Comments on: Time to Kill the PHR Term: Part 2 http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/ Providing perspective on key IT trends in the healthcare sector Mon, 04 Jun 2012 23:53:02 +0000 hourly 1 http://wordpress.com/ By: Top 10 Things to Consider When Choosing a PHR « Chilmark Research http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-4155 Thu, 17 Dec 2009 22:30:25 +0000 http://chilmarkresearch.com/?p=1951#comment-4155 [...] December 17, 2009 by John At some point, hopefully in the not so distant future, physicians, clinics and hospitals will reach for the ARRA/HITECH Act carrot, adopt a certified EHR and demonstrate meaningful use.  One proposed requirement for meaningful use that will likely pass through the CMS rule making process is the requirement allowing citizens to receive their personal health information (PHI) is a digital format.  Once citizens have their PHI, we may begin seeing greater adoption and use of independent Personal Health Platforms (PHPs – Chilmark’s preferred term for PHRs, reasons why). [...]

]]> By: Jeff Brandt http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3695 Thu, 01 Oct 2009 17:59:09 +0000 http://chilmarkresearch.com/?p=1951#comment-3695 Victor, I agree and it was the first think that I thought about; but that happens frequently with TLAs from different domains. I vote for PHPT

Jeff Brandt
http://www.motionPHR.com

]]> By: Victor Velasquez http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3694 Thu, 01 Oct 2009 17:53:24 +0000 http://chilmarkresearch.com/?p=1951#comment-3694 But PHP is associated with the programming code (PHP, Java …) I think at some point people would have to make the difference between both terms….

I would prefer PHR Platform or PHPt.

]]> By: Robert E. Connors http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3660 Tue, 22 Sep 2009 04:32:30 +0000 http://chilmarkresearch.com/?p=1951#comment-3660 The only real value of a PHR is if it provides a personal journal for the patient, Personal Health Management Tools (PHMTs) to help the patient manage his/her health, and it is tethered to the Electronic Medical Record (EMR), Hospital Computerized Patient Record (CPR. a Gartner Term), or EHR so as to be able to display labs, pharmacies, allergies and summary of care back in the PHR. Data entered in the PHR should be able to be written to the EMR, CPR, or EHR and annotated as such as “patient-reported data”, or data supplied directly from home medical devices. The PHR should also be integrated closely with secure patient to provide communications. Perhaps RelayHealth has the best combination of functionality? Lastly, the PHR should be CCD C.32 compliant, and not just CCR compliant.

Given all of this, I find it somewhat amusing that the EHR, CPR, EMR vendors have to supply the PHR to patients. If it truly is a PHR controlled by the patient, then the patient should choose his/her own PHR. To do otherwise almost reeks of the problems of paternilistic medicne, and not true consumerism. On the other hand, if the PHR is to be linked to the EHR, EMR, CPR, then the vendors of these systems may be in the best position to offer it.

Perhaps Google Health, Microsoft Health Vault, or the NHIN itself can offer standards-based PHRs as a web service on their exchange platforms.

]]> By: Personal Health Record (PHR) Confusion | E-Health Designs, LLC http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3652 Sun, 20 Sep 2009 17:03:46 +0000 http://chilmarkresearch.com/?p=1951#comment-3652 [...] http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/ [...]

]]> By: Time to Kill the PHR Term « http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3643 Wed, 16 Sep 2009 04:42:23 +0000 http://chilmarkresearch.com/?p=1951#comment-3643 [...] from John’s post: … where we really get concerned with the PHR term is that in the meaningful use [...]

]]> By: Jeff Brandt http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3640 Tue, 15 Sep 2009 22:11:21 +0000 http://chilmarkresearch.com/?p=1951#comment-3640 John, When I got into HIT Healthcare IT (I hate that TLA) I did notice that FLAs were everywhere.

Standards are a difficult problem that only certifications can help but not solve. I still think it is a great idea, Maybe we should start the standards for such a platform

As for the App store, You give me the iPhone Appstore budget and I can have the public understand anything. Savvy and credit, as we say in the sailing world, “You just keep hanging onto that lifeboat” :’)

Great talking,

Jeff Brandt http://www.motionPHR.com http://www.mymedbox.info

]]> By: John http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3638 Tue, 15 Sep 2009 21:44:36 +0000 http://chilmarkresearch.com/?p=1951#comment-3638 Bob, thanks for you rcomment and couldn’t agree more. Do know of Clayton’s work, but honestly, not all that new, at least to me. Having worked in the IT space for many years, previous to founding Chilmark, worked in manufacturing sector. Within that sector, software vendors were loathed to adopt common standards for sharing data – still a big problem in certain sectors, e.g. sharing of CAD/CAM drawings among various systems. It is against the best business interests of software vendors to make this happen, maybe platforms like GHealth, Dossia or HealthVault, maybe even some other that has yet to appear will get around this issue.

Jeff, as to which platform to choose, not sure if that is the path to go down at this point. The main gist of the post here s to get the conversation to change from one talking about PHRs, which most definitions define as a digital file cabinet to a discussion of platforms that support/provide actionable information based on what is contained within an individual’s health data set.

And as for who the term “Platform” is directed to, tend to agree that it might be difficult for public to grasp, but honestly, they never really grasped PHR all that well, but they sure did grasp app and AppStore, so maybe the public is just a little more savvy than we typically give them credit for.

Vince, I abhor FLA (Four Letter Acronyms) thus the use of PHP. BTW, TLA = Three Letter Acronym.

]]> By: Vince Kuraitis http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3633 Tue, 15 Sep 2009 17:28:24 +0000 http://chilmarkresearch.com/?p=1951#comment-3633 Jeff, a year ago I would have agreed with you that term “platform” would confuse Joe the Plumber.

…not so sure now that iPhone has made term “app” a household term.

Even if specific term of “platform” isn’t right, the concept of a platform is important.

BTW, what’s a “TLA”? :)

V

]]> By: medicalfutureshock http://chilmarkresearch.com/2009/09/10/time-to-kill-the-phr-term-part-2/#comment-3632 Tue, 15 Sep 2009 17:14:27 +0000 http://chilmarkresearch.com/?p=1951#comment-3632 Vince,
The problem with so many TLAs. I have no problem with more TLAs as long as we don’t try to use them with patients because it causes confusion. You would have to explain what a Platform is. I have found that the K.I.S.S method is best when working with patients/consumers, Dumb it down.

If you mention EMR/EHR/PHR to almost any non-clinical person they will not know what you are talking about, I agree. But, If you say “Personal Health Record” they at least have an idea of the connotation. Everyone know what A health record is. I do get what John is saying and where he is going. I think there may be a better word than Platform for the public. It is possible that I missed the point on who this new term is directed towards.

Jeff Brandt motionPHR or maybe motionPHR Platform :’) http://www.motionPHR.com

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