Personal Health Record (PHR) Pilot for Medicare FFS Beneficiaries
TELEPHONE GUIDE: PROVIDERS
Meeting Discussion Guide —
Providers of Medicare Beneficiaries — PHR Users
OVERVIEW of MyPHRSC -5 minutes
[ALI] We would like to show you some examples of what Medicare’s PHR, MyPHRSC, offers for beneficiaries. At this time, please turn your attention to the WebEx presentation. We have used made up information for a made up person so that you can see the kinds of things you might encounter using MyPHRSC.
[Give a brief review of the content of each page in screenshot packet.]
- Group Introductions, 15 minutes
Before we begin, I’d like us all to introduce ourselves. Please tell us:
- Your first name
- Your medical specialty and a little about your practice
Conduct Discussion, 60 minutes
…Let’s start by talking about your overall experience
with personal health records approx 15 minutes
- In your opinion, what is a personal health record?
- Who is the audience, what is the format, where is the information stored, what kinds of data does it contain, etc
- What is the purpose?
- How would you use a PHR?
- Have any of your patients indicated to you that they have used a PHR?
[PROMPTS TO STIMULATE DISCUSSION]
[If any of the providers have patients using a PHR, ask them to describe their experiences.]
- Roughly what percentage of your patients are using PHRs? Do you know how long they have been using them?
- If your patients have a personal health record, how has interaction with your patients been different because they have it?
- What functionalities of personal health records do patients indicate they like or dislike the most?
- What are the ages of your patients using PHRs and what types of patients do you see using and/or benefiting most e.g. seniors, those with co-morbidities, the chronically ill.
(e.g.: One patient printed articles off of PubMed which he believed served as a second opinion that his doctor’s diagnosis was wrong; another printed information about a medication they wanted to try.)
- MyPHRSC offers a wallet card that summarizes conditions, recent visits, emergency contact information and medications. How would it affect you or your practice if your patients carried this information to visits and shared this with you?
- How much clinical information do you think should be included in the PHR? Are there things in particular you would not want a patient using a PHR to have access to?
…Now we’d like to get your perception of personal health records approx 30 minutes
- increase quality of service provided to patients
- faster/better communication with patients
- faster/better reporting of diagnostic tests (e.g., radiology or labs)
- reduces physician or staff time, expense
- reduces repeat and unnecessary tests
- reduces medical errors
- patient education
[Depending on responses probe further on specific issues e.g., chronic disease management, managing medications, reducing physician/staff labor costs, facilitates medical research]
- Are there times when you think there is too much information available to patients?
- What type of information should be part of a PHR? What type of information should NOT be part of a PHR?
- Lack of interoperability with EMR/EHR systems
- Impact to your workflow or cultural change in the practice
- Reimbursement or compensation
- Concerns of accuracy of patient-entered information
- Concerns of patients entering irrelevant or lengthy descriptions
- Concerns of patient overuse or abuse of secure email privileges
- Lack of standards
- Lack of laws and rights dealing with privacy and confidentiality
- Legal liability concerns
- Reliance on propriety system
- Lack of business case
[PROMPTS TO STIMULATE DISCUSSION]
- General security breaches
- Insurers and employers learning about health problem
- Legal liability
…Now let’s discuss some of the potential impacts of personal health records approx. 15 minutes
- Will it change the workflow process in your office?
- Will it influence your communication/relationship with the patient?
- Better relationship with provider
- Better self-management of care
- Improved overall health
- Keep better track of medications
- What kinds of things would you use the PHR for?
- Underwriting the cost of the technology
- Compensation for the extended time in clinical session
Thank you for your participation in today’s discussion.