An interactive patient health record that is evidence-based and up-to-date with future visit/s recommendations help doctors make better decisions. More visits improve revenue but beyond that, an intuitive portal focused on preventative health like Prevounce, pinpoints at-risk patients with accuracy and raises flags for proper and timely intervention. How much impact do preventative measures have the patient’s health? Alex H. Krist, MD, MPH et. al. reported in the Annals of Family Medicine that given the fact that only about half of Americans received the recommended preventative services, “interactive preventive health record (IPHR) that links patients to their clinician’s record, explains information in lay language, displays tailored recommendations and educational resources, and generates reminders” improved patient engagement significantly. The difference prior to the use of IHR and after was remarkable:
“At 16 months, 25.1% of users were up-to-date with all services, double the rate among nonusers. At 4 months, delivery of colorectal, breast, and cervical cancer screening increased by 19%, 15%, and 13%, respectively, among users.” Alex H. Krist, M.D. et. al.
Patients who used Interactive Health Records thought that their Providers understood them better, appreciated the effort to involve them more proactively, and felt more confident that no information was missed. Receiving reports that were worded so that they understood easily without navigating the maze of medical jargon increased satisfaction and confidence. The impact on overall wellness and prognosis of chronic conditions is immense:
- Screening tests identified conditions that can be reversed or cured through early intervention.
- Decreased mortality from major chronic diseases such as diabetes and cardiovascular disease by 15-30%
- Behavioral counseling reduced deaths attributable to lifestyle issues like smoking, sedentary living, poor diet and excessive alcohol intake by 38%
- Immunizations can lower the incidence of serious infections by as much as 50 percent for the older population.
Interactive systems like Prevounce hopes to address the prevention gap between patients, doctors, and the health system. With more knowledge about how the system could work for them in terms of availability and cost, more patients will be motivated to receive these (mostly free) services. Providers are assisted by the automation and less likely to miss patient needs. Since most of the questions and analysis of replies are automated, less time is devoted to administrative tasks, and conversely more time for patient care.
According to A Handbook for Using Patient-Centered Personal Health Records To Promote Prevention published by AHRQ.gov patients are provided evidence-based recommendations based on their risk factors in clear, understandable language and format. The risk factors include age, gender, existing medical conditions, history, and lifestyle choices. Reminders, recommendations, and patient education on preventive visits and screenings that are free ensure better compliance until the next visit. This system is integrated into the practice needs and workflows and early research findings show a promising doubling of patients up-to-date on prevention. With almost no downtime, Providers are able to integrate content into their everyday spiel – something which makes Prevounce act as an effective assistant working in the background.