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Using HIPAA compliant emails to improve COPD self-management

Written by Caitlin Anthoney | June 14, 2024

Providers can use HIPAA compliant emails to improve COPD patient communication, monitoring, education, adherence, and emergency response. Additionally, personalized HIPAA compliant emails can help patients with COPD actively participate in their care, improve health outcomes, and foster a supportive patient-provider relationship.

 

What is COPD?

The National Heart, Lung, and Blood Institute defines chronic obstructive pulmonary disease (COPD) as “a condition caused by damage to the airways or other parts of the lung that blocks airflow and makes it hard to breathe.” In the U.S., COPD refers to two main conditions, emphysema and chronic bronchitis.

“Emphysema develops when there is damage to the walls between many of the air sacs in the lungs. Normally, these sacs are elastic or stretchy. When [patients] breathe in, each air sac fills up with air, like a small balloon. When [patients] breathe out, the air sacs deflate, and the air goes out. In emphysema, it is harder for [their] lungs to move air out of [their] body.

On the other hand, “chronic (long-term) bronchitis is caused by repeated or constant irritation and inflammation in the lining of the airways. Lots of thick mucus forms in the airways, making it hard to breathe.”

The chronic and progressive nature of COPD can be challenging for patients and healthcare providers. Managing COPD requires a multifaceted approach that includes regular monitoring, timely interventions, patient education, and continuous support. More specifically, providers can help patients manage COPD through self-management strategies.

 

What is self-management?

A study on self-management education explains, “Self-management has become a popular term for behavioral interventions as well as for healthful behaviors.” Furthermore, “Self-management is especially important for those with chronic disease, where only the patient can be responsible for his or her day-to-day care over the length of the illness.”

The study identifies three self-management tasks:

  1. Medical management
  2. Role management 
  3. Emotional management

Providers can help patients by providing education and resources to support them in managing their conditions. Additionally, encouraging open communication and collaboration between patients and providers can enhance self-management strategies. 

 

Interventions for COPD management

According to a study on self-management in the context of personalized care in COPD, “As chronic respiratory diseases predictably become increasingly common, demand for programs that will enable and empower patients to assume more responsibility for their care management will only rise.” 

“COPD treatment needs to cross boundaries from inpatient care for acute events to outpatient and community-based care for long-term, ongoing self-management of COPD. Thus, there has never been such a pressing need to challenge the current care models and move towards strategies that improve the efficiency and effectiveness of COPD care.”

The study suggests using personalized self-management interventions “especially in the context of COPD, as many individuals have more than one health condition… rather than generic information suitable for a wider population.” Furthermore, “no single intervention solution is suitable for all people, and combinations of strategies should be considered to support patients in the best possible way.”

However, digital health interventions can “empower individual patients, reduce health inequalities and deliver innovative high-quality healthcare.” 

 

What are personalized HIPAA compliant emails?

The Health Insurance Portability and Accountability Act (HIPAA) regulations mandate the confidentiality and security of patients' protected health information (PHI). HIPAA compliant emailing platforms, like Paubox, use advanced security measures, including encryption, access controls, and audit trails, to safeguard patients’ PHI throughout its transmission and storage.

Personalized HIPAA compliant emails allow targeted and timely information. Providers can securely send medication reminders, personalized action plans for managing exacerbations, and resources for lifestyle modifications. 

Specifically, providers can use personalized HIPAA compliant emails to deliver tailored information and resources to patients with COPD, improving patient engagement and outcomes. 

Additionally, HIPAA compliant emails allow providers to “actively [encourage] symptom monitoring and [have] specific, clear healthcare goals… [improving] patient responsibility regarding medication adherence and lifestyle choices…”, as evidenced by the previous study.

Go deeper: Why personalized healthcare emails are better

 

Best practices for emailing COPD patients

Choose a HIPAA compliant platform: Providers must choose a HIPAA compliant emailing platform, like Paubox, which offers built-in encryption and other security measures to safeguard patient privacy.

