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Friday Opening Keynote Session SINI 2009 07.24.09 July 24, 2009

Posted by Scott Erdley in conference, education, Keynote, nursing informatics, patient safety, SINI2009, speaker.
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Paut Tang, MD, Palo Alto Medical Foundation, titled “Personalizing Health Care: Creating a Patient’s Health Home”. For missing pieces of this blog please consult Peter Murray (@peterjmurray) and or Margaret Hansen (@m2hansen) tweets. Interactive presenter with good audience appeal. Not medical home but health home. Defining health via proverbs and personal anecdotes. Outline of presentation is traditional health care, a definition of phr, personalizing and then creating a patient’s ‘health home’. Draws from ION 2001 ‘Chasm’ report for definition of health. Jim Collins, “Good to Great” book referenced, needs to focus on ‘who, then what?’ ’cause ‘who’ will take ‘you’ to ‘what’. How to support patient & family? So, turn to patients first. Derive a phr definition based on patient perspectives is next goal. Draws from his past research using patient focus groups as well as newer work / studies by organizations such as the Markle Foundation. Privacy is a very common and strong concern by those who participated in research studies. Utilizes example, which is included in his work flow, of patient & provider communication and information exchange. Neat part is captured into medical record, shared, of all communications between these 2 parties. Online survey yearly of patients and their use of this systems (PAMF – forgot what is stands for – sorry). Self efficacy is big point (test charts help visualize; lab results graphic; ‘score card’ is in front, and so forth). It is a report card for the patient, which changes lives. Online reminders enhance adherence to health maintenance guidelines (4-fold increase in breast mammography testing due to such reminders).

Paul Tang presenting at SINI2009

Paul Tang presenting at SINI2009

Traditional disease management is protocol driven (aka – you got the disease, we got the treatment [and sometimes the same for all, too]). Asked patients, in this study, about support structure perceived by the patients / study participants. Describes chronic care model as also indicative of health care overall. To be patient centered start with (my) risk profile, then (my) disease condition and finally (my) agenda. In this diabetic study report, they created diabetes dashboard for patients. Diabetes, for example, becomes much more self management versus traditional paper-based with time disadvantage. Online allows more timely review and behavioral changes by patient and provider along with eliminating paper (also provides longitudinal view / trending to help communicate and or change behavior). A follow-up clinical trial is now planned for 400 diabetic patients (200 intervention & 200 control). Conclusions include phr/ehr integration as optimal approach. Very very personable speaker and very well received by audience. Q&A session followed.

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