Fit Tech Med 403

1. Fit TechMed 403 Terri Williams Seth Barbanell Scott Marriott John Goss

2. PHR – A Definition An electronic, universally available, lifelong resource of health information needed by individuals to make health decisions. Individuals own and manage the information in the PHR, which comes from healthcare providers and the individual. The PHR is maintained in a secure and private environment, with the individual determining rights of access. The PHR is separate from and does not replace the legal record of any provider.” (2010, Journal of AHIMA)

3. PHR – Examples of • Paper based system stored in folders or binders in a physical drawer • Electronic scans stored in virtual file system on a computer, server or portable storage device • Portable devices such as a smart phone, personal digital assistants or memory devices • Internet-based personal health records (iPHR)

4. Fundamental Requirements • Portable • Interoperable

5. Common elements needed • Personal demographic information • General medical information • Conditions • Hospitalizations • Surgeries • Medications • Vaccinations • Laboratory test results • Clinical tests • Pregnancy History • Family Medical History

6. Historical progress • 2002 – Markley foundation established Connecting for Health to accelerate adoption of electronic health records • 2003 – AHIMA launched myPHR • 2005 – AHIMA launched education presentation kit • 2008 – Vendors start offering solutions

7. US Market analysis PHRs have been around in various forms since late 1990’s early 2000’s As physicians converted to EMRs web portals started to be instituted (RWJF, 4) Chronic disease management and consumerism fueled early attempts First generation were labor intensive and in provided very minimal value to anyone Later generations have the ability to aggregate some data, to book appointments, may be able to process billing claims.

8. PHR market – digitized and online B2B model in B2C model out Initial efforts aimed at consumer and failed Great amounts of challenges in a nascent market Technological Highly complex (Chillmark, 2010). Most businesses offering directly to other businesses

9. PHR – Types (2010, Chillmark Research)

10. PHR market – 2010 Fragmented 100-200 vendors say they sell PHRS Focused on iPHRs (internet based) 20% of 200 iPHRs 40% of the 40 vendors are thriving 35% treading water 25% walking zombies (Chillmark,2010) No consolidation of models No consolidation of fees No “Home run” business case

11. US Market analysis

12. PHR market – Markets 3 Major markets Provider Employers Health Plans

13. US market Analysis

14. Acceptance of and barriers to adoptionPhysician Perspective • Physician and organizational resistance • Cost of implementation • Product and Vendor immaturity

15. Acceptance of and barriers to adoptionHealth Plan Perspective • In general a leading supporter of early adoption • Cost of implementation often a prohibitor

16. 1 Introduction 2 3 4 Strategy Challenges Forward History

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