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Personal Health Records

Personal Health Records. Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield Road, Box U-255 Storrs, CT 06269-2155. steve@engr.uconn.edu http://www.engr.uconn.edu/~steve (860) 486 - 4818. Overview. What are PHRs? Market?

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Personal Health Records

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  1. Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield Road, Box U-255 Storrs, CT 06269-2155 steve@engr.uconn.edu http://www.engr.uconn.edu/~steve (860) 486 - 4818

  2. Overview • What are PHRs? • Market? • Product? • Status • Reviewing PHRs • Google Health • MS HealthVault • Health Data Solutions Patient Kiosk

  3. What are PHRs? • PHRs have emerged over the past few years to place the control and management of health-related information directly into the hands of patients [4] • The number of PHRs on the market today is simply staggering; the web site myPHR.com lists a total of 100 PHRs that can be purchased (75 total) or are freely available (25 total) • Popular alternatives available to patients include: Google Health [5], Microsoft HealthVault [6], myPHR [7], iHealthRecord [8] integrated with Google Health, and WebMD [9].

  4. PHR Refs • Overview of PHRs: http://www.nlm.nih.gov/medlineplus/personalmedicalrecords.html • Google Health: http://www.google.com/intl/en-US/health/tour/index.html • Microsoft Health Vault: http://www.healthvault.com/ • MyPHR: http://www.myphr.com/ • iHealthRecord: http://www.ihealthrecord.org/ • WebMD: http://www.webmd.com/phr

  5. Healthcare Data Solutions www.hcdat.com/ITSdocs/concentra%20kiosk%204.ppt Patient Kiosk Presentation Concentra 8.28.07

  6. Complexity – SELECT TABLE_NAME, COUNT(*) AS cnt FROM SQL_Tables_Field_DocumentationNG GROUP BY TABLE_NAME WITH ROLLUP 2448 Tables 84959 Fields !!! made simple – [instaLink] • instaLink – documents every field used in Kiosk and target practice management system. • Interface auto-generated from requirements

  7. Challenges in Occupational Medicine & Urgent Care The ah ha moment… what do people really want to know?? Regulators Patients ? Board of Directors Employers Our boss Doctors

  8. Challenges in Occupational Medicine & Urgent Care The ah ha moment… what do people really want to know?? Regulators Patients ? Board of Directors Employers Our boss Doctors

  9. Challenges in Occupational Medicine & Urgent Care The ah ha moment… what do people really want to know?? Regulators Patients ? Board of Directors Employers Our boss Doctors

  10. Technology Who We Are Focused on Healthcare and our customers success Standards and Best Practices Project Management & Design Success

  11. Who We Are: Focused on Healthcare • Safety • Efficiency • Efficacy • Products • Patient Kiosk • Chart Tools • AZ Discharge

  12. Who We Are: Technology Expertise • Data Driven Web Apps • Security • Standards Compliant • Technologies Sql, .NET, odbc, java, web, voip, VB, php,html, ajax, xml, ldap, vpn,vista, linux, …

  13. Who We Are: Project Management Success • National Library of Medicine, HL7 EHR messaging • Emergency Physicians Medical Group data warehouse, 9 states, 60 hospitals, 1.2million patients annually • Customer service • Commitment

  14. PatientKiosk Features • Branching • Age, Symptoms, Sex, Site, Etc. • Simplicity • InstaLink to EMR • Easy to Add Content Trees • Patient History, Work History, Chief Complaint, Etc. • Secure and Full Audit Trail • . . .

  15. PatientKiosk Features Cont… • Patient View • Front Desk View • Clinician View • Billing/Insurance View • Administrative View • Built on MS-SQL Open Platform • InstaLink Interface to NextGen

  16. PatientKiosk Demo • Kiosk front desk view (use 3/30/07) • List of dummy demo patients • Occ Med EMR show image selection; appointment selection

  17. PatientKiosk Patient View • Easy Navigation • Progress Bar • Pleasing appearance • Securely Locked • Branching by: • Age, ie pediatric • Sex • Condition • Clinic Type • Dynamic responses • Forced or optional completion • Optional soft keyboard

  18. PatientKiosk patient view, cont… • Complex answer types • Nested lookups • Integrated with NextGen lookup tables • Simplifies maintenance • You control • Order • Public to Clinical Translation

  19. PatientKiosk Front Desk View • Set Date • Clinic Location • View patient name, birthdate, interview status • Access Patient Interview • Access Clinical Review • Access Billing Review

  20. PatientKiosk Clinical Review • One click access from NextGen Clinical Template • Doctor sees all changes • Mass or single update • Full audit trail • Approved info push instantly into NextGen

  21. PatientKiosk Staff/Billing Review • One click NextGen or Kiosk Front Desk • Verify key billing info before it is loaded • Mass or single update • Full audit trail • Approved info push instantly into NextGen

  22. PatientKiosk IT Administration • Elegant Design • Self Documenting Interface • Custom, public or proprietary content manager • Set Order • Clinical vs. patient text translation

  23. PatientKiosk IT Admin cont… • Question-Answer Metephor • Control • Section, Screen, Group, Question, AnswerType, Lookup Values • Branching, Dependencies • Validation • Required, Error messages • Interface • Clinical, Admin, Billing • Public Coding Sets

  24. You’ve heard the spiel. We’re not for everyone.How can we help you?? Timeline .Rollout ..Content creation & validation …Best Practices ….Coding • Products • Patient Kiosk • Chart Tools • AZ Discharge • Safety • Efficiency • Efficacy

  25. Healthcare Data Solutions Phil Barr 3830 Packard Suite 180 Ann Arbor MI. 48104 (734) 418-8550 www.hcdat.com

  26. Conclusions • What are PHRs? • Market? • Product? • Status • Reviewing PHRs • Google Health • MS HealthVault • Health Data Solutions Patient Kiosk

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