Indivo X Users Meeting                     2012Kenneth D. Mandl, MD, MPHBoston Children’s Hospital Informatics Program(www...
 The Personal Health Platform    How it diffused    Why Google Health died on the vine    The cure for personal health...
 Portals:    A static view into the EHR PCHRs:    Apps platform, and a patient copy of the data
New England Journal of Medicine
EcosystemNEJM
The Verbs of PCHRSubscribe
New Approachesto Data Liquidity
The Verbs of PCHRShare
81.4%34.1%
VA Survey 79% of Veterans are willing to share personal health  information with those outside their health system    62...
The Verbs of PCHRAdd an App
“We cannot overstate how   important PHRs are to   the efficient functioning   of a low-cost, high quality   health-care s...
http://commonhealth.wbur.org/2011/07/killed-google-health                                                             • Tr...
The App Store for HealthONC Funded Research Project under the         “SHARP” program
Clinical use caseMed-tastic is a well-funded NewCo which has developed an elegant medication list application that has phy...
Healthcare IT: Why Can’t Innovators widely share what they create? Systems   innovate     faster  to    support  fundame...
We imagine EMRs as an iPhone-like    platform where Medtastic couldcreate and widely distribute an app   across many dispa...
EHR as an “iPhone-like” Platform There is a common        application   programming  interface that enables   Software d...
An esign less          d D Cand       ire c   n sp v e M se )  I a      D licenfrom (cc
1 Design + 1 Developer + 1 Week          1 De                 velo                 per          1 We in              ek
1 SMART App in 3 SMART Systems
SMARTBP Centiles AppRunning on Cerner                    26
Medication adherence     JAMIA 2011
28
Brief Tangent I2b2   NIH Funded   Pulled into use at 61 Academic Medical Centers   ETL   Involved in QueryHealth
“Side Car Strategy” The data need to come out for analytics Once they are out . . .
i2b2
Portal-PCHR Hybrid SMART Platform Apps    Have access to EHR data in a vendor agnostic fashion     (from an Epic system,...
Portal-PCHR Hybrid              SMART                SMART Clinician     APPS                 APPS            Patient -Fac...
www.indivohealth.org    www.i2b2.orgwww.smartplatforms.org
Intro: Indivo X 2012 Users' Conference
Intro: Indivo X 2012 Users' Conference
Intro: Indivo X 2012 Users' Conference
Intro: Indivo X 2012 Users' Conference
Intro: Indivo X 2012 Users' Conference
Upcoming SlideShare
Loading in …5
×

Intro: Indivo X 2012 Users' Conference

1,314 views

Published on

Introduction to the 2012 Indivo X Users' Conference, including a history of Indivo and Personal Health Records, a discussion of the reasons for Google Health's demise, and how Indivo's open architecture might provide a solution.

By Kenneth Mandl, MD MPH, Faculty, Boston Children's Hospital Informatics Program.

Published in: Health & Medicine, Technology
0 Comments
0 Likes
Statistics
Notes
  • Be the first to comment

  • Be the first to like this

No Downloads
Views
Total views
1,314
On SlideShare
0
From Embeds
0
Number of Embeds
382
Actions
Shares
0
Downloads
16
Comments
0
Likes
0
Embeds 0
No embeds

No notes for slide
  • ~2400 users 55 countries All 50 US states 1 st (only) near real time A1c monitoring system (?) Openness is associated with better glycemic control 29% users have retrospective or prospective A1c (time series) which has been associated with better control Users who return to enter newly measured A1cs are reporting lower A1cs (doing better) 95% re-contact
  • Intro: Indivo X 2012 Users' Conference

    1. 1. Indivo X Users Meeting 2012Kenneth D. Mandl, MD, MPHBoston Children’s Hospital Informatics Program(www.chip.org)Harvard Medical School Center for Biomedical Informatics
    2. 2.  The Personal Health Platform  How it diffused  Why Google Health died on the vine  The cure for personal health platforms
    3. 3.  Portals:  A static view into the EHR PCHRs:  Apps platform, and a patient copy of the data
    4. 4. New England Journal of Medicine
    5. 5. EcosystemNEJM
    6. 6. The Verbs of PCHRSubscribe
    7. 7. New Approachesto Data Liquidity
    8. 8. The Verbs of PCHRShare
    9. 9. 81.4%34.1%
    10. 10. VA Survey 79% of Veterans are willing to share personal health information with those outside their health system  62% with a spouse or partner  23% with a child  15% with another family member  25% with a non-VA health care provider 12
    11. 11. The Verbs of PCHRAdd an App
    12. 12. “We cannot overstate how important PHRs are to the efficient functioning of a low-cost, high quality health-care system . . . . We think that the INDIVO system, or something like it is a good place to start.”--Clayton Christensen Harvard Business School
    13. 13. http://commonhealth.wbur.org/2011/07/killed-google-health • Trust issues • No app developers • No data Keeping EHRs Error-Free: the Value of Patient Engagement
    14. 14. The App Store for HealthONC Funded Research Project under the “SHARP” program
    15. 15. Clinical use caseMed-tastic is a well-funded NewCo which has developed an elegant medication list application that has physician and consumer facing functionality. Patients can annotate medication lists for accuracy.To work, Med-tastic needs  Prescribing history  Dispensed medication history  Allergies  Problem list diagnoses
    16. 16. Healthcare IT: Why Can’t Innovators widely share what they create? Systems innovate faster to support fundamental health care improvement and cost reform? Providers readily request features and ? applications?
    17. 17. We imagine EMRs as an iPhone-like platform where Medtastic couldcreate and widely distribute an app across many disparate EMRs and PHRs
    18. 18. EHR as an “iPhone-like” Platform There is a common application programming interface that enables  Software developers to build SUSTITUTABLE applications Push innovation to the edges Nimbly evolve functionality Avoid vendor lock Shrink switching costs  Enable disruption
    19. 19. An esign less d D Cand ire c n sp v e M se ) I a D licenfrom (cc
    20. 20. 1 Design + 1 Developer + 1 Week 1 De velo per 1 We in ek
    21. 21. 1 SMART App in 3 SMART Systems
    22. 22. SMARTBP Centiles AppRunning on Cerner 26
    23. 23. Medication adherence JAMIA 2011
    24. 24. 28
    25. 25. Brief Tangent I2b2  NIH Funded  Pulled into use at 61 Academic Medical Centers  ETL  Involved in QueryHealth
    26. 26. “Side Car Strategy” The data need to come out for analytics Once they are out . . .
    27. 27. i2b2
    28. 28. Portal-PCHR Hybrid SMART Platform Apps  Have access to EHR data in a vendor agnostic fashion (from an Epic system, a Cerner system, or an complementary system with data warehoused from the EHR) So, one can readily create a patient facing portal, which is an apps platform
    29. 29. Portal-PCHR Hybrid SMART SMART Clinician APPS APPS Patient -Facing EHR Connect Indivo -Facing Apps or App AppsThe best of both worlds:•A local portal, with lots of data from the EHR•A personal health platform with patient control,sharing, and apps
    30. 30. www.indivohealth.org www.i2b2.orgwww.smartplatforms.org

    ×