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Patient Access to Clincial Information on the Web: PatCIS

PatCIS is a system that provides patients with access to their own limited health records, the ability to add data to their records, access to general health information, and patient-specific advice. It aims to improve decision-making, provide timely clinical information, enhance the content of electronic medical records, educate patients, automate decision support, and improve communication with healthcare providers. However, potential risks include misinterpretation of data, entry of erroneous data, misinformation from online sources, and false decision support.

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Patient Access to Clincial Information on the Web: PatCIS

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  1. Patient Access to Clincial Information on the Web:PatCIS

  2. General Features • Access to limited view of their own record • Ability to add data to their own record • Access to general health information • Ability to obtain patient-specific advice • MLMs • Infobuttons

  3. Hypothetical Benefit:Better Decision-Making • Timely clinical information • Improved content of EMR • Education of patient • Automated decision support • Improved communication with health care provider

  4. Potential Risks • Misinterpretation of their own data • Entry of erroneous data • Misinformation from on-line sources • False (positive and negative) decision support

  5. PatCIS: System Architecture • SSL and SecurID • Questionnaires • CGI’s and Javascript • DAMs and MED • patcis.cgi • Session validity • Session log

  6. PatCIS: System Architecture Javascript PatCIS Session File patcis.cgi Session Log Application CGI Application CGI Application CGI

  7. Application Features • Data Entry: vital signs, blood sugars, insulin doses, health maintenance, pft’s • Data Review: patient-entered data, limited views of CIS, diabetes flowsheet • Education: selection of on-line resources • Advice: MLMs, cholguide.cgi, www applications

  8. Timeline • Dec 1 - Mar 31: prototype, recruitment • April 1 - Sept 30: pilot patient group • Oct 1-Sept 30: full roll-out

  9. Evaluation • Formative • questions about features • session log • Summative • Perceptions about health information • Understanding their own health • Participation in decision making • Communication with providers

  10. Questions • Other data entry? • What can we show of CIS? • How to certify on-line resources? • What MLMs? • Evaluation

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