Project Health Design.Brennan

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Project Health Design: Rethinking the Power and Potential of Personal Health Records Project HealthDesign and mHealth Patricia Flatley Brennan, RN, PhD, FAAN University of Wisconsin-Madison Funded by grants from the Robert Wood Johnson Foundation with additional support of the California HealthCare Foundation

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Project HealthDesign and its Importance for mHealth presented by Patricia Flatley Brennan, RN, PhD, Lillian Moehlman Bascom Professor, School of Nursing, University of WisconsinPresented at mHealth Initiative's June 4, 2009 conference in Washington, DC.www.mhealthinitiative.org

Transcript of Project Health Design.Brennan

Page 1: Project Health Design.Brennan

Project Health Design:Rethinking the Power and Potentialof Personal Health Records

Project HealthDesign and

mHealth Patricia Flatley Brennan, RN, PhD, FAAN

University of Wisconsin-Madison Funded by grants from the Robert Wood Johnson Foundation with additional support of the

California HealthCare Foundation

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

January June December

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

Why would people use PHRs?

•  To understand their own health patterns •  To have a single point of access to health

data •  To bring the every-day health experience

into the clinical encounter •  To get guidance and direction in day-to-day

living •  To help one clinician know what the other

one is doing

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

Lay people are actually pretty good at creating personal health records … on paper!

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

ENVISIONING THE FUTURE OF PERSONAL HEALTH RECORDS AND mHEALTH

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

Effective PHRs are not about the record, they’re about the action they achieve

Dynamic PHRs operate well beyond the PC

Attending to observations in daily living yields better health

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

What we learned:

Collecting ‘observations of daily living’ may be the most important feature of PHRs • ODLs are information that is collected and reported by the patient

•  sleep, diet, exercise, mood, adherence to medications •  important to health, but not collected in a clinical setting

• Grantee teams learned much about what ODLs people pay attention to, use to assess health, and want to share with their clinicians

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

People don’t live from clinical episode to clinical episode ~

they manage their health every day Monitoring and understanding ODLs empower patients to:

 create a more meaningful portrait of their health

 Determine whether treatments are working, or are not working!

 facilitate more productive conversations with clinicians

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

Round 1 Challenge: Create ‘next generation’ PHR

Move perceptions of PHRs from static repositories of information

to dynamic, interactive applications

Round 2 Challenge: Link PHRs & Clinical Practice Understand and use observations in daily living for health and clinical care

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Project Health Design:Rethinking the Power and Potentialof Personal Health Records

www.projecthealthdesign.org

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