The document discusses integrating Get Real Health's InstantPHR patient engagement platform with Allscripts' Sunrise EMR platform. This would allow patients to track health progress and care plans through InstantPHR while sharing updates with providers in Sunrise. The integration is proposed to address chronic disease management and value-based care by empowering patient involvement. Technical details are provided around authentication and sharing data between the two systems.

1. Get Real Health
InstantPHR and Allscripts Sunrise
Submitted by:
Jason Harmon, CTO; Christina Caraballo, Healthcare Strategist; and Andy Payne, Solution Architect

2. Introducing InstantPHR

3. Empowering Patients through Innovative Solutions
InstantPHR™ Patient Engagement Platform
Highly-customizable collection of 120+ data visualization and care
management tools
• Integrates with any EMR, HIE, or clinical data repository
• Connects with 80+ home health devices
• Includes patient, provider, and admin interfaces
• Supports DIRECT and Blue Button
Turn-key solutions are available for:
• Meaningful Use
• Chronic Disease Management
• Readmissions Management & Care Transitions
Privacy and security focused
• HIPAA, HITECH, HITRUST CSF
• ONC Privacy Notice
© 2013 – Get Real Health Proprietary and Confidential

4. Solution Overview
Solution Description
• Integrating Get Real Health’s InstantPHR platform with Allscripts’ Sunrise platform
enables collaboration between providers and patients by providing care
management tools. For example, customized care plans allow patients to track
and record their progress via InstantPHR while their provider simultaneously
tracks that progress from within the Allscripts’ Sunrise Electronic Medical Record,
using the familiar Sunrise clinician interface.
• Providers can be alerted of any important information or review patients’ progress
as part of normal case review.
Healthcare/Business Problem addressed
• Empowering patients to become an intricate part of the care team by providing
them with tools to track their progress while managing their condition creates
valuable data and insight for healthcare providers. It can allow the provider to
intervene when a patient starts to deteriorate rather than when they are admitted
to hospital. This allows the provider to provide pro-active care services to a larger
number or patients, rather than reactive services to a smaller patient population.
• Ultimately, this pro-active care is cheaper to implement than costly reactive care.
InstantPHR addresses both categories of the Allscripts Open App Challenge
• Applications that improve management of high cost chronic diseases.
• Focus on chronic disease management for this challenge.
• Innovative approaches to addressing value-based care imperatives.

5. Usability and Design: InstantPHR Overview
InstantPHR is a collection of data visualization and care management
tools for patients and providers designed to deliver comprehensive
patient engagement solutions for:
• Healthcare providers and
hospital systems
• Health information exchanges
• Health non-profits
organizations
• Employers/wellness providers
• Payers
• Retail pharmacies and clinics
The fastest, most flexible and most cost-effective way to engage patients
through their PCs, smartphones, tablets and mobile home health devices.
InstantPHR is available on all platforms, including Windows 8.
© 2013 – Get Real Health Proprietary and Confidential

6. Usability and Design: Comprehensive Health
Management Tool
• Care plans
• Alerts
• Reminders
• Health Journals (ODLs and ADLs)
• Questionnaires/Assessments
• Secured communication
• Personalized patient education
• Personalized target ranges
• Quality measurement and monitoring
• Personalized health recommendations
• Disease-specific tools and trackers
© 2013 – Get Real Health Proprietary and Confidential

7. Meaningful Use Patient Centric Objectives
• 2014 EHR Modular Certification for
patient-centric objectives
• View, download and transmit to 3rd party
• Patient-specific education resources
• Secure messaging
• All relevant privacy and security objectives
• Scheduled to be Stage 2 certified by early Q2 2013
© 2013 – Get Real Health Proprietary and Confidential

