TM From PHR to Value Added Services Amnon

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TM From PHR to Value Added Services Amnon Keynan & Dr. Arturo Weschler The Israeli Association for Medical Informatics April 2009 Brief

Introduction Amnon Keynan Co-Founder & CEO Experienced IT executive & entrepreneur Amdocs (NYSE: DOX) VP; Guardium founder; Oblicore executive Arturo Weschler MD, Co-Founder & CTO CIO of TASMC (TLV Medical Center); leading healthcare IT projects in Israel; Lecturer of IS in TAU March 18 All Rights Reserved - do not forward 2

Evolution of Consumerism in US From paternal attitude to collaboration • Retail clinics • Consumers demand for online services • Consumers expectation for: – Choice – Visibility – Decision as part of collaboration • Consumer driven health plan March 18 All Rights Reserved 8

Chilmark: PHR Architectures • Independent • Consumer control • Stored on PC or card • Extension to portal or EMR • Owned by provider, insurer or employer • View only • Internet access • Consumer control • Role based access to view records i. PHR Market Report http: //chilmarkresearch. com/ March 18 All Rights Reserved – Please do not forward 10

Why PHR? Well The Truth But Politics March 18 • ……. ? ? ? • Most stake holders in care delivery believe it is not needed • Consumers need it • Data liquidity, high availability…. • The power to control the data • How to attract consumers • How to make money All Rights Reserved – Please do not forward 12

PHR – The Debate Clear conflict of interest in the US around the future of PHR The good news • Each stakeholder tries to take possession • It means: nobody can stop it The bad news • Long evolutionary process to acquire power • It means: it will take time The message March 18 • It is elephants path • It means: New vendors be careful All Rights Reserved – Please do not forward 14

Who Says What? Healthcare Delivery EMR Vendors Heath plans & Employers • Extension of physicians EMR • The enabler of patient-provider partnership • Extension of EMR • Don’t go: we have it already • Internet based PHR • Support data liquidity • Patients control What is the lesson for Israelis here? Nada March 18 All Rights Reserved – Please do not forward 15

PHR Value to the Ecosystem Business Technology Value March 18 • Better access = better business • Integration • Availability of data enables value added services All Rights Reserved – Please do not forward 18

New Generation of Applications PHMT • Personal Health Management Tools • (Gartner definition) • Value add, separated tier (from PHR) Positioning • Lower barrier of entry to vendors • Microsoft & Google leave it open for partners • Assist consumer in managing health: Functionality March 18 • • Health education Keeping track of healthy lifestyle Monitor chronic disease Online coaching All Rights Reserved 20

PHMT Value • Consumer involvement in health • Patients compliance • Quality of care • Better choice & better decision by consumers • Consumers Winners • Health plans & payers • New businesses March 18 All Rights Reserved 22

PHMT Example

PHMT Examples • • Risk calculators Personal education Chronic disease tracking & reporting Online collaboration with coaches and physicians (user provides permission to access data) March 18 All Rights Reserved 28

Summary What’s up? WIIFY ? Conclusion March 18 • New application gen in US: PHMT • Separate tier • Subject to economic structure • PHMT can be adopted for: • Portals • EMR • Don’t wait for PHR in order to adopt PHMT in Israel • There are tens of applicable solutions All Rights Reserved – Please do not forward 29