Electronic Health Records

Policy & Regulation News

Making Patient-Generated Health Data Work for Providers

An ONC-commissioned white paper identifies actions necessary for enabling providers to benefit from this patient-generated health data among other federal policy considerations.

Policy for patient-generated health data

Source: Thinkstock

By Kate Monica

- The Office of the National Coordinator for Health Information Technology (ONC) released for public comment a new draft white paper developed by Accenture Federal Services focused on the opportunities and challenges of realizing the potential of patient-generated health data.

Of particular importance to healthcare organizations and providers is a series of enabling actions the federal policy needs to consider to help clinicians make use of patient-generated health data.

Specifically, the white paper advises that a policy framework encourage patients and caregivers to work together with clinicians and researchers and determine how procuring, using, and sharing patient generated health data (PGHD) can be an asset in managing patient health.

Federal policymakers are also encouraged to support active patient participation in assessing the functionality and practicality of devices, particularly through direct feedback to device manufacturers.

  • SGR Repeal Aims to Require Widespread EHR Interoperability
  • Carequality, CommonWell Reach Health Data Exchange Agreement
  • Are HIE, Patient Access Meaningful Use Requirements Unfair?
  • CHIME $1M Challenge Pushes for National Patient Identifier
  • EHR Clinical Decision Support Alerts Overwhelming Physicians
  • Vanderbilt launches challenge to transform patient summaries
  • Telemedicine case study: Remote monitoring in the ICU at Mercy
  • Do Health IT Systems Need Greater Interoperability?
  • GAO report: HHS guidance on eRx health privacy is lacking
  • EHR Use May Not be Adequate for Precision Medicine Research
  • What is an eCQM?
  • 65% of patients think mHealth would keep them healthier
  • Allscripts CFO responds to criticism of company’s progress
  • NC Medicaid payment system subject of class action lawsuit
  • What do specialist EHR users need from their EHR templates?
  • Texas HIE Gains CMS Approval as a MACRA Qualified Registry
  • Are present patient engagement strategies missing the mark?
  • Failing EHR Systems May Harm Triple Aim of Healthcare
  • MI HIE Introduces Alerts for Social Determinants of Health
  • EHR Data Integrity a Top Health It Hazard In 2015
  • ONC announces Health IT Fellows to advance meaningful use
  • CMS resources aim to simplify reporting for quality programs
  • EHR defaults cause medication, patient safety errors
  • Is patient access to EHR being handled properly by clinics?
  • Meaningful use attestation tools
  • ONC Patient Matching Algorithm Challenge Selects 3 Winners
  • ECRI: Ten steps to cutting EHR implementation risks
  • CHIME, Next Wave CONNECT partner for healthcare collaboration
  • How ONC Will Spur EHR Usability, Interoperability Improvements
  • What will limit provider success in Stage 2 Meaningful Use?
  • Cerner Makes Key Revenue Cycle Management Hire
  • Montana hospital sues EHR vendor for contract breach
  • VA Hospital Connects to NY Health Information Exchange
  • Optimizing the Physician EHR Experience via Training Support
  • Edward Marx receives CHIME-HIMSS 2013 CIO of the year award
  • Pittsburgh Health Data Alliance Targets Big Health Data Exchange
  • Moving ACOs to PCMHs through health IT
  • ICD-10 survey: Vendors, payers barely creep towards readiness
  • Meaningful use of EHR systems begins with meaningful training
  • Surescripts Makes Record Finding Service Free to EHR Vendors
  • Providers Still Facing Health Information Exchange Barriers
  • The Week Ahead in Health IT Interoperability: Dec. 28-Jan. 3
  • Why patient engagement technology makes sense for providers
  • Provider Use of HIE Yields Savings in Reduced Repeat Imaging
  • Office-Based Physician EHR Use Dips Below 60 Percent
  • How big data and mobile devices can improve bedside care
  • EHRA: Interoperability will come as meaningful use progresses
  • OIG Early Implementation Review Enforces Payment Reforms
  • Former Allscripts CEO weighs in on meaningful use
  • ICD-10 Conversion Training Coming to Alaska, Arizona, Nebraska
  • OK Health Information Exchange Readies Plans to Shut Down
  • What does the Stage 1 Meaningful Use deadline really mean?
  • AHRQ Studies “Wrong Patient” EHR Errors to Improve Safety
  • HIT training: Is an online graduate program right for you?
  • Meaningful use hospitals to face October payment changes
  • Optum Labs adds 7 partners to research collaborative
  • Telehealth roundup: Insurers expand telemedicine coverage
  • Apple Gears Up with Interoperability Pacts, iPad Expansion
  • Finding the value in HIE, IT integration will push adoption: Q&A
  • What does ONC mean by a certified EHR?
  • Chicago docs, fake patients rack up $3M in healthcare fraud
  • Telehealth Visits Are 83% Effective, Less Than Half as Costly
  • Will patient subscription services for EHRs pay dividends?
  • Nurses Call for Greater Device and EHR Interoperability
  • Cerner Named Top EHR Vendor for IT Outsourcing by Black Book
  • NY HIE Seeks HITRUST Certification for Health Data Exchange
  • Selling, scaling telehealth services for widespread adoption
  • North Carolina HIE connects with skilled nursing facilities
  • Oncology Big Data Initiative Fortifies Leadership Team
  • Meaningful use of EHRs brings providers nearly $18 billion
  • ONC Awards $38 Million to Improve Health IT Interoperability
  • athenahealth CEO: Providers, not government, will enable health IT innovation
  • AMA, Medical Societies Ask Congress to Alter Meaningful Use
  • Do Patient Engagement Measures Address Privacy Concerns?
  • mHealth, Data Analytics See $4.7 Billion in 2014 VC Funding
  • Should Medicare release payment data for individual physicians?
  • First statewide clinical data warehouse launched in SC
  • ONC ramps up CAH meaningful use efforts
  • Why physicians can’t cut corners with EHR
  • How Have Meaningful Use Requirements Affected Patient Care?
  • Bracing for ICD-10 Implementation Deadline amid ICD-9 Shortfalls
  • Final HIPAA omnibus rule now in effect
  • ICD-10 elimination bill introduced in the Senate
  • EHNAC to begin accreditation for accountable care organizations
  • Revised 21st Century Cures Act Targets Effective EHR Use
  • Cerner, Epic, McKesson Among Top 5 Global Health IT Vendors
  • Two Mich. providers cut $4M deal with DoJ for alleged fraud
  • Lack of oversight in 2010 led to $6.7B in Medicare payments
  • Telehealth law to create federal definition, provide guidance
  • EHR data collection helps reduce LGBT health disparities
  • Patient-Generated Health Data: There‚Äôs a Pill for That
  • Physician EHR Toolkits May Help Improve Quality Metrics
  • Will ICD-10 Compliance Deadline Affect Hospital Payments?
  • Utah HIE Links Three Western Health Information Exchanges
  • AMA Leads Call for Addressing EHR Quality Reporting Programs
  • Epic Systems Squeaks to Top of Physician EHR Adoption List
  • OIG: Medicare wrongly paid hospital 740K for dental services
  • Stakeholders Voice Support for 2018 Quality Payment Program Rule
  • What is Holding Back ACO Telehealth Use, Reimbursement?
  • EHR donation protections should be permanent, says AHA
  • While PGHD can be largely beneficial to optimizing patient care, certain challenges may accompany the use and exchange of PGHD, the authors observe. Potential obstacles include the impact on clinical workflows, the management of patient expectations, the potential for increased liability, and the limited body of evidence for the clinical value of PGHD.

