Health Record Banks: A Financially Sustainable Model for Health Information Exchange William A. Yasnoff, MD, PhD, FACMI Managing Partner, NHII Advisors.

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Presentation transcript:

Health Record Banks: A Financially Sustainable Model for Health Information Exchange William A. Yasnoff, MD, PhD, FACMI Managing Partner, NHII Advisors Founder and President, Health Record Banking Alliance Southern California Health Care Summit Ontario, CA October 29, 2009 © 2009 NH I I ADVISORS

2 2 © 2009 NH I I ADVISORS What is a Health Record Bank? See video at: See video at:

3 3 © 2009 NH I I ADVISORS Clinical Encounter Health Record Bank Clinician EHR System Encounter Data Entered in EHR Encounter Data sent to Health Record Bank Patient Permission? NO DATA NOT SENT Clinician Inquiry Patient data delivered to Clinician YES optional payment Clinician’s Bank Secure patient health data files Health Record Bank Operation

4 4 © 2009 NH I I ADVISORS An HRB Business Model n Costs (with 1,000,000 subscribers) l Operations: $6/person/year l EHR incentives: $10/person/year n Revenue l Reminders & Alerts: >= $12/person/year – “Peace of mind” alerts – Preventive care reminders – Medication reminders l Advertising: $6/person/year l Queries: ? n No need to assume/capture any health care savings (!!)

5 5 © 2009 NH I I ADVISORS Health Record Bank Governance Customer Support Marketing Operations HRB Operator Board of Directors Management Health Record Bank Operator (for-profit) regulate via contract % of revenue RESPONSIBLE FOR: Policy Governance Oversight RESPONSIBLE FOR: Obtaining Capital Operating HRB Executive Director Other Staff(Optional) Community Non-profits Community Board of Directors Many communities use single HRB

6 6 © 2009 NH I I ADVISORS HRBs Solve the Key Problems n Privacy l Patient control --> each person sets their own privacy policy n Stakeholder Cooperation l Patients request data --> all stakeholders must provide it (by law) n Making Information Electronic l Business model can provide free EHRs for physicians n Financial Sustainability l New compelling value for patients --> ~$20/person/year recurring revenue

7 7 © 2009 NH I I ADVISORS Questions? William A. Yasnoff, MD, PhD, FACMI 703/ For more information:

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