Comments on: From PHRs to PHRSs http://e-CareManagement.com/from-phrs-to-phrss/ Chronic Disease Management • Technology • Strategy • Issues and Trends Wed, 10 Mar 2010 19:15:42 -0700 http://wordpress.org/?v=2.8.2 hourly 1 By: Kevin McMahon http://e-CareManagement.com/from-phrs-to-phrss/comment-page-1/#comment-11592 Kevin McMahon Tue, 23 Sep 2008 13:34:33 +0000 http://e-CareManagement.com/?p=326#comment-11592 huh? Spend time and money to illustrate what already exists at least for some of those 9 apps? Talk about funding a bridge to nowhere. huh? Spend time and money to illustrate what already exists at least for some of those 9 apps? Talk about funding a bridge to nowhere.

]]> By: Vince Kuraitis http://e-CareManagement.com/from-phrs-to-phrss/comment-page-1/#comment-11590 Vince Kuraitis Tue, 23 Sep 2008 01:32:25 +0000 http://e-CareManagement.com/?p=326#comment-11590 Kevin, The Project HealthDesign projects were structured as proof of concept demonstrations...my guess is that most of these will fold their tents once the RWJF funding ends. Vince Kevin, The Project HealthDesign projects were structured as proof of concept demonstrations…my guess is that most of these will fold their tents once the RWJF funding ends.

Vince

]]> By: Kevin McMahon http://e-CareManagement.com/from-phrs-to-phrss/comment-page-1/#comment-11583 Kevin McMahon Mon, 22 Sep 2008 01:46:53 +0000 http://e-CareManagement.com/?p=326#comment-11583 ps - me again. I forgot to mention the most important part and you called it out Vince - patients have to be willing to do drive this and a one-time 5 minute sign up isn't really what we're talking about here. As our studies show, frequent participation over the long term is key. In our case, people with diabetes depend on it so much that they actually subscribe to our service as do hospitals. That's a great test for any of these new PHRS - will the patient use it long term and is good enough to pay for it. ps – me again. I forgot to mention the most important part and you called it out Vince – patients have to be willing to do drive this and a one-time 5 minute sign up isn’t really what we’re talking about here. As our studies show, frequent participation over the long term is key. In our case, people with diabetes depend on it so much that they actually subscribe to our service as do hospitals. That’s a great test for any of these new PHRS – will the patient use it long term and is good enough to pay for it.

]]> By: Kevin McMahon http://e-CareManagement.com/from-phrs-to-phrss/comment-page-1/#comment-11582 Kevin McMahon Mon, 22 Sep 2008 01:33:00 +0000 http://e-CareManagement.com/?p=326#comment-11582 I'm glad everyone is starting to understand that a data repository isn't the goal! Based on the data I presented at ADA Scientific in 2006, we showed that a system similar to what is now being developed with support from RWJF is absolutely capable of engaging patients and changing behaviors - something a static PHR will never do. In our work which began in 2001, we continue to show that done right, you can drop A1c's (average blood sugar levels - the most widely accepted measure of diabetes control) by more than a full point. That's only because everything from the device used to collect biometric/telemetric data to the methods used for collecting subjective/interactive data to the algorithms (rules engine) developed and tested that drive the finely tuned report formats to the patient and patient team interactions are just right. Done wrong it is annoying, silly and counter-productive. Just talking about it and throwing something out there is easy. Getting it right is hard. Any ideas when these projects will enter clinical trials to measure their effectiveness? I’m glad everyone is starting to understand that a data repository isn’t the goal!

Based on the data I presented at ADA Scientific in 2006, we showed that a system similar to what is now being developed with support from RWJF is absolutely capable of engaging patients and changing behaviors – something a static PHR will never do.

In our work which began in 2001, we continue to show that done right, you can drop A1c’s (average blood sugar levels – the most widely accepted measure of diabetes control) by more than a full point. That’s only because everything from the device used to collect biometric/telemetric data to the methods used for collecting subjective/interactive data to the algorithms (rules engine) developed and tested that drive the finely tuned report formats to the patient and patient team interactions are just right. Done wrong it is annoying, silly and counter-productive.

Just talking about it and throwing something out there is easy. Getting it right is hard.

Any ideas when these projects will enter clinical trials to measure their effectiveness?

]]> By: Jon http://e-CareManagement.com/from-phrs-to-phrss/comment-page-1/#comment-11557 Jon Fri, 19 Sep 2008 13:41:16 +0000 http://e-CareManagement.com/?p=326#comment-11557 Stimulating analysis, and we enjoyed your provocative session with Dossia, Google and Microsoft. The Center for Student Health and Life (www.cshal.org) believes that students will play a cutting edge role as early adopters of "wellness" oriented next-generation PHRs (see your chart on how PHRs are evolving). Check out our own blog thoughts on the conference at http://www.cshal.org/blog.html Stimulating analysis, and we enjoyed your provocative session with Dossia, Google and Microsoft.

The Center for Student Health and Life (www.cshal.org) believes that students will play a cutting edge role as early adopters of “wellness” oriented next-generation PHRs (see your chart on how PHRs are evolving). Check out our own blog thoughts on the conference at http://www.cshal.org/blog.html

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