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Empowering Citizens Through Digital Health Services: A Multi-Sided Market Approach

Explore the journey of empowering individuals to access their health information and services through a user-centric digital platform. Learn about overcoming challenges in a multi-sided market, engaging clinicians, integrating PHR with EMR, and driving awareness on owning health information.

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Empowering Citizens Through Digital Health Services: A Multi-Sided Market Approach

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  1. Anubha Sant, MSc. CPHIMS-CA eHealth Strategy Consultant Department of Family Medicine McMaster University santa@mcmaster.ca @xanubhax

  2. Phase 1 Legislative review

  3. Inspiration • Indivo project from the Harvard-MIT Children’s Hospital Informatics program • 1994: Guardian Angel Manifesto • Proposed that health information software move away from complete control by doctors and hospitals and focus more on the individual

  4. Vision • To digitally empower citizens to access their health services and control their personal health information, while being able to provide electronic support to individuals within their social network

  5. Phase 1 Legislative review

  6. Validation • Idea validated through focus groups • Focus groups limited to clinical service providers and general healthcare consumers (patients) • Prototype validated in clinical settings with clinicians and consumers

  7. Phase 1 Legislative review

  8. Phase 1 Legislative review

  9. Designed to provide a consolidated experience to connect to multiple health service organizations Secure Messaging Data Sharing

  10. Meaningful management of health and wellness information

  11. Integrating the care network

  12. Phase 2

  13. Designed with the full spectrum of health system in mind

  14. Challenges of implementing in a multi-sided market • We’ve got a cool platform…so now what? • How do you get the first users onto the platform? • Which user-base do we focus on? Step 1: Open access to all within a controlled environment to evaluate uptake – find a niche Step 2: Replicate the niche

  15. Challenges of implementing in a multi-sided market • Needed clinicians to be engaged to share data with patients • Need to remove technical barriers because clinicians don’t want another log-in or system to interact with Integrate PHR at data and workflow level with the EMR. Data integration done in a standards based manner through collaboration with MEDIC. Find clinical champions of patient-engaged care

  16. Challenges of implementing in a multi-sided market • Needed people to own their health journey to engage with clinician(s) • The culture shift is on our side. More people are turning to the internet for health information. BUT many people still rely on their physicians to manage their care Find an engaged demographic Raise awareness to let citizens know that they own their health information and can own their health story

  17. Phase 2

  18. Evaluation • Mixture of qualitative and quantitative evaluation • Evaluation was primarily driven by unstructured user feedback • Clinicians (physicians, pharmacists, allied health professionals) • Researchers • General Users • Feature requests were assessed on a feasibility matrix for market success

  19. Phase 2

  20. Designed to provide a consolidated experience to connect to multiple health service organizations Appointment Booking Secure Messaging Data Sharing

  21. Improving access to care services

  22. Phase 3

  23. What’s next? • Enhancing integrations with additional eHealth assets to provide consumers with access to siloed health information • Transition into the commercialization phase

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