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American Health American Health Information CommunityInformation Community
Managing Personal Health InformationManaging Personal Health Information
Current Tools & ProductsCurrent Tools & Products
John MooreChilmark Research
[email protected]
July 29, 2008
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Today, Three Dominant PHI Modalities
Value
Connectivity
Web-Based PHI Solutions Will Dominate
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PHR Market has Moved to B2B Model
•High Barriers to Entry in Provider Market•Employer & Health Plan Markets Similar•Consumer Plays are Often Legacy
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Stand-Alone, Consumer PHI Apps: Manage Health
Content
Attributes Rating NotesData Source NA Self-entry, Cumbersome, Current/Trusted?
Control High Owned & managed by consumer
Interoperability Medium Standards adoption increasing (CCR dominant)
Portability Medium Highly variable across vendors
Tools Modest Highly variable across vendors
Personalization Low Generic, simplistic solutions dominate
Adoption Low Self-entry key detriment, Highly motivated only
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Employer & Health Plan Sponsored Platforms: Manage Risks, Lower Costs
Attributes Rating NotesData Source(s) NA Claims, PBM & HRA, Partial View
Control Low Sponsor controlled
Interoperability Medium Potential there, more talk than action
Portability Low Tethered to employer or insurer
Tools Good Significant activity, behavioral change
Personalization High Leverage HRA & claims data
Adoption Medium Trust, Incentives often required
Claims D
ata
Content
HRATools
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Provider Sponsored Platforms: Consumer Retention
Attributes Rating NotesData Source(s) NA EMR, Gold Standard, Myopic
Control Low Portal to host EMR
Interoperability Low Disparate systems, competitive pressures
Portability Low Tethered to EMR
Tools Medium Communication for engagement/retention
Personalization Low-Med. Most do poor job, some exceptions
Adoption Variable Perceived value?
Content
Clinical D
ata
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Utility Service Model for PHI: Create an Ecosystem
Attributes Potential NotesData Source(s) NA Virtually any pertinent data source
Control High Strong consumer control of data
Interoperability High Adoption of Open Systems and standards
Portability Medium Still under development
Tools Very Good Multiple tools/widgets, communications???
Personalization High Farther down the road
Adoption High Perceived value?
Data
Sourc
es
Secure Repository
App
licat
ions
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Conclusion
• Visibility & Interest in PHI Platforms is Accelerating– Significant increase in press mentions/articles
– Vendors reporting strong double digit growth
• Consumer Expectations May be Higher than Reality– Solution capabilities vary greatly
– Most solutions still require too much consumer input
• Data Liquidity is Paramount– Incentives to create, compile, access and share data
• Internet-based PHI Platforms Evolving Rapidly– Too early for prescriptive definitions and requirements
– Defer to frameworks and guiding policies