Health Management Information Systems: Consumer Health Informatics Lecture A

Health Management Information
Systems
Consumer Health Informatics
Lecture a
This material Comp6_Unit8a was developed by Duke University, funded by the Department of Health and Human Services,
Office of the National Coordinator for Health Information Technology under Award Number IU24OC000024.
Learning Objectives
1. Explain how current and emerging technologies
have impacted and may continue to affect
consumer health informatics(Lecture a)
2. Describe the role of genomics in consumer
health informatics (Lecture a)
3. Describe the emergence of personal health
records and their implications (Lecture b)
4. Discuss how consumerism influences the
ongoing development and use of health
information systems (Lecture b)
2
Health IT Workforce Curriculum
Version 3.0/Spring 2012
Health Management Information Systems
Lecture a
Health Communication
The art and technique of informing, influencing,
and motivating individual, institutional, and
public audiences about important health issues.
The scope of health communication includes
disease prevention, health promotion, health
care policy, and the business of health care as
well as enhancement of the quality of life and
health of individuals within the community

(Ratzan, 1994)
3
Lecture a
Consumer Informatics
Consumer informatics
Management of data and information
Supports consumers
Use of computers and computer technologies
Consumer health informatics
Addresses the needs of the consumer
4
Lecture a
Interactive Health Communication
e-Health
Technology
Internet
Web services
Wireless technology
Tools

5
Lecture a
Interactive Health Communication
Tools
Online communities and support groups
Online health information
Online health self-management tool
Online communication with health care
providers
Online access to personal health records
6
Lecture a
Impact on Consumer Health
Informatics
New roles and approaches to health
management
Partnership:
Consumers and health care providers
New expectations
Access to information when needed

7
Lecture a
Impact of the Internet
Increase in informed consumers
Availability of online PHRs
New forms of communication
Accessibility of health care products for
purchasing
8
Lecture a
Impact of Emerging Technologies
Convergence of media and emergence of the
Internet results in a networked communication
infrastructure
Facilitates access to health information and
health-related support services
Expands the communication choices for health
professionals, patients, and consumers

9
Lecture a
Social Media
Social networks
Blogs
Forums
Wikis
Photo video
Podcasts
10
Lecture a
Potential e-Health Value
Propositions
Stakeholder: Consumers (e.g., patients, informal
caregivers, information intermediaries)
Benefits sought from consumer e-Health
Private, 24/7 access to resources
Expanded choice and autonomy
New forms of social support
Possibility of better health
More efficient record management
Lower cost health care services
Avoidance of duplication of services

11
Lecture a
Propositions
Stakeholder: Clinicians
Benefits sought from consumer e-Health:
Greater efficiency
Better communication
More adherent and satisfied patients

12
Lecture a
Propositions
Stakeholder: Health care organizations
Benefits sought from consumer e-Health
More patient self-care and health
management
Lower administrative costs
Improved quality and patient outcomes

13
Lecture a
Challenges Presented
Concerns with privacy and security
Risk of liability
Lack of law or legislation governing the
boundaries
Lack of payment for engagement
Lack of frequent data updates
Resistance by health care providers

14
Lecture a
Role of Genomics
Supply a piece of the personal health record
Family history
A risk factor for many chronic diseases of public
health significance

15
Lecture a
Role of Genomics
(Ades, 2009)
16
Lecture a
Summary Lecture a
Definitions
Impact of the Internet on consumer health
informatics
Effect of current and emerging technologies on
consumer health informatics
Role of genomics in consumer health informatics
17
Lecture a
References Lecture a
References
American Health Information Management Association. (2012). Pocket glossary for health information
management and technology (3
rd
ed.). Chicago, IL: Author.
Centers for Disease Control and Prevention. (2010). Genomics and Health. Retrieved from
http://www.cdc.gov/genomics/public/index.htm
Centers for Disease Control and Prevention. (2011, May). CDC Social Media Tools. Retrieved from
http://www.cdc.gov/SocialMedia/Tools/
Gibbons, M.C., Wilson, R.F., Samal, L, Lehmann, C.U., Dickersin, K., Lehmann, H.P., Aboumatar, H., Finkelstein,
J., Shelton. E., Sharma, R., & Bass, E.B. (2009, October). Impact of consumer health informatics applications.
Evidence Report/Technology Assessment No. 188. (Prepared by Johns Hopkins University Evidence-based
Practice Center under contract No. HHSA 290-2007-10061-I). AHRQ Publication No. 09(10)-E019. Rockville, MD.
Agency for Healthcare Research and Quality. Retrieved from
http://www.ncbi.nlm.nih.gov/books/NBK32638/pdf/TOC.pdf
Health Resources and Services Administration (HRSA). (2003, October). Telemedicine reimbursement report.
(Prepared by the Center for Telemedicine Law under contract No.02-HAB-A215304). Retrieved from
http://www.hrsa.gov/ruralhealth/about/telehealth/reimburse.pdf
Kaplan, A. M. & Haenlein, M. (2010). Users of the world unite! The challenges and opportunities of social media.
Business Horizons 53(1), 59-68.
National Human Genome Research Institute. (2010). Genetic information nondiscrimination act of 2008. Retrieved
from http://www.genome.gov/10002328
Office of Disease Prevention and Health Promotion (ODPHP). (2012). e-Health. Retrieved from
http://www.health.gov/communication/ehealth/Default.asp

18
Lecture a
References Lecture a
References
Ratzan, S.C. (Ed.). (1994). Health communication, challenges for the 21st century. Special issue. American
Behavioral Scientist 38(2), 202-207.
Robinson, T.N.; Patrick, K.; Eng, T.R.; & Gustafson, D, for the Science Panel on Interactive Communication and
Health. (1998, October). An evidence-based approach to interactive health communication: A challenge to
medicine in the Information Age. Journal of the American Medical Association, 280(14),1264-1269.
Valdez R., Yoon, P.W., Qureshi, N., Green, R. F., & Khoury, M. J. (2010, April). Family history in public health
practice: A genomic tool for disease prevention and health promotion. Annual Review of Public Health 31, 69-87.
U.S. Department of Health and Human Services. (2000). Healthy people 2010: Objectives for improving health.
Retrieved from http://www.healthypeople.gov/2010/Document/tableofcontents.htm#volume1
U.S. Department of Health and Human Services. (2006, June). Expanding the reach and impact of consumer e-
Health tools. Retrieved from http://www.health.gov/communication/ehealth/ehealthtools/pdf/ehealthreport.pdf
U.S. Department of Health and Human Services. (2012). Genomics. Retrieved from
http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=15

Image
Slide 16: Ades, J. (2009, May 1). Prescription form with DNA double helix. [image on the Internet]. Retrieved from
http://www.genome.gov/pressDisplay.cfm?photoID=20158

19
Lecture a

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