Fit TechMed 403

Terri WilliamsSeth BarbanellScott Marriott

John Goss

PHR – A Definition

An electronic, universally available, lifelong resource of health information needed by individuals to make health decisions. Individuals own and manage the information in the PHR, which comes from healthcare providers and the individual. The PHR is maintained in a secure and private environment, with the individual determining rights of access. The PHR is separate from and does not replace the legal record of any provider.” (2010, Journal of AHIMA)

PHR – Examples of

• Paper based system stored in folders or binders in a physical drawer

• Electronic scans stored in virtual file system on a computer, server or portable storage device

• Portable devices such as a smart phone, personal digital assistants or memory devices

• Internet-based personal health records (iPHR)

Fundamental Requirements• Portable• Interoperable

Common elements needed • Personal demographic information• General medical information• Conditions• Hospitalizations• Surgeries• Medications• Vaccinations• Laboratory test results• Clinical tests• Pregnancy History• Family Medical History

Historical progress• 2002 – Markley foundation established

Connecting for Health to accelerate adoption of electronic health records

• 2003 – AHIMA launched myPHR• 2005 – AHIMA launched education

presentation kit• 2008 – Vendors start offering solutions

US Market analysis• PHRs have been around in various forms

since late 1990’s early 2000’s• As physicians converted to EMRs web

portals started to be instituted (RWJF, 4)• Chronic disease management and

consumerism fueled early attempts• First generation were labor intensive and in

provided very minimal value to anyone• Later generations have the ability to

aggregate some data, to book appointments, may be able to process billing claims.

PHR market – digitized and online• B2B model in B2C model out• Initial efforts aimed at consumer and failed• Great amounts of challenges in a nascent

market – Technological– Highly complex

– (Chillmark, 2010).

• Most businesses offering directly to other businesses

PHR – Types

(2010, Chillmark Research)

PHR market – 2010• Fragmented • 100-200 vendors say they sell PHRS• Focused on iPHRs (internet based)

– 20% of 200 iPHRs• 40% of the 40 vendors are thriving • 35% treading water• 25% walking zombies (Chillmark,2010)

• No consolidation of models• No consolidation of fees• No “Home run” business case

US Market analysis

PHR market – Markets• 3 Major markets• Provider• Employers • Health Plans

US market Analysis

Acceptance of and barriers to adoptionPhysician Perspective• Physician and organizational resistance• Cost of implementation• Product and Vendor immaturity

Acceptance of and barriers to adoptionHealth Plan Perspective• In general a leading supporter of early

adoption• Cost of implementation often a prohibitor

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