Page 66 - Health Literacy, eHealth, and Communication: Putting the Consumer First: Workshop Summary

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

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to access different programs. There is a quick overview of the Internet,
with a brief look at different sites, and the session also covers the purpose
of MiVIA, its use, and how to enter and access data. Since the training can
be intense, promotores often return for a repeat session.
When MiVIA first began, most of those who enrolled did not have
an e-mail account, so MiVIA provided an e-mail account for anyone who
needed one. Within a few years that changed so that most of those enroll-
ing today come in to the system with their own e-mail accounts, indicat-
ing awareness of the Internet.
Similar to the patient dashboard described earlier, there is also a cli-
nician dashboard that MiVIA makes available to health care providers.
Using this dashboard, a MiVIA clinician can, with a member’s permis-
sion, use the member’s log-in, password, or limited-access code to enroll
the member on the clinician’s list of patients. This enables the clinician to
pull up patient data.
The clinician portal features an alphabetical list of individual clini-
cians or clinics, and patient lists by organization. Access to patient records
is with the owner’s permission only. With that permission, clinicians can
access patient records online at any time and from any place. Data entry
is protected, as it is read-only to members and other clinicians.
The latest version of MiVIA uses the SOAP format for data entry.
2
This version allows providers to record whether the nature of a patient
visit is preventive, emergency, or chronic care. The version also has a tele-
medicine component which becomes the record between the patient, the
specialist, and the provider. Those granted access can retrieve a summary
medical report that can be downloaded or else can go to specific parts of
the record detailing such things as immunizations, medical office visits,
and allergies. The information can also be shared across platforms.
There are many member benefits of MiVIA. It reduces the divide
between those who have access to digital and information technology and
those who do not. It facilitates access to health and community services,
clinics, and libraries. The promotores, when teaching about MiVIA, teach
farm workers and their families to use the local library, taking them to the
library, showing them around, and showing them how to access the Inter-
net. Because the members have MiVIA cards, they are able to get library
cards, which they were not eligible for before. Members become more
engaged in their community. MiVIA also promotes health care literacy
and peace of mind. Members know their information is safely stored and
can follow them wherever they go for services.
MiVIA has applications for children with special needs who have

2 SOAP stands for subjective, objective, assessment plan. The SOAP format is used to
document observations and care provided.

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