Week 14 Discussion Board Brendon Beede No unread replies.No replies. Case 1: CH28 The Robert Wood Johnson Foundation (RWJF), the nation's largest philanthropic organization devoted solely to the public's health, is focused on building a national Culture of Health. A Culture of Health is one where all are enabled to lead healthier lives, now and for generations to come (RWJF, 2019). The RWJF believes deeply in the importance of research, evaluation, and learning to build a transdisciplinary evidence base that helps inform efforts to improve health, well-being, and equity. They recognize that access to rich data is a cornerstone of producing timely and objective research. Health Data for Action (HD4A), the newest RWJF signature research program, aims to reduce the barriers often faced in accessing rich data by serving as a conduit between data owners and interested researchers. Through each HD4A funding opportunity, RWJF will make valuable data from unique data owners available to researchers (RWJF 2019). In the current healthcare environment, utilizing health data to improve health is gaining significant momentum and is an important component of the national health information strategy. Some healthcare systems already offer health data analysis through the data gathered from the EHRs. As consumers become more knowledgeable about healthcare matters, they seek access to more information about their own and their family members' health and healthcare. The employer and insurance-sponsored consumer-directed health plans also are encouraging patients to become more knowledgeable about health and healthcare. This trend directly affects health information management, as HIM and/or administration professionals become not only health advocates in the emerging electronic health information environment, but also knowledge and content experts related to health data information needs. Although this changing model for health systems engaging consumers in their health decision-making is forecast and signs of its emergence in practice are everywhere, just what form the continued use of data to improve health will take is not clear. This lack of clear direction presents a real-life strategic plan challenge for HIM and administration professionals who must consider plausible alternate futures for assisting their organizations in building a culture of health by creating access to health information data and improved use of their electronic health records. Discussion Questions: 1. Discuss a possible design for a data forecasting model for a clinic or health system to engage consumers in their health decision-making to improve health outcomes. 2. Discuss the issues in getting patients and their families to sign up for the personal health record and design system recommendations to increase patient participation rates in the use of their personal health record online. 3. What types of psychosocial patient health data collection instruments and chronic disease management systems showing evidenced-based health outcomes are used and available on the market today, and what might clinicians look for in these? Case 2: CH28 In the current healthcare environment, patients with chronic diseases represent about 60 to 70 percent of healthcare system costs due to increasing focus on reducing factors that are leading to these chronic diseases such as obesity, congestive heart failure, renal failure, and chronic obstructive pulmonary disease. Despite knowledge that sustained diet and exercise behavior changes are critical to type 2 diabetes health outcomes, there are minimal studies showing the key psychosocial mechanisms associated with achieving significant and sustained short-term and long-term effective self-management behaviors (Inzucchi et al. 2012; National Institutes of Health [NIH] 2011). By increasing understanding of these pathways, links, and mechanisms, health professionals may better support the patient's role in "owning" his or her chronic condition and may align with the patient-centered care aims recommended by the Institute of Medicine (Commonwealth Fund 2009; Committee on Quality of Health Care in America 2001). Improved and positive self-management behaviors have consistently been associated with improved intermediate outcomes, such as clinical gains (that is, A1c reduction) and improved quality of life (QOL) in adults with type 2 diabetes (Bandura 1998, 2004; Tierney et al. 2011). These improved intermediate outcomes have been associated with improved long-term health status outcomes (that is, reduced morbidity and mortality). Newly gained knowledge of the complex relationships between psychosocial factors, self-efficacy, and self-management behavior change may assist future design of more effective individualized interventions for patient and family education and indirectly improve outcomes (Bandura 2004). This important trend affects health information management, as HIM professionals become not only patient advocates in the emerging electronic health information environment, but also knowledge and content experts related to chronic disease management needs and modes of providing access to patient psychosocial health information, not just clinical information. Although this changing model for influencing healthcare decision-making is forecast, and signs of its emergence in practice are everywhere, just what form the information management will take is not at all clear. This lack of clear direction presents a real-life strategic challenge for HIM professionals who must consider plausible alternate futures for collecting data to serve their patient and health professional needs for access to health information. Discussion Questions: How might the increasing focus on the need of psychosocial and clinical health information needs to support chronic disease management and the continuum of care delivery change the role of HIM professionals who work for healthcare organizations? What types of psychosocial patient health data collection instruments and chronic disease management systems showing evidenced-based health outcomes are used and available on the market today, and what might clinicians look for in these? What does research tell us about chronic disease management behaviors that should be studied? How might the working relationship between HIM professionals, clinicians, and chief information services change as personal health records become more prevalent? How might the working relationship between HIM professionals and clinicians change as chronic disease management initiatives become more prevalent? Search entries or author Search entries or author Filter replies by unread ReplyReply to Week 14 Discussion Board Replies are only visible to those who have posted at least one reply.