CHI*Atlanta's October program tackles health records and the potential of user experience to improve their adoption. Panelists include CDC, Kaiser Permanente, and Greenway Technologies. Hosted at Philips Design to cover public, private, and vendor perspectives.
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on August 11, 2016
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Presented at the Intermediate Certificate Courses - Good Governance for Medical Executives, King Prajadhipok's Institute and the Medical Council of Thailand, Bangkok, Thailand on March 13, 2021
Precision and Participatory Medicine - Medinfo 2015 Panel on big data. Includes the proposal to use the term Expotype to characterise the Exposome of an individual. Electronic expo typing would refer to the automatic construction of individual expo types from electronic clinical records and other sources of environmental risk factor and exposure data.
Presented at the 7th Healthcare CIO Certificate Program, Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University on August 11, 2016
Consumer Health Informatics, Mobile Health, and Social Media for Health: Part...Nawanan Theera-Ampornpunt
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 10, 2021
Presented at the Intermediate Certificate Courses - Good Governance for Medical Executives, King Prajadhipok's Institute and the Medical Council of Thailand, Bangkok, Thailand on March 13, 2021
Precision and Participatory Medicine - Medinfo 2015 Panel on big data. Includes the proposal to use the term Expotype to characterise the Exposome of an individual. Electronic expo typing would refer to the automatic construction of individual expo types from electronic clinical records and other sources of environmental risk factor and exposure data.
Presented at Healthcare CIO Certificate Program (Class of 2015), Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 14, 2015
Presentation by Prof. Fernando MArtin-Sanchez, Director of the Health and Biomedical Informatics Centre (HaBIC) of the University of Melbourne at at the Panel on Big Data in Health and Biomedical Research, at the annual AMIA 2013 Conference, 19th November, Washington DC
Presentation of Vishal Gulati (Draper Esprit, Venture Partner; Horizon Discovery Group PLC, Board Director) at the Forum of the BioRegion of Catalonia, organized by Biocat.
Public Health Informatics, Consumer Health Informatics, mHealth & Personal He...Nawanan Theera-Ampornpunt
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 24, 2017
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
Part of the "2016 Annual Conference: Big Data, Health Law, and Bioethics" held at Harvard Law School on May 6, 2016.
This conference aimed to: (1) identify the various ways in which law and ethics intersect with the use of big data in health care and health research, particularly in the United States; (2) understand the way U.S. law (and potentially other legal systems) currently promotes or stands as an obstacle to these potential uses; (3) determine what might be learned from the legal and ethical treatment of uses of big data in other sectors and countries; and (4) examine potential solutions (industry best practices, common law, legislative, executive, domestic and international) for better use of big data in health care and health research in the U.S.
The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School 2016 annual conference was organized in collaboration with the Berkman Center for Internet & Society at Harvard University and the Health Ethics and Policy Lab, University of Zurich.
Learn more at http://petrieflom.law.harvard.edu/events/details/2016-annual-conference.
Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 2, 2019
The FDA Digital Health Center of Excellence and the Advancement of Digital He...Greenlight Guru
The FDA Digital Health Center of Excellence is part of the planned evolution of the digital health program with the intent to drive synergy for digital health efforts, align strategy with implementation, prepare the FDA for the digital health future, and protect patients and maintain the FDA standards of safety and effectiveness.
Ultimately, the program works to strategically advance science and evidence for digital health technologies that meets the needs of
stakeholders.
This free in-depth webinar, presented by Matthew DiamondChief Medical Officer, Digital Health Center of Excellence, will cover the digital health landscape and areas of application, goals and outcomes, planned services and launch plan, and the current areas of focus - including AI/ML-Based SaMD.
This presentation originally aired during the 2021 State of Medical Device Virtual Summit.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2020
Presented at Healthcare CIO Certificate Program (Class of 2015), Hospital Administration School, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Thailand on August 14, 2015
Presentation by Prof. Fernando MArtin-Sanchez, Director of the Health and Biomedical Informatics Centre (HaBIC) of the University of Melbourne at at the Panel on Big Data in Health and Biomedical Research, at the annual AMIA 2013 Conference, 19th November, Washington DC
Presentation of Vishal Gulati (Draper Esprit, Venture Partner; Horizon Discovery Group PLC, Board Director) at the Forum of the BioRegion of Catalonia, organized by Biocat.
