January 8, 2009

Key Capabilities: PHR is a repository of personal health

information. PHR is a platform for data exchange

among that person’s healthcare providers.− “Tethered” PHRs vs. “Platform” PHRs

PHR is an interactive platform enabling greater patient engagement.

“Tethered” PHRs PHR is integrated with or

“tethered” to the provider’s EHR.

Information added/updated in PHR made available to the provider within their EHR.

PHREHR synchronization can occur automatically or manually.

Data exchange limited to the provider offering the PHR.

EHR is not a prerequisite.− Data can transmit via fax from PHR

to the provider for inclusion in record.

“Platform” PHR:• PHR capable of

exchanging information with multiple EHRs and data sources/ consumers.

PHR adds more value, if connected to all of that patient’s providers.

Patient’s health data follows them for when they & their providers need it.

What makes such exchange possible?− Standardized data structures using the

Continuity of Care Document (CCD). Sample data types:

• Medications• Allergies/Adverse Reactions• Conditions/Diagnoses• Immunizations• Plus 13 more…

− Standardized technology used to transport data.

• Interfaces being developed now with the NHIN demonstrations

Leverage standardized data flows for next generation of PHRs:− Disease management

tools− Care Coordination tools− Communication Tools− Wellness tools− Research & Secondary Use− Personalized Medicine

− Plan of Care based on molecular/genetic testing.

− Social Networking− www.PatientsLikeMe.org

− Digital Learning Environments