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NEHC_PatientEngagementFramework_FINAL1.pdf

Information, Way-Finding, and Analytics/Quality

Care Team-Generated Data

• Shared care plans Episodic Chronic End of life

• Team outcomes Adherence Costs Quality

Interoperable Records

• Integrated with long-term post-acute care records

Collaborative Care • Chiropractic • Dentistry

• Alternative medicine • Home

Community Support • Online community support forums and

resources for all care team members Clergy Counseling Services

• Care comparison for providers, treatments, and medications

e-Visits and e-Tools

• e-Visits as part of ongoing care

Integrated Forms: EHR

(replaced by interoperable collaborative care records)

Patient-Specific Education

• Care planning • Chronic care self-management • Reminders for daily care

Patient Access and Use

• Publish/subscribe for complete record • Distribution of record among care team • Patient-granted permissions • Patient-set privacy controls

Information, Way-Finding, and Analytics/Quality

Partner With Me

• Patient-specific predictive modeling • Patient-specific quality indicators • Patient accountability scores

e-Tools • Wellness plan • Advance care planning • Coordination of care across systems

Integrated Forms: EHR

• Clinical trial records • Immunization (public health)

Patient-Specific Education

• Materials in Spanish and the top 5 national languages

• Condition-specific self-management tools

Patient Access

• Publish and subscribe Summary of care

Interoperable Records

• Integrated with clinical trial records • Integrated with public health reporting • Integrated with claims and

administrative data

Collaborative Care • Acute • Long-term

post-acute care

• Primary care • Specialty

Patient-Generated Data

• Shared decision making

Preference- sensitive care Informed choice/consent

• Adherence reporting

Medications Self-care Wellness

• Home monitoring Devices Tele-medicine

• Directives Advance Physician orders for life-sustaining treatment Intolerances Allergies Values Preferences

Empower Me

Information, Way-Finding, and Quality

• Quality and safety reports on providers and healthcare organizations

• Patient ratings of providers, hospitals and other healthcare organizations

e-Tools

• Care plan management

• Virtual coaching

• Online nurse • Secure messaging

Integrated Forms: EHR

• Record correction requests • Advance directives (scanned)

Patient-Specific Education

• Materials in Spanish • Guides to understanding

accountable care

Patient Access: Records

• Transmit patient record electronically • Copy the patient or a healthcare

designee when sharing electronic record • EHR integrated with patient PHR

Patient-Generated Data

• Care experience surveys • Symptom assessments • Self-management diaries • Patient-generated data in EHR

Questionnaires Pre-visit Health history Demographics

Interoperable Records

Engage Me +

Information and Way-Finding

• Mobile Nearest healthcare services Symptom checker

e-Tools

• Pregnancy tracking • Fitness tracking • Healthy eating tracking

• Option to share progress and health milestones on social media

Interactive Forms: Online

• Patient profile • Register or pay a bill • Email customer service

• Schedule a clinic appointment

• Refill a prescription

Patient-Specific Education

Preventive services Follow-up appointments

Patient Access: Records

• View electronic health record • Download electronic health record

PATIENT ENGAGEMENT FRAMEWORK

Inform Me

Information and Way-Finding

• Maps and directions • Services directory • Physician directory

e-Tools

• Health encyclopedia • Wellness guidance • Prevention

Forms: Printable

• HIPAA • Insurance

• Advance directives • Informed consent

Patient-Specific Education

• Care plan • Tests

• Prescribed medication • Procedure/treatment

Aligned: Emerging Meaningful Use Aligned: Meaningful Use 1 Aligned: Meaningful Use 2 Aligned: Meaningful Use 3 Aligned: Meaningful Use 4+

Support My e-Community+ + + + + + + + +

• Care Instructions • Reminders

Medication

Caregivers Family Friends

• Integrated with health information exchange (HIE)

• E-referral coordination between providers • Ambulatory and hospital records

integration • Images and video in EHR • Commercial labs, radiology, medications

Costs Quality

Convenience

The Patient Engagement Framework is licensed under a Creative Commons Attribution-NonCommercial-NoDerivs 3.0 United States License.