Train staff on HIPAA compliance: Provider organizations must ensure staff members are trained on HIPAA regulations and secure email practices.

Obtain patient consent: Providers must obtain explicit patient authorization before communicating via email. Providers can use a customizable HIPAA compliant consent form to streamline this process.

Conduct regular audits: Providers should regularly audit their emails to ensure HIPAA regulations, identify potential security vulnerabilities, and address them.

Develop clear policies: Providers must develop and implement clear policies on patient communication using HIPAA compliant emails. These guidelines can include aspects of handling PHI and responding to security breaches.

 

Using HIPAA compliant emails for managing COPD

Improved communication

HIPAA compliant emails allow secure communication between healthcare providers and COPD patients, facilitating timely updates on treatment plans, medication adjustments, and test results.

 

Remote monitoring

Providers can use HIPAA compliant emails to monitor COPD symptoms and health metrics remotely, helping providers detect exacerbations and adjust treatment plans. COPD patients can also email their daily peak flow meter readings to their provider, who can give personalized feedback and recommendations.

 

Educational support

Providers can send HIPAA compliant emails containing educational resources tailored to COPD management strategies, lifestyle modifications, and community support groups. For example, providers can send COPD patients educational emails with secure links to online resources on breathing exercises to improve COPD.

Ultimately, HIPAA compliant emails can help these patients improve their health literacy and health outcomes.

 

Medication adherence

Providers can regularly send HIPAA compliant email reminders about medication schedules, refill notices, and adherence tips to help improve medication compliance among COPD patients. HIPAA compliant emails can also be automated to help ensure COPD patients take their prescribed inhalers and medications on time.

 

Emergency response 

In urgent situations where COPD symptoms worsen, providers can send HIPAA compliant emails with instructions for managing acute episodes or when immediate medical attention is needed. 

For example, HIPAA compliant emails can include step-by-step guidelines that COPD patients can follow during a sudden exacerbation and explain when to use emergency inhalers and how to get medical help.

However, providers must obtain informed, express, or implied patient consent to safeguard patient privacy during emergency care.

 

Reducing health inequalities

Health inequalities are more evident in COPD than in many other major non-communicable diseases, arising from differences in respiratory health that are closely linked to factors like racial ancestry, socioeconomic status, and environmental disparities, according to the study on self-management in the context of personalized care in COPD. 

The study also notes, “many disadvantaged groups face further barriers to healthcare, affecting access to prevention services, earlier detection and disease clinical management.”

Providers can use HIPAA compliant emails to overcome these barriers and enhance collaborative efforts, reducing disparities in healthcare access. For example, if a patient cannot come in for regular check-ups, their provider can email educational materials for managing their COPD.

Related: Addressing social determinants of health with HIPAA compliant texts

 

Integrating COPD self-management tasks

The earlier study explains that “Supported self-management is not a time-limited or single intervention delivered as a ‘one-size-fits-all’ package; it should be an ongoing process relying on joint understanding, reviewing and shared decision-making, with the ultimate goal of empowering the person to make the right choices for them and live a better life with their condition.”

Providers can also integrate self-management tasks into their HIPAA compliant emails to deliver tailored intervention plans for COPD patients. 

 

Medical management

Medical management in COPD can help control symptoms, reduce exacerbations, and improve the patient's quality of life. Providers can use HIPAA compliant emails to send personalized COPD treatment plans, ensuring that sensitive patient information remains secure. 

These emails can include medication schedules, instructions for using inhalers, and updates based on recent health assessments. For example, if a patient’s spirometry results show that their medication needs to be adjusted, the provider can use HIPAA compliant emails to inform them.

Additionally, these emails can offer guidance on daily management practices, like dietary recommendations, tailored to the patient's condition and progress. 

 

Role management

Role management in COPD involves helping patients balance their daily responsibilities while managing their condition. Providers can use HIPAA compliant emails to support COPD patients in adapting to their roles, offering guidance for maintaining daily activities. 

These emails can include practical tips for integrating COPD management into their work and caregiving routines. For example, HIPAA compliant emails can remind patients to take regular breaks, use breathing techniques during stressful moments, and organize their environment to minimize physical strain. 

