1. National Health Policy Conference February 5, 2007 Personal Health Records: Increasing Health Care Value Through Enhanced Patient Engagement Steve Downs

2. February 5, 2008 PHRs Today AttributesTetheredFree-StandingNetworked Offered byproviders insurers, employers 3 rd parties 3 rd parties, RHIOs, providers? Types of Data clinical (EHR), self-entered claims, labs, meds, self-entered virtually anything but typically self- entered clinical (EHR), self- entered Comprehen- siveness of Data limited to provider network very broad (anything claimed) limited by user entry potentially very broad (depends on extent of network) Transactional Features (e.g. appointment scheduling) yeswith insurertypically not?

3. February 5, 2008 Next-Generation PHRs Focus on the applications, not the record Open platform with published APIs 3 rd party developers build the applications

4. February 5, 2008 New Developments

5. February 5, 2008 New Developments

6. February 5, 2008 New Developments

7. February 5, 2008 New Developments

8. February 5, 2008 Transmedia Systems

9. February 5, 2008 Transmedia Systems

10. February 5, 2008 Transmedia Systems

11. February 5, 2008 3 rd Party Widgets

12. February 5, 2008 3 rd Party Widgets

13. February 5, 2008 3 rd Party Widgets

14. February 5, 2008 Project HealthDesign Robert Wood Johnson Foundation National Program with support from California Healthcare Foundation Led by Patti Brennan, University of Wisconsin-Madison Nine teams designing and prototyping personal health applications www.projecthealthdesign.org

15. February 5, 2008 Project HealthDesign Two key hypotheses: 1)If you start from the person instead of the data, you get a different looking PHR 2)Diverse applications can be enabled by a core PHR infrastructure www.projecthealthdesign.org