Public Health Informatics, Consumer Health Informatics, mHealth & Personal He...Nawanan Theera-Ampornpunt
Presented at the Health Informatics and Health Information Technology Course, Doctor of Philosophy and Master of Science Programs in Data Science for Health Care (International Program), Faculty of Medicine Ramathibodi Hospital, Mahidol University on October 24, 2017
Theera-Ampornpunt N. Global or glocal e-Health approaches in Asia: what is new or next? Presented at: Globalizing Asia: Health Law, Governance, and Policy - Issues, Approaches, and Gaps!; 2012 Apr 16-18; Bangkok, Thailand.
Eysenbach: eHealth: Transforming the dynamics of a complex health systemGunther Eysenbach
Keynote for the Australian 10th Annual Health Care Congress ( http://www.webcitation.org/5Vlz9j0HO ) in Sydney, 27th - 29th February 2008. Keynote contains a run-down of what ehealth is all about, and then focusses a fair bit on Personal Health Records (PHR 2.0) and Personal Health Applications. This is partly because the new Australian government under its new prime minister Kevin Rudd has set a couple of priorities for reforming health care, among them is "focussing on preventative health care and health promotion to help keep Australians healthy and out of hospital", which is a goal that can - in my opinion - be attained or at least greatly supported with Personal Health Records, or more specifically with what I call second generation PHRs or PHR 2.0. Contains screenshots of our Healthbook (TM) project, which was subsequently mentioned mentioned in the preliminary report of the 2020 Summit to the Prime Minister in Australia, see http://gunther-eysenbach.blogspot.com/search/label/healthbook
Part of the "2016 Annual Conference: Big Data, Health Law, and Bioethics" held at Harvard Law School on May 6, 2016.
This conference aimed to: (1) identify the various ways in which law and ethics intersect with the use of big data in health care and health research, particularly in the United States; (2) understand the way U.S. law (and potentially other legal systems) currently promotes or stands as an obstacle to these potential uses; (3) determine what might be learned from the legal and ethical treatment of uses of big data in other sectors and countries; and (4) examine potential solutions (industry best practices, common law, legislative, executive, domestic and international) for better use of big data in health care and health research in the U.S.
The Petrie-Flom Center for Health Law Policy, Biotechnology, and Bioethics at Harvard Law School 2016 annual conference was organized in collaboration with the Berkman Center for Internet & Society at Harvard University and the Health Ethics and Policy Lab, University of Zurich.
Learn more at http://petrieflom.law.harvard.edu/events/details/2016-annual-conference.
Data Science for Healthcare Graduate Programs, Section for Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 2, 2019
The FDA Digital Health Center of Excellence and the Advancement of Digital He...Greenlight Guru
The FDA Digital Health Center of Excellence is part of the planned evolution of the digital health program with the intent to drive synergy for digital health efforts, align strategy with implementation, prepare the FDA for the digital health future, and protect patients and maintain the FDA standards of safety and effectiveness.
Ultimately, the program works to strategically advance science and evidence for digital health technologies that meets the needs of
stakeholders.
This free in-depth webinar, presented by Matthew DiamondChief Medical Officer, Digital Health Center of Excellence, will cover the digital health landscape and areas of application, goals and outcomes, planned services and launch plan, and the current areas of focus - including AI/ML-Based SaMD.
This presentation originally aired during the 2021 State of Medical Device Virtual Summit.
Presented at the Master of Science and Doctor of Philosophy Programs in Data Science for Healthcare and Clinical Informatics, Department of Clinical Epidemiology and Biostatistics, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on October 7, 2020
Environmental scanning is a concept from business management by which businesses gather information from the environment, to better achieve a sustainable competitive advantage.
Environmental Scanning & Monitoring- Techniques
PEST, SWOT, QUEST
Presentation “Harnessing EHRs and Health IT to Achieve Population Health”
Jonathan Weiner, DrPH
Professor Department of Health Policy and Management
Director of Center for Population Health IT
Johns Hopkins Bloomberg School of Public Health, Baltimore Maryland
Professor Weiner’s presentation will focus on how electronic health records and other e-health tools can be harnessed to move beyond providing medical care for a single patient episode towards the achievement of “population health.” This provocative presentation will offer new conceptual paradigms and will review “big data” opportunities and challenges. The emphasis of the talk will be on how population focused care transformation can be brought about through the integration and application of e-health/EHR systems and claims/MIS systems. The talk will offer examples of analytic tools and methods designed to increase the effectiveness, efficiency and equity of care provided at a geographic community level and to “populations” of consumers enrolled in health plans, ACOs and other integrated delivery systems.
