Nrip Nihalani speaking at the 2nd Annual Wireless Healthcare Asia Summit 2012 in Singapore - Providing Patients with Access to their Personal Medical Records On-The-Go

1. Providing Patients with Access to
their Personal Medical Records On-
The-Go
Nrip Nihalani

2. introduction
• Paper-based records are the most common
method of recording patient information
• In an Integrated Healthcare Delivery system,
Electronic Record Systems are required so
that Patient Medical Data can be “used
effectively”
– Accessibility and Immediate retrieval
– Easy sharing
– Intelligence
– Automating Alerts and Reminders

3. eRecords for Patients
– A Personal Health Record, or PHR, is a system where
health data and information related to the care of a
patient is maintained by the patient
– A Patient Portal provides patients with controlled
access to a Hospital EHR
– Some Patient Portals also have the PHR feature… and
vice versa some PHR’s also link to provider EMR’s

4. How have they fared?
•  Electronic Patient Records have been a hot
topic for the past decade
•  The ideology behind them is sound
•  Some nations have implemented policies to
ensure Digitization of Records
•  WE ARE STILL TALKING ABOUT
IMPLEMENTING THEM ?
•  Long way off from being proved useful

5. What’s the Problem? (OPPORTUNITY)
• Solutions not matching the ideology
• Employer driven PHR != Provider driven PHR
• PHR considered separate from Patient Records
• Poor Usability of Existing Systems
• People are not using them enough
• No Universally Accepted Standards for PHR’s

6. Some Survey Results
• 58 % of Adults without a PHR would be
interested in using one, “IF THE PHR WAS
OFFERED BY THEIR HOSPITAL OR MEDICAL
PRACTICE”
• 57 % of Adults want to access an Online PHR
connected to their Doctors Office
• Patients Feel that a Provider knows best about
what features in a PHR help in care.

7. Patient Surveys: PHR’s Need to Provide
• Test Results
• Prescriptions
• Wellness + Illness Data linked with EHRs
• Proxy Access to Other Medical Records
– Family Data
• Online Bill Payment
• Messaging Features
• Summarized Reports
• Personalized Medical Info and Patient Education
• Support for eVisits

8. How can PHR’s Work?
• Hospitals Offer PHRs using Integrated IT
Paradigms using a wide variety of popular
technologies
• Drive Patient Engagement
– Collaborate with Other Stakeholders
– Use Information Therapy
• Share Decision Making

9. Use everything at your disposal
• When Technology has advanced  Why avoid
using it
• Different Technologies have different purposes
• Web Opens Doors for Distributing Content
• Mobile takes content to the horse’s mouth
• “Record Data is also Content”
• And then there is more useful content to
provide with Record Data

10. Integrate T for Integrated H
Integrated Technology Paradigm for an
Integrated Healthcare System

11. Integrate T for Integrated H
• Healthcare  Stakeholders
– Patients
– Hospitals/Providers
– Physicians
– Insurers and Pharma cos
• Integrated Technology Offerings
– Provide EHR Data in PHR’s
– Ensure Mobile Interfaces and Alerting
– Personal Monitoring Data in PHR’s
– Tablet Friendly Simple User Interfaces
– Preventive Questionnaires' in PHR’s

12. How does one Drive Engagement?
• Information Therapy
• Provide Simple Interactive Mobile Tools
• Collaboration with other Providers
• Educational Workshops and Webinars
• Offer HealthCards
• Use the Green Initiative
• Preventive Care

13. Cue from Consumers In Today’s Times

14. What are Patients Doing?
• A lot of people are going online, using Google,
they are trying to self-diagnose and coming to
their physician and asking about various
things.
• They are tweeting and facebooking … Health
social networking is essentially patient run
and driven.
• They are creating Google groups and
discussing on Forums about their symptoms

15. Use this to push engagement
• Online healthcare interaction can mature
• Doctors must provide quality medical information
on their websites linked from PHR’s
• And also meaningfully respond to queries inside
PHR messaging Systems linking patients to
Information and Patient Education AV’s
• Patients will be only too happy to logon to their
PHR’s instead of Dr Google if they had a chance
• Patients Going online is then a 2 way street
• They will go online to find meaningful
engagement instead of only meaningful
information

16. Information Therapy Pushes Engagement

17. Engage using Mobile Solutions
• Effective Information Therapy
• Simple Diagnostic Tools
• Health Trackers

18. Engage Beyond Mobile
Use Multiple Communication technologies
Mobile + Social Networks
www.smartpatientalerts.com

19. Audio Visual Patient Education

20. Educating The Patient
• Physicians need to talk up the PHR during the
visit as a great way to interact with the
Practice/Hospitals
• Hospitals need to educate patients on the
time saving benefits such as
– Ability to receive timely healthcare information
– Schedule their own visits
• FAQ’s and Videos of Using the PHR must be
made easily available

21. Collaborate to Engage better
• Multiple Hospitals Educate Patients
• Physicians form Focus Groups with patients
• Hospitals allow PHR’s from collaborating
hospitals to access EHR Data for Patient
Hospitals Physicians Staff

22. Why Collaborate
• Every Hospital wants to see better
engagement
• Together one can educate Patients better
• Moreover, If they collaborate on PHR’s, by
sharing EMR data, patients get more value.
• Also this drives down the cost of Technology
• And Step towards a common standard
• Hence Offers More meaningful engagement

23. Preventive Health Data Helps Engage
• Improves Activation & willingness of the
patient to take on the role of managing their
health
• Real Time Reports after filling in short simple
questionnaires keep patients engaged
• Game based Preventive Tools drive
engagement further

24. Shared Decision Making
• Addresses the ethical need to fully inform
patients about the risks and benefits of
treatments
• Patients are willing to participate

25. Best Practices from Early Adopters
• Be Open to It
• Communicate Possibilities Early
• Provide Diagnostic Tools
• Patient Driven Blogs
• Create Patient Groups
• Patient Education AV’s
• Informed Consent

26. Summarizing : Make PHR’s Work
• Hospitals Offer PHRs using Integrated IT
Paradigms using a wide variety of popular
technologies
• Drive Patient Engagement
– Collaborate with Other Stakeholders
– Use Information Therapy
• Share Decision Making

27. Questions & Discussions
email me at n.nihalani@plus91.in
or send a tweet to @nrip