1. 16
Personal Health Records

2. Learning Outcomes Define the term personal health record (PHR).
Understand the differences between stand-alone, tethered, and integrated PHRs.
Discuss common functionality available in the PHR.
Discuss the patient-centered benefits associated with PHRs.

3. Learning Outcomes
Identify at least two large health systems using PHRs.
List several barriers related to patient use of PHRs.
List several concerns related to patient self-entered data.

4. Personal Health Records
Evolving definition of a PHR
Different from an EHR
Driven by consumers
Multiple sources of health information and services

5. FIGURE 16–1 Attributes of an ideal personal health record

6. Patient Engagement, Efficiency, and Quality
Meets quality standard of IOM
Consumer demands for PHRs have increased

7. History
Precursors to Electronic PHRs included notebooks, files, written records.

8. PHRs Standalone systems are not tied to any healthcare system.
Google Health PHR
Tethered systems are tied into a healthcare system.
My HealtheVet PHR from the VA

9. EHR Personal Health Information
Lab and test results
Medication lists
Appointment
After-visit summaries
Visit notes
Patient clinical reminders

10. Patient-Entered Data
Some PHRs have ability for the patient to enter data.
Prior medical history
Family history
Alternative medications
Blood pressures

11. Issues Related to PHRs Delegation of access to PHR via a proxy user
Access to financial, medical claims
Privacy

12. Research Increase in effectiveness, chronic conditions
Increase in patient and provider satisfaction
Improved quality of care

13. Future Directions A network of care or communities of care
Web-based interventions based on PHRs
Increase in adoption and patients will be used as a major source of data