Patient's access to personal online health records a first!

  1. 0 http://www.healthzone.ca/health/news...ick-of-a-mouse

    Hmmm this is interesting...I can see the benefits and cons to this already! I can defintely see where non medical trained patients will get confused/overwhelmed with ultrasounds, ct scans results, etc. I guess nurses can expect to be giving lots more information on medical information now


    Just as they go online to pay bills, renew library books and buy movie tickets, patients at Sunnybrook Health Sciences Centre can now log on the Internet to manage their health.

    MyChart, Sunnybrook's innovative electronic health access service, lets patients check laboratory results, review their prescriptions, see ultrasound images and connect with their physicians.

    It is the first hospital in Canada to offer patients unprecedented access to their health information. A computer, an Internet connection and the click of a mouse is all it takes to retrieve health records. No longer will patients have to track down physicians, sign forms or pay hundreds of dollars for their records....

    See rest of article in link above...
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  3. Visit  RN2B123} profile page

    About RN2B123

    Joined Sep '08; Posts: 133; Likes: 81.

    13 Comments so far...

  4. Visit  Reno1978} profile page
    5
    This is one of the features that hospitals that use the EPIC charting system can offer its patients. I think it's a good thing. However, the hospital system should also offer some type of service in which a patient can ask questions about their medical record in case there is confusion, etc.

    Not everyone reading their own chart will be pleased to see that they were in the hospital due to being SOB, for example.

    SBarn, Skips, bewitched, and 2 others like this.
  5. Visit  netglow} profile page
    1
    Already been up and running for a few years in my area with EPIC-based hosptital systems. I don't think there is much of a problem as a patient you can always request lab results. If you tend to be one who calls your MD office all the time trying to self-dx as a lay person, you'd be doing it anyway. It really has not been much of a "splash" so to speak, kind of underwhelming actually.
    Altra likes this.
  6. Visit  canoehead} profile page
    0
    Sounds great to me.
  7. Visit  gatherswool} profile page
    0
    My own PCP's health center uses this system, something I really appreciate after once struggling mightily to get back time-sensitive test results from a different health center.

    The MyChart info is much more limited than what you would find in the actual EPIC chart, and at least in my PCP's case, it features lots of bells and whistles to allow you to talk with clinic staff and/or your PCP about what you see. It's pretty cool, but not overwhelming, even for my completely non-medical husband. If anything, MyChart may well placate those who insist on getting their whole chart to take home and surf the web with.

    I often think that patients who want it should have easy access to their real chart (most EMRs automatically convert things like "SOB" to their full phrasing. Though I wonder what typing "LOL" will get you!). So many lay people think that something is being hidden from them by healthcare professionals, why not give them full transparency? It might also help those who need it to appreciate that a fuller education than 5 minutes on "Dr. Google" is necessary to make sense of all that data.
  8. Visit  mskate} profile page
    0
    Access to labs, etc... could be a good thing. However, I'd be hesitant to give patients free-run of our progress notes. The last thing we need is Sally Jones calling up irate because she read about how she is "non-compliant", or reads our CYA charting sometimes...
    Last edit by mskate on Jan 23, '11
  9. Visit  studentpn73} profile page
    0
    I wish they had it here!! Im assuming that's down east...
  10. Visit  NRSKarenRN} profile page
    1
    my homecare agency emr went live sept 2002. been using allscripts navinet discharge planning emr past 3-4 yrs to obtain homecare referrals and discharge information from penn health system, main line health system and nation wide hospitals using this system.

    expanding access to patients was next step in emr implimentation. patients have view access to certain sections emr. safeguards need to be in place that info entered can not be deleted but amended by patient. this is the era of ushering in patient self managment.

    university of pennsylvania health system "mypennmedicine " is patient portal includes
    patient self-management, which includes patient education via online resources incorporated into the ambulatory emr patient portal; community programs that are identified, which include support groups via a patient portal; and a patient action plan and report cards that are accessible via the patient portal.


