Subscribe if you want to be notified of new blog posts. You will receive an email confirming your subscription.

Please enter your name.
Please enter a valid email address.

Please check the captcha to verify you are not a robot.

Something went wrong. Please check your entries and try again.

PHIN (Personal Health Information Network)

LifeCOMM: Will the Newest Personal Health Information Platform Play Nicely with Google and Microsoft?

Please read my guest post over at the Center for Connected Health .

The Yabuts of Sharing Data Between Google Health and HealthVault

“What’s a yabut?” you ask.

Yabut is a term coined by my esteemed colleague, the late Paul Fetrow.  It stands for “Yeah….but….”

Yabuts are the gotchas, the fine print, the details that affect the terms of any agreement.  For example, the telecom companies will tell you its easy to switch carriers now that we have number portability.  Yeah…but it will cost you $175 for an early termination fee.

Yesterday’s post ended with the optimistic observation that Google Health and Microsoft HealthVault have agreed […]

Picturing the PHIN as One Interoperable Network

Will the Microsoft HealthVault, Google Health, and Dossia personal health information (PHI) platforms be able to exchange data?  In our introductory essay announcing the Birth of the Personal Health Information Network (PHIN), Dr. David Kibbe and I posed a critical question:

What will the PHIN look like?  Will there be multiple, non-interoperable, competing networks or just one interoperable network?

This question is being answered with the best possible answer:  the PHIN is evolving as one, interoperable network.

Consider 3 scenarios:

 

Scenario One: Status Quo — […]

CCHIT Should Support BOTH the HL7 CCD and the ASTM CCR for PHRs.

The federal government sponsored Certification Commission for Healthcare Information Technology (CCHIT ) is undertaking a certification process for personal health records (PHRs) . The CCHIT PHR Work Group has invited public comment on the First Draft of the PHR Certification Criteria .

The current draft of the PHR Certification Criteria specifies use of the HL7 Continuity of Care Document (CCD) as the only endorsed standard for interoperable exchange of information to and from PHRs.  This is extremely short-sighted.

I wrote a comment to […]

Heartburn Relief: UnitedHealth Joining Google Health and MSFT HealthVault?

From the August 6 edition of HISTalk — Healthcare IT News and Opinion:

"Re: UHG. Was at the Healthcare Quality Conference yesterday in Boston. Got to talking to a United Health exec who informed me that they have signed an agreement with Google Health and have a pending agreement with HealthVault. This backs up UHG’s previous statement that member records would be made portable. Individual made mention that the Google Health relationship extends beyond just claims records transfer and includes a […]

Goldilocks: “Markle’s Framework for Networked Personal Health Information is Just Right”

By Vince Kuraitis and David C. Kibbe, MD, MBA

Once upon a time, there was a little girl named Goldilocks. Like most Americans, Goldilocks had concerns about achieving just the right amount of data liquidity for her personal health information (PHI).

Until today Goldilocks felt between a rock and a hard place:

"I want my PHI to be appropriately liquid — just the right viscosity. My PHI should be viscous enough to flow to my trusted […]

Untangling the Electronic Health Data Exchange

by David C. Kibbe MD, MBA

The purpose of this post is to help a non-technical audience untangle some of the confusion regarding health data exchange standards, and particularly come to a better understanding of the similarities and  differences between the Continuity of Care Record (CCR) standard and the CDA Continuity of Care Document (CCD). But what I’m most interested in is getting beyond the technical, political, or economic positions and interests of the proponents of any particular standard to arrive […]

Cerner Disses Google Health. Surprised?

Vince Kuraitis and David C. Kibbe, MD, MBA

We’re not.

From the Kansas City Business Journal :

Google Inc. has approached Cerner Corp. about a partnership, but Cerner officials don’t sound eager to entangle themselves with the Web-search Goliath.

That’s because […]

Is the Medical Establishment the Best Guardian of Your Medical Data?

David C. Kibbe, MD, MBA and Vince Kuraitis

Drs. Mandl and Kohane begin their recent article in NEJM with the statement that “large corporations are seeking an integral and transformative role in the management of health care information,” and then warn that this “will profoundly affect the biomedical research enterprise.”   

At issue for the authors is who controls the information about you and me, our health and healthcare data. Without coming right out and saying it directly, they worry that data in […]

NEJM and NYT Discuss “Tectonic Shifts” of a Personal Health Information Economy

Vince Kuraitis and David C. Kibbe, MD MBA

Tomorrow’s edition of the New England Journal of Medicine contains an article entitled “Tectonic Shifts in the Health Information Economy”.  While we have not yet fully digested this article, it’s clear that the authors’ description of the “Health Information Economy” closely parallels our initial description of the Personal Health Information Network (PHIN).

The main thrust of the NEJM article is to discuss implications (good and bad) relating to clinical research. The NEJM article is also highlighted in a New York Times piece […]