Welcome to Patient Advocacy Initiatives' Digital universal PreHistory (PreHx). Ready to help assemble information for your medical provider and be your own patient advocate?
Go to my PreHx - or - Sign up Today!
"We are a new organization based on newfound Patient Advocacy rights. We support three actions for all patients. They include:"
1. We should be able to view our medical records prior to a medical encounter.
2. We should be able to view our medical records after a medical encounter.
3. We should have an opportunity to "co-author" what is documented in the History section of our medical record.
Your PreHistory (PreHx) gives you the opportunity to answer all of the medical interview questions in preparation for a healthcare encounter. During a typical medical encounter, your medical provider/doctor may only have time to ask and document a few questions. By completing a PreHx, you can provide all of your concerns. This will help your provider better understand your concerns and improve the accuracy of your health record. Hopefully, your PreHx efforts will lead to high quality care.
The PreHx is purposely structured to replicate all of the History/interview questions as defined and structured by the Centers for Medicare and Medicaid Services (CMS) 1995 & 1997 Evaluation and Management Documentation Guidelines. This format organizes your PreHx in a manner familiar to how medical providers are educated and how electronic health records are constructed.
When you download and/or email your PreHx, the page below serves as the cover page. This information guides your medical provider/doctor and medical ancillary staff on how to accept and utilize your PreHx.
Dear Medical Provider and staff,
This document is a universal PreHistory (PreHx) assembled through 501(c)(3) non-profit Patient Advocacy Initiatives. Please use this patient authored information to populate the History component of your health record encounter note.
Accepting this document and empowering the patient to co-author the medical record is supported Federally in three ways:
Through the “Patients Over Paperwork Initiative”, CMS aims to simplify medical record documentation. New laws and rules empower patients and ancillary medical staff members to populated the History. CMS wants medical providers to focus on the needs of the patient rather than be overwhelmed with clerical duties.
Patient Advocacy Initiatives, Pennsylvania, offers www.PreHx.com as a free service. All individual entered information is kept confidential and private. PreHx.com is a tool to help people prepare for medical encounters. We guide individuals through all of the near 30 medical interview questions as defined and structured by 1995 and 1997 CMS Evaluation & Management Documentation Guidelines.
This PreHx is intended to:
Ancillary staff members can scan this patient authored PreHistory into your electronic health record (EHR) or enter a copy into your paper medical record. The provider should read the PreHx and document that it was reviewed. Rather than spend much of the visit gathering basic questions, start the visit with a finished History. Work at the top of your license!
Sincerely,
Michael J. Warner, DO, CPC, CPCO, CPMA, AAPC Fellow
President, Patient Advocacy Initiatives, drmichaelwarner@patientadvocacyinitiatives.org
Submitting a PreHx as a written request to amend your health record is supported by the Standards for Privacy of Individually Identifiable Health Information of 2001 [45 C.F.R. § 164.526], also known as the HIPAA Privacy Rule. Published clinical research has demonstrated high patient satisfaction and improved healthcare setting workflow (JAOA Feb 2017 https://jaoa.org/article.aspx?articleid=2599978).
New CMS rules, which started January 1, 2019, make it clear that patients and medical ancillary staff members can document the History/medical interview into the health record. This new policy was announced as Final Rule in the Federal Register November 23, 2018, (https://www.govinfo.gov/content/pkg/FR-2018-11-23/pdf/2018-24170.pdf p. 59635) Completing and submitting a PreHx is a means of empowering you to partner with medical providers and ancillary staff members to accommodate federal laws, rules and regulations.
Information entered into PreHx.com is considered ‘personal health information’ and is not covered by the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Though the content of this website is not covered by HIPAA, we treat your information as if it were protected by HIPAA. Information is housed by a Microsoft Azure™ Cloud Service, which is compliant with HIPAA and Fed RAMP (Federal Risk and Authorization Management Program). Data is encrypted at rest and in motion with dynamic data masking.
This website is compliant with the California Consumer Privacy Act of 2018 (CCPA) and Europe’s General Data Protection Regulation of 2016 (GDPR). Words you enter into this website are not sold or shared. CCPA and GDPR are forward thinking in protecting personal information. PreHx.com does not read the words you enter into your PreHx. Your words and personal information are not shared or sold to third parties. Users have the ability to correct/edit/delete information entered while creating PreHx’s. Michael Warner, DO, CPC, CPCO, CPMA, AAPC Fellow is the Data Protection Officer (drmichaelwarner@patientadvocacyinitiatives.org). PreHx.com is maintained by 501(c)(3) Pennsylvania non-profit Patient Advocacy Initiatives.
Your information is kept private for two reasons: data protection for you & reduced liability for non-profit Patient Advocacy Initiatives. Your PreHx is designed to help you best prepare for a medical encounter. If someone were to enter “Shortness of breath,” we do not read or review what you write. Thus, we have no means to call for emergency care because we do not read what you enter. What you write in your PreHx is designed to be submitted to your medical provider to co-author your health record. It is the obligation of your medical provider to respond to what you write in your PreHx.
We keep your information private because we want you to feel comfortable creating your medical narrative. Your medical story has the potential to help you be better heard and understood by your provider, which should lead to an accurate diagnosis and effective treatment plan.
We study information about how information is entered. How long does it take to complete each question? How long does it take to complete an entire PreHx? How long does it take to complete the first PreHx versus a subsequent PreHx? How many characters/words are typically entered in each response? How many individuals have completed a PreHx? Where in the world, limited to the last 3-digits of ZIP code in the United States, are people completing PreHx’s?
We plan to continuously conduct Institutional Review Board approved research and publish these results, with links on PreHx.com. Our aim is to improve your experience so you can best represent yourself and best author what is written about you in your health record.
Sir William Osler, considered the father of modern medicine, stated over 100 years ago, “Listen to the patient, he is telling you the diagnosis!” We believe Dr. Osler’s words ring true today. By completing a PreHx, you are delivering information to be better heard and understood.
Our government, through new CMS rules, has made it clear that you should author the History component of your health record. After all, you know yourself better than anyone else. Creating and submitting your PreHx allows you to take an active role in representing yourself or someone you care for.
Take the PreHx Challenge; Complete a PreHx and submit it at your next medical encounter. After the encounter, request a copy of your medical record. Read the History, Examination and Medical Decision Making from your last encounter and see how your PreHx impacted the accuracy and outcome of your care.
Our PreHx clinical research revealed patient satisfaction of 97%. These patients submitted a PreHx, co-authored their medical records and then read their medical records after the visit. If you seek high healthcare satisfaction and wish to be better heard and understood, consider completing a PreHx.
Doing everything possible to improve your healthcare now includes submitting information and reviewing your health record for accuracy. Be your own patient advocate: co-author your health record with a PreHx and read your health record to assure for accuracy.
Free. The mission of non-profit organization Patient Advocacy Initiatives is to empower individuals to be their own patient advocate. We offer our PreHx as a tool and process for you to author the History component of your health record.
There is no cost to medical providers/doctors or healthcare systems to receive your PreHx. Providers and healthcare systems cannot obtain information directly from PreHx.com. They can only receive this information if it is submitted by you. You are in control of who receives your PreHx.
