family Medicine, 25(2), 158-167.
Ralston, J., Carrell, R., Reid, M .,Anderson, M., Moran &Hereford, J. (2007). Patient web services integrated with a shared medical record: patient use and satisfaction. J Am Med Inform Assn. 14 (6). 798-806.
Reid, C. M. (2010). Electronic health records today. EContent, 33(4), 24-29.
Rodriguez, E. S. (2010). Using a patient portal for electronic communication with patients with cancer: Implications for nurses. Oncology Nursing Forum, 37(6), 667-671. doi: 10.1188/10.ONF.667-671 References 11/30/2012 Alan Joch. (2007). Patient Portals. Hospitals & Health Networks, 6(1), 14-16,18,20.
Anderson, J. (2012). Uncertainty on patient portals. Internal Medicine News (Short Hills, N.J.1995), 45(10), 23.
Chen-Tan, L.,Wittevrongel, L., Moore L., Beaty, B & Ross, S. (2005). An Internet-Based Patient-Provider Communication System: Randomized Controlled Trial. Journal of Medical Internet Research, 7 (4). doi:  10.2196/jmir.7.4.e47
Cousino, M. (2011). Parent participation and physician-parent communication during informed consent in child leukemia. Pediatrics (Evanston), 128(5), e1544(e1551).
Doorenbos, A. Z., Lindhorst, T., Schim, S. M., Van Schaik, E., Demiris, G., Wechkin, H. A., & Curtis, J. R. (2010). Development of a web-based educational intervention to improve cross-cultural communication among hospice providers. Journal of Social Work in End-of-Life & Palliative Care, 6(3-4), 236-255. doi: 10.1080/15524256.2010.529022; 10.1080/15524256.2010.529022
George ,F. (2011). Interactive patient systems can achieve quick ROI. Health Management Technology, 32(10), 10-12.
Ginn, G., O., Shen, J., J., & Moseley, C., B. (2011). Hospital financial position and the adoption of electronic health records. Journal of Healthcare Management, 56(5), 337-350.
Goel, M. (2011). Disparities in enrollment and use of an electronic patient portal. Journal of General Internal Medicine : JGIM, 26(10), 1112.
Jha, A. (2010). Meaningful use of electronic health records. JAMA: The Journal of the American Medical Association, 304(15), 1709. References 11/30/2012 Social net work Communication Innovation Availability of different social media for
communication Communication:
An every day theme in all fields Patient
Communication Nisha George
DNP Student
Arizona State University Are we using it for better patient outcomes? See the above example from Kaiser Permanente
using My Health Manager system
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