1. PHR-1 CSE 5810 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. PHR-2 CSE 5810Overview  What are PHRs?  Market?  Product?  Status  Reviewing PHRs  Google Health  MS HealthVault  Health Data Solutions Patient Kiosk

3. PHR-3 CSE 5810 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-4 CSE 5810 PHR Refs  Overview of PHRs: http://www.nlm.nih.gov/medlineplus/personalmedicalr ecords.html http://www.nlm.nih.gov/medlineplus/personalmedicalr ecords.html http://www.nlm.nih.gov/medlineplus/personalmedicalr ecords.html  Google Health: http://www.google.com/intl/en- US/health/tour/index.html http://www.google.com/intl/en- US/health/tour/index.htmlhttp://www.google.com/intl/en- US/health/tour/index.html  Microsoft Health Vault: http://www.healthvault.com/ http://www.healthvault.com/  MyPHR: http://www.myphr.com/ http://www.myphr.com/  iHealthRecord: http://www.ihealthrecord.org/ http://www.ihealthrecord.org/  WebMD: http://www.webmd.com/phr http://www.webmd.com/phr

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

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?? Doctors Patients Board of Directors Our boss Employers Regulators ?

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

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

10. Who We Are Focused on Healthcare and our customers success Technology 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) Kiosk front desk view List of dummy demo patients Occ Med EMR show image selection; appointment selection Occ Med EMR

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?? Safety Efficiency Efficacy Products Patient Kiosk Chart Tools AZ Discharge Timeline.Rollout..Content creation & validation …Best Practices ….Coding

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

26. PHR-26 CSE 5095Conclusions  What are PHRs?  Market?  Product?  Status  Reviewing PHRs  Google Health  MS HealthVault  Health Data Solutions Patient Kiosk