8. Solution examples
Care Transitions Management
• Southampton NHS Trust
• South London & Maudsley NHS Trust
Readmissions Management
• New York City Health & Hospitals Corp.
Patient engagement / Meaningful Use
• Alberta Health Services
• INTEGRIS Health
• LA Department of Aging
• HEALTHeLINK Clinical Information Exchange
Chronic Disease Management
• Diabetes, heart failure, kidney disease – MedStar Health
• Mental Health – Lawson
• Leukemia and Prostate cancer – TELUS
© 2013 – Get Real Health Proprietary and Confidential

9. © 2013 – Get Real Health Proprietary and Confidential

10. Development, Integration & Go to
Market Strategy

11. Development Stage
• The development of InstantPHR for Phase 1 Submission
to integrate with Allscripts Sunrise is in the prototype
stage.
• The InstantPHR platform from Get Real Health is an
award-winning, established product that provides both
web and mobile optimised patient and provider portals
• For this proposed solution, custom UI ‘widgets’ will need
to be created to:
o Enable the patient to link-up their PHR account with their Sunrise
EMR record
o Allow the patient to request to send a copy of their progress to
the Sunrise EMR and optionally pull down common info to the
PHR

12. Overview - Remote Care Management
1 The patient creates a Patient Portal Patient 1
account. Once created, they can request
that their account be linked to their Patient Portal
Alerts/Reminders
Sunrise EMR record
2 Once linked to the EMR Record, the Provider
can assign a Care Plan for the patient using
the Provider Portal. From home, the patient
records their progress against their care plan
using the Patient Portal Provider Portal
3 At regular intervals, or at the initiation of the
patient, a copy of the Patient’s progress against
their care plan is pushed to Sunrise EMR and
added as a Progress Note, tagged as ‘Patient Single Sign-on 3 4 5
Provided Data’ For Provider
4 The Patient can request that a common set of
2
their data be pulled down to their Personal
Health Record
5 The Provider can request to be Alerted if specific Sunrise Acute Care
data, or data meeting specific criteria is entered by Provider
the patient. These alerts will result in an ‘Alert‘ 6
progress note being added to the EMR record, for
action by the provider
The Provider can view the Patient’s progress against their
6 care plan by checking the progress notes in the Sunrise EMR

13. Technical Integration
We envisage that the following Helios SDK classes and methods will be utilized to
facilitate the integration:
Functionality SDK Methods used
Store update of progress against care plan • PatientSelect.SetCurrentPatient
tasks • Documents.SubmitProgressNote
Store alert on care plan item • PatientSelect.SetCurrentPatient
• Documents.SubmitProgressNote
Pull down patient information • PatientSelect.SetCurrentPatient
• PatientInfo.GetVisitHistory
• ClinicalInfo.GetAllergies
• ClinicalInfo.GetProblems
• ClinicalInfo.GetMedications
Authentication A dedicated user will be created in Sunrise to be used
to populate the EMR record with the Patient provided data
• Authentication.Login
• Authentication.Reauthenticate
• Authentication.Logout

14. Go To Market Plans
• Get Real currently has a well-established, active sales
force that sells direct and through resellers
• Target markets where InstantPHR can add value for
Allscripts customers include, but are not limited to
hospitals, hospital systems, providers and health
information exchanges
• Get Real Health uses an Annual SaaS pricing model which
is based on a per user licensing model

15. Why InstantPHR?
• Unique, innovative solution addressing universal healthcare needs
• Completely flexible and customizable platform
• Proven, effective consumer health platform
• Time to deployment in weeks, not months
• Platform can rapidly respond to organizations changing needs
• Ability to create unique applications and user experiences for all
stakeholders with one platform
• Completely skinnable to match organizations brand look and feel
• Multi-language and localization capable
• Ability to seamlessly integrate with other Health Information Systems
Our video demonstrates how a patient can access their personal health
information from Allscripts’ EMR through our patient portal. It demonstrates
how data is transformed by our breadth of widgets to create care management
tools that enable collaboration between providers and patients via care plans
and secure messaging. For a glimpse of InstantPHR click here!
© 2012 – Get Real Health Proprietary and Confidential