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Discussion Question
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 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.
| Subject | Nursing | Pages | 3 | Style | APA |
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Answer
What are the pros and cons of the situation in the case study?
The pros of having the capability of accessing the patient’s PHR permits them to visualize tests done, monitor her cholesterol levels, and lab results. The cons are the inability to synchronize all facilities to one PHR prevents easier access to the medical information for the patient. The patient has to contact other facilities she did her lab tests and physically collect information from theirsystems.
What safeguards are included in the patient portals and PHRs to help patients and healthcare professionals ensure safety?
PHR has secure e-mails that have protections like user’s encryption and verification to avert unapproved parties from seizing and seeing patient data and messages. Secure messaging makes it problematic for a third-party to access information between a patient and the healthcare facilities (Hebda & Czar, 2013). PHR when used amid a hospital stay and synchronized with EHRs are under the HIPAA regulation which safeguards information and ensures patient privacy.
Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)?
I agree with how a patient should get PHRs. There are positive elements to PHR records usage such as treatment synchronization, drug ordering, health monitoring, making appointments follow-ups, and messaging your healthcare provider. PHRs have become an ideal method for managing personal health conditions and monitoring, irrespective of the user manually inputting the data or synchronizing lab tests and results from healthcare visits. Although the disadvantage is that not all facilities that a patient visit will synchronize their data to PHR. In such a scenario the patient can get a physical copy and keep them home.
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.
Various procedures of PHR are presently used in therapeutic practice. PHRs might be joined to the doctor’s EMR, where PHR data are obtained from subsets of data in the EMR. Tethered PHRs are called patient portals since they permit patients to access to some EMR parts (Vydra et al., 2015). The restricted accessibility of the total medical records prevents the care continuity and therapeutic management of the patient post-hospitalization.
References
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Hebda, T., & Czar, P. (2013). Handbook of informatics for nurses & healthcare professionals (5th ed.). Boston, MA: Pearson. Vydra, T. P., Cuaresma, E., Kretovics, M., & Bose-Brill, S. (2015). Diffusion and Use of Tethered Personal Health Records in Primary Care. Perspectives in Health Information Management, 1-16.
Appendix
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