Final rule 170,302(m)wants the mandate to create patient education resources,problem lists,medication lists,and to make the test results available to patients.
I add in a medium most accesible to patient(Cell phone app,written in varoius languages,or interactive Web content).This is how many of the people in the field are interpretting it.
One of the goals of the EMR is to remove the inequities in delivery of the medical services because of other inequities.
Uninsured ,underinsured and medically underserved amd minority communities need to be benefitted by it. We have seen that in massachussetts where only 2.6 % are uninsured in general population in the hispanics the rate is 7.2 %.
Race based health inequities exist across .Blacks live five years less than whites and their is an anomaly that Hispanics outlive whites by two years even when they have lower level of health coverage than populations in general.
We will have to work extra hard so that our underrepresented population opt in the health exchanges to get the benefits to be derived from the new EMR mandate.
Better management of critical diseases will help us effect better health outcome for our people.Five or so are critical fields where we can make a major difference.
Hypertension
Diabeties
obesity
Mal nutrition in mothers and children
respiratory problems
smoking
We think by focusing on nutrition,smoking cessation,and physical activity we can improve health outcomes of many people.We will have to identify at risk populations and then educate them and provide resources.An ounce of prevention is always better than a pound of cure.
When we look at the risk groups we may find that it is a moving target.Now they include large number of:
Hispanics
blakcs
hmongs
Glbstg
unemployed
children
foreign born populaion
and now home less and even vetrans
We will have to make sure that they remain healthy mentally and physically for society to do well.
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