An interactive preventive health record (IPHR), designed to provide patients with preventive health information from their clinician's electronic medical records and link patients to educational resources, decision aids, and a tailored list of prevention recommendations, will improve the quality of preventive care for patients. This innovation places patients at the center of their preventive care.

A comprehensive medication history is available through electronic prescribing applications at the point of prescribing in physician offices. This study seeks to develop and test tools and a curriculum to improve patient-provider communication regarding medication issues among geriatric patients.

This study seeks to develop and demonstrate the feasibility of tools to help patients improve their role in medication management and to improve their participation in clinical encounters relating to medication use. A DVD for low literate audiences will be developed to address optimal ways to communicate with health care medication issues, as well as address medication adherence issues among geriatric patients. The DVD will be tailored to the particular needs of individual patients.

This contract aims to establish a foundation and propose an action agenda for the integration of patients' personal health information management into the design of consumer health IT. The project further involves secondary analysis of the Medical Expenditure Panel Survey (MEPS), looking for the relationship between respondents' demographic backgrounds, medical service usage, and method of medical record keeping.

SureScripts, Alexandria, VA, partnering with Brown University and five vendors (Allscripts, DrFirst, Gold Standard, Medplus/Quest Diagnostics, ZixCorp.) will recruit physicians and pharmacies for participation in Florida, Massachusetts, Nevada, New Jersey, Tennessee, and potentially Rhode Island. The pilot will evaluate how the e-prescribing standards work in a variety of practice settings, geographic areas, and e-prescribing technologies. In addition, the project will assess how prescriber and vendor characteristics influence e-prescribing adoption and what "best features" of vendor software improve medication-related safety outcomes.