I just want a global view of my patient! Reaching global ...

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I just want a global view of my

patient! – Reaching global patient

interoperability

Jim Green, Senior IT Healthcare Consultant

Agenda

• The ‘wired’ world of today’s patients

• Interoperability barriers

• Progress

• Future Horizons

• Next Steps

• Q & A

Patient requests and expectations

• Charts, Results, Histories• Even the basics can be difficult to deliver

• CCD format offers some standardization but…

• The record is difficult to decipher with no standard presentation format

• Patients wish to see trends from charts

• Services• Self service appointment scheduling, procedure prep information,

admissions forms online, pre-appointment education

• Communications channels direct to provider – e mail, portal, text

• Links to medical education sources – do my own research

• Financial services (bill pay, insurance, clear - easy to understand)

• Patient Generated Data (a huge trend)• Home testing results, changing symptoms, vitals

• Personal device interface – fitbit, BP, sugars

Culture Impacts – changing attitudes

• Patient as owner of health role• Consumerism

• Google

• Access to evaluation sources, grades

• Online retail expectations• 24 hour access, research and control

• Banking, investments, shopping

• Longer life expectancy – managing

chronic conditions

• Online services not ‘nice to have’

The patient wish list

• A portal of portals (like Mint ™) that will

integrate all sources of health information

into one easy to use tool

• Smart date that is meaningful, actionable

and comprehensible

• The ability to have real-time and

asynchronous conversations across a

portal (secure messaging)

Useful Actionable Views

The Vision…

https://www.youtube.com/wat

ch?v=23rbI1PFkLA

Barriers

Barriers

Barriers

Barriers

Agenda

Portal complexity – Portal Sprawl

• Use of separate portals for inpatient and out patient

settings

• Additional portals with special functionality for disease

specific conditions

• Payer sponsored tools made available through ACO

arrangements with health plans

• Not consolidating patient facing solutions after M&A to

maintain separate identities

• Specialty solutions from homecare, extended care and

other care settings

Making Sense of Various Portal Types

• Tethered Portals – solutions tied to a vendor EHR

system and an individual practice or organization

• Standalone Portals – Also called untethered portals.

EHR agnostic, independent offerings

• HIE- sponsored Portals – Untethered solutions offered

by private, state or regional HIEs to networks of

providers and participants

• Niche Portals – Interactive solutions that provide

functionality for education, entertainment, satisfaction

surveys, service providers, etc.

• PHR – Personal Health Records – Patient owned and

controlled portals to coordinate, manage and distribute

health information

What this means for Patients and Providers

• Uncertainty about which portal to visit and the accuracy

and timeliness of the information

• Login, Password, Login, Password, Login, Password…

WAY TOO MANY. In a given year, the average

Medicare patient visits 2 PCPs, 5 specialists, 4

different practices

• Different looks, feels – navigation is different, functions

are different, basic information difficult to locate

• Data inconsistencies such as multiple instances of self

reported data, consent issues

• Complicates challenges of chronic care management

and multiple-morbidity care coordination

Testimonials …

I met a patient recently who has advanced

cancer. She accesses care from multiple

providers in multiple organizations. The

various EHRs remain isolated and

unsynchronized. She can access some of

her records online, but she must log into six

separate portals. After each encounter, she

sends messages to five other physicians

requesting they update the data in their

EHR.” Tim Burdick, former CMIO of OCHIN, in his testimony at an ONC hearing

Progress

Patients do value online access

People ARE embracing online health records

Progress

Progress

Progress

Progress

Future Horizons

Future Horizons

Future Horizons

Future Horizons

Future Horizons

Future Horizons

Next Steps

• Continue to develop and refine existing EHR and

portal platforms

• Focus on integration and the customer

experience – put yourself in the patient’s shoes

• Advocate with your vendors for interoperability,

active with consortiums, challenge progress

• Work with state, regional, national HIE’s, ACOs

• Cooperation with competitors in this space will be

needed to realize the goals of your patients

Thanks!

Questions?

Thanks!

Email

[email protected]

Subject Line: MYDATA

For a copy of today’s

presentation.

877-754-8420 | www.icetechnologies.com | 411 SE 9th St, Pella, IA 50219

Jim Green | 641.628.0277 | [email protected]