{"id":12118,"date":"2012-04-26T17:14:52","date_gmt":"2012-04-26T21:14:52","guid":{"rendered":"http:\/\/pmedicine.org\/epatients\/?p=12118"},"modified":"2012-04-26T17:14:52","modified_gmt":"2012-04-26T21:14:52","slug":"lets-get-medical-info-as-good-as-our-pets-get-a-petition","status":"publish","type":"post","link":"https:\/\/participatorymedicine.org\/epatients\/2012\/04\/lets-get-medical-info-as-good-as-our-pets-get-a-petition.html","title":{"rendered":"Let’s Get Medical Info as Good as Our Pets Get! — A Petition"},"content":{"rendered":"
SPM member Ken Farbstein sent us this invitation to help persuade the Office of the National Coordinator for Health Information Technology to include printed summaries of doctor visits in the ONC’s definition of meaningful use.<\/em><\/p>\n After our pets go to the veterinarian, many of us promptly and routinely get a paper summary that instructs us how to best care for them, i.e., treatment follow-up, diet, and specific healthy behaviors. We should get medical info from our own doctors that\u2019s as good as our dogs and cats get! Sign the petition at http:\/\/signon.org\/sign\/lets-get-healthcare-as?source=c.url&r_by=290310<\/a>.<\/p>\n Human patients should receive a paper summary of their doctor’s orders for new medications, changes in medications, and the treatment plan, as they exit the doctor\u2019s office. Many patients find it hard to remember everything a doctor tells them during the visit. Foreign language speakers; patients with dementia, memory and hearing problems; anxious patients; patients with multiple conditions and complex treatment plans; patients in denial about their alcohol or substance abuse, and many other patients often do not hear and retain everything a doctor advises them. Without clearly understanding all a doctor\u2019s orders, patients are unlikely to act accordingly, which slows their recovery. It leads to unnecessary suffering. It may also lead to a greater likelihood of entering the hospital for costly care.<\/p>\n For the vast majority of patients, including the elderly, and those lacking computer skills or internet access, a paper copy of the doctor\u2019s orders in plain English will be more convenient than logging in to a seldom-used, password-protected electronic account on the Web. By default, patients should get a paper copy handed to them, or mailed immediately after the visit, unless they prefer an electronic copy.<\/p>\n The Stage 2 and 3 definitions by the Office of the National Coordinator for Health Information Technology (ONC HIT) of \u201cmeaningful use\u201d of an electronic health record in the patients\u2019 eyes should require doctors to routinely hand a paper copy of the doctor\u2019s orders to each patient as he or she leaves the doctor\u2019s office, or mail it to the patient immediately afterward.<\/p>\n Paper handouts are highly portable. The National Coordinator should adopt these ideas, which are provided in response to their specific requests on pages 136 and 89 of the proposed Federal rule (RIN 0991-AB82). These comments refer to Sections 170.314(e)(1) and 170.314(e)(2), as noted at 77 FR 13838-41 and 77 FR 13856-57.<\/p>\n