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Finkelstein J, Knight A, Marinopoulos S, et al. Enabling Patient-Centered Care Through Health Information Technology. Rockville (MD): Agency for Healthcare Research and Quality (US); 2012 Jun. (Evidence Reports/Technology Assessments, No. 206.)

Cover of Enabling Patient-Centered Care Through Health Information Technology

Enabling Patient-Centered Care Through Health Information Technology.

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Appendix BGlossary of Terms

Health Information Technology Terms

Care coordination tools

Tools (that transmit health information, clinical practice and relationships with patient with their providers1

Clinical decision support system

Clinical decision support including a variety of tools and interventions such as computerized alerts and reminders, clinical guidelines, order sets, patient data reports, and dashboards, documentation templates, diagnostic support, and clinical workflow tools. From:

http://healthit.ahrq.gov/portal/server.pt?open=514&objID=5554&mode=2&holderDisplayURL=http://wci-pubcontent/publish/communities/k_o/knowledge_library/key_topics/health_briefing_01242006122700/clinical_decision_support.html)

Communication via e-mail

Communication delivered via the Internet between patient and physician2

Computer-assisted self-care

Patient manages, monitors, and improves his/her quality of care 3

Computer-guided disease management

Coordinated care interventions using IT to impact treatment, accessibility, confidentiality, easier 4

Computer-guided self-management

Using IT tools to minimize adverse outcome and improve self care 5

Computerized provider order entry

Electronic health records as part of a larger IT system to assist with clinical decision support.6

Disease registry

An electronic collection of medical data that is often indexed.7

Education via IT

Behavioral education tools such as e-mail by which online self-monitoring, physician referral, automated progress reports, and as-needed communication can be done for clinical care10

Electronic medical record

An electronic record of health-related information on an individual that can be created, gathered, managed, and consulted by authorized clinicians and staff within one health care organization. From

http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_848133_0_0_18/10_2_hit_terms.pdf

Electronic prescribing

The use of computing devices to enter, modify, review, and output or communicate drug prescriptions. From:

http://healthit.ahrq.gov/portal/server.pt?open=514&objID=5554&mode=2&holderDisplayURL=http://wci-pubcontent/publish/communities/k_o/knowledge_library/key_topics/health_briefing_03282006124741/electronic_prescribing.html}Information exchange: process of reliable and interoperable electronic health-related information sharing conducted in a manner that protects the confidentiality, privacy, and security of the information. From: http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_848133_0_0_18/10_2_hit_terms.pdf

Interactive lifestyle counseling

lifestyle curriculum counseling is an online format that have the potential to increase frequency of practical clinical interventions8

mHealth

Portable wireless devices that continuously monitor patients’ condition remotely on their personalized health and allows doctors to leverage data to make informed decisions and interventions immediacy9

Patient portals

“ Internet-based interactive website for patients to communicate with their healthcare provider and with varied functions that gives them access to portions of their medical record and other services”10

Personal health records

An electronic record of health-related information on an individual that conforms to nationally recognized interoperability standards and that can be drawn from multiple sources while being managed, shared, and controlled by the individual. From:

http://healthit.hhs.gov/portal/server.pt/gateway/PTARGS_0_10741_848133_0_0_18/10_2_hit_terms.pdf

Shared decision-making tools

The tools by which patients could be actively engaged in making decisions about their own health with their physicians11

Telemedicine

The use of medical information exchanged from one site to another via electronic communications to improve patients’ health status. Closely associated with telemedicine is the term “telehealth,” which is often used to encompass a broader definition of remote healthcare that does not always involve clinical services. Videoconferencing, transmission of still images, e-health including patient portals, remote monitoring of vital signs, continuing medical education and nursing call centers are all considered part of telemedicine and telehealth. From: http://www.americantelemed.org/i4a/pages/index.cfm?pageid=3333

Telemonitoring systems

An electronic communication networks that can communicate with the patient and perform physiologic measurements and ability to monitor closely patients outside the hospital setting12

Patient-Centered Care Terms

Alleviation of fear and anxiety

Reduction of fear or anxiety about clinical status, prognosis, and the impact of illness13

Community outreach

Demonstrable, proactive efforts to understand and reach out to the local community14

Exploring the disease and illness experience

Necessary in order to develop new practices in patient care, patient empowerment, and quality improvement.

Family and friend involvement

In decision-making and awareness and accommodation of their needs as caregivers13

Finding common ground

Necessary in order to facilitate patient engagement in care.

Integrated care

Bringing together inputs, delivery, management and organization of services related to diagnosis, treatment, care, rehabilitation and health promotion. Integration is a means to improve services in relation to access, quality, user satisfaction and efficiency (WHO European Office for Integrated Health Care Services).

Patient empowerment

Allowing patients access to choices that affect health outcomes15

Patient engagement in care

To take a more active role in the care process13

Physical comfort

Including pain management, help with activities of daily living, and clean and comfortable surroundings13

Practice-based learning

Focuses on the part of the practice cycle where program implementers and community members identify, share and apply learnings from local and other circumstances16

Prevention and health promotion

Services to address the health of patients before getting sick as well as encouraging patients to lead healthy lives

Quality and safety

quality care is safe, effective, patient centered, timely, efficient, and equitable. Thus safety is the foundation upon which all other aspects of quality care are built From: http://www.ahrq.gov/qual/nurseshdbk/

Quality improvement

Steps systematically applied to improve the patient care experience, such as effectively making, measuring, and managing change2113

Respecting patients’ values, preferences, and needs

awareness of quality-of-life issues, involvement in decision-making, dignity, and attention to patient needs and autonomy.13

Routine patient feedback to practice

A form of quality improvement used in practice-based learning.17

Transition and continuity

As regards to information that will help patients care for themselves away from a clinical setting, and coordination, planning, and support to ease transitions13

References

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McTigue KM, Conroy MB, Hess R, et al. Using the internet to translate an evidence-based lifestyle intervention into practice. Telemed J E Health. 2009;15(9):851–8. [PubMed: 19919191]
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Walker ER, Wexler B, Dilorio C, Escoffery C, McCarty F, Yeager KA. Content and characteristics of goals created during a self-management intervention for people with epilepsy. J Neurosci Nurs. 2009;41(6):312–21. [PubMed: 19998682]
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Shaller Dale. Patient-centered care: what does it take? Shaller Consulting. Oct, 2007. [Web Page] http://www​.commonwealthfund​.org/~/media/Files​/Publications/Fund%20Report​/2007/Oct​/Patient%20Centered​%20Care%20%20What%20Does%20It%20Take​/Shaller_patient​%20centeredcarewhatdoesittake_1067%20pdf.pdf.
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Silow-Carroll Sharon, Alteras Tanya, Larry Stepnick. Patient-Centered Care for Underserved Populations: Definition and Best Practices Economic and Social Research Institute. Jan, 2006. [Web Page]. www​.esresearch.org/documents_06​/Overview.pdf.
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Slade Catherine P. Does patient-centered care affect racial disparities in health? Georgia State University, Georgia Institute of Technology; Apr, 2008. [Web Page]. http://etd​.gsu.edu/theses​/available/etd-07092008-150900​/unrestricted​/slade_catherine_p_200804_phd​.pdf.
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Practice Based Learning for Better Health. [Web Page]. http://www​.idmbestpractices​.ca/pdf/practice-based-learning-for-health-overview​.pdf.
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Marshall S, Haywood K, Fitzpatrick R. Impact of patient-reported outcome measures on routine practice: a structured review. J Eval Clin Pract. 2006;12(5):559–68. [PubMed: 16987118]
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