    Most clinical workflows do not presently support PGHD, so clinicians are primarily left to use data collected during a patient visit.

    One of the most significant advantages of PGHD is the ability to record data before and after patient visits to fill out an even fuller portrait of a patient’s medical history.

    However, this large cache of data could overwhelm providers and affect their workflows. Incorporating PGHD into clinical care necessitates upfront investments and sufficient technical infrastructure to avoid leading to inaccurate or duplicate records could appear in a patient’s medical history, among other potential issues. According to the authors, a lack of guidance and best practices on how to accept, review, and integrate this data has led clinicians thus to view PGHD with skepticism.

    To ameliorate these potential problems, the white paper has suggested a handful of enabling actions.

    First, the policy framework should support the use of prioritized PGHD use cases in clinician’s workflows. The framework should ideally help clinicians identify use cases and PGHD data types that are most relevant, useful, and valuable to improving patient care and then encourage providers to develop standard practices for the use of PGHD. Incorporating PGHD into their workflows and using tools to analyze the data will further foster confidence among providers regarding the benefits of well-utilized PGHD.

    According to the authors, the future framework should also encourage collaboration between clinicians and developers to advance technologies promoting efficient PGHD use. By recommending clinicians request technologies that optimize PGHD functionalities and allow efficient PGHD analysis, more developers of core clinical systems will prioritize and innovate these kinds of technologies.

    Likewise, the authors call for a framework that identifies benefits, challenges, and best practices of PGHD use to highlight its clinical value and business case.

    Lastly, the framework should promote the use of PGHD in supporting patient data donation for research purposes. The wealth of data made available by PGHD could be instrumental in a variety of studies, so clinicians should consider raising awareness about the potential benefits of donating data.

    With these considerations in mind, future policy is expected to optimize PGHD and ease present concerns about the practicality of this kind of information.

    “Technology — from consumer apps to medical-grade devices — has enabled patients to capture health data on their own,” said Jim Traficant, AFS Managing Director, Federal Health. “This draft white paper will help lay the groundwork for ONC to develop a policy framework for effectively and safely capturing, using and sharing PGHD to improve healthcare and research.”

    The draft white paper also addresses a wide breadth of additional topics including opportunities, challenges, and enabling actions for policymakers, technology stakeholders, payers, and employers.