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
(860)

2. Overview What are PHRs? Market? Product? Status Reviewing PHRs
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:
Microsoft Health Vault:
MyPHR:
iHealthRecord:
WebMD:

5. Healthcare Data Solutions
Healthcare Data Solutions
Patient Kiosk Presentation
Concentra H

6. made simple – [instaLink]
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. Who We Are Technology 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
(734) H

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