Certification Commission for Healthcare Information Technology

Town Call:Certification ofPersonal Health Records (PHRs)

Mark Leavitt, MD, PhD – Chair, CCHITJody Pettit, MD – Strategic Work Group Leader, PHRs

Friday, Oct 10, 20084:00 pm Eastern / 1:00 pm Pacific (60 minutes)

Participant Dial-In (877) 313-5342Conference ID: 65204557

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Today’s Agenda

• The Personal Health Record (PHR) concept• Why is certification important?• What can I expect from certification of PHRs?• How can I find out more, and participate in the process?

• Question and answer session

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The Personal Health Record (PHR) concept

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The benefits of having a Personal Health Record

• Having your personal health information available -- whenever and wherever you need it -- can:

– Save your life in an emergency

– Reduce the possibility of a medical error

– Save time for you and your health care providers

– Give you more choice and control

– Help you and your doctors make better-informed decisions

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What can a PHR do?

• Without a PHR– Your health information may be scattered – among

doctors’ offices, hospitals, pharmacies, health plans– When you move, or need care in an emergency,

your health information may not be readily available

• With a PHR– Your information can be gathered together in one place– Your information will be available in an emergency– You decide who may access it

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Why is certification important?

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Certification: ensuring products work properly and safely

Electrical devices aretested and certified byUnderwriters Laboratories (UL)

Vehicles are crash-tested and rated by the Insurance Institute for Highway Safety

Healthcare information technology is inspected and certified by theCertification Commission (CCHIT)

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Who is CCHIT?

• A nonprofit 501(c)3 organization with a public mission:– Accelerate the adoption of health information technology– Reduce risks for people using health IT systems– Ensure health IT systems are “interoperable” (can exchange

information accurately)– Protect the privacy of health information

• Officially recognized by the Federal government

• Has inspected and certified over 150 of the health IT products used by doctors, hospitals, and emergency departments to maintain electronic health records

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How are testing criteria developed?

• Testing criteria are developed by volunteer expert panels

• Volunteers represent a wide range of stakeholders

• The panels draw upon available standards whenever possible

• The public is always invited to comment on proposed criteria during the development process

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Inputs:* Scope Guidance from Commission* Roadmap (from previous year)* Future Directions (from previous year)* Environmental Scan: - Use Cases from AHIC - Standards from HITSP, SDOs - Market research - More

Criteria Development Process

DevelopDraft Criteria

Refine Criteriaand DevelopDraft Test Scripts

ProposedFinal Criteriaand Test Scripts

Final Criteriaand Test Scripts

Public Commentperiods

Pilot Test

Launch09

Certification

A consensus-based process withmany opportunities for broad input

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PHR Advisory Task Force

Mark Leavitt,* MD, PhD (Co-Chair)CCHIT

Paul Tang,* MD (Co-Chair)Vice President, Chief Medical Information Officer Palo Alto Medical Foundation

Abha Agrawal, MD, FACPDirector, Medical Informatics, Associate Medical Director, Kings County Hospital Center, Brooklyn, NY

Richard D. BenoitDossia Ecosystem Development, Director; Senior Program Manager, Dossia and Intel Digital Health Group

Lorraine Tunis Doo, MPH, LEED APSenior Policy Advisor, Office of e-Health Standards and Services, CMS

Steve Findlay, MPHHealth Care Analyst, Consumers Union

Meighan Girgus Executive Vice President, Healthcare Markets,American Heart Association

Theresa Hancock, PAHM Acting Director, Office of Information, Veterans and Consumers Health Informatics Office, U.S. Department of Veterans Affairs

Leslie HarrisPresident, Chief Executive Officer Center for Democracy & Technology

Missy KrasnerProduct Marketing Manager, Google Health

Steve Lampkin, FACHEVice President, Benefits Services & Strategic Initiatives Wal-Mart Stores, Inc.

