This document contains contact information for Jeffrey Harris of Untangled Healthcare. It lists his name, company, contact details including phone numbers, email address, and links to social media profiles. The document also includes a syllabus outlining topics to be covered related to defining a person's healthcare needs, emerging health information technology, personal health records, and advocacy models.

1. Jeffrey Harris
Untangled Healthcare
Jeffrey Halbstein-Harris
Untangled Healthcare
Assisting communities to monitor and improve healthcare
919 627-5038 Cell
919-779-7368 Office
Fax 888 783-6178 (Jeffrey Harris)
email: JeffHarris@untangledhealthcare.com
LinkedIn: http://www.linkedin.com/in/untangledhealth
Blog: http://www.untangledhealth.com/
Website: http://www.untangledhealthcare.com/
Twitter: http://twitter.com/UntangledHealth
Slide share: http://www.slideshare.net/jeffharris75
10/24/2011 1

2. Syllabus
1. Defining a persons needs and the evolving National Health Information
Infrastructure
1. Defining an emerging Health Information Technology within the context of
the US HealthCare System
2. An example for you
1. Real Use Case 2011
2. Samples of Levels of Support Based on Functional Status
3. Personal Health Records
Selection
Components
Security
1. Process
4. A Transition Model
5. Why We Do It
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3. Untangled Healthcare Patient Advocacy Series
Part One: Defining a Persons Needs
– Defining a persons needs
– Defining an emerging Health Information Technology within the
context of the US HealthCare System
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4. Advocate and Instruct
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5. Instruct
• "Go to the people, live with them, learn
from them....
Start with what they know, build with what
they have...."
Lao Tzu
10/24/2011 5

6. Life Cycle
Birth
Death Education
Loss of
Illness
Work
Chronic
Work
Illness
Illness
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7. Advocacy by Patient Type
1. Healthy (consumer - retain customer goal)
2. Worried-well (counsel)
3. Self-limited sick (do nothing unusual)
4. Catastrophic sick (coordinate episode)
5. Asymptomatic / Minor chronic conditions
1. Patient education and self-advocacy with monitoring
6. Symptomatic / Major chronic conditions
1. Care Management - reverse / slow progression / maintain health
7. Hospice / end-of-life
1. Care Management - maintain / comfort
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8. Episodic Care
Diagnosis
Hospitalization
Rehabilitation
Return to
Community
Start time Process Time Stop Time
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9. Chronic Continuum of Care
Assess
Monitor Plan
Coordinate Educate
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10. Acute Care
Hospital Advocating the Mess
Sub-Acute
Facility Acute Rehab.
Facility
intense illness
short term medical manage
pulmonary rehab. repeat 1st rehab.
chronic vent. dependent requires nocturnal
management
SNF
custodial
Long Term 1st rehab Day Rehab.
care Case Manager
Care safe at night Facility
home bound
with services
post IP or sub acute
or first rehab
Home Health O2 etc.. mild to moderate
post rehab
Care disease
independent or fitness
supervised programs
referral to ISN Out Patient
Home Care Facility
DME
Residential Living Fitness Center
with Maintenance YMCA etc..
program patient / family
Patient and Family
provider needs Enter System
LEGEND
10/24/2011 10

11. Acute Care
Hospital Advocating for What?
Sub-Acute
Facility Acute Rehab.
Facility
intense illness
short term medical manage And Care Is Continuous
And Payment rehab. repeat
pulmonary Happens 1st rehab.
Insurance dependent
chronic vent. No Gaps In Treatment
requires nocturnal
management
Commercial No Gaps in Meds
SNF
Long Term Public custodial And Care has Continuity
1st rehab Day Rehab.
care
Care Safety Net Case Manager HealthcareatProviders Share
safe night Facility
Health Insurance Exchange Care Plan
Charity bound And Care has Quality
home
Selfwith services
Pay Healthcare Providers Share
Same Evidencefirst sub acute
post IP or
or
Based
rehab
Home Health O2 etc.. post rehab Guideline mild to moderate
Care disease
independent or fitness
supervised programs
referral to ISN Out Patient
Home Care Facility
DME
Residential Living Fitness Center
with Maintenance YMCA etc..
program patient / family
Patient and Family
provider needs Enter System
LEGEND
10/24/2011 11

12. Untangled Healthcare Patient Advocacy Series
Components of National Health Information Infrastructure
• E-HR Electronic Health Records
– Capable of exchanging data between disparate
systems across the USA
• Electronic Medical Records
– Capable of exchanging data within an isolated
organizational entity e.g. Duke Medicine
• P-HR Personal Health Records
– A subset of critical information managed by patient
• HIE Health Information Exchange
– The communications technology, security and privacy
standards, governance structure for passing
information among members. Requires patient
consent.
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13. E-Healthcare The Evolving National HIT
Making sense of it all System
Jeffrey Harris
Untangled Healthcare
From Confusion To Fusion (we hope?)
• Patient recall (interview) • Digital shared continuous history
• Paper records • Magical transfer of data across vast
• Manual processes with forms distances including pictures, treatments,
diagnosis, test results
• X-ray film and Fluoroscopy
• Computers converting data to information
• Microscopes and Cell Counts
shared with the service providers who
• Postal Service include patient and family as active
• Telephones component of treatment team
• Fax Machines • Shared accountability for well-being
• Human Computers Who are you We are I am more
people? better healthy.,
What are you informed knowledgeable,
doing? motivated and
I can’t remember accountable
all of my doctors
and why my
parents passed
away?
Past Present Future
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14. 10/24/2011 14

15. Graphic Representation of National Initiative
Data Exchange Illustrated
Non Integrated System Integrated System with e-HR
PHR
PCMH
Single Practice
EMR Silo Specialist EHR Various Labs
Communication Barrier
EHR LIMS
Local hospital affiliate
PACS EHR
f
Imaging Sure Hospital
System
Scripts
Pharmacy
Local Pharmacy
Health Info Exchange
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16. Syllabus
1. Defining a persons needs and the evolving National Health Information
Infrastructure
1. Defining an emerging Health Information Technology within the context of
the US HealthCare System
2. An example for you
1. Real Use Case 2011
2. Samples of Levels of Support Based on Functional Status
3. Personal Health Records
Selection
Components
Security
1. Process
4. A Transition Model
5. Why We Do It
10/24/2011 16

17. Jeffrey Harris
Untangled Healthcare
Jeffrey Halbstein-Harris
Untangled Healthcare
Assisting communities to monitor and improve healthcare
919 627-5038 Cell
919-779-7368 Office
Fax 888 783-6178 (Jeffrey Harris)
email: JeffHarris@untangledhealthcare.com
LinkedIn: http://www.linkedin.com/in/untangledhealth
Blog: http://www.untangledhealth.com/
Website: http://www.untangledhealthcare.com/
Twitter: http://twitter.com/UntangledHealth
Slide share: http://www.slideshare.net/jeffharris75
10/24/2011 17