TABLE 4.
Priorities for Use of Interoperable Health Information
| Safe | Effective | Efficient | Patient Centered | Timely | Equitable | |
|---|---|---|---|---|---|---|
| 1. Healthy | Online information regarding risks and benefits of screening procedures | E-reminders directly to person | E-schedule, e-visits, e-prepopulation of electronic health records and personal health records | Use of preferred technologies to access information and reminders; access to one's own health information | All patient-specific information readily available at time of visit | Available in language and level of education of choice |
| 2. Maternal and Infant | Online monitoring of pregnancy and fertility management | E-reminders and follow-up | Interoperable electronic system for transfer of records | Access to information about treatment options | Secure message capability | Available in language and level of education of choice |
| 3. Acutely ill but mostly curable | Computerized physician order entry with decision support | Effective clinical decision support systems | Interoperable electronic health records among care settings | Patient education and shared decision support information | Electronic 24/7 response to patient's needs from remote sites | Available in language and level of education of choice |
| 4. Chronic condition, normal function | Online information about risks and benefits of all treatments and screenings; ambulatory computerized physician order entry | Real-time home-monitoring devices; e-reminders for screens and monitoring | Electronic use of shared care plans | Longitudinal electronic health records and personal health records | Secure messaging capability | Available in language and level of education of choice |
| 5. Stable but significant disability | Online information on risks and benefits of all treatments and screenings; ambulatory clinical physician order entry | E-reminders | Home-based e-monitoring | Personal health record and interoperable electronic health records among all care providers | Secure messaging capability | Available in language and level of education of choice |
| 6. Short period of decline near death | Access to information about risks and benefits of specific treatments | Online monitoring for comfort control | Online access to advanced care plans | Online access to advanced care plans | Direct 24/7 immediate communication capability in event of life closure | Available in language and level of education of choice |
| 7. Organ system failure | Computerized physician order entry with decision support | Home-based monitoring systems | Home-based monitoring; online access to advanced care plans | Shared decision support tools | Secure messaging capability | Available in language and level of education of choice |
| 8. Long dwindling course (frailty, dementia) | Monitoring devices for falls, pressure, etc.; computerized physician order entry with decision support | Pain management | Electronically available health care plans | Advance care plans available electronically | 24/7 access to rapid response in event of life closure | Available in language and level of education of choice |