1. @rutgerleer

2. Healthcare-innovationWhat my friends think I do. What my mom thinks I do. What society thinks I do.What my boss thinks I do. What I think I do. What I actually do. 3. Jumping the fence of patientinformation sharingRutger Leer 4. Radboudumc 5. reshape 6. Bron: http://www.rijksoverheid.nl/onderwerpen/overheidsfinancien/inkomsten-en-uitgaven 7. Differences Dutch US healthcareDifferent locations One location Different locationsHospitalGP(pcp)OutpatientInpatientGP(pcp)Elderly homesHome carePharmaciesPhysiotherapySurgeryPharmaciesPhysiotherapyHome care 8. ziekenhuismetingTop-marginBottom-margin 9. physicianGPphysicianpatient 10. 10.000 steps80 kg 11. ? ! 12. Current situation Epic at Radboudumc HIMMS stage 6 MyChart: letters, labs, appointments (historic, future, making, cancelling),some questionnaires Starting a pilot with EpicCare LinkComing soon: MyChart patient entered data, parental (proxy access) to child chart MyChart Bedside 13. Long term strategy Integration of information between Epic Hereismydata Including consumer measurements in Healthcare Taking the CCD file to the next level, transmitting/ downloading discretedata Uploading discrete data Integrating subjective and objective measurement into 1 care plan 14. Why integrate through Mychart Patient portal, so patient is in the lead when it is shared and where datawill be shared to. Patient always knows when he/she last downloaded or transmittedinformation. That way the patient is in control. MyChart shows parts of the EMR that the hospital decided to share, so nosurprises at the doctors desk. (controversy) 15. Epic download and transmit functionalityLucy &MyChartMyChart CentralCare EverywhereDoctor DoctorPatient DoctorPatient PatientData vaultMultiple MyCharts 16. Radboudumc - Epic 17. Epic Radboudumc - Apple 18. Take home messageThe question is not if or when the consumer market will penetrateHealth(care) but how we will deal with it.Be ready for it and embrace the principle as Epic and Radboudumc are doingand the disruption will be less severe. Benefits are there! 19. Thank you for your timeslideshare.net/rutgerleer