It depends on what system the remote health care organization is using., If it uses Epic, they would likely have access to all my information if they participate in Care Everywhere. My two local health systems both use Epic. If not, they might be able to check via a query through CommonWell or Carequality, but the record might not be complete. If they don't have access to either of those systems, then they would likely have no electronic access to anything.
Over the past 40 years, I have received health care services in five states, including New Jersey, Connecticut, Massachusetts, Wisconsin and New Hampshire. Over the last 12 years, all my providers were on Epic. Prior to that, it was a mixture of systems, including one that was self-developed.
I had a hard time answering this question so went with “I don’t know,” but my guess is less than 10%.
My PCP was on one system for some time, aligned with a local hospital via Community Connect, and now uses a new system. My OBGYN, eye doctor, and dentist are all on separate systems and I’d be very surprised if they talk with each other. The local hospital here is an Epic shop, so if I was out of town at a hospital that uses Epic and that hospital looked via CareEverywhere they’d see a decent amount of info that’s relevant.
I have some emergency info accessible via my phone, but thankfully I don’t have extensive medical history to share.
I have had this experience from both sides, well three sides: I worked ED for quite a bit and always struggled to understand the patient's history -- so learned to focus on the moment. I developed interoperability solutions that, based on that experience would help clinicians understand the patients history. And, as an ED trauma patient was scared to death that I needed to be cogent and alert to help decipher the epic mess that is my unified chart.
I have 5 charts in my 'total' chart set, 4 of them are with one epically large vendor. Another is a Touchworks that has since migrated. I had spent most of a decade slinging clinical data between EHRs, sometimes different, sometimes the same 'make and model' and knew how distorted things could get. I had a motorcycle MVA that I didn't expect, well, to make it. But, in the ambulance the paramedic offered up morphine and fentanyl, which I refused. I refused because I knew how bad my chart was and that I would need to help decipher it.
Sure enough: Medications that had long ago run their course, "allergies" that were always intolerances, Problems that had long been resolved and a couple that never existed. I had to tell the doc three times I had no drug allergies -- finally just saying "NKDA and I am B+" to make my point. His reply wasn't fit for print, but he got that the record was FUBAR and for him SNAFU.
We won't get to that level of interoperability until we run records through that level of interoperability and call out the failures. I would argue that every regional system should run that level of engagement, starting with a mapping and moving all the way to real data moving across multiple systems and arriving: complete, accurate, appropriate, and up to date.
The vendors will never do that, it has to be regional systems that run that engagement, or it won't happen.
I want them to have everything under the sun in order to allow them to make the best decisions. This is an exception to "less is more." What was the purpose behind leaving paper charts? Why did I sign up for health IT in 2010 and am now a lifer? If we can't get to single payer as a system, like every other developed country, at least we can get to universal sharing of data to provide the best care.
They could probably access what I have on my iphone in the Health app (blood type, allergies, next of kin). After that, probably not much.
I know from experience moving from Maryland to Georgia that my new docs don't access data electronically by participating in networks like Commonwell which means my data also won't be available. Add to that my address changed and even my med history wasn't findable via Surescripts. So doesn't look good for me.
I am answering 'I don't know' because I truly don't know. I say this after ending up in the urgent care/ER at our local hospital recently, and even though I know everything they might want to know about me is in my record (Epic) because I can see it on the portal, I still get asked all the same questions to fill out either via paper or using an iPad. Go figure! Are they just validating what's on there? I really don't know.
My providers participate in a local health information exchange (Manifest MedEx in CA) that is connected to the national exchange (eHealth exchange). Additionally, my providers are on Epic so presumably if the facility where I was taken after the accident is on Epic, depending on the geographic distance, my information would be available through Epic Care Everywhere. Having my drivers license with a name, DOB and address should be adequate for a match.