 

Emotional management

Providers can use HIPAA compliant emails to offer patients with COPD emotional support. These emails can include supportive messages, coping strategies, and secure links to mental health resources, helping patients improve their overall well-being. 

Additionally, providers can use HIPAA compliant emails to schedule virtual appointments and follow-ups for continued care.

Read also: Improving mental healthcare through HIPAA compliant email marketing

 

Incorporating self-management skills

Providers can also integrate self-management skills into their HIPAA compliant emails for more effective self-management among patients with COPD.

The first study lists six self-management skills:

  1. Problem-solving
  2. Decision making 
  3. Resource utilization 
  4. The formation of a patient-provider partnership
  5. Action planning 
  6. Self-tailoring

     

Problem solving

“By definition, self-management education is problem-based.” So, providers can use HIPAA compliant emails to encourage COPD patients to identify and address challenges related to their condition through interactive problem-solving exercises. 

For example, providers can email patients scenarios about coping with fatigue and ask them to suggest strategies for managing these symptoms, helping patients manage their condition and handle day-to-day challenges.

 

Decision making

The study explains that “[patients] with chronic illness must make day-to-day decisions in response to changes in disease condition. To do this they must have the knowledge necessary to meet common changes.”

Providers can securely send COPD patients evidence-based summaries of treatment options discussed during appointments and help them weigh the potential benefits and side effects so patients can make informed decisions.

 

Resource utilization

HIPAA compliant emails can equip patients with information on community resources, educational materials, and online support groups. The study elaborates, “In addition to teaching people how to use resources, self-management includes helping people seek these out from many sources.”

Specifically, providers can send patients information about nearby rehabilitation centers, educational workshops, and online forums where they can connect with others managing COPD. 

 

Formation of patient-provider partnership

According to the study, “The patient must be able to report accurately the trends and tempo of the disease, make informed choices about treatment, and discuss these with the health care provider.”

HIPAA compliant emails can improve patient-provider relationships and enhance patient engagement. For example, providers can engage COPD patients by sending summaries of their latest appointments, including agreed-upon treatment adjustments and self-management tasks. 

Additionally, HIPAA compliant email reminders and follow-ups can help reduce the number of patient no-shows and improve overall efficiency in healthcare settings.

 

Action planning

The study explains, “An action plan involves a period of 1 or 2 weeks and is very behavior specific… Next, it should be realistic or ‘doable.’ This means that the person should be able to accomplish the behavior this week.”

Providers can use HIPAA compliant emails to assist patients in developing behavior-specific action plans, encouraging daily breathing exercises, and sending reminders to monitor peak flow measurements before and after physical activity. 

 

Self-tailoring

“Unlike compliance and traditional tailoring, self-tailoring is done by the individual based on learning the principles for changing behaviors and self-management skills. An example of these principles is how to begin and enhance an exercise program,” the study elaborates.

Providers can send HIPAA compliant emails with surveys asking patients about their exercise habits, dietary preferences, and health goals. Providers can then use these responses to offer personalized recommendations, like exercises tailored to their fitness level and diet adjustments to support their overall health. 

Ultimately, this personalized approach can help patients apply behavior change principles independently, enhancing their ability to effectively manage COPD and improve their quality of life.

Read also: How HIPAA compliant emails and texts can help smoking cessation

 

FAQs

What are HIPAA compliant emails?

HIPAA compliant emails are secure electronic communications that protect patients' protected health information (PHI) through encryption, access controls, and other security measures.

 

Can HIPAA compliant emails improve COPD management?

Yes, HIPAA compliant emails allow providers to send personalized treatment plans, medication reminders, and educational resources to COPD patients for better patient engagement and treatment adherence, ultimately improving COPD management outcomes.

 

Is it safe to include links to external websites in HIPAA compliant emails?

Yes, as long as those websites also comply with HIPAA regulations for protecting PHI.

Go deeper: HIPAA compliant use of hyperlinks in email