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Personal Health Records - An Overview
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20-Oct-2014 -
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Transcript of Personal Health Records - An Overview
Personal Personal Health Health
RecordsRecordsConnecting the Healthcare Connecting the Healthcare
ExperienceExperience
RoadmapRoadmap
What is a Personal Health Record (PHR)What is a Personal Health Record (PHR) Definition, Components, & GoalsDefinition, Components, & Goals
TerminologyTerminology MarketMarket
Market Size & BenchmarksMarket Size & Benchmarks ProvidenceProvidence Future DirectionsFuture Directions
What is a PHR?What is a PHR?
Functional Functional ComponentsComponents
Patient ApplicationsPatient Applications
•More than just static repositories for patient data
•Combine data, knowledge, and software tools
•Help patients to become active participants in their own care
PHR GoalsPHR Goals
TerminologyTerminology
Stand Alone – Limited to patient-entered and Stand Alone – Limited to patient-entered and maintained informationmaintained information
Tethered PHR – Allows patients to view Tethered PHR – Allows patients to view information from other applications (e.g. information from other applications (e.g. Institutional EMR)Institutional EMR)
Interoperable PHR – Accessible to and through Interoperable PHR – Accessible to and through multiple systemsmultiple systems
Bi-directional PHR – Two-way communication Bi-directional PHR – Two-way communication between EMR and PHR between EMR and PHR
Repository vs. PHRRepository vs. PHR
Adoption PotentialAdoption Potential
75% of consumers want access 75% of consumers want access onlineonlineMedical recordsMedical recordsTest resultsTest resultsAppointment schedulingAppointment scheduling
1 in 4 willing to pay extra1 in 4 willing to pay extra60% would use a PHR if available60% would use a PHR if available
Cross-Industry Cross-Industry ComparisonComparison
Online bankingOnline banking27% growth rate in 200527% growth rate in 200572 million households (76%) by 201172 million households (76%) by 201185% of “Gen Y” will bank online85% of “Gen Y” will bank online
Similarities and DifferencesSimilarities and DifferencesTechnical - security, privacy, sharingTechnical - security, privacy, sharingInformation complexity and need for Information complexity and need for
interpretationinterpretation
Current UtilizationCurrent Utilization
25% of Americans have PHR access25% of Americans have PHR accessCurrently 2-3% actual overall Currently 2-3% actual overall
utilizationutilizationBarriers to adoption:Barriers to adoption:
Difficulty finding, using or Difficulty finding, using or understanding PHR’sunderstanding PHR’s
Lack of “Value” content – beyond Lack of “Value” content – beyond data storagedata storage
Current UtilizationCurrent Utilization
Higher adoption rates in Higher adoption rates in specific systemsspecific systemsLower adoption in repository-Lower adoption in repository-
only systemsonly systemsFunction layers drive utilizationFunction layers drive utilizationEase of access and use are key Ease of access and use are key
driversdrivers
AetnaAetna
Using ActiveHealthUsing ActiveHealthPartnered with HealthVaultPartnered with HealthVaultInstalled in mid-2007Installed in mid-20077% PHR adoption April 2009 (18 7% PHR adoption April 2009 (18
mo)mo)
SSM Healthcare of SSM Healthcare of WisconsinWisconsin
Using Epic MyChartUsing Epic MyChart650 providers650 providers1.1 million EMPI records1.1 million EMPI records0030,000 30,000 activeactive users after 18 users after 18
monthsmonths30% growth during last 6 months30% growth during last 6 months
KaiserKaiser
Using Epic’s MyChartUsing Epic’s MyChart34% PHR adoption (3M users and 34% PHR adoption (3M users and
8.3M members) within 3 years8.3M members) within 3 yearsLab results viewed 150K Lab results viewed 150K 10M+ 10M+Clinician messaging 74K Clinician messaging 74K 3.5M+ 3.5M+Patient portal repeat users 20% Patient portal repeat users 20% 60% 60%
Providence PHR Providence PHR RegistrationRegistration
200,000 200,000 membersmembers
3,000 PHR 3,000 PHR registrantsregistrants
1.5% 1.5% adoptionadoption
Providence PHR Providence PHR UtilizationUtilization
Utilization data is for the last 2 years of WebMD implementation
Functional Functional ComponentsComponents
Current Providence Current Providence PHRPHR
Claims based Claims based data sourcedata source
On-site data On-site data repositoryrepository
One-way data One-way data flowflow
Some targeting Some targeting possiblepossible
Applications
Application Programming
Interface
PHR Data Repository
AdministrativeData Source
Clinical Data Source
Patient Entered Data
Security
Protocol
Security
Protocol
PHR
Rx Hub SureScripts
Non-ProvidenceProviders
PHR
Patient
Providence HIE
Cerner LabStar
Radiology
HCS IS
Centricity
Horizon Clinicals
3rd Party Reposito
ry
Admin Server
Flowcast
Pathways Inpt
Sched
PHR and ConnectPHR and Connect
Shift Away From Shift Away From Claims?Claims?
““Sharing billing Sharing billing data with patients data with patients is unreliable for is unreliable for clinical history, clinical history, and it was a and it was a mistake to do mistake to do that”that”
- Dr. John Halamka, CIO - Dr. John Halamka, CIO Beth Israel Beth Israel DeaconessDeaconess
April 2009April 2009
Shift Away From Shift Away From Claims?Claims?
Google now Google now working with working with National Library National Library of Medicine to of Medicine to codify free text codify free text clinical termsclinical terms
Claims Data ValueClaims Data Value
SummarySummary
PHR’s are a fundamental means of PHR’s are a fundamental means of providing value driven healthcareproviding value driven healthcare
We are currently falling behind We are currently falling behind benchmarks in PHR application and benchmarks in PHR application and adoption ratesadoption rates
Developing a bidirectional, integrated Developing a bidirectional, integrated PHR puts Providence at the front of PHR puts Providence at the front of Healthcare ITHealthcare IT
Questions?Questions?