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Health Literacy, eHealth, and Communication: Putting the Consumer First: Workshop Summary


            oveRvieW oF iSSUeS

            plished by building electronic health records, devising patient-decision
            support  tools,  providing  Internet  messaging  capabilities  for  both  clini-
            cians  and  beneficiaries,  developing  Web  multi-media  health  education
            efforts, and devising e-learning programs in multiple languages that will,
            over time, help document improvements in health literacy.
               Phase II of the grant involves Web-based interactive games and per-
            sonalized educational programming (seen as a particularly valuable way
            to reach adolescents and children), Internet-connected biometric monitor-
            ing devices (intended to keep more people at home and in community-
            based services), and Web 2.0 (Web-based health and human service sup-
            port networking) that will be used to create self-support groups among
            different populations.
               Figure 2-1 below illustrates the infrastructure transformation toward
            which  AHCCCS  is  working.  The  enabling  technologies  are  the  health
            information exchange infrastructure, electronic health record infrastruc-
            ture,  the  Web-based  e-learning  programming  infrastructure,  and  the
            knowledge building and transfer infrastructure. With properly configured
            enabling technologies creating the processes through which the various
            Medicaid programs (e.g., acute care, long-term care, disease-management
            health education, and population-based education) operate, the end result
            is a transformed health system. Once the connection exists, new products
            and tools can be added and rapidly deployed.
               The major issue is getting the infrastructure in place to transform the


























            FIguRE 2-1  eHealth infrastructure of Medicaid system transformation.
            SOURCE: Rodgers, 2008.



                                   Figure 2-1, bitmapped

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