Key goals of presentation:
∙ To offer frameworks and paradigms to better understand how EHRs and other HIT can improve population health
∙ To outline opportunities and challenges for communities, ACOs and other integrated delivery systems
∙ To offer some case studies on the application of health IT to population health
We are all health care consumers. Attend this presentation to learn about helath literacy, credibility of internet sites, and mobile applications for health care.
Consumerism, Innovation and Best Practices to Thrive in the Future of HealthJustin Barnes
May 1, 2019 University of Toronto, Dalla Lana School of Public Health, The Institute of Health Policy, Management and Evaluation (IHPME) Keynote speaker Justin Barnes, a health innovation strategist and co-founder of Health Innovation Think Tank, will provide yet another integral perspective focused on the ways in which we can scale up and implement evidence-based changes in health care technology on a global scale. Having testified before Congress on more than twenty occasions delivering statements on virtual care, alternative payment methods, consumerism, connected health and the globalization of healthcare, Justin offers thought leadership for the university, the healthcare community as well as other key stakeholders.
Consumer Driven Health – IHPME Research Day
Looks to the Future of Health Care
The trend towards consumer driven health, whether it be mobile apps, wearable devices, or easy access to electronic health records, is changing the landscape of our health care system and the way we think about care.
Wake up Pharma and look into your Big data Yigal Aviv
The vast volumes of medical data collected offers pharma the opportunity to harness the information in big data sets
Unlocking the potential in these data sources can ultimately lead to improved patients outcomes
This presentation describes consideration how to maximize the impact of Big Data.
its methodology, practical challenges and implications.
Dr. Ostrovsky describes the promise and concerns surrounding the precision medicine initiative and the importance of taking into account all determinants of health.
64 journal of law, medicine & ethicsDreams and Nightmare.docxevonnehoggarth79783
64 journal of law, medicine & ethics
Dreams and
Nightmares:
Practical and
Ethical Issues
for Patients and
Physicians Using
Personal Health
Records
Matthew Wynia and Kyle Dunn
Introduction and Definitions
The term “Electronic Health Records” (EHR) means
something different to each of the stakeholders in
health care, but it always seems to carry a degree of
emotional baggage. Increasingly, EHRs are advert-
ized as a nearly unmitigated good that will transform
medical care, improve safety and efficiency, allow
better patient engagement, and open the door to an
era of cheap, effective, timely, and patient-centered
care.1 Indeed, for some EHR proponents the ben-
efits of adopting them are so obvious that adoption
has become an end in itself.2 But for others — and
especially for a number of skeptical practitioners and
patients — EHR is a code word that portends the cor-
porate transformation of health care delivery, the loss
of patient privacy, the demand that patients bear more
responsibility in health care, and the unreflective take-
over of the health care system by people who do not
understand medical care or how health care relation-
ships unfold.3
For our purposes, we will consider EHRs impar-
tially, as a set of tools that can be used for a variety of
purposes. We define EHRs broadly as any electronic
means of storing and transferring health-related
information. We exclude from this definition the use
of the telephone and fax, arguably precursors to the
electronic means of data exchange now available. Like
face-to-face and paper-based interactions, the tele-
phone and fax are generally limited to two people.
Breaches of phone line security, while possible and
perhaps even frequent, are unlikely to affect thou-
sands of people at once.
In this paper, we examine the development of a new
set of EHR tools, Personal Health Records (PHRs).
PHRs may be variously defined (Table I) and have sev-
eral potential functional and payment models (Table
II), but the general aim of all PHRs is to increase
patients’ access to and sense of ownership over their
health care information. According to the Markle
Foundation, the advent of PHRs “represents a transi-
tion from a patient record that is physician-centered
to one that is patient-centered, prospective, interac-
Matthew Wynia, M.D., M.P.H., is the Director of the In-
stitute for Ethics at the American Medical Association and a
Clinical Assistant Professor at the University of Chicago. He
received his M.D. from the Oregon Health and Science Univer-
sity in Portland, Oregon and his M.P.H. from Harvard Uni-
versity School of Public Health in Boston, MA. Kyle Dunn,
M.H.S., was a Research Assistant at the Institute for Ethics
at the American Medical Association and is now a Ph.D. can-
didate in the Department of Health Policy and Management
at the Johns Hopkins Bloomberg School of Public Health. He
received a B.S. in Molecular, Cellular and Developmental Bi-
ology .
