The CMS considers patient engagement a quality metric for a learning healthcare system.
● Patient engagement is a major focal point of stage 2 MU of HER.
● Patient Engagement in Health and Health Care Framework by Carman et al. presents different forms and levels of patient engagement across the healthcare system.
● Institute for Patient- and Family-Centered Care recognizes the vital role families play by providing emotional, social, and developmental support, ensuring the health and well-being of all family members
● The Level of Engagement with Health Care framework considers the engagement, quality, and safety of mobile apps. Clinicians can identify trustworthy apps that serve the engagement of high-need, high-cost populations.
Consider content covered in chapter 5 concerning policy changes in the United States and the strategic plan needed to improve care and drive down cost through health information technology. Give at least 3 examples of an information technology policy change that has supported patient engagement.
Sample Answer
To address the strategic goal of improving care while driving down costs, the United States has transitioned toward a value-based care model. Under this model, Information Technology (IT) is not just a storage tool but a bridge for patient engagement.
Based on the frameworks provided by Carman et al. and the evolution of Meaningful Use (MU), here are three specific information technology policy changes that have supported and mandated patient engagement.
The Meaningful Use (MU) Stage 2 Requirements
The Centers for Medicare & Medicaid Services (CMS) shifted the focus from data capture (Stage 1) to clinical processes and patient engagement in Stage 2.
The Policy Change: This mandated that providers give patients the ability to "View, Download, and Transmit" (VDT) their health information within 36 hours of a visit.
Impact on Engagement: This policy forced the widespread adoption of Patient Portals. By giving patients direct access to their lab results and visit summaries, the policy moved the patient from a passive recipient to an active participant in their care journey, aligning with the "Information and Education" level of engagement in the Carman framework.