The study, funded by the federal Agency for Healthcare Research and Quality, will give hundreds of patients with hypertension an electronic personal health record that enables them to post their blood pressure, weight, even what they eat in their medical record and e-mail their physicians when needed.
“From a chronic illness standpoint, the literature is pretty clear: The more involved and engaged I am in managing my own illness, the better my outcome,” says Patricia Sodomka, director of the Medical College of Georgia Center for Patient and Family Centered Care, senior vice president for patient and family centered care for MCG Health, Inc. and principal investigator on the $1.2 million grant. “It just makes common sense.”
MCG researchers will work with hypertensive patients in the family medicine and internal medicine practices at MCGHealth to see if the electronic personal health record enhances patient involvement.
“Our first measure is patient activation; if having ready access to information about yourself and to your physician makes you more activated as a patient and if you are more activated, does it lower your blood pressure,” says Dr. Peggy Wagner, research director for the MCG Department of Family Medicine and study co-investigator.
Two small studies will first get patient and physician input on how to make, IQHealth™, the electronic personal health record developed by Kansas City, Mo.-based Cerner Corp, more patient friendly.
A year-long study of 720 patients with hypertension will follow in which half the participants will use the newly-refined electronic personal health record and the remainder will receive standard treatment for a condition that affects about one quarter of the population or 65 million Americans.
“Hypertension, which is so pervasive in our society, is a great model because lifestyle has such an impact and the outcomes are relatively easy to measure,” Dr. Wagner says. “The hypothesis clearly is, if you have this electronic personal health record that is used by a patient and his primary care doctor, that the patient will be more likely to bring his hypertension under control.”
“Patient-care documentation systems today are dominantly in the hands of the providers and written from their perspective,” Mrs. Sodomka says. “The shift is toward shared information systems with patients and families, where patients and families can put their own information in there, their observations, their tracking, documenting things that are important to them. This is a shift that is being made in health care, a huge shift and this study is part of that. The idea is that if patients start really documenting things that are important them, if they start documenting what they are eating, for example, they will realize what they are eating and finally get control of their diet.”
The MCG Center for Patient and Family Centered Care, received a $30,000 grant from the Institute for Healthcare Improvement/Robert Wood Johnson Foundation in 2005 to test the Cerner system, used under the brand name My HealthLink at MCGHealth, in patients with multiple sclerosis. The 12-month study found that patients liked having a secure electronic link to care givers and that the electronic personal health record is an effective tool in helping battle chronic disease.
“An electronic personal health record is recognition that if we are serious about optimal outcomes in health care, we have to involve the patient,” says Dr. Charlotte Weaver, vice president and executive director for nursing research at Cerner.
The company, a pioneer in the evolution of the electronic medical record and electronic personal health record, got patient input for the design of its system and looks forward to additional input to further refine the product, she says. Refinements likely will include feeding blood pressure measurements directly from the cuff to the electronic personal health record. Similar direct feeds with weight scales and even urine analysis via the toilet also are under development. “We are actively working on the integration of medical devices,” Dr. Weaver says.
“At the end of the day, if you can deliver a personal health record that people will use, that delivers just tremendous value to our health care system as well as to individuals,” Dr. Weaver says. Chronic diseases, such as hypertension, among aging baby boomers make the timing and impact significant, she says. “Cerner is pleased and honored to be a partner with the Medical College of Georgia in this important work.”
The Institute for Family Centered Care, headquartered in Bethesda, Md., also is a partner in gathering input on the Cerner system from patients and physicians in diverse geographic locations with experience using other personal health records
“This project will help demonstrate that when we partner with patients to really redesign the system of care, we will build the system in a way that works best for the people we serve,” says Beverley H. Johnson, the institute’s president and CEO. “I think the project creates a way to look over the next couple of years at how you get effective, sustained partnerships with families in place to make the care of higher quality which will lead to better outcomes.”
Study participants don’t have to have a computer; study coordinators will help those who don’t find where they can use one. However one of the many questions being asked is whether or not having a computer affects use of the electronic personal health record.
They will learn how to use the electronic record then have follow up visits at three, six and 12 months. Researchers will measure what they call patient activation or just how involved patients are in their own health, gather pertinent biological data such as blood pressure and waist circumference and use a widely accepted test to assess their relationship with their physician.
Toni Baker | EurekAlert!
New study: How does Europe become a leading player for software and IT services?
03.04.2017 | Fraunhofer-Institut für System- und Innovationsforschung (ISI)
Reusable carbon nanotubes could be the water filter of the future, says RIT study
30.03.2017 | Rochester Institute of Technology
More and more automobile companies are focusing on body parts made of carbon fiber reinforced plastics (CFRP). However, manufacturing and repair costs must be further reduced in order to make CFRP more economical in use. Together with the Volkswagen AG and five other partners in the project HolQueSt 3D, the Laser Zentrum Hannover e.V. (LZH) has developed laser processes for the automatic trimming, drilling and repair of three-dimensional components.
Automated manufacturing processes are the basis for ultimately establishing the series production of CFRP components. In the project HolQueSt 3D, the LZH has...
Reflecting the structure of composites found in nature and the ancient world, researchers at the University of Illinois at Urbana-Champaign have synthesized thin carbon nanotube (CNT) textiles that exhibit both high electrical conductivity and a level of toughness that is about fifty times higher than copper films, currently used in electronics.
"The structural robustness of thin metal films has significant importance for the reliable operation of smart skin and flexible electronics including...
The nearby, giant radio galaxy M87 hosts a supermassive black hole (BH) and is well-known for its bright jet dominating the spectrum over ten orders of magnitude in frequency. Due to its proximity, jet prominence, and the large black hole mass, M87 is the best laboratory for investigating the formation, acceleration, and collimation of relativistic jets. A research team led by Silke Britzen from the Max Planck Institute for Radio Astronomy in Bonn, Germany, has found strong indication for turbulent processes connecting the accretion disk and the jet of that galaxy providing insights into the longstanding problem of the origin of astrophysical jets.
Supermassive black holes form some of the most enigmatic phenomena in astrophysics. Their enormous energy output is supposed to be generated by the...
The probability to find a certain number of photons inside a laser pulse usually corresponds to a classical distribution of independent events, the so-called...
Microprocessors based on atomically thin materials hold the promise of the evolution of traditional processors as well as new applications in the field of flexible electronics. Now, a TU Wien research team led by Thomas Müller has made a breakthrough in this field as part of an ongoing research project.
Two-dimensional materials, or 2D materials for short, are extremely versatile, although – or often more precisely because – they are made up of just one or a...
20.04.2017 | Event News
18.04.2017 | Event News
03.04.2017 | Event News
27.04.2017 | Health and Medicine
27.04.2017 | Information Technology
26.04.2017 | Materials Sciences