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Patient Controlled Records Could Work Internationally

Posted on October 31, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

A few years back at HIMSS, I had the pleasure of meeting one of the most passionate and driven healthcare people you’ll find. His name is Gerald Theis, Founder of My Crisis Records. His passion for what he was doing was undeniable and there was no way I was going to bet against Gerald getting something done in healthcare. However, I did question how many US patients would really care enough to carry around and gather their health records.

Turns out, there are dozens of companies with a vision similar to that of My Crisis Record. I’m sure that Gerald could passionately explain why My Crisis Record is different or better than any competitors, but at the end of the day the core concept is very similar: A patient controlled health record.

Whether the patient controlled health record is carried on a USB stick, linked from a QR code, stored on your cell phone, accessed in the cloud, etc the concept is the same. In many ways the patient is acting like their own personal health information exchange.

The concept is a brilliant one except for one major flaw. US people don’t care about the flow of their healthcare information. The big exception to this is chronic patients who do start caring once they get past the denial stage. However, the majority of patients in the US are satisfied with the current flow of information between doctors. Certainly their satisfaction could be based on ignorance. Many patients likely think that doctors are sharing a patients health information all the time, when in fact they are usually not.

Could this change? Certainly, but it’s hard to base a business on people changing.

What I’ve found even more interesting is Gerald’s work to implement a My Crisis Record solution internationally. For example, he’s implementing it under the brand “My Smart Health” in Africa. The more I’ve learned about international healthcare, the more I think a patient controlled record could work internationally in places where they’re more focused on providing any sort of health services versus spending big bucks on EHR systems that aren’t interoperable.

All of this is bolstered by the widespread adoption of cell phones internationally. I can see how there could be real value in a patient controlled medical record on these people’s cell phones. From what I understand, you might not go to the same doctor twice. There’s not the same view of a primary care doctor that you go to all the time that has your record at their fingertips. Seems like the perfect opportunity for the patient controlled medical record.

We’ll see how it plays out. I guess I’m not very bullish on the patient controlled medical record in the US, but I can see a lot of potential globally. Maybe over time the US will learn and change as well. What do you think?

mHealth Notification Averts Hospitalization

Posted on August 2, 2013 I Written By

John Lynn is the Founder of the HealthcareScene.com blog network which currently consists of 10 blogs containing over 8000 articles with John having written over 4000 of the articles himself. These EMR and Healthcare IT related articles have been viewed over 16 million times. John also manages Healthcare IT Central and Healthcare IT Today, the leading career Health IT job board and blog. John is co-founder of InfluentialNetworks.com and Physia.com. John is highly involved in social media, and in addition to his blogs can also be found on Twitter: @techguy and @ehrandhit and LinkedIn.

I usually save most of my mHealth specific blogging for my Smart Phone Healthcare blog (subscribe to it if you haven’t already), but this story was too interesting to not share with a larger audience. This story comes from Gerald Theis of MCR Global. Gerald is one of the most patient people you’ll meet in the mhealth space. He’s working across international lines, but this story is where I love seeing Gerald’s work the most. It’s also a great illustration of the power of mHealth.

Last week a patient started to self mutilate (multiple cuts to legs). Her daily severity scores were consistently high (3 = severe). The MCR SMS message Alert was sent to her primary caregiver who made a health check home visit followed by a psychotherapy visit within 24 hours.

This mobile health program helped to engage the primary caregiver and may have averted a hospitalization. The patient was able to use her support system and crisis management psychotherapy session to utilize coping strategies to deal with her internal conflicts and has not harmed herself since the session.

This testimonial demonstrates how we can achieve patient and caregiver engagement via mobile health technology and avoid unnecessary hospitalization.

EMPOWERMENT. All 15 patients are very satisfied with this unique program and are tracking their scores consistently. This self report program is helping them identify triggers and early warning signs as they score each symptom for severity – Mild-Moderate or Severe. Each are shown their graph results that provide a visual way to see their pattern of distress. One asked for an appointment sooner than scheduled because her symptoms were escalating. All like the SMS feature that makes them feel secure.