Coupling direct collection of health risk information from patients through kiosks with decision support for proactive care management

• Published in: AMIA ... Annual Symposium proceedings Vol. 2008; pp. 429 - 433
• Main Authors: Lobach, David F, Silvey, Garry M, Willis, Janese M, Kooy, Kevin R, Kawamoto, Kensaku, Anstrom, Kevin J, Eisenstein, Eric L, Johnson, Fredrick
• Format: Journal Article
• Language: English
• Published: United States American Medical Informatics Association 06.11.2008
• Subjects: Decision Support Systems, Clinical; Feasibility Studies; Forms and Records Control; Health Status Indicators; Information Storage and Retrieval; Medical History Taking - methods; North Carolina; Surveys and Questionnaires; Systems Integration; Telemedicine - methods; User-Computer Interface; North Carolina
• ISSN: 1559-4076

Data collection from patients for use in clinical decision making is foundational for medical practice. Increasingly, kiosks are being used to facilitate direct data collection from patients. However, kiosk-collected data are generally not integrated into the care process. In this project, 4,014 people initiated a kiosk-administered health risk assessment questionnaire using a free-standing public-access kiosk. For 201 of these initiated sessions, kiosk users supplied a Medicaid identification number which allowed their data to be integrated into a regional health information exchange and reviewed by a standards-based clinical decision support system. This system identified 479 survey responses which had been predetermined to warrant follow-up. Notices about these sentinel responses were emailed to care managers and sent to clinical sites. While this study demonstrates the feasibility of collecting and acting on patient-entered health data, it also identifies key challenges to providing proactive care management in this manner.