Personal Health Records A Clinical and Competitive Advantage

1. Aligned Physician Strategy Personal Health Records A Clinical and Competitive Advantage Taryn Murray and Dr. Stephanie Calkins May 8th 2008

2. Goals for the Personal Health Record pilot… • Increase office efficiency and reduce phone calls: • appointments requests • prescription renewals • Lab results and X-rays • questions about bills or records

3. Goals for the Personal Health Record pilot… • Deliver a higher level of patient service, convenience and satisfaction by: • optional practice-specific video to promote your practice or inform patients of upcoming flu clinics, changes in office hours, new staff announcements, etc. • a comprehensive library of peer-reviewed articles and education resources for your patients, developed by leading medical societies, the AMA, and patient advocacy groups • Updates to patients on discontinued or dangerous medications that have been pulled off the shelves before that are emailed

4. Personal Health Record’s Provide Provider Practices with: Increased revenue from Online Consultations. Provide follow-up care or ongoing instructions to established patients, create direct revenue for your practice, and increase patient satisfaction A personal health record (PHR) for your patients means fewer clipboards for your staff. Patients can use their PHR to prepare for their appointment, replacing the need of medical clipboards and engaging patients in their own care. Privacy and security, Governed by a not for profit healthcare organization with representatives from medical societies, patient safety groups, and medical malpractice carriers.

5. Patient Experience with Personal Health Records • 80% of all adults are now online • Three-quarters (71%) of adults have used the Internet to research health information 2007 Harris Interactive poll • Patients overwhelmingly want information and online communication from trusted sources -- their providers • Patients find the service easy to use, intuitive

6. How it works…Personalized Physician Practice Website Logo on all physician practice Web sites - can include video for practice promotion or care instructions Patients can login and register for their PHR directly from the physician’s practice Web site Patients access this PHR with their user ID and password. If this is their first visit, they select a user ID and password

7. Patient Grant Privileges to Their Health Record Patients are able to grant access to other clinicians or specialists Or in case of emergencies Patients are able to audit who has seen their record

8. Patient Creates Personal Health Record PHR Core elements: Conditions Medications Allergies Medical History Record includes Specialty modules for Peds, ObGyn and Pregnancy Social and Family History Legal Documents

9. First Time Patient Registers for our PHR

10. Registrations and messages comes into Touchworks task view as anepat Registration task or epat message.

11. Once Approved By Practice, Patients Can Access Secure Messages

12. Patient have ability to create an Appointment Request–allows to view out of office and customized patient instructions

13. Prescription Renewal Form For Patient To Complete

14. Sending Labs or appointment reminder messages to a registered patient through EMR…

15. General Message Requests from Patient

16. Every patient will eventually come to their appointment with accurate paperwork All Information is available in ‘snapshot’ format for patient to bring to their appointment. Practices can upload custom forms -- such as HIPAA sign off, History Forms – for clipboard replacement.

17. The food and Drug Administration (FDA) has asked Pfizer to voluntarily remove Bextra (valdecoxib) from the market. FDA is also asking manufacturers of all marketed prescription Non-Steroidal Anti-Inflammatory Drugs (NSAIDs), including Celebrex (celecoxib), a COX-2 selective NSAID, to revise the labeling (package insert) for their products to include a boxed warning, highlighting the potential for increased risk of cardiovascular (CV) events and the well described, serious, potential life-threatening gastrointestinal (GI) bleeding associated with their use. PHR Benefits: Patients

18. Providers can select fromAdherence Programsor create their own

19. Patient Receives Responses In Their Inbox(E-mail Alert For New Messages) The email gives the URL to automatically link to the practice website.

20. Privacy and Security Online communications between healthcare clinicians and patients should be done over a secure network, including encryption, in accordance with HIPAA. Standard emails DO NOT meet the requirements under HIPAA, so having a secure PHR such as iHealth is safe and effective .

21. To conclude… • PHR’s are a secure, online hospital-patient-physician connectivity. • PHR has patient education programs and FDA warnings and recalls specific to a patient’s conditions and medications. • Online pre-registration. • Customized physician website with practice brand. • PHR’s deliver a higher level of patient/customer satisfaction. • Improved communication which saves time and “people power” in the end. To see more benefits of the PHR, go to www.medem.com