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Stay Informed On WebJunction On WebJunction webjunction.org Crossroads (monthly newsletter) S b Subscribe on homepage ib h Health Happens in Libraries Health Happens in Libraries oc.lc/ehealth

Thanks to the generous support of the following state library agencies, WebJunction offers Th k h f h f ll i lib i W bJ i ff webinar programs for free to all who wish to attend: Florida Department of State’s Division of Mississippi Library Commission Library and Information Services State Library of Ohio Illinois State Library Access Pennsylvania Indiana State Library Texas State Library & Archives Commission Maine State Library Library of Virginia Minnesota State Library Agency & Minitex Washington State Library

Remember to post to Q&A panel if o if you need technical assistance. need technical assistance Other Technical problems? Contact WebEx support Contact WebEx support Event Number: 719 330 663 Phone: 1-866-229-3239 Jennifer Peterson Kendra Morgan WebJunction OCLC Senior Community Manager Community Manager Program Manager Program Manager

Today’s Presenters Liz Morris McCrae Parker Health Happens in pp Senior Program Senior Program Libraries Project Manager, Coordinator, ZeroDivide WebJunction Emily J. Hurst Vanessa Mason MSLS, Technology Senior Manager Senior Manager, Coordinator Coordinator, National Network eHealth of Libraries of ZeroDivide Medicine, South Central Region Central Region

Project partners Project partners

Technology Planning for eHealth May 28, 2014

About ZeroDivide About ZeroDivide www.zerodivide.org

The Affordable Care Act The Affordable Care Act

eHealth eHealth Disease management SMS and mobile apps Personal health tools tools records (PHRs) and records (PHRs) and patient portals

Barriers to eHealth Adoption Barriers to eHealth Adoption ● Access to broadband and mobile data b db d d bil d Digital ● Access to technology platforms Divide ● Interoperability of tools across platforms ● Linguistic/cultural competency of tools Design and ● Limitations caused by disability y y U Usability bilit ● Technological literacy ● Patient awareness of eHealth and incentives P i f H l h d i i Education ● Physician awareness and incentives and ● Health literacy Awareness Awareness ● Privacy concerns and distrust ● Privacy concerns and distrust

The Ecosystem The Ecosystem Trade Unions Libraries Community- Based Orgs Patron Faith-Based 24-Hour Orgs Call Call Centers Community Clinics oc.lc/ehealth

Tech Capacity Matrix Tech Capacity Matrix Leadership, Communications & Delivery Developing Aspiring Promising Leading • Tech seen as strategic • Leadership support in • Sustained tech • Break and fix tool to achieve cross strengthening tech integration; review functional strengths functional strengths process • Minimum performance • Communication metrics for guiding • Communication plan planning processes in • Analysis/review of on/off line activities with clear goals, metrics place communications toward mission outcomes mission outcomes • Inconsistent use of tech • Constituent • Systematic efforts to in program and service perspectives leverage tech with • Constituent delivery incorporated into understanding of appropriate tech program designs constituents infusion; mobile tech

Broadband & Digital Literacy Broadband & Digital Literacy 70% have connections at home 80 million people rely on libraries for broadband connectivity

Tech Literacy Tech Literacy ● 72% of internet users have ● 31% of mobile phone searched for health owners and 52% of information online smartphone owners have searched for health ● 53% of adults with 1 or information using their more chronic conditions phone have search for health information online i f ti li ● 19% of smartphone owners 19% f t h have downloaded an app

Health Literacy Health Literacy ● Annual cost of limited health literacy is $106 ‐ 238 billion dollars ● Roughly the same cost as insuring all of the 47 million uninsured From NN/LM Health Literacy site: http://nnlm.gov/outreach/consumer/hlthlit.html

The 3 Ps The 3 Ps Population Program Partnership

Populations Populations Miami Public Library Miami Oklahoma Miami, Oklahoma Supporting health literacy and ACA information as part of library goal to provide lifelong learning for residents San Antonio Public Library San Antonio, TX Incorporated ACA information services with existing health and services with existing health and wellness resources; provide dedicated space for application guidance with trained professionals

Programs Programs

Partnership Partnership www.giglibraries.net

Resources & Tools Resources & Tools B Broadband db d Technology T h l Health H lth Public Understanding of Building Digital ALA Tech Terms Basic Health Communities Worksheet Insurance Concepts The Library in a Library Branch on the Eve of Networked Networked Needs Needs Health Reform Health Reform World: ALA Self ‐ Assessment Assessment Tool Survey Locating Health g Services Nearby Tool

Closing Activity & Q & A Q

HEALTH INFORMATION & ONLINE PRIVACY AT ONLINE PRIVACY AT YOUR LIBRARY Emily J Hurst MSLS Emily J. Hurst, MSLS Technology Coordinator National Network of Libraries of Medicine South Central Region South Central Region TMC Library Houston, Texas

HEALTH INFORMATION ONLINE HEALTH INFORMATION ONLINE  One in three American adults have gone online to figure out a  One in three American adults have gone online to figure out a medical condition.  Health Online 2013. Susannah Fox and Maeve Duggan. Pew Research Internet Project. http://www.pewinternet.org/2013/01/15/health-online-2013/

HIPAA HIPAA  Health Insurance Portability and Accountability Act of 1996 Health Insurance Portability and Accountability Act of 1996 (HIPAA)  http://www hhs gov/ocr/privacy/hipaa/understanding/  http://www.hhs.gov/ocr/privacy/hipaa/understanding/  HIPAA Compliant entities: • Health Plans • Most Health Care Providers • Health Care Clearinghouses

ONLINE INFORMATION SHARING ONLINE INFORMATION SHARING  A tremendous amount of health-related information is found A tremendous amount of health related information is found on the Int Interne rnet. Many discussion forums are available for individuals to share information on specific diseases and health conditions. Websites dispense a wide variety of p y information. There is There is no no guarant guarantee that ee that inf information y rmation you u disclose disclose in an in any y of of these f these forums rums is conf is confidential. idential. Alwa Always re ys revie view the privacy policy of an the privacy policy of any w y websit bsite y e you u visit. visit. Privacy Rights Clearinghouse. Medical Records Privacy.  https://www.privacyrights.org/medical-records-privacy

PHR S AND PRIVACY PHR S AND PRIVACY  Not all  Not all Not all Personal Health Records (PHRs) are mandated to be Not all Personal Health Records (PHRs) are mandated to be HIPAA compliant.  When selecting a PHR, individuals  When selecting a PHR individuals individuals should e individuals should e should evaluat should evaluat aluate priv aluate priv privacy privacy acy acy policies policies to decide if they are comfortable with the protections and rights offered, such as how their information will be safeguarded for what purposes their information will be used safeguarded, for what purposes their information will be used and disclosed, and the extent to which the individual will control access to information in the PHR.  Are PHRs Covered Under HIPAA? http://www.hrsa.gov/healthit/toolbox/HealthITAdoptiontoolbox/PersonalHealthRec ords/phrshipaa.html