Page 65 - Health Literacy, eHealth, and Communication: Putting the Consumer First: Workshop Summary

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

0 HeALtH LiteRACY, eHeALtH, AnD CoMMUniCAtion

MiVIA members in Sonoma County and about 1,100 of them use the
Spanish version.
One useful feature of the system is the patient dashboard (see Figure
4-1). On the dashboard the member’s information is on the left-hand side.
Among other things it tracks medications and providers, and it provides
all the information needed to fill out the forms on a physician visit.
The member identification card is probably one of the most popular
features of MiVIA. The card can be printed anytime. If a change is made
to the PHR (e.g., adding a medication), the card is reprinted and the new
information appears. If a member who does not speak English visits a
clinic or hospital where no translator is available, this card can be used to
provide pertinent information and access to the patient’s PHR.
MiVIA has many features. It is a single database with both member
access and clinician access. A member can grant a clinician access to his
or her MiVIA record. There is also “on-the-fly” clinician sign up, meaning
that if a clinician wants a MiVIA member to see a specialist, the member
can give the specialist immediate permission to access his or her record.
There is also a Spanish version which is experiencing some challenges
that will be described later. There is a service wheel which identifies
resources by special population or region. Resources include information
about employment, transportation, housing, community services, health
services, and legal assistance. So, for example, if a member is in San Diego
but is going to Sonoma to work for a while, he or she can click on housing
and locate the different services available to him for migrant housing.
The most recent version of MiVIA includes a feature that allows a
continuity-of-care record (CCR) to be downloaded into a computer or
another electronic medical record system. MiVIA is currently working
with two electronic medical record companies to test this feature. MiVIA
also has a complete audit-and-edit trail with date and time stamping.
The system is located in a collocation facility that has managed servers.
1
Encryption, SSL, and secure log-in and passwords are used.
Member suggestions have led to a number of enhancements to the
system. The success of MiVIA is due primarily to the outreach and lay
outreach workers, or promotores. They are the champions of MiVIA. They
conduct the enrollment and provide the training in the use of MiVIA.
They also provide cultural and social support and check in with the mem-
bers about their use of MiVIA.
The promotores are provided with a training and enrollment manual
that is very simple to use. There are about three training sessions each
year that the promotores can attend. Each session lasts about two and a half
hours and starts with the basics—what the computer is used for and how

1 SSL stands for secure sockets layer which is a technology used to protect websites.

Copyright National Academy of Sciences. All rights reserved.