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The Power of Personal Health Records to ensure Clinical Transformation Project HealthDesign Patricia Flatley Brennan, RN, PhD, FAAN University of Wisconsin – Madison School of Nursing
United States of America Madison, WI
PHRs in New Zealand
PHRs in New Zealand
We think health care occurs  here But  health,  and much of  health care , happens here
The CARE between the care January June December
The challenge of  personal health information management ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],How do people manage health information
Personal Health Records ,[object Object],[object Object]
EHR EPR PHR Patient Records Electronic Health Records, Electronic Patient Records & Personal Health Records After Stead et al, 2005
PERSONAL HEALTH RECORDS ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
A personal health information sy stem  is needed to transform Clinical Practice Self-Monitoring Clinical Records Communication Decision Support
A systems, functional perspective on PHRs holds greater promise for clinical transformation ,[object Object],[object Object],[object Object],[object Object],[object Object]
We needed to move from this…
..to this!
Project  HealthDesign: Re-defining PHRs
Colorado Care Tablet Clarence
engage patients in disease self care
Next Generation  PHRs: from data to action Move perceptions of PHRs from  static repositories of information to  dynamic, interactive applications that are a seamless and integral part of daily life
[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Consumer-facing requires knowing the consumer! ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
… what really challenges them ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
… how  our  standards impact them ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Digoxin Lasix Colace ASA
… how to fit into their lives ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
… what they WON’T do ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
… what health means to them ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Teens view of health & illness
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
imagine...
[object Object],[object Object],[object Object],[object Object],How these PHRs could create clinical transformation?
imagine...
Capitalize on social networks Stimulate peer education & support Groups Broadcast public health alerts Just-in-time training  &  coaching Class & cohort intervention news
imagine...
healthsystems.engr.wisc.edu www.projecthealtdesign.org
 

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The Power of Personal Health Records to ensure Clinical Transformation