Pediatric Informatics: Computer Applications in Child Health (Health ...

24 Information Management by Patients and Parents in Health and Disease 327
the observation unit EMR and from the online consultation with the endocrinologist
were recorded in Sally’s “smart” card and her online PHR. Dr. S., notified by
the Medical Home Web service alert of Sally’s emergency visit, was able to touch
base with Dr. R. and Sally’s parents via teleconference between the office and the
observation unit prior to discharge.
24.5 Conclusion
A combination of advances in information technology, a maturing of electronic
medical records and an evolving business model for patient access to health information
is making scenarios such as described in the case study closer to reality
than ever before.
Author Disclosure Statement Mark M. Simonian is a past Board Member of Medem representing
the professional societies and served on the Pediatric Advisory Group from the American
Academy of Pediatrics to Medem – 1999–2006.
References
1. Hertz A. Section drafting policy on reimbursement for phone care. AAP News.
2005;26(6):34.
2. Melzer SM, Poole SR. Reimbursement for telephone care. Pediatrics. 2002;109(2):290–293.
3. Kirkland JL, Copeland KC. Telephone charges and payments in a diabetes clinic. Pediatrics.
1998;101(4):E2.
4. American Academy of Pediatrics Section on Telehealth Care. Payment for Telehealth Care.
American Academy of Pediatrics Website; 2006. Available at: http://www.aap.org/sections/
telecare/reimbursement.htm. Accessed December 4, 2008.
5. Liebhaber A, Grossman JM. Physicians Slow to Adopt Patient E-mail Data Bulletin No. 32.
Center to Study Health System Change; 2006. Available at: http://www.hschange.com/
CONTENT/875/. Accessed December 4, 2008.
6. Katz SJ, Moyer CA. The emerging role of online communication between patients and their
providers. J Gen Intern Med. 2004;19(9):978–983.
7. American Academy of Pediatrics, Division of Health Policy Research. Periodic Survey
of Fellows 51: Use of Computers and Other Technology, Executive Summary. American
Academy of Pediatrics; 2003. Available at: http://www.aap.org/research/periodicsurvey/
ps51exs.htm. Accessed December 4, 2008.
8. Bauchner H, Adams W, Burstin H. ‘You’ve got mail’: issues in communicating with patients
and their families by e-mail. Pediatrics. 2002;109:954–956.
9. Weingart SN, Rind D, Tofias Z, Sands DZ. Who uses the patient internet portal? The
PatientSite experience. J Am Med Inform Assoc. 2006;13(1):91–95.
10. Kane B, Sands DZ. Guidelines for the clinical use of electronic mail with patients. The AMIA
Internet Working Group, Task Force on Guidelines for the Use of Clinic-Patient Electronic
Mail. J Am Med Inform Assoc. 1998;5(1):104–111.
11. Gerstle RS, American Academy of Pediatrics Task Force on Medical Informatics. E-mail
communication between pediatricians and their patients. Pediatrics. 2004;114(1):317–321.