NR 361 Week 4 Discussion 2 Recent

NR 361 Week 4 Discussion 2 Recent

NR 361 Week 4 Discussion 2 Recent

Your Patient Has a Personal Health Record

Happy Week 4! We will be discussing a case study on personal health records (PHRs) this week. I look forward to our dialogue.

This week’s graded discussion topic relates to the following Course Outcomes (COs).

• CO4 Investigate safeguards and decision-making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4)
  • CO5 Identify patient care technologies, information systems, and communication devices that support safe nursing practice. (PO 5)

Case Study:

A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with this concern. The office staff discussed that she had part of her lab work completed at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.

The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.

As you review this scenario, reflect and answer these questions for this discussion.

• What are the pros and cons of the situation in the case study?
  • What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?
  • Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)?
  • What are the challenges for patients that do not have access to all of the PHRs? Remember, only portions of the EHRs are typically included in the PHRs.

Looking forward to everyone’s insights!

What are the pros and cons of the situation in the case study?

A patient has access to some of their medical data as entered by their healthcare provider via their Personal Health Record (PHR) (Hebda, Hunter, & Czar, 2019, p. 113). The pros of PHRs are that the patient can communicate with their provider as well as have access some of their medical records, therefore allowing the patient to be more aware and involved in their care. The cons for this situation are that the patient was not able to access their full medical records. The fact that the patient was only able to access a portion of her lab results can make the patient more apprehensive about what they weren’t able to see. I believe this can cause the patient to speculate more about what the possible missing results are.

What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?

In order to access one’s own PHR portal, the individual most first sign multiple waivers at their healthcare provider’s facility. Usually this includes a Health Insurance Portability and Accountability Act (HIPAA) disclosure and a waiver from the application or program used to access the PHR (Lester, Boateng, Studeny, & Coustasse, 2016). Once the waivers have been signed, the patient then selects a username and password using security questions and a personal email.

Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)?

I agree with the current practices used for patients to obtain PHRs. I appreciate that this is optional for patients, and not the only way to access these records. There is still a population of patients who wish to keep track of their medical records in paper form instead of electronically. In the future, I believe technology will advance to where all medical records can be added to a universal database that is accessible by patients and healthcare providers from different institutions, seamlessly.

What are challenges for patients that do not have access to all of the PHRs? Remember, only portions of the EHRs are typically included in the PHRs.

The challenge for patients that do not have access to all of the PHRs is that all information that is a part of their Electronic Health Record (EHR) does not automatically become a part of their PHR. This situation highlights the worst part of PHRs, which is that separate institutions do not share results and medical records automatically. PHR databases are not perfect and may not include the complete results and reports, which can be troublesome. For patients who want complete medical records, they should stick with old-fashioned paper copies of their medical records.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Lester, M., Boateng, S., Studeny, J., & Coustasse, A. (2016). Personal Health Records: Beneficial or Burdensome for Patients and Healthcare Providers?. Perspectives in health information management, 13 (Spring), 1h.

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NR 361 Week 4 Discussion 2 Recent

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