Patient-Centered Care and Portability

The objectives of this group are to:

  • Enable patient access to, control of, and addition to personal health records
  • Remove barriers to sharing clinical data from disparate EHR systems
  • Enhance information portability in support of care in non-clinical settings and scenarios

The intent is to encourage development and deployment of Common architecture/GUI/API facilitating sharing compatible technologies across multiple VA and open-source initiatives, including: MyHealtheVet, Virtual Patient Record, HealtheMe, DoD PHR, IHS PHR

We are especially interested in engaging the ideas and viewpoints of Patients (users), Clinicians, healthcare professionals, and technologists to ensure that the resulting technologies are both useful and user-friendly, in addition to being secure and reliable.

Group Email:

Patient Centered Care Working Group Call, March 12, 2014

The topic for this week, Movement on Interoperability, was deferred from last week's truncated call. It was generally a good thing, as I found several more encouraging items to add to the list of references indicating that, at long last, the topic and reality of interoperability is getting serious attention around the country. You can check out the presentation and the references, below, but the news is very encouraging.

Patient Centered Care Working Group Call - February 12, 2014

It took 3 weeks to actually make this presentation, but it covers a topic that should be of great interest to anyone concerned with patient and patient data safety in the healthcare setting. Last month, the ONC published a series of guides to assist provider organizations in successfully deploying the EHR of their choice.

RE: [patient-centered-care] Re: [patient-centered-care] Vista EHR Class at SUNY Albany - Spring 2014 - Teaching FileMan

Not sure. Will ask Kitware. They may have contacts at SUNY. Peter Li -----Original Message----- From: Apache [] On Behalf Of David Whitten Sent: Monday, November 24, 2014 12:06 PM To: Subject: [patient-centered-care] Re: [patient-centered-care] Vista EHR Class at SUNY Albany - Spring 2014 - Teaching FileMan Is owned by Luis or by SUNY ? Dave Whitten 713-870-3834 On Fri, Nov 21, 2014 at 12:36 PM, petercyli wrote:

Re: [patient-centered-care] Vista EHR Class at SUNY Albany - Spring 2014 - Teaching FileMan

Is owned by Luis or by SUNY ? Dave Whitten 713-870-3834 On Fri, Nov 21, 2014 at 12:36 PM, petercyli wrote: > The site is gone. Will need to ask Sam > Habiel if he has copies of the material. > > Peter > > -- > Full post: > > Manage my subscriptions: > Stop emails for this post: >

Patient Centered Care and Portability Workgroup reviltalization

On April 23, a small group of interested parties gathered to discuss ways to re-energize this important workgroup. We briefly discussed why participation has fallen off without coming to any solid conclusion, but agreed that we would like to continue in some form.

We will be taking a brief hiatus, until mid-May, to gather feedback and line up guest speakers. I am providing a couple of links to Doodle Polls, one for changing the time slot, if desired, and one for topic preferences.

Heath System Leaders Working Towards High Value Care through Integration of Care and Research, Apr. 23-24

Although this is short notice, and it conflicts with our regular call, which is of great importance this week, I wanted to bring this workshop to the attention of the group. It is being web-cast in it's entirety and you can register to participate is as much or as little as you desire.

No questions have been added to this group.

Patient Centered Care WG meeting, 11 September 2013

Today after a discussion of some of the dos and don'ts of developing and using HIT (PowerPoint and resources attached below),  we were fortunate to hear form a new voice from the VA. At the OSEHRA Summit last week, Tony Dunnigan joined with Chris Rhodes, Maureen Coyle, Paul Nichol, and Curtis Anderson to present a panel on VA's VistA Product Roadmap. As he said, we are cautiously optimistic about the new open source community cooperative model being able to change some of the VA processes from cumbersome and unnecessarily obstructive to something more agile and open.

Patient Centered Care WG meeting, 7 August 2013

We had a discussion of the perils and pitfalls of the transition to ICD-10 codes, mandated to be complete by October 1 2014. So far, the consensus is that there are more questions than answers, and very little real progress in figuring out how eat this particular elephant. The biggest pain points are the time it will take to input accurate codes - or translate somewhat vague ICD-9 codes into [excruciatingly, in some cases] specific ICD-10 codes - and the high likelihood that there will be major delays and disruption in the billing and reimbursement processes.

Weekly Working Group Call, June 19, 2013

This week's call further explored the idea of the mobile phone (or other device) as a potential agent for transmitting infection in a healthcare setting. The slide deck is attached, and a more in-depth  rumination on the topic is found in my blog posting:

Weekly Working Group Call, May 29, 2013 Notes

We had a lively discussion about some of the topics raised at WorldVistA's 27th VistA Community meeting at George Mason University, May 20-22, especially the ramifications of the Secretary of Defense's memo announcing that there would be a commercial competition for a new EHR for the DoD. Another, related topic was that of the recent announcement that Indian Health Service clinics are authorized to treat Veterans in remote, underserved areas, and bill the VA for their care, which is a development that puts new urgency on the code convergence and My HealthiVet redesign projects.

Patient Centered Care and Portability Notes - May 15, 2013

In discussing some of the issues that physicians have with using EMRs, Bob Cook mentioned a number of different approaches to medication reconciliation with which he is familiar as ways that the tools can do more of the work and improve the ability of the physician to understand the patient's history and treat the patient more effectively:

Patient Centered Care and Portability Notes - April 10, 2013

We had a lively discussion of some of the shortcomings of Meaningful Use Stage 2 implementation this week.

A recording of the call can be accessed here:

The brief presentation that kicked it off and the white paper that started my thought processes are attached.

Robin Raiford's MU 2 presentation - 3 April 2013

Robin gave us a lot of information to digest. Her presentation is attached. Also, since she made this presentation at HIMSS, it was recorded there and is available  for an  $18 fee from this site. It was session MU4. The details are coming in the next week or two on that link – scroll down to the bottom to see the “individual session” recordings.  

Honoring patient preferences - March 13, 2013

Our patient-centered care working group had a lively discussion this week about how to engage patients who are resistant to using healthcare IT. One suggestion, from Bob Cook, that stood out was to create a 'generic' educational presentation to take to organizations and groups who serve the elderly (one of the most resistant groups, who are also among the greatest users of healthcare services) to demystify HIT and make the case that actively using it will improve their lives and quality of care.

Articles and Resources for Patient-Centered Care

The attached document contains quotes from, and links to, recent articles about petient-centered care, its implementation and how it improves outcomes and reduces costs. The last link is to the Patient Centered Care Improvement Guide, a collaboration between Plaintree and the Picker Institute. It provides a wealth of resources for evaluating your organization and implementing Patient-Centered Care.

No wikis have been added to this group.