In search of a digital health compass: My data, my decision, our powerchronaki
Knowledge is power. Despite extensive investments in digital health technology, navigating the health system online is challenging for most citizens. Also for eHealth, the “Inverse Care Law” proposed by Hart in 1971, seems to apply. Availability of good medical or social care services and tools online, varies inversely with the need of the population. The low adoption of eHealth services, and persistent disparities in health triggers a call for multidisciplinary action.
Barriers and challenges are not to be underestimated. Culture, education, skills, costs, perceptions of power and role, are essential for multidisciplinary action. This comes together in digital health literacy, which ought to become an integral part to navigate any health system. Patients living with an implanted device or coping with persistent, chronic disease such as diabetes, as well as citizens engaged in self-care, caring for an elderly relative, a neighbor, or their child with illness or deteriorating health, need a digital health compass.
The panel will engage the audience to elaborate on a vision for this personal, digital health compass and drive advancement in health informatics and digital health standards. The transformative power of health data fueled by targeted digital health literacy interventions can be leveraged by open, massive, and individualized delivery. This way, digital health literate, confident patients and citizens join health professionals, researchers and policy makers to address age-related health and wellness changes to shape the emerging precision medicine and population health initiatives.
From a panel in the eHealthweek 2016. http://www.ehealthweek.org/ehome/128630/hl7-efmi-sessions/
Public Health informatics, Consumer health informatics, mHealth & PHRs (Novem...Nawanan Theera-Ampornpunt
Presented at the M.S. and Ph.D. Programs in Data Science for Health Care, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand on November 11, 2019
Dr. Douglas Fridsma, Presentación Simposio Salud 2017PAÍS DIGITAL
Presentación del Dr. Douglas Fridsma, Prediente y CEO AMIA, "From Meaningful Use to Precision Medicine: What have we learned and what’s next?", en el marco del Primer Simposio Salud: Nuevas Tecnologías, Avances y Desafíos, realizado en Santiago de Chile, los días 18 y 19 de julio 2017.
Even though touchscreen and gestural technology has been around for decades, Nintendo's Wii, Apple's iPhone and Microsoft Surface have heralded a new era of interaction design where gestures in space and touches on a screen will be as prominent as pointing and clicking.
But how do you create products for this new paradigm? While most of us know how to design for web and desktop applications, many are still wondering how to adequately design for interactive gestures. This talk covers the basics: ergonomics, a brief history of gestural technology, prototyping and documenting, and how to communicate the presence of a gestural interface to users.
Dan Saffer, a founder and principal designer at Kicker Studio, has designed interactive products since 1995 that are currently used by millions every day. Dan has led projects for large organizations like Nokia and Time Warner to start-ups such as Ning and Foxmarks. An international speaker and author, his acclaimed book Designing for Interaction (New Riders) has been called "a bookshelf must-have for anyone thinking of creating new designs" and has been translated into several languages. His new book, Designing Gestural Interfaces (O'Reilly) was published in December 2008.
Dan is an internationally-recognized thought leader on design who has spoken at conferences and taught workshops on interaction design all over the world. Dan's writings on design have appeared in BusinessWeek, Vitamin, and Boxes and Arrows. He has a Masters of Design in Interaction Design from Carnegie Mellon University.
Digital Transformation and IT Strategy Toolkit and TemplatesAurelien Domont, MBA
This Digital Transformation and IT Strategy Toolkit was created by ex-McKinsey, Deloitte and BCG Management Consultants, after more than 5,000 hours of work. It is considered the world's best & most comprehensive Digital Transformation and IT Strategy Toolkit. It includes all the Frameworks, Best Practices & Templates required to successfully undertake the Digital Transformation of your organization and define a robust IT Strategy.
