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Enhancing Patient Engagement Through Health Information Technology Policy Changes

The CMS considers patient engagement a quality metric for a learning healthcare system.
● Patient engagement is a major focal point of stage 2 MU of HER.
● Patient Engagement in Health and Health Care Framework by Carman et al. presents different forms and levels of patient engagement across the healthcare system.
● Institute for Patient- and Family-Centered Care recognizes the vital role families play by providing emotional, social, and developmental support, ensuring the health and well-being of all family members
● The Level of Engagement with Health Care framework considers the engagement, quality, and safety of mobile apps. Clinicians can identify trustworthy apps that serve the engagement of high-need, high-cost populations.

Consider content covered in chapter 5 concerning policy changes in the United States and the strategic plan needed to improve care and drive down cost through health information technology. Give at least 3 examples of an information technology policy change that has supported patient engagement.

Sample Answer

 

Enhancing Patient Engagement Through Health Information Technology Policy Changes

Thesis Statement

In the evolving landscape of healthcare, policy changes centered around health information technology (HIT) have significantly enhanced patient engagement. By leveraging electronic health records (EHRs), patient portals, and mobile health (mHealth) applications, these changes not only improve care quality but also drive down costs and empower patients in their healthcare journeys.

1. Implementation of Electronic Health Records (EHRs)

The transition to EHRs has been a transformative policy change aimed at improving the quality of patient care and enhancing engagement. EHRs enable healthcare providers to:

– Access Comprehensive Patient Data: Clinicians can view a patient’s complete medical history, medications, and treatment plans in real-time. This holistic view allows for more informed decision-making and encourages patients to participate in discussions about their care.

– Facilitate Patient Portals: Many EHR systems come with integrated patient portals that allow patients to access their health information, schedule appointments, request prescription refills, and communicate with their healthcare providers securely. According to a study by Hibbard et al. (2016), patients using these portals demonstrated higher levels of engagement, leading to better health outcomes.

Example of Policy Change

The implementation of the Health Information Technology for Economic and Clinical Health (HITECH) Act incentivized providers to adopt EHRs and established criteria for meaningful use that included patient engagement metrics. This policy has driven widespread adoption of EHRs across the United States.

2. Promotion of Patient-Centered Medical Homes (PCMH)

The patient-centered medical home model emphasizes coordinated care that places the patient at the center of the healthcare process. This model encourages:

– Team-Based Care: A team of healthcare professionals collaborates to manage a patient’s care, which fosters open communication and shared decision-making. Patients are encouraged to actively participate in their treatment plans.

– Continuous Engagement: PCMHs utilize HIT tools to facilitate ongoing communication between patients and providers, ensuring that patients receive timely follow-ups and reminders for preventive care services.

Example of Policy Change

The Affordable Care Act (ACA) introduced provisions that support the development of PCMHs as part of broader reforms aimed at improving care quality and reducing costs. By incentivizing coordinated care, the ACA has enhanced patient engagement through a more collaborative approach to healthcare.

3. Development of Mobile Health (mHealth) Applications

The rise of mobile health applications represents a significant shift in how patients engage with their health information and manage their wellness. These applications offer various functionalities, such as:

– Health Tracking: Patients can monitor vital signs, medication adherence, and other health metrics via user-friendly apps, making it easier for them to take an active role in managing their health.

– Access to Resources: mHealth applications provide educational materials, reminders for appointments or medications, and facilitate direct communication with healthcare providers, thereby empowering patients with knowledge and tools for better health management.

Example of Policy Change

The Level of Engagement with Health Care framework supports the evaluation of mHealth applications regarding their quality and safety. This policy encourages clinicians to identify trustworthy apps that effectively engage high-need populations, ensuring that technology serves to enhance patient involvement in their care.

Conclusion

Policy changes in health information technology have played a crucial role in fostering patient engagement within the healthcare system. The implementation of EHRs, promotion of patient-centered medical homes, and development of mobile health applications have collectively empowered patients by improving access to information, fostering collaboration with healthcare providers, and facilitating ongoing engagement in their care. As these policies continue to evolve, they promise to further enhance the quality and efficiency of healthcare delivery while driving down overall costs.

 

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