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Inner Reach Health
History Solutions for Physicians
Our Health Information Gathering System – HiGS
Inner Reach HiGS is a tracking, monitoring, and following-up preventive
care technology. The time it takes Physicians to gather and ferret through a patient's
health histories, symptoms, and situations can often take most of the time that
is spent with a patient, which is time that could instead be spent treating and
elaborating on interview.
HiGS can help by providing needed information about a patient that
is electronically provided by and paid for by the patient. Physicians can request
their patients take specific HiGS histories and assessments and
even body systems for symptom checks in the HiGS prior to going
to a doctor's office for a visit. This can save physicians’ time and money.
The Inner Reach Health Information Gathering System - HiGS provides
Preventive Care technology which electronically collects, assesses,
screens, teaches, tracks, stores, and retrieves individuals’ health histories.
Data Collection of the Health History
Histories are kept by numerous institutions and doctor offices in various areas
around the nation. Histories can be difficult to locate plus it is typically impossible
to update histories without a visit to the doctor office. Although there are advantages
to computerized records, current electronic systems which use medical hierarchical
gathering demands may not be adequate systems for the patient to convey what is
going on and what they are concerned about. Additionally, due to preferentially
structured interviews around demands from the data-gathering system rather than
patients’ own narrated accounts, they may not be that helpful to physicians
either.
In Kevin Pho’s October 1, 2008 article in USA Today, Why Doctors Still Balk
at Electronic Records, he reports these servers, computers and software
systems, paid for out of physicians’ monies, generally cost as high as $36,000.
[1] Customarily they are ineffective systems for preserving health. Compounding
this, physicians usually do not get paid or reimbursed for health interventions
and creating electronic records, since they primarily diagnose and treat disease
and attend to patients. Physician’s time can be better spent.
HiGS can help.
Physicians: How Can HiGS Track Your Patients' Symptoms?
Remember when you used to have time to have a relationship with your patients?
The Inner Reach Health Information Gathering System - HiGS is a
Preventive Care Technology System which allows people to communicate
with their physician in a manner that more closely resembles the physician's language.
Studies show: histories are even more important to identify potential risk for disease
than a physical examination; conditions and diseases can be missed when an adequate
and essential history is omitted during a physical examination by a physician in
a doctor office. [2] High-risk people can be missed by their primary
care physicians due to lack of genetic information and its evaluation. [3] [4]
Gathering data is difficult since time is tight. Studies suggest, physicians using
EHRs preferentially structure interviews around data-gathering demands rather than
patients’ own narrated accounts. [5] There are too many
tasks and not enough time to do them all.
Doctors have always collected and known the importance of genetic, family, and personal
histories. Doctors gather histories through time-consuming interviews. In order
to properly diagnose and get patients to ‘buy into’ care and treatment
for disease, patients have to convey their story - their history - and doctors have
to listen. Patients are more apt to comply when they feel the doctor knows all they
want to tell them. This is difficult.
Within the current healthcare system, there is not longer enough time or a comprehensive
way for patients to tell their story. Doctors no longer feel they can do a lot of
the real care they want or used to do. It can be frustrating. HiGS
can help.
Old Way: Chances for Incomplete or Altered History
Almost all information about patients is collected in superficial redundant forms
or conveyed verbally, then written down or less commonly entered electronically
by someone else - not the individual. Frequently information entered about
patients needs to fit billable code boxes for payment or institutional requirements.
Alterations and also other possible distortions can occur to accommodate this, because
the story is incomplete, rushed, and can be interpreted by a physician or other
healthcare professionals in a short-hand while trying to collect relevant facts.
Adapted, scattershot, and non-comprehensive, often the history is not really the
person’s story at all. Crucial points and situations can get left out.
HiGS can help.
New Way: HiGS Can Help Physicians
HiGS provides a vehicle for people who do not have the medical
training or expertise to convey what's what about themselves in a brief and comprehensive
manner--saving the physician's time. The HiGS results report can be printed, faxed,
or sent electronically. HiGS is paid for by the
patient; it is inexpensive, costing less than the amount of a monthly email connection.
HiGS:
- Allows more time for a relationship with your patients
- Collects information that takes extensive time to identify, be missed, or overlooked
- Captures information beforehand
- Provides health histories, symptoms, and situations ‘at a glance’
- Assists in more efficient use of your precious time
- Provides more information on which to base a clearer diagnosis
- Provides consistent information from one physician to another
- Patients determine what information they want to provide to their physicians
HiGS increases the likelihood of:
- identifying risk and the capturing of symptoms
- physicians’ seeing more patients in the course of a day.
- patients’ buying into care and complying
with treatment since patients know - you know what they want you to know –
but quickly.
HiGS decreases the likelihood of:
- misdiagnosis through comprehensive information collected by the patients themselves
- people 'falling thorough the cracks' of the healthcare system
HiGS and the Personal Health History (PHH) Report: 'at a glance' Starting Point
for Physicians’ Interview
The Inner Reach system offers individuals, the ability to create their own Personal
Health History (PHH), capturing histories, screenings, symptoms, and
situations to know what is needed for health and for individuals to be prepared
in advance with their histories for times of illness. The PHH,
when shared with their physicians, enables patients to communicate better and faster
with you at the start of care and each point of contact. HiGS histories
tell a personalized story quickly.
References:
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1.
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"Why Doctors Stll Balk at Electronic Records." By Kevin Pho. USA Today.
Wednesday, October 1, 2008; page 11A.
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2.
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Trends in Sudden Cardiovascular Death in Young Competitive Athletes After Implementation
of a Preparticipation Screening Program. Corrado, D. Et al; Journal of the American
Medical Association. 2006;296:1593-1601.
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3.
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Paula W. Yoon, ScD, MPH et al; "Can Family History Be Used as a Tool for Public
Health and Preventive Medicine?" Genetics in Medicine 2002; 4(4):304-310.
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4.
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Krowchuk DP. The preparticipation athletic examination: a closer look. Pediatric
Annals 1997;26:37-49.
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5.
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Makoul G, Curry RH, Tang PC. "The use of electronic medical records: communication
patterns inoutpatient encounters." Journal of the American Medical Informatics
Association. 2001;8:610-615.
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Related White Paper in PDF
White Paper PDF: Inner Reach
Health History Solutions:
HiGS for Physicians
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