    my health insurance company ibc has a patient portal with the idea that information will help you take control of your health decisions, provide tools to get healthier and quality health information
    http://www.ibx.com/members/features_ibxpress/index.html
    VickyRN likes this.
  11. Visit  lynnintn} profile page
    0
    Quote from Reno1978
    Not everyone reading their own chart will be pleased to see that they were in the hospital due to being SOB, for example.
    Almost fell out of my chair after reading this! Thanks for the laugh
    Lynn
  12. Visit  studentpn73} profile page
    0
    Quote from mskate
    Access to labs, etc... could be a good thing. However, I'd be hesitant to give patients free-run of our progress notes. The last thing we need is Sally Jones calling up irate because she read about how she is "non-compliant", or reads our CYA charting sometimes...
    Just learning proper charting at the moment so please correct me if Im wrong!!
    From my understanding we wouldn't use "non-compliant" in describing a clients behaviour would we?
    Wouldnt we as nurses use something more along the lines of "Client stated "I want to be left alone" when writer went to help with ADL" so that when Sally Jones reads her charts, or if Sally's charts are ever used in Court, then there is nothing insulting to her character?

    Again please please correct me if I am wrong...just a student sooo
  13. Visit  CathyLew} profile page
    0
    It is part of the Meaningful use in healthcare. A patient will be given an electronic record if they ask. It is a little vague on what has to be in the electronic record. I would hope that the patient would only get those things that have already been seen by their own doctor or the ordering doctor... so the MD has a chance to contact the patient first about results. And as far as CT or US reports.... even a normal exam can be confusing if you read everything above the interpretation.
  14. Visit  nurse2033} profile page
    0
    I've been doing this myself (I'm a Kaiser patient) for years. It is awesome. I can view my whole med record on line.
  15. Visit  mskate} profile page
    2
    Quote from studentpn73
    Just learning proper charting at the moment so please correct me if Im wrong!!
    From my understanding we wouldn't use "non-compliant" in describing a clients behaviour would we?
    Wouldnt we as nurses use something more along the lines of "Client stated "I want to be left alone" when writer went to help with ADL" so that when Sally Jones reads her charts, or if Sally's charts are ever used in Court, then there is nothing insulting to her character?

    Again please please correct me if I am wrong...just a student sooo
    I do!

    Example: "Patient refusing to stay in bed. Non-compliant with fall risk safety protocols. Aware of risks of falling (including, but not limited to, breaking bones, strokes, bruises and pain), however patient states "You ****** cannot tell me what I can and cannot do." Patient informed about need to stay in bed, important of central line catheters, risk of them being pulled out and potential complications of this. Aware of need to use call light before getting up and waiting for staff, need to wear o2 when ambulating, non-skid footwear, IV lines that cannot be pulled. Bed is in low and locked position. Clear path to the bathroom in case pt continues to be non-compliant with fall risk safety and night light remains on. Reinforced that pt is not to attempt to ambulate without RN and without the use of a walker for stabilization. Addressing bathroom, hydration and comfort needs q1h, all personal items, call light, tv remote are within reach."

    I chart very directly - I have had patients that when to DHS about issues with their hospital stays and I have had to sit down as one of their caregivers before to the board. I've been told directly by them and risk management that my charting is what has saved me from other issues that other nurses had with these particular cases.

    I look at the patient as a whole, chart a full head to toe assessment, chart behaviors and I also chart interactions with the patient. I note when I did teaching and how the patient responds, I note if they or their visitors are appropriate with each other and the healthcare environment and when someone is choosing to be UNsafe - I chart the hell out of it!! Because its THOSE patients that come back and try to sue the hospital or the nursing staff because they fell, etc... I also make a point to chart QUOTES. If it is brought before a judge a note of "educated on fall risk behaviors and hospital policies but continues to get up.", and then you go to court and the patient says "I didn't really understand, I thought it was OK for me to go to the bathroom..." The judge will also look at how the patient was behaving. Name calling, cursing, aggression, etc... makes the patients mind-set at the time quite clear.

    It can make charting take a while sometimes, but once you develop a habit, its really not bad and considering I have spoken to DHS *twice* AND I have talked to risk management about patients who come and try to sue for things - its certainly worth the extra 10 minutes to chart the details.

    I probably would not chart like this in school, because of your nursing instructors and such - but I certainly do it while I work.
    Altra and NRSKarenRN like this.


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