Editable Toolkit to help you reuse our content: 700 Powerpoint slides | 35 Excel sheets | 84 minutes of Video training
This PowerPoint presentation is only a small preview of our Toolkits. For more details, visit www.domontconsulting.com
Implicitly or explicitly all competing businesses employ a strategy to select a mix
of marketing resources. Formulating such competitive strategies fundamentally
involves recognizing relationships between elements of the marketing mix (e.g.,
price and product quality), as well as assessing competitive and market conditions
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Structural Design Process: Step-by-Step Guide for BuildingsChandresh Chudasama
The structural design process is explained: Follow our step-by-step guide to understand building design intricacies and ensure structural integrity. Learn how to build wonderful buildings with the help of our detailed information. Learn how to create structures with durability and reliability and also gain insights on ways of managing structures.
Top mailing list providers in the USA.pptxJeremyPeirce1
Discover the top mailing list providers in the USA, offering targeted lists, segmentation, and analytics to optimize your marketing campaigns and drive engagement.
Understanding User Needs and Satisfying ThemAggregage
https://www.productmanagementtoday.com/frs/26903918/understanding-user-needs-and-satisfying-them
We know we want to create products which our customers find to be valuable. Whether we label it as customer-centric or product-led depends on how long we've been doing product management. There are three challenges we face when doing this. The obvious challenge is figuring out what our users need; the non-obvious challenges are in creating a shared understanding of those needs and in sensing if what we're doing is meeting those needs.
In this webinar, we won't focus on the research methods for discovering user-needs. We will focus on synthesis of the needs we discover, communication and alignment tools, and how we operationalize addressing those needs.
Industry expert Scott Sehlhorst will:
• Introduce a taxonomy for user goals with real world examples
• Present the Onion Diagram, a tool for contextualizing task-level goals
• Illustrate how customer journey maps capture activity-level and task-level goals
• Demonstrate the best approach to selection and prioritization of user-goals to address
• Highlight the crucial benchmarks, observable changes, in ensuring fulfillment of customer needs
LA HUG - Video Testimonials with Chynna Morgan - June 2024Lital Barkan
Have you ever heard that user-generated content or video testimonials can take your brand to the next level? We will explore how you can effectively use video testimonials to leverage and boost your sales, content strategy, and increase your CRM data.🤯
We will dig deeper into:
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Anny Serafina Love - Letter of Recommendation by Kellen Harkins, MS.AnnySerafinaLove
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The 10 Most Influential Leaders Guiding Corporate Evolution, 2024.pdfthesiliconleaders
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How to Implement a Real Estate CRM SoftwareSalesTown
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In this masterclass, presented at the Global HR Summit on 5th June 2024, Luan Wise explored the essential features of social media platforms that support talent acquisition, including LinkedIn, Facebook, Instagram, X (formerly Twitter) and TikTok.
EHRs, PHRs, EMRs: Making Sense of the Alphabet Soup
1. EHRs, PHRs, EMRs:
Making Sense of the Alphabet Soup
October 15, 2009
Annelen Archbold, Strategy and Innovation, CDC
Richard H Walsh , Director of Strategic Initiatives
Greenway Medical Technologies
Suzanne Gates, Consumer Health Informatics, CDC
C. Joseph Cadle, MD, Asst to Medical Director for
External Relations, Kaiser Permanente
2. Health Healthcare Problems
• Cost
• Quality of care
• Consistency of care
• Continuity of care
• Disaster/Emergency response
• Isolated, piecemeal, inaccessible records
• Medical care separated from health, life
prevention
3. Why HealthIT?
Health information technology (HIT)
allows comprehensive management of
medical information and its secure
exchange between health care
consumers and providers.
http://healthit.hhs.gov/
4. HIT has the potential to
• Improve health care quality
• Prevent medical errors
• Increase the efficiency of care provision
and reduce unnecessary health care costs
• Increase administrative efficiencies
• Decrease paperwork
• Expand access to affordable care and
• Improve population health
http://healthit.hhs.gov/
5. Interoperable HIT can improve
Individual Patient Care
• Complete, accurate, and searchable health information,
available at the point of diagnosis and care, allowing for
more informed decision making ………….
• More efficient and convenient delivery of care, without
having to wait for the exchange of records or
….unnecessary tests ….
• Earlier diagnosis and characterization of disease, with the
potential to thereby improve outcomes and reduce costs.
• Reductions in adverse events through an improved
understanding of each patient’s particular medical history,
………...
• Increased efficiencies related to administrative tasks,
allowing for more interaction with ….. patients, caregivers,
and clinical care coordinators, and monitoring of patient
care.
