My Doctor Says: Quality, Health Literate Patient-Specific Education Resources to Meet Meaningful Use Certification Criteria and Attestation Requirements (Startup-Pitch)
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Abstract
Background: The certification criteria defined in 45 CFR Part 170 Subpart C of the Final Rule for Health Information Technology (Federal Register, July 28, 2010) require that electronic health records (EHRs) “[e]nable a user to electronically identify and provide patient-specific education resources according to… data elements included in [the]… problem list; medication list; and laboratory test results…†(criteria §170.302 (m)). However, the rule does not specify quality measures for education resources.
In 2004, the Institute of Medicine reported that 90 million American adults have low health literacy. Subsequently, several federal policy initiatives including the Affordable Car Act (ACA) have emphasized the importance of health literacy in improving the health of the nation, decreasing costs, and reducing medical errors. The quality of patient resources provided by today’s EHRs is not known, however, even the few printable materials from government and popular consumer health websites are often dense, text heavy, and without graphics synced to the text. Research has shown that materials designed using health literacy strategies are better than standard materials at improving patients’ abilities to interact with the healthcare system and follow self-care protocols like medication adherence.
Business Concept: My Doctor Says is a proposed subscription service to a web-based client for EHRs that connects to a database of quality patient education materials designed using health literacy strategies. Through tags in the EHR, the My Doctor Says database will identify patient-specific resources from the required data elements, as well as from demographics and medical/social history and with alerts for disease management, preventive services and wellness.
Qualifications: Claire Loe, PhD (ABD), MPH and Kathryn Anderson, MA were partners in Community Health Education Concepts (CHEC) (www.healthletter.com), a public health promotion consulting firm, for ten years. In 2007, CHEC started Sage Words (www.sagewords.org) to develop tested, health literate materials for diverse populations. In 2008, Ms. Loe entered a doctoral program in biomedical informatics to explore the use of informatics approaches in health promotion.
Rationale: My Doctor Says was inspired by a pediatrician at a clinic in New Mexico who wished for resources specific to her Latina teen patients. Ms. Loe and Ms. Anderson had visited many similar clinics and found most providing educational materials at a high reading level and, otherwise, not appropriate for the populations served. Many clinic staff provide patients materials of varying quality from the Internet or photocopied until nearly illegible. Given the urgent need and the health literacy initiatives like in the ACA, the applicants anticipate more attention in the near future will be paid to the quality of patient-specific resources provided by EHRs.
Staged Development: As the number of materials needed for this proposal is expansive, we would develop and sell access to materials in a modular fashion, for example, developing diabetes resources first, then obesity, etc.
Funding/Staffing: Materials Development: content developers, graphic designers and testing facilitators overseen by Ms. Anderson. Database Operations: database developers and security experts overseen by Ms. Loe. Marketing and Client Relations: public relations professionals and legal consultants overseen by a business management professional.
In 2004, the Institute of Medicine reported that 90 million American adults have low health literacy. Subsequently, several federal policy initiatives including the Affordable Car Act (ACA) have emphasized the importance of health literacy in improving the health of the nation, decreasing costs, and reducing medical errors. The quality of patient resources provided by today’s EHRs is not known, however, even the few printable materials from government and popular consumer health websites are often dense, text heavy, and without graphics synced to the text. Research has shown that materials designed using health literacy strategies are better than standard materials at improving patients’ abilities to interact with the healthcare system and follow self-care protocols like medication adherence.
Business Concept: My Doctor Says is a proposed subscription service to a web-based client for EHRs that connects to a database of quality patient education materials designed using health literacy strategies. Through tags in the EHR, the My Doctor Says database will identify patient-specific resources from the required data elements, as well as from demographics and medical/social history and with alerts for disease management, preventive services and wellness.
Qualifications: Claire Loe, PhD (ABD), MPH and Kathryn Anderson, MA were partners in Community Health Education Concepts (CHEC) (www.healthletter.com), a public health promotion consulting firm, for ten years. In 2007, CHEC started Sage Words (www.sagewords.org) to develop tested, health literate materials for diverse populations. In 2008, Ms. Loe entered a doctoral program in biomedical informatics to explore the use of informatics approaches in health promotion.
Rationale: My Doctor Says was inspired by a pediatrician at a clinic in New Mexico who wished for resources specific to her Latina teen patients. Ms. Loe and Ms. Anderson had visited many similar clinics and found most providing educational materials at a high reading level and, otherwise, not appropriate for the populations served. Many clinic staff provide patients materials of varying quality from the Internet or photocopied until nearly illegible. Given the urgent need and the health literacy initiatives like in the ACA, the applicants anticipate more attention in the near future will be paid to the quality of patient-specific resources provided by EHRs.
Staged Development: As the number of materials needed for this proposal is expansive, we would develop and sell access to materials in a modular fashion, for example, developing diabetes resources first, then obesity, etc.
Funding/Staffing: Materials Development: content developers, graphic designers and testing facilitators overseen by Ms. Anderson. Database Operations: database developers and security experts overseen by Ms. Loe. Marketing and Client Relations: public relations professionals and legal consultants overseen by a business management professional.
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