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	<title>Comments on: Writing Behavioral Change Prescriptions in an EHR</title>
	<link>http://ixcenterblog.org/archives/284</link>
	<description>Engaging consumers with information therapy (Ix) and HIT</description>
	<pubDate>Thu, 04 Dec 2008 22:27:27 +0000</pubDate>
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		<title>By: Josh Seidman</title>
		<link>http://ixcenterblog.org/archives/284#comment-123</link>
		<dc:creator>Josh Seidman</dc:creator>
		<pubDate>Mon, 14 Jan 2008 21:02:06 +0000</pubDate>
		<guid>http://ixcenterblog.org/archives/284#comment-123</guid>
		<description>In response to Ted's specific question ("the literature about form of Ix - must it be identical to a medication prescription or are there features of Ix that make it as powerful without actually being entered as a medication order"), there's not very much in the literature to answer the question directly.



However, the peer-reviewed literature and other scientific surveys of consumers make it clear that people want to get specific information recommendations ideally directly from their clinicians.  From that body of evidence, I think it's a fairly safe assumption that an after-visit summary with specific health content/patient education links will not only be very popular with patients, but likely will drive some degree of action.



To be more specific, other research makes clear that the degree of action depends on the degree to which the system or clinician can make the content targeted to the patient's particular moment in care and tailored to their specific characteristics (e.g., learning style, delivery preferences,  readiness to change, etc.).</description>
		<content:encoded><![CDATA[<p>In response to Ted&#8217;s specific question (&#8221;the literature about form of Ix - must it be identical to a medication prescription or are there features of Ix that make it as powerful without actually being entered as a medication order&#8221;), there&#8217;s not very much in the literature to answer the question directly.</p>
<p>However, the peer-reviewed literature and other scientific surveys of consumers make it clear that people want to get specific information recommendations ideally directly from their clinicians.  From that body of evidence, I think it&#8217;s a fairly safe assumption that an after-visit summary with specific health content/patient education links will not only be very popular with patients, but likely will drive some degree of action.</p>
<p>To be more specific, other research makes clear that the degree of action depends on the degree to which the system or clinician can make the content targeted to the patient&#8217;s particular moment in care and tailored to their specific characteristics (e.g., learning style, delivery preferences,  readiness to change, etc.).</p>
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		<title>By: Ted Eytan</title>
		<link>http://ixcenterblog.org/archives/284#comment-122</link>
		<dc:creator>Ted Eytan</dc:creator>
		<pubDate>Sun, 13 Jan 2008 19:44:42 +0000</pubDate>
		<guid>http://ixcenterblog.org/archives/284#comment-122</guid>
		<description>Hi Joe,



Great topic of discussion!



You want to elevate the physician's recommendation for behavior change to the level of ordering a medication. Just as Ix is intended.



You are asking how to operationalize that in a comprehensive EHR system. Do you use the area that is intended for patient instructions, or do you use the area that is intended for ordering meds?



If there's a way to do this to convey the same amount of influence in the part of the EHR that is designed for patient instructions, maybe we can help you figure that out. Is there a way to put a physician order here that is as valid to the patient as if it was entered into the "physician order entry" system?



Can you comment back with the kind of prescription you would write, and then we can ask the audience here (who are all patients) their thoughts, as to which process conveys the most influence, which I think is what you want.



Josh can also comment on what he knows from the literature about form of Ix - must it be identical to a medication prescription or are there features of Ix that make it as powerful without actually being entered as a medication order.</description>
		<content:encoded><![CDATA[<p>Hi Joe,</p>
<p>Great topic of discussion!</p>
<p>You want to elevate the physician&#8217;s recommendation for behavior change to the level of ordering a medication. Just as Ix is intended.</p>
<p>You are asking how to operationalize that in a comprehensive EHR system. Do you use the area that is intended for patient instructions, or do you use the area that is intended for ordering meds?</p>
<p>If there&#8217;s a way to do this to convey the same amount of influence in the part of the EHR that is designed for patient instructions, maybe we can help you figure that out. Is there a way to put a physician order here that is as valid to the patient as if it was entered into the &#8220;physician order entry&#8221; system?</p>
<p>Can you comment back with the kind of prescription you would write, and then we can ask the audience here (who are all patients) their thoughts, as to which process conveys the most influence, which I think is what you want.</p>
<p>Josh can also comment on what he knows from the literature about form of Ix - must it be identical to a medication prescription or are there features of Ix that make it as powerful without actually being entered as a medication order.</p>
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