[governance] .pdf Personal Health Records

[l.d.misek-falkoff]

You raise a good issue and a key one for all record-keeping especially
electronically supported.
Certainly health is an area of key interest for everyone, and implications
of data integrity as well as access as well as privacy run across the board.


In this area, what was called EMR - for Electronic Medical Rrecords
(management) - if one who has worked in the field may throw in anecdotal
comments, I believe an overhaul of the intake process will be key.

We found that allowing and even requesting examining physicians and other
personnel to code in their personal reactions to patients could help keep
the "objective" portions more objective.  Keep out (limit) judgmental
adjectives, for instance, from physical exam reporting.

Of course poor data processing controls could mix the subjective and
objective and bring on even more serious problems than those possibly
arising from personal feelings not textually encoded for "venting."

A vital area. Thanks again.
LDMF.
Dr. Linda D. Misek-Falkoff.
*Respectful Interfaces*; Communications Coordination Committee For The
United Nations.


On 3/3/07, Sylvia Caras <Sylvia.Caras at gmail.com> wrote:
>
> A clear complete discussion of advantages and
> problems.  Is there any IGF group tracking the
> electronic health record standards work?  Sylvia
>
> http://www.nhpf.org/pdfs_ib/IB820_PHRs_11-30-06.pdf
>
> NATIONAL HEALTH POLICY FORUM FACILITATING DIALOGUE. FOSTERING
> UNDERSTANDING.
> Issue Brief – No. 820
> November 30, 2006
> Personal Health Records:
> The People's Choice?
> Lisa Sprague, Senior Research Associate
> OVERVIEW — Information technology (IT), especially in the form of an
> electronic health record (EHR), is touted by many as a key component of
> meaningful improvement in health care delivery and outcomes. A personal
> health record (PHR) may be an element of an EHR or a stand-alone record.
> Proponents of PHRs see them as tools that will improve consumers' ability
> to manage their care and will also enlist consumers as advocates for
> widespread
> health IT adoption. This issue brief explores what a PHR is, the
> extent of demand for it, issues that need to be resolved before such
> records
> can be expected to proliferate, and public-private efforts to promote
> them.
>
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