7. Electronic Record Definitions
• Electronic Medical Record (EMR): An electronic record
… on an individual… within one health care organization.
• Electronic Health Record (EHR): An electronic record
……..on an individual ………across more than one
health care organization.
• Personal Health Record (PHR): An electronic record
…….on an individual… managed, shared, and controlled
by the individual. Types: Standalone, Tethered, Integrated
The National Alliance for Health Information Technology, Report to the Office of the
National Coordinator for Health Information Technology on Defining Key Health
Information Technology Terms” (April 28, 2008;
http://www.hhs.gov/healthit/documents/m20080603/10_2_hit_terms.pdf)
10. Key Element of Information Use
• Privacy (protections and regulatory provisions)
and other legal and medical legal issues
• Security and Interoperability of systems (so data
can be exchanged among various sources and
users)
• Incentives (must bring value in some way)
• Convenient
• Robustness (able to acquire easily from all
sources)
• Trust (on the part of clinicians consumers)
HP2020, July 16, 2009, K Bell
12. PH Opportunities in Health Reform
• Increase prevention wellness, disease
management. Modernize disease surveillance/
registries.
• Expand public engagement, participation, and
communication through social media, mobile
technology and participatory web applications.
• Reduce health disparities.
• Respond to emergencies.
13. The Personal Health Record (PHRs)
“Polynomial Heterogeneous Record systems”
• Patient portals to providers’ legal electronic health records
• Vaults, banks, clouds, platforms that collect and store
basic health data on an individual from wherever it is
available
• Applications that “translate” health data for specific uses
• Flash drives, CD’s, smart cards, other personal devices
• Future?????? One health database per person accessed,
added to, and/or used by anyone with patient
permission…….
HP2020, July 16, 2009, K Bell
15. Rapidly Changing Landscape
Government Non-profit/ Profit
• HHS – standards, RWJ Project Health
coordination; ONC/ Design (open-source
NHIN(2), HP2020, application ecosystem)
NCVHS, meaningful use CA Health Foundation
• CMS – large-scale PHR Health Privacy Project
pilot (3rd party PHR Markle Foundation
application) University research
• AHRQ –demonstration/ Patients Like Me
guidelines
Personal Health Technology
• NIH – provider systems Council
• VA – My Healthe Vet Pew Research
• DOD – MiCare pilot Standards: CCHIT, HL7 –
PHR Functional model
16. American Opinion
Preferred medium for PHR: High perception of value
Ages 45 and Under
79% or more of the public
3% believe using an online PHR
18% would provide major benefits to
33% individuals in managing their
health and health care services.
22%
June 2008
24%
High interest
Almost half of the public --46.5%-- say they would
be interested in using an online PHR service. This
represents about 106 million adults.
June 2008
Source: Connecting for Health, Markle Foundation (http://www.connectingforhealth.org/)
17. Ideal PHR Characteristics: 2009
• Electronic record of health information
• Drawn from multiple sources
• Controlled by the individual
• Data managed, augmented, used, and
shared by the individual at his/her discretion
HP2020, July 16, 2009, K Bell
18. Where are we today?
• 4% of US population are using some sort of electronic
means to access and use their own personal health
information
• Dominated by “tethered” systems (patient portals into
provider controlled EHRs) and employer/payer based
systems populated with claims data
• Primary usage driven by transactional processes with
providers
• Dominate user: “CMO” of family – middle aged
female
HP2020, July 16, 2009, K Bell
19. Areas of Interest
Cross-cutting EMRs/EHRs
• Public Health alerts • Unobtrusive decision support
• Registries (with patient education and
referral information)
• Health monitoring/tracking • De-identified surveillance
• Family health history
• Occupation and employer PHRs
history
• Risk identification
• Guidelines for correct 3rd party • Disease management
use of information
• Education/guidelines
• Design standards/data fields • Personalized tailoring
• Data quality, Privacy, Health • Pets (exposure)
literacy
• Opt-in surveys and longitudinal
• Equity/reducing disparities research
20. A Few Free, Web-based PHRs
• AboutMyHealth • MedsFile.com
• dLife • Microsoft Health Vault
• Dr. I-Net • My Doclopedia PHR
• EMRy STICK • My HealtheVet
• Google Health Records • myHealthFolders
• HealthButler • MyMediList
• Healthy Circles • NoMoreClipBoard.com
• iHealthRecord • Patient Power
• It Runs in My Family • Telemedical.com
• MedicAlert • VIA
• MediCompass • WorldMedcard
• ZebraHealth………….
