Introduction

Planet Share & Care is a Health Information Infrastructure sponsored by Planet Share Information NetWork.  Its pilot project, the Individualized Health Management Recommendation Plan, (IHMRP) is designed to assist patients and their physicians who provide health care for individuals with difficult to diagnose illness, those diagnosed with an illness difficult to treat, individuals who are non-ambulatory and those who are homebound.  The pilot program services are free to both the doctor and the patient due to our sponsors.  Our sponsors are from the Medical, Church, Business, Public & Private Partnerships.

Current health information systems are usually built for the convenience of the impersonal research institute, the insurance companies and hospitals.  Over the years information becomes sketchy and consequently, yield fragmented patient records in which medically relevant lifelong information is sometimes incomplete, incorrect, or inaccessible.

Planet Share & Care has constructed information systems centered on the individual client/patient.
A team of agents integrate all health-related concerns, including medically-relevant legal and financial information, about the client/patient. This personal system will help track, manage, and interpret the  health history, and offer advice to the patient, Primary Physician and other health care providers.

Minimally, the system maintains comprehensive, cumulative, correct, and coherent medical records, accessible in a timely manner as the client/patient moves through life, work assignments, and health care providers.  Each facet is an active process that performs several important functions: it collects client/patient data; it checks, interprets, and explains to the client/patient medically-relevant facts and plans; it adapts its advice based on the subject's prior experiences and stated preferences.

Shift of Focus
This shift of focus has made possible dramatic improvements in health maintenance and health care delivery, by making useful information available in a timely manner to the patient and the Primary Physician.  The shift also allows us to look at many of the technical issues of how to collect, maintain and interpret comprehensive health information from a very different viewpoint, and might therefore speed the advance of medical informatics.   For example, Investigators/Authorized Representatives have been able to demonstrate early detection of disorders such as malnutrition, tumor-associated acquired growth hormone deficiency, or inflammatory disease greatly increase the likelihood of earlier, less costly intervention and with lesser long term morbidity.

Legal Services
Planning for the future also require legal services. The services provided by the Ombudsman Service, include but is not limited to the assignment of an Authorized Representative/Agent, to represent the eligible client whenever  necessary, litigation, or creating documents for financial and future health care decision-making.  The Ombudsman Service, as representative, liaison and agent, eliminate the need for patients and their doctors to appear in court or legal hearings, allowing patients much needed recuperative time and allowing Primary Physicians quality time with their patients.  When necessary, In Home Services and/or In Home Hearings are provided as well.

Clerical Service Support is provided by the Business Office Support Systems (BOSS).   The Business Office Support System assist in preparation of documents, conduct dictation, choreograph audio/visual depositions and provide fax services for non-ambulatory individuals and those who are unable to write or type.

The Individualized Health Management Recommendation Plan
We proposed a major shift of primary focus away from information systems based on the hospital, clinic and medical practice, to one based on the individual client/patient.   This system is integrating over a lifetime all health-related information about the client/patient (its "subject"), thus providing, at minimum, a comprehensive medical record that is often virtually impossible to reconstruct in a timely manner as the subject moves through life and work assignments.

The (IHMRP) is not merely a passive repository of information, but an active process that engages in data collection, sometimes by interacting with the subject and sometimes by automatic tracking and recording of instruments.  It also monitors the progress of medical conditions and the effects of therapy with respect to expectations.  The (IHMRP) interprets facts and medically-related plans and helps explain them to the client/patient, allows the client/patient to customize therapy plans within bounds established by the Primary Physician and other care providers, giving the patient "ownership" of his or her therapy.  It adapts its advice based on the subject's prior experiences and stated preferences; and represents these in a broad range of negotiations with other systems, including setting therapeutic guidelines and scheduling appointments.

Another facet implements patient reminding and alerting functions, including reminders of scheduled therapy, medications and appointments, integrating these with personal scheduling tools, provides patient support functions such as contacts with support groups and other patients, queries to pharmaceutical companies, and government agencies.  It also uses these in structuring interactions between the Primary Physician, other health care providers and the patient by interfacing with information systems used by care providers, insurers, researchers, etc., to provide access to personal medical history information as authorized by the individual, and provide patient education functions, including access to general and specialized medical encyclopedias, forums and explanations of diagnostic findings and therapy plans specific to the individual.

Resources for Medical Records
Planet Share & Care utilizes bi-level synchronous systems which collect pertinent information from the patient’s medical records which are typically centered on building clinical information for hospitals, clinics, individual health care providers, insurers and government reviewers plus another system to support the health information needs of the client/patient.   It supports diagnostic criteria met and reports the symptoms that are consistent with the diagnosis from the patient’s clinical medical records, the Health Preliminary Screening, which consist of health surveys presented to the client/patient by an Investigator, Authorized Representative, or Agent, and the Circumstantial Evaluation Report from a Delta Area Social Worker.

Once the diagnosis is established, the disease’s management requires several individuals in addition to the Primary Physician.  Synergistic interaction between nurses, social workers, rehabilitative specialists, spiritual advisers (where applicable)  and *others can greatly improve the patient’s quality of life.
 

Information for medical records were taken from The Bibliography Archive - Resources for Patient/Client Medical Records.

Church of God
Planet Share Information NetWork