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Fit Tech Med 403. Terri Williams Seth Barbanell Scott Marriott John Goss. PHR – A Definition. - PowerPoint PPT Presentation
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Fit TechMed 403
Terri WilliamsSeth BarbanellScott Marriott
John Goss
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)
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)
Fundamental Requirements• Portable• Interoperable
Common elements needed • Personal demographic information• General medical information• Conditions• Hospitalizations• Surgeries• Medications• Vaccinations• Laboratory test results• Clinical tests• Pregnancy History• Family Medical History
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
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.
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
PHR – Types
(2010, Chillmark Research)
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
US Market analysis
PHR market – Markets• 3 Major markets• Provider• Employers • Health Plans
US market Analysis
Acceptance of and barriers to adoptionPhysician Perspective• Physician and organizational resistance• Cost of implementation• Product and Vendor immaturity
Acceptance of and barriers to adoptionHealth Plan Perspective• In general a leading supporter of early
adoption• Cost of implementation often a prohibitor
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