http://www.myphr.com/resources/phr_search.asp
21. Resources
• HHS/Health Information Technology-- http://healthit.hhs.gov
• National Institute of Standards and Technology (NIST) --
http://www.itl.nist.gov/div897/index.html
• Health Level Seven, Inc. (HL7)-- http://www.hl7.org/
• Integrating the Healthcare Enterprise (IHE)-- http://www.ihe.net/
• Health Information Technology Standards Panel (HITSP) --
http://www.hitsp.org/
• CCHIT– Certification-- www.cchit.org
• Healthcare Information and Management Systems Society
(HIMSS) -- “RHIO” and “Health Information Exchange” or “HIE”
http://www.himss.org/ASP/chaptersHome.asp
• American Health Information Management Association best
practices/training-- http://www.ahima.org/ www.MyPHR.com
AMIA, ANSI-HISB, CITL, eHI, Internet2, CCR, CCD……
22. Thank You
Suzi Gates (sgates@cdc.gov )
CDC’s National Center for Public Health Informatics
23. Definitions
• Portable/Data Portability-- Being able to move
data from one database or repository to another.
• Cross-platform-- Developing software for, or
running software on, more than one type of
hardware platform. The most universal cross-
platform application is the Web browser.
• Interoperable--The ability for one system to
communicate or work with another.
24. PHRs Public Health
• Assessment
– Data Collection
– Investigation
– Monitoring/Sentinel Citizen
• Assurance
– Links to resources and
services
– Quality Improvement
– Benchmark Health
– Emergency Preparedness
• Policy Development
– Inform, Educate, Empower
– Design considerations
• Research
25. Opportunities
For Consumers Public Health
• Prevention • Health status monitoring
• Health promotion • Community problem solving
• Local service referral • Policies and planning
• Service links
• Emergency/outbreak
information • Inform, educate, empower
• Evaluation
• Individual health
monitoring • Research and development
benchmarking • Sentinel citizens
• Integrating health into • Other: Equity, health literacy,
daily living health status,…….
26. Standards Considerations for PH
– Ability to
• opt-in to receive (personally tailored) prevention
materials/messages
• obtain info from cell phone or submit data from cell
phone
• choose to be a sentinel citizen--share data one time
or ongoing
• Include psychosocial add-on widgets including
health risk assessment, pets, occupation/place of
employment/years
– Doesn't encourage employers to change insurance
annually
27. Impact Planning for Public Health Informa5cs: Sample Model and Measures DRAFT – 08/17/09
Outputs
Informatics Public Health Public Health
Inputs
Activities
Impacts
Impacts
Outcomes
(Short-term)
(Mid-term)
(Mid-term)
(Long-term)o
Informacs Contribuon to a larger public health goal
Engage Users:
individuals / Users:
Are reached
community
Use the solution (% target audience
Changes
Human (number of users, engaged,
representativeness audience
individuals, Assess needs
frequency,
knowledge,
community, health duration of use)
of participants,
accessibility)
attitudes,
workforce Employ and
behavior
train staff
Have necessary Effec5veness
infrastructure Adopt the solution
(Settings/providers Reduce
Solicit feedback
capacity, morbidity/
participating,
Organiza5on workforce
sustainable mortality
operang Form readiness
partnerships
organizational Improve
procedures, legal structure)
Creates social, quality of life
structure, Solution:
policy, and
organizaonal Scan Reduce
environment
Solution:
physical
Health
assets Enables Is high quality, environments that
collaboration
Dispari5es
safe, efficient, promote good
Identify
reliable, relevant, health
Improve
inefficiencies, Is usable, useful, popula5on
disparities
complete, timely
Technology effective, and public
computers and transparent
Improves care or health
Secure funding
user-centered, interventions
connecvity,
technical flexible, simple,
Analyze interoperable, Enables reporting
architecture and requirements
Maintains healthy
standards, physical private, secure
attitudes,
Is scalable,
infrastructure Build/deploy adaptable
behaviors
Is implemented on
technical budget, on time
Faster, better,
solutions
cheaper, smarter