Archive for December 12th, 2006

New EHR Business Model

December 12, 2006

In a report from HealthcareIT News, titled, “Vendor to offer web-based EHRs to docs in exchange for data“, a company called Practice Fusion is announcing an new business model for community physicians. It is a hosted model for EHRs where the company will discount their services and then sell¬† “de-identified data to insurance groups, clinical researchers and pharmaceutical companies.”¬† Can this business model work? Small practices might welcome a lower cost solution, however, they and their patients might be concerned about whether the data is fully deidentified and their privacy protected. Will the host vendor be covered by HIPAA?

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Questons Raised about Employer PHR Initiative

December 12, 2006

In iHealthbeat today, there are questions raised about the security and accuracy of integrating personal health records from different sources. The CEO of Omnimedix, said, “The personal data of the patient is only ever
centralized on the browser, so when the system turns off, it disappears.” “Patients can request that changes be made on incorrect information, but they cannot change or tamper with what is in the health record. However, patients can
choose to exclude certain medical details, such as a prescription or drunken-driving incident, from their PHR.” This raises questions about th accuracy of the data should the patient be brought to an ER and not be able to communicate, one of the key uses of a PHR. So providers want to know more about the Dossia initiative but will need to wait as the project is in its early stages.

Becauseit is largely employer driven, there may be questions about employer access to records which will need to be addressed.

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