1. Using Health Information Technology: the Consumer Perspective Susan Woods, MD, MPH Portland VA Medical Center Oregon Health & Science University susan.woods@va.gov

2. New Information Access & Delivery

3. Adults Who Use the Internet 74% of adults in U.S. 87% ages 18-29; 72% ages 50-64 41% age 65 and older 64% living in rural areas 35% if less than High School education 57% if < $30,000 per year 3 Pew Internet & American Life Project http://www.pewinternet.org

4. % Ever Looked for Health or Medical Information Online, 2002 and 2007

5. % Ever Looked for Health or Medical Information Online, 2002 and 2007 Age Group

6. 6

7. 7

8. How often Internet Users with a chronic condition go online 81% of Internet users with chronic disease go online for health-related information so less often than once a week 10% say they do once a week. 5% say they do so every few days. Only 3% say they do once a day or more. 8

10. Access -> beyond web connection -> eHealth literacy, usability -> meaningful usage

11. 10

13. At all care sites

14. Decision support

15. Clinical reminders

16. Patient safety

17. Secure web-based portal

18. Patient & family centered

19. Information and services

20. Multiple levels of access

22. 13

24. 15 Patient + Doctor

25. 16 Patients + Information + Experts + Each Other

26. New “Usual Care”

27. 18

29. How best to modify roles and leverage these shifts?19 Modifying Dynamics of Interactions

31. Need to connect information/services to where people goNew Models & Development

32. 21

33. P4P: Pay for Participation Younger patients want virtual access Providers will need to use consumer-facing IT tools Patients will vote with their feet P4P: Must go beyond clinical measures