Hospital Pharmacy - April 2012 - (Page 310)

Hosp Pharm 2012;47(4):310–311 2012 Ó Thomas Land Publishers, Inc. www.thomasland.com doi: 10.1310/hpj4704-310 Pharmacy Automation and Technology How Patient-Centric Is Your Practice? Bill G. Felkey, MS,p and Brent I. Fox, PharmD, PhD† ‘‘Patient-centric’’ likely means many different things to different people. Some may argue that patient-centric is a philosophical approach to how care is provided. Others may argue that patientcentric is demonstrated by the resources provided to patients to enable them to be proactive participants in their own care. In this installment, we describe several different ways that a practice can be patient-centric. n our presentations, we show a slide of a connected health care community with all of the providers in a circle and the patient in the center of that circle. The layout is similar to a wagon wheel with the patient as the hub and providers located at the ends of spokes around the wheel. Unfortunately, most patients do not feel that they are the center of the health care system that takes care of them. Most states legally establish that patients ‘‘own’’ the information on their medical record. But again, patients feel little ownership of these data. If we are going to have participatory health care where patients are engaged and active in self-care management, it has to begin with giving patients some sense of control over their data. Patients can control their data by populating a personal health record that is a repository of all of the medical documentation, laboratories, medication profiles, and images concerning them. Patients should be able to annotate but not delete information concerning their health care. If they are judged to be a poor historian or to consume alcohol in excess, it should be possible for them to comment next to the providers’ notations in their records when they disagree with an impression made about them. If they believe that information about them is erroneous, they should be able to note that the potential error exists and that these entries should not be used in decision-making. The Blue Button initiative (www.bluebuttondata. org) is a great example of a way to give patients more control over their data. The initiative began in the Veterans Affairs as a collaboration between the Centers for Medicare & Medicaid Services (CMS), the Department of Defense, and the Markle Foundation’s Consumer Engagement Workshop. The Blue Button concept is simple: I patients can click on a single (blue) button to download their medical records for subsequent sharing with providers. The initiative began in the VA system, but has expanded to Medicare and TRICARE participants. Other organizations that have pledged Blue Button functionality include Walgreens, McKesson, and PatientsLikeMe.com. A comprehensive consumer experience should also provide the ability for nonprofessional caregivers to communicate with a person’s health care team. Adult children can assist with elderly parents. A caring neighbor can help document activities of daily living, and, of course, consumer electronics devices can record vital signs and monitor outcomes, directly updating a personal health record that then communicates with other electronic medical records. Channels of communication should definitely go beyond telephone calls to include e-mail, text messages, and other digital communication means. If we have the most expensive health care system possible but patients are not engaged, our best professional efforts will likely result in minimal positive progress. Patients who actively communicate with their health care team can produce a longitudinal record of their experiences outside hospitals and clinics. How many times has a hypertensive medicine been changed to an alternate medication or a dosage increase been implemented when adherence is the real issue? In order for better communication to take place, we need to address the huge issue of interoperability. Whether HL7, XML, a combination of both, or completely other standards are used, patient-driven connectivity has to happen. Patients can fail in their self-care efforts because they don’t know what to do, they don’t know how to do it, or they are not motivated to address their self-management regimens. Education from trusted *Professor Emeritus, Auburn University, Auburn, Alabama; †Assistant Professor, Department of Pharmacy Care Systems, Harrison School of Pharmacy, Auburn University, Auburn, Alabama 310 Volume 47, April 2012 http://www.thomasland.com http://www.PatientsLikeMe.com http://www.bluebuttondata.org http://www.bluebuttondata.org

Table of Contents for the Digital Edition of Hospital Pharmacy - April 2012

Hospital Pharmacy - April 2012
Editorial
ISMP Medication Error Report Analysis
ISMP Adverse Drug Reactions
Cancer Chemotherapy Update
Off-Label Drug Uses
Original Article
Symptomatic Bradycardia, Syncope, and Prolonged Qtc Interval Associated With Dronedarone Therapy
Extended Stability of Magnesium Sulfate Infusions Prepared in Polyolefin Bags
Formulary Drug Reviews
Continuing Education Case Study Quiz (0.15 CEU)
Current FDA-Related Drug Information
Pharmacy Automation and Technology
Director’s Forum
Hospital Pharmacy Pulse
Index to Advertisers

Hospital Pharmacy - April 2012

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