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PHR-1 CSE 5810 Personal Health Records Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield Road, Box U-255 Storrs, CT 06269-2155 [email protected] http://www.engr.uconn.edu/ ~steve (860) 486 - 4818
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PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Jan 12, 2016

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Page 1: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PHR-1

CSE5810

Personal Health RecordsPersonal Health Records

Prof. Steven A. Demurjian, Sr.Computer Science & Engineering Department

The University of Connecticut371 Fairfield Road, Box U-255

Storrs, CT 06269-2155

[email protected]://www.engr.uconn.edu/

~steve(860) 486 - 4818

Page 2: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PHR-2

CSE5810

Overview Overview What are PHRs?What are PHRs?

Market? Product? Status

Reviewing PHRsReviewing PHRs Google Health MS HealthVault Health Data Solutions Patient Kiosk

Page 3: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PHR-3

CSE5810

What are PHRs?What are PHRs? PHRs have emerged over the past few years to place PHRs have emerged over the past few years to place

the control and management of health-related the control and management of health-related information directly into the hands of patients information directly into the hands of patients [4][4]

The number of PHRs on the market today is simply The number of PHRs on the market today is simply staggering; the web site staggering; the web site myPHR.commyPHR.com lists a total of lists a total of 100 PHRs that can be purchased (75 total) or are 100 PHRs that can be purchased (75 total) or are freely available (25 total)freely available (25 total)

Popular alternatives available to patients include: Popular alternatives available to patients include: Google Health Google Health [5], [5], Microsoft HealthVault Microsoft HealthVault [6],[6], myPHR myPHR [7],[7], iHealthRecord iHealthRecord [8] [8] integrated with Google Health, integrated with Google Health, and WebMD and WebMD [9].[9].

Page 4: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PHR-4

CSE5810

PHR RefsPHR Refs Overview of PHRs: Overview of PHRs:

http://www.nlm.nih.gov/medlineplus/personalmedicalrhttp://www.nlm.nih.gov/medlineplus/personalmedicalrecords.htmlecords.html

Google Health: Google Health: http://www.google.com/intl/en-US/health/tour/index.hhttp://www.google.com/intl/en-US/health/tour/index.htmltml

Microsoft Health Vault: http://www.healthvault.com/Microsoft Health Vault: http://www.healthvault.com/ MyPHR: http://www.myphr.com/MyPHR: http://www.myphr.com/ iHealthRecord: http://www.ihealthrecord.org/iHealthRecord: http://www.ihealthrecord.org/ WebMD: http://www.webmd.com/phrWebMD: http://www.webmd.com/phr

Page 5: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Healthcare Data Solutions

Patient Kiosk Presentation

Concentra

8.28.07

www.hcdat.com/ITSdocs/concentra%20kiosk%204.ppt

Page 6: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Complexity – SELECT TABLE_NAME, COUNT(*) AS cntFROM

SQL_Tables_Field_DocumentationNGGROUP BY TABLE_NAME WITH ROLLUP

2448 Tables84959 Fields !!!

made simple – [instaLink] instaLink – documents every field used

in Kiosk and target practice management system.

Interface auto-generated from requirements

Page 7: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Challenges in Occupational Medicine & Urgent Care

The ah ha moment… what do people really want to know??

Doctors

Patients Board of Directors

Our bossEmployers

Regulators

?

Page 8: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Challenges in Occupational Medicine & Urgent Care

The ah ha moment… what do people really want to know??

Doctors

Patients Board of Directors

Our bossEmployers

Regulators

?

Page 9: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

The ah ha moment… what do people really want to know??

Doctors

Patients Board of Directors

Our bossEmployers

Regulators

?

Challenges in Occupational Medicine & Urgent Care

Page 10: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Who We AreFocused on Healthcare and our customers success

Technology

Standards and Best PracticesProject Management & Design Success

Page 11: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Who We Are: Focused on Healthcare

Safety Efficiency Efficacy

Products Patient Kiosk Chart Tools AZ Discharge

Page 12: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Who We Are: Technology Expertise

Data Driven Web Apps Security Standards Compliant

TechnologiesSql, .NET, odbc, java, web, voip, VB, php,html, ajax, xml, ldap, vpn,vista, linux, …

Page 13: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Who We Are: Project Management Success

National Library of Medicine, HL7 EHR messaging

Emergency Physicians Medical Group data warehouse, 9 states, 60 hospitals, 1.2million patients annually

Customer service Commitment

Page 14: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk Features

Branching– Age, Symptoms, Sex, Site, Etc.

Simplicity InstaLink to EMR Easy to Add Content Trees

– Patient History, Work History, Chief Complaint, Etc.

Secure and Full Audit Trail . . .

Page 15: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk Features Cont… Patient View Front Desk View Clinician View Billing/Insurance View Administrative View Built on MS-SQL Open Platform InstaLink Interface to NextGen

Page 16: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk Demo

Kiosk front desk view (use 3/30/07) List of dummy demo patients Occ Med EMR show image selection;

appointment selection

Page 17: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk Patient View Easy Navigation Progress Bar Pleasing

appearance Securely Locked Branching by:

– Age, ie pediatric

– Sex– Condition– Clinic Type– Dynamic

responses Forced or

optional completion

Optional soft keyboard

Page 18: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk patient view, cont… Complex answer

types

– Nested lookups

Integrated with NextGen lookup tables– Simplifies

maintenance You control

– Order

– Public to Clinical Translation

Page 19: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk Front Desk View Set Date Clinic Location View patient

name, birthdate, interview status

Access Patient Interview

Access Clinical Review

Access Billing Review

Page 20: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk Clinical Review One click

access from NextGen Clinical Template

Doctor sees all changes

Mass or single update

Full audit trail Approved info

push instantly into NextGen

Page 21: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk Staff/Billing Review One click

NextGen or Kiosk Front Desk

Verify key billing info before it is loaded

Mass or single update

Full audit trail Approved info

push instantly into NextGen

Page 22: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk IT Administration Elegant

Design Self

Documenting Interface

Custom, public or proprietary content manager

Set Order Clinical vs.

patient text translation

Page 23: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PatientKiosk IT Admin cont… Question-Answer

Metephor Control

– Section, Screen, Group, Question, AnswerType, Lookup Values

– Branching, Dependencies

– Validation• Required,

Error messages

Interface– Clinical, Admin,

Billing– Public Coding

Sets

Page 24: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

You’ve heard the spiel. We’re not for everyone.

How can we help you??

Safety Efficiency Efficacy

Products Patient Kiosk Chart Tools AZ Discharge

Timeline.Rollout..Content creation & validation…Best Practices….Coding

Page 25: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

Healthcare Data Solutions

Phil Barr

3830 Packard Suite 180

Ann Arbor MI. 48104

(734) 418-8550 www.hcdat.com

Page 26: PHR-1 CSE 5810 Personal Health Records Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut 371 Fairfield.

PHR-26

CSE5095

Conclusions Conclusions What are PHRs?What are PHRs?

Market? Product? Status

Reviewing PHRsReviewing PHRs Google Health MS HealthVault Health Data Solutions Patient Kiosk