Health Informatics Module 3 Questions

(Question 1)

M3 Field Exploration – How useful are online PHR tools?

Instructions
How useful are online personal health records tools?
Conduct a search online, look at different personal health records tools, choose one of them, and write a brief reflection of your observations by answering the following questions:
What features did you think would be useful?
What features did you find not so useful?
How would consumers’ health literacy skill levels might impact the use of online PHR tools in general?

(Question 2)
Step 1: Choose one of the cases (as cited in the M3 Content Guide) below:

M3 Content Guide

• Medical Ethics
o Rhodes R. (2019, December 3). Why not common morality? Journal of Medical Ethics, 45, 770-777. Retrieved from https://jme.bmj.com/content/45/12/770
• Health Literacy
o Office of Disease Prevention and Health Promotion (n.d.). Health Literacy. Retrieved from https://www.healthypeople.gov/2020/topics-objectives/topic/social-determinants-health/interventions-resources/health-literacy
• Gabrieli’s Three-Zone Confidentiality Model
 Dick, R. S., Steen, E. B., & Detmer, D. E. (1997). The computer-based patient record: An essential technology for health care (revised ed.). Washington, D.C.: National Academy Press. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK233053/
 Search the phrase three-zone medical confidentiality model on the page with the help of your browser’s find feature. The image is also provided in this content guide.

Three-Zone Confidentiality Model (Source: Dick et al. (1997))

• Least Sensitive And Not Necessarily Confidential [Outer Zone]

• Demographic Data
• Some Health Status Information
• Data on Utilization of Health Care Services
• Accidents and Injuries
• Immunizations; Certain Screening Tests
• Sensitive And Traditionally Confidential [Middle Zone]
• Illness-Related information
• Extremely Sensitive [Inner Zone]
  • Patient-Physician Communication
  • Psychiatric
  • Substance abuse
  • Sexuality
  • Life Style

Readings for our “Informed Consents and the Patient Experience” discussion:

• Kelly, T. (2017, June 23). New quality consent measure: Easy win for prepared providers. Retrieved from https://www.beckershospitalreview.com/quality/new-quality-consent-measure-easy-win-for-prepared-providers.html 
• Please review the latest information on the Centers for Medicaid and Medicare Services’ Quality of Informed Consent Measure.
• Source: Centers for Medicaid and Medicare Services. (2019). Measure Methodology. Retrieved from https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/Measure-Methodology

Cases for the “Case Analysis” essay:

• Bond, S. (2019, November 14). Google health data project under scrutiny. Retrieved from https://www.npr.org/2019/11/14/779208282/google-health-data-project-under-scrutiny 
• Ochoa, J. (2018, September 21). Parents are leery of schools requiring ‘mental health’ disclosures by students. Retrieved from https://www.npr.org/sections/health-shots/2018/09/21/648828034/parents-are-leery-of-schools-requiring-mental-health-disclosures-by-students
• Greenfieldboyce, N. (2014, July 21). Big data peeps at your medical records to find drug problems. Retrieved from https://www.npr.org/sections/health-shots/2014/07/21/332290342/big-data-peeps-at-your-medical-records-to-find-drug-problems
• Totenberg, N. (2011, November 30). High court to hear HIV-positive pilot’s privacy case. Retrieved from https://www.npr.org/2011/11/30/142909992/high-court-to-hear-hiv-positive-pilots-privacy-case
• Shapiro, J. (2009, November 23). When your boss wants your DNA. Retrieved from https://www.npr.org/templates/story/story.php?storyId=120587756 
• Lohr, K. (2008, April 7). Kan. court weighs medical records in abortion case. Retrieved from https://www.npr.org/templates/story/story.php?storyId=89424906
•  

Video on Health Literacy:

• Advocate for Your Health – Molly Hottle – TEDxTucson (14:56): 

Recent Cases:

• Google Health Data Project Under Scrutiny (https://www.npr.org/2019/11/14/779208282/google-health-data-project-under-scrutiny).
• Parents Are Leery Of Schools Requiring ‘Mental Health’ Disclosures By Students (https://www.npr.org/sections/health-shots/2018/09/21/648828034/parents-are-leery-of-schools-requiring-mental-health-disclosures-by-students).
• Big Data Peeps At Your Medical Records To Find Drug Problems (https://www.npr.org/sections/health-shots/2014/07/21/332290342/big-data-peeps-at-your-medical-records-to-find-drug-problems).

Early Cases:

• High Court To Hear HIV-Positive Pilot’s Privacy Case (https://www.npr.org/2011/11/30/142909992/high-court-to-hear-hiv-positive-pilots-privacy-case).
• When Your Boss Wants Your DNA (https://www.npr.org/2009/11/23/120587756/when-your-boss-wants-your-dna).
• Kan. Court Weighs Medical Records in Abortion Case (https://www.npr.org/2008/04/07/89424906/kan-court-weighs-medical-records-in-abortion-case).

Step 2: Review your case and use the following to help shape your analysis:

1. Gabrieli’s Three-Zone Confidentiality Model
2. Patient control of Information
3. Privacy and confidentiality laws
4. Use of information for social good
5. Medical ethics

Step 3: Conduct a research online to find 2-3 scholarly resources and 2-3 web references to support your perspectives. I would also encourage you to find out and report any developments related your case since the publication of the article that covered the case. You can use  College’s Online Library or any online library as part of your research. 

Your essay should be 3-4 pages long (excluding your cover and bibliography pages), double spaced, and formatted according to APA Style.