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March 17, 2006

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William Yasnoff

I believe that part of the problem is that the health IT community has not clearly articulated a path from where we are now to the fully electronic health information system we see in the future. Bill McIntuff, Partner, Public Opinion Strategies (Washington, DC) pointed out in his 2005 talk at the "Connecting Americans to Their Health Care Conference" (see http://www.phrconference.org/resources.php) that "It might be true 'even the longest journey begins with a single step,' but there's something about human nature which proves people must believe it is possible to complete the *entire* journey, before they are willing to get off the couch and take the first step!" [his emphasis]. I wonder if it's this natural tendency, as well as the accumulated skepticism from all the prior years of effort on health IT, that breeds pessimism. Isn't is our responsibility in the health IT community to delineate a reasonable, believable path to a completely electronic health information system?

Kelvin Huang

Christina,

Are you still active in this area, PHR?

I totally agree with many of your points:
1. Multidiscipline professionals are working in PHR evolution --- the world will change very soon when the technology help to switch the power from providers to patients thru the incentive for payers. (employers)

2. The doctors have to look at those data provided by patients (this is part of medical service process -- subjective data). I think liability will be on the shoulder of Doctors if they don't look at your data. May be only some big errors happen and show on the news, then everyone will take cautious look at PHR.

3. The key questions are what should be on PHR? What data patient can request the doctors to put into PHR? There is a major need to educate patients on how to ask for information. Providers today play a policy of "no ask, no inform" toward their patient data. This is not wrong, but the society accept the facts.

Alternatively, we may need to have legislation to ensure the right set of data must be provided to patients automatically by service providers. This is basic huamn right for indivisual health.

4. What are the technology needed to change to the power spectrum of patient information. Some innovators need to dream the future scenario about our own health caring deliveries.

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