<P>The New Rules of Engagement *#o5+1.o,0!*0/o!+)!o/0!$+( !./oBy Matt Sakumoto and Abel Kho, MDI N THIS ERA of social media and mobile technology there are ever-increasing oppor- tunities for connecting with our patients. At the same time, modern medicine has become increasingly complex and fragmented, requiring patients to assume more responsibility for managing their medications and multiple physician visits. The concept of patient and family engagement recognizes the importance of the patient as a stakeholder in health care delivery and improving outcomes. It takes clinical care beyond the four walls of the clinic, and empowers patients to take an active role in their health care. National quality agencies such as the Agency for Healthcare Research & Quality (AHRQ), the National Quality Forum (NQF), and the Centers for Medicare and Medicaid Services (CMS) all agree that when providers involve patients and their fam- ilies in making decisions, patients feel prepared to manage their conditions and are more likely to care about improving quality and reducing costs. For the federal CMS, clinical quality measure (CQM) reporting, patient and family engagement is listed as one of six critical domains along with patient safety, efficient use of health care resources, care coordination, population and public health, and clinical processes and effectiveness. In fact, patient engagement actively supports the five other measures: If patients take greater ownership of their health, they will be safer, lower their demand for unnecessary tests, help coordinate their own care, and improve their clinical outcomes. What is Patient Engagement? Providers and organizations have many ways to engage patients, from patient advisory councils to patient portals. However, the ultimate goal of patient engagement is to develop active and informed patients who have goals and a plan to improve their health, and the motivation, informa- tion, skills, and confidence necessary to effectively manage their illness. The table below shows how Meaningful Use Stage 1 and 2 measures encourage patient engage- ment. Stage 1 measures are provider-dependent, for example, being sure to deliver patient-specific education resources. However, for Stage 2, patients will have to actively engage with their online health record, as seen in the view, download, transmit (VDT) requirement. What Does Patient Engagement Look Like in Practice? Physicians across Chicago are taking certified EHR technologies beyond just word processors and are PRACTICE MANAGEMENT Objectives and Measures Eligible ProfessionalMU Stage 1 MU Stage 2Examples Provide patients the ability to view online, download, and transmit information. More than 50 of all unique patients seen by the EP during the EHR reporting period are provided timely (available to the patient within four business days after the information is available to the EP) online access to their health information, with the ability to view, download, and transmit to a third party. More than 5 of all unique patients seen by the EP during the EHR reporting period (or their authorized representatives) view, download, or transmit to a third party their health information (requires patient action). Encourage patients to update their health information via the portal prior to an office visit. Provide clinical summa- ries for patients for each office visit. Clinical summaries are provided to patients for more than 50 of all office visits within three business days. Clinical summaries are provided to patients for more than 50 of all office visits within one business day. Nurses or front office staff can pro- vide after-visit summaries to patients during checkout. Use certified EHR technology to identify patient-specific education resources and provide those resources to the patient if appropriate. More than 10 of all unique patients seen by the EP or admitted to the eligible hospitals inpatient or emergency department during the EHR reporting period are provided patient-specific education (MU1 menu item). More than 10 of all unique patients seen by the EP or admitted to the eli- gible hospitals inpatient or emergency department during the EHR reporting period are provided patient-specific education (MU2 core item). Include links to disease-specific web- sites on the after-visit summary. (Note: Education resources or materials do not have to be stored within or generated by the certified EHR.) Use secure electronic messaging to communicate with patients on relevant health information. N/AA secure message is sent using the electronic messaging function of CEHRT by more than 5 of unique patients (or their authorized repre- sentatives) seen by the EP during the EHR reporting period. Encourage patients to update their health information via secure mes- saging prior to an office visit. Instruct patients to send in home BP or glucose readings via the patient portal. 4 | Chicago Medicine | August 2014</p> <UL><LI><a href="http://www.mzines.net/publication/698/foalpovap/1/1/">Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/2/2/">Inside-Front-Cover</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/3/3/">Page-1</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/4/4/">Page-2</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/5/5/">Page-3</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/6/6/">Page-4</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/7/7/">Page-5</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/8/8/">Page-6</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/9/9/">Page-7</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/10/10/">Page-8</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/11/11/">Page-9</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/12/12/">Page-10</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/13/13/">Page-11</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/14/14/">Page-12</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/15/15/">Page-13</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/16/16/">Page-14</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/17/17/">Page-15</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/18/18/">Page-16</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/19/19/">Page-17</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/20/20/">Page-18</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/21/21/">Page-19</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/22/22/">Page-20</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/23/23/">Page-21</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/24/24/">Page-22</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/25/25/">Page-23</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/26/26/">Page-24</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/27/27/">Page-25</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/28/28/">Page-26</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/29/29/">Page-27</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/30/30/">Page-28</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/31/31/">Page-29</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/32/32/">Page-30</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/33/33/">Page-31</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/34/34/">Page-32</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/35/35/">Page-33</a></LI> <LI><a href="http://www.mzines.net/publication/698/foalpovap/36/36/">Back-Cover</a></LI> <LI><a href="http://www.mzines.net/publications/698/x/sitemap.xml" target="_blank">site map</a></LI> </UL>


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