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PHR is a tool for collecting, tracking and sharing important, up-to-date information about an individual’s health or the health of someone in their care. 5/3/2015

EMR EHR (NHIN) PHR 5/3/2015

Source: National Committee on Vital and Health Statistics, 9/9/2005 Letter report to Secretary Leavitt on PHR systems 5/3/2015

PHR Principles  Each person controls his or her own PHR.  PHRs contain information from one’s entire lifetime.  PHRs contain information from all health care providers.  PHRs are accessible from any place at any time.  PHRs are private and secure.  PHRs are “transparent.” Individuals can see who entered each piece of data, where it was transferred from and who has viewed it.  PHRs permit easy exchange of information with other health information systems and health professionals 5/3/2015 Source: Markle foundation

PHR Dimensions  Scope and nature of content  Source of information  Features and functions  Custodian of the record  Data storage  Technical approaches  Access control 5/3/2015

Scope and Nature of Content  Scope  Single organization vs. cross-organizational  Since onset of relationship vs. “womb-to-tomb”  Nature of content  Clinical data  Financial/administrative data  Patient submitted data  Standardized vs. Proprietary 5/3/2015

Source of Information  Providers  Payer  Patient/Consumer  Caregiver 5/3/2015

Features and Functions  View personal health data  Exchange secure messages with providers  Schedule appointments  Renew prescriptions  Enter personal health data  Decision support (e.g. alerts/reminders)  Import/export data  Obtain healthcare/disease information  Track, manage benefit & services  PHR access tracking, access control management 5/3/2015

Custodian of the Record  Provider  Payer  Patient  Government  Employer  Third party  Vendor  Community utility 5/3/2015

Data Storage  Network (Internet) accessible database ◦ Provider’s EHR ◦ Payer system ◦ Vendor system ◦ Government system ◦ Community utility  Patient/consumer home computer  Portable ◦ Paper record ◦ Smart card ◦ CD, DVD, optical card ◦ Thumb drive (e.g., USB device) ◦ RFID 5/3/2015

Technical Approach  Data standards  Interoperability  Security  Authentication  Privacy 5/3/2015

Party Controlling Access  Patient  Healthcare provider  Government  Service Provider  Others?! 5/3/2015

 Oxycodone  Hydrocodone  Diazepam  Temazepam  Alprazolam  Doxylamine 5/3/2015

7 steps to establish your PHR  Contact all doctor’s offices about your medical records  Get information from doctor’s office.  Maintain you PHRs.  Find a PHR tool for electronic storage  Bring PHR to future visits  Carry card with Vital Info.  Protect your PHR 5/3/2015 Source:

5/3/2015

Try it yourself  Revolution health (  HealthVault (  GoogleHealth (  It Runs In My Family ( 5/3/2015