Holly Miller, MD, MBA Vice President, Chief Medical Information Officer University Hospitals, Cleveland, OH

Donald Mon, PhDVice President, Practice Leadership, AHIMA

Carl PhelpsPatient representative

Anna Lisa SilvestreVice President, Online Services,Kaiser Foundation Health Plan

Michael StokesPrincipal Program Manager, Microsoft Corporation

Michael Ubl Director, eHealth and IT Strategy Director, IT Strategy and eHealth, Blue Cross Blue Shield of Minnesota

*Co-Chairs

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PHR Work Group Volunteers

• Ted Eytan,* MD MS MPH, Medical Director, Health Informatics & Web Services, Group Health Cooperative

• Lory Wood,* VP, Chief Security and Compliance Officer, Good Health Network

• Nicole Antonson, RN, MBA, Program Manager, Patient Safety, McKesson

• Suzie Burke-Bebee, MSIS, MS, RN, Senior Health Informatician, Dept Health and Human Services

• Albert Chan, MD, MS, Physician Champion of Electronic Health Record and PAMFOnline, Sutter Health, Palo Alto Medical Foundation/Palo Alto Foundation Medical Group

• Haris Domazet, Division Lead of Web Technical Services, Epic Systems Corporation

• Donna DuLong, RN, BSN, Program Director, TIGER Initiative

• Paul Edge, VP, Clinical Solutions, Misys Healthcare Systems

• Michael Galang, DO, MS, Chief Medical Information Officer, Catholic Health System of Western New York

• Lenel James, BS, MBA, Senior Project Manager, Blue Cross and Blue Shield Association

• Jerry Lin, Product Manager, Google• Cortney Nicolato, Senior Manager, Strategic

Alliances & Health IT, American Heart Association National Center

• Jan Oldenburg, Practice Leader, Kaiser Permanente

• Juhan Sonin, Designer, MITRE• Stelle Smith, Clinical Product Marketing Manager,

Sage Software• James Tosone, Director, Healthcare Informatics,

Pfizer Inc• Lawrence Williams, President / CEO, Roadside

Telematics Corporation• Julie Wolter, MA, RHIA, Assistant Professor,

Saint Louis University

*Co-Chairs

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What can I expect from certification of PHRs?

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How will PHRs be certified?

• CCHIT is currently developing testing criteria, and plans to begin certifying PHRs in July 2009

• PHRs will be tested and certified in these areas:– Privacy – safeguarding your privacy is the #1 concern– Security – making sure your information is kept secure and

protected from unauthorized access– Interoperability – a PHR should be able to electronically

connect with your physicians, hospitals, pharmacies, health plans and other entities

– Functionality – ensuring a PHR can do the things you need it to do

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What are some examples of PHR criteria?

• Examples of privacy criteria being proposed:– Consent – you should be in control of your information and how it

is used

– Controlling access – your PHR should give you the ability to decide what information is private and to restrict access to it

– Conditions of use – the conditions for using your PHR should be specifically explained to you

– Amending the record – you should have the ability to change or request changes to your health record

– Account management – your PHR provider must provide a way for you to terminate your account

– Document import – your PHR system should be able to retrieve health records

– Data availability – your PHR should allow you to view or print your health information whenever you need it

Certification Commission for Healthcare Information Technology

How can I find out more, and participate in the process?

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Visit PHRDecisions.com

Download the Consumer’s Guide to

PHR Certification

Sign up to receive email updates

Read articles and join the conversation

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Want more? Review and comment on PHR criteria

Visit www.cchit.org/participate/public-comment

Download the PHR 09 Introduction and

Criteria documents

Follow links farther down the page to

submit your comments

Note: Public Comment on the First Draft PHR Criteria is open through Oct 29

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Criteria FormatCriteria description

“N” in the 09 column indicates criterion will be required in 2009

“R” in the 10 or 11 column indicates criterion is on the “Roadmap” to be

required in 2010 or 2011

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Summing Up

• There are many benefits to having your records gathered together in a PHR system

• Certification is a way of assuring that products work properly and safely

• CCHIT is the Federally recognized certifying body for health information technology

• CCHIT is planning to test and certify PHRs for privacy, security, interoperability, and functionality, beginning July 2009

• Public comments on the first draft of the PHR Criteria are being accepted through Oct 29, 2008

Thank you!

Q & A

For more information:www.cchit.orgphrdecisions.com