Meaningful Use Workgroup Patient-generated Data Hearing

Project HealthDesign director's testimony encourages policy-makers to save space in the EHR for patient-generated data

  1. On Friday, June 8, 2012, Patricia Flatley Brennan, R.N., Ph.D., Project HealthDesign national program director, testified before members of the federal Meaningful Use Workgroup, as well as other members of the HIT Policy and Standards Committees and ONC.

    Dr. Brennan's testimony focused on the business and technology challenges related to the incorporation of patient-generated data into the clinical electronic health record (EHR). Nikolai Kiriekno, co-project director for the Project HealthDesign Chronology.MD team, also testified during the hearing. His testimony focused on the need for standards for dynamic patient-engagement on mobile devices, as well as the need for access to open APIs in the EHR. Deven McGraw, J.D., M.P.H., Project HealthDesign regulatory and assurance advisory group member testified about related privacy and security challenges, and drew upon the experience of Project HealthDesign's five current grantee teams.

    Listen to an audio recording of the meeting, view the agenda, or read written testimonies.

    Here's a look at how the hearing unfolded:
  2. I'm at the Patient Generated Data Hearing at the Dupont Circle Hotel. #ONC #healthdata http://pic.twitter.com/JtvwB6gY
  3. Panel 1 started out with a discussion about the uses of patient-reported information in managing health, and Kirienko voiced a patient perspective:
  4. @NikolaiKirienko tells #onc HITPCS hearing - 5% of pts spend 50% of health$ - but must navigate the hc system via voice, but not often HEARD
  5. "We should have a right to see [our medical record] when we need to see it -- not 30 days after." - @NikolaiKirienko #onc
  6. Chronology.MD's Nikolai Kirienko asks for meaningful use to enable a 2-way street by supporting a national open API. #onc
  7. Patient data download is critical, but they also need to share data back with clinicians, says Philip Marshall. #onc
  8. Pts have wisdom @NikolaiKirienko says start with a DO NOT DO procedure list, like an allergy list, that ensures shared care control #onc
  9. Kathleen frisbee -VA docs need an integrated view of clinic data & Vet LIFE data -- to make clinical efficiencies, manage data tsunami #onc
  10. Different types of patient-generated data used for different purposes. #onc
  11. Panel 2 followed up with a discussion about emerging practices related to patient-generated data:
  12. #onc emerging best practices for pt gen data - questionnaires & auto phone are good starts - now time to reach the vision of the first panel
  13. #onc john Amschler@quantifiedself Think about what's important to you then collect the data! it's about the experience & insight, not data
  14. Eva Powell @npwf Health Literacy -atwo way street - pts need to hearclinicians; clinicians need to know what health means to pt #onc
  15. We need an exit strategy for data collection requirements that no longer have use - Barbara Hoffman, CHADIS
  16. #onc --- Puzzled by this focus on standardized data - shouldn't patients participate in the definition of pt generated data?
  17. #ONC Also puzzled about why aggregate across groups is impt? Can that help tell one patient's story? Ahhh... Multiple uses of pt gen data!
  18. Panel 3 focused on policy issues surrounding the use of patient-generated data:
  19. Getting pt-gen. data into clinical workflow could be different from getting pt-gen data into EHR, says Deven McGraw (@HealthPrivacy). #onc
  20. @healthprivacy #onc getting into the EHR @prjhealthdesign common threads: a plan, assign pt gen data responsibility, educate pts, judgment
  21. #onc @PrjHealthDesign's Deven McGraw (@healthprivacy) leading off the PolicyPanel @ HITPSC - -privacy takes the fall for lack of motivation
  22. Chad Brouillard hi-lites the legal issues surrounding pt gen data -- need to document standard care/reasonable use #onc
  23. Brouillard: we ALREADY have multiple data sources for individuall pts - WE just call them "your old records from hospital-not-this-one" #onc
  24. #onc what is MATERIAL to care and WHO gets to decide this? A strong and trusted alliance between clinicians and pts is the place for this!

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Rethinking the power and potential of personal health records by exploring observations of daily living (ODLs).

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