Q: How will completing a PreHIstory help me prepare for a visit with the a medical provider?
A: Our government, through the Centers of Medicare and Medicaid Services (CMS) has structured and defined a list of basic questions that a doctor could ask, if he or she had the time. These questions can be found in CMS 1995 & 1997 Evaluation and Management Guidelines. In the time frame of a medical encounter, your medical provider does not have the time to ask each of these questions, wait for your response to each, and then type/dictate each into the computer’s Electronic Health Record (EHR). You, however, can take the time to consider, reflect over and answer these questions in preparation for your next medical visit.
Q: Are questions in the PreHistory difficult?
A: Consider “What makes your problem better or worse?” If you think about your problem, you should be able to answer this. Perhaps nothing makes it better or worse. Your answers will help detect what is going on. These questions are not difficult, unless they are asked rapidly with expectations of your instant answer.
Q: Do I share my PreHistory with my medical provider?
A: Yes, you can print out your PreHistory and take it with you to your next medical encounter. The copy sent to your email will include instructions for your doctor and medical staff. It highlights the federal law giving you the right to amend your record as well as a separate law allowing your doctor to receive your patient generated health data.
Q: What if my doctor does not accept my PreHistory?
A: At the least, this form will help you prepare for your next medical visit. By considering these questions, will be able to express your concerns in a format that doctors are trained. At best, your doctor will use your PreHistory to populate the History component of your medical record.
Q: What if a person is demented or a child? How can they complete this form?
A: We recommend that everyone consider help from a family member, friend or caregiver when completing a PreHistory. The HIPAA Privacy Rule does not limit the age of an individual for the right to request to amend the medical record. In PreHistory research published February 17, 2017 in The Journal of the American Osteopathic Association (JAOA), an 11-year-old completed a PreHistory in order to co-author the medical record. The oldest participating patient, age 94, had her PreHistory completed by her caregiver granddaughter.
Q: Who will see this information?
A: You will receive a PreHistory by email that includes whatever you enter. Patient Advocacy Initiatives will be able to see answers written on forms through Typeform.com. We hope to analyze this information to improve healthcare policy for the benefit of patients and medical providers. Your information will not be shared or disclosed.
Q: How get I get more training on how to complete this form?
A: Patient Advocacy Initiatives has a series of 5 minute educational seminars on YouTube.com called Patient Advocacy School. The first part of the series (modules 100-110) are designed for the patient perspective. The second part (modules 200-210) are for the medical provider/medical staff member perspective. You can find these videos here
Q: How can I engage more with this issue?
A: Comment on our videos and watch our ongoing support show for this project on YouTube at the Patient Advocacy Show. Also, visit us on Facebook.