A Netflix Style Personal Health Record

Dependent health records

You’re a parent. You have a 10 year old son. Want to keep track of what he’s watching? Easy. You can set-up a Netflix account that has age appropriate filters and check-in on the account. Want to confirm that he had a specific vaccine as a baby before heading off to Summer camp? Not so easy. You might have to call the pediatrician’s office and request that the records be at best emailed to you, and more often still, faxed.

We recently conducted a survey of over 1,100 U.S. adults on consumer healthcare behavior that showed the industry lagging on technology – with nearly 1 in 3 patients reporting they can not easily access their medical records.  Compared to record-keeping of other important items, 74% of today’s healthcare consumers reported keeping good or very good records on their vehicle vs. only 62% on the health of their dependents!

Ambra Health Survey Medical Record Maintenance
The Personal Health Record

Today, several PHR (personal health record) companies have emerged that try to solve this gap. However, they may not connect with the facilities that you visit and if your insurance provider changes, there may be issues in data transfer. And most importantly, caution must be used that the vendor is reliable since PHRs contain sensitive information.

Gathering the Historical Data
Next, is the issue of gathering the historical data itself. Most doctors’ offices won’t email records, and you can expect to submit a form or letter requesting your records or those of a dependent. While a doctor cannot deny you access to your medical records, some do charge an additional fee for providing this service. Oftentimes, even records within an EMR/EHR system must be requested by letter first.

An Incomplete Record
While some of the data like lab reports, visit summaries, and vaccinations records are easily transferred on written forms, medical imaging often remains an enormous challenge to share. Traditionally, medical images have been transferred on CDs and patients frequently never see their images. However, our study found that 80% of respondents said they would like to have access to their imaging alongside their test results, implying the need for patient facing reports that can be easily understood. Of course, it’s critical that patients are given a thorough explanation of images and results by a referring physician before they appear in any kind of patient portal. Access to this data and imaging could prove invaluable for an individual facing a chronic condition or caring for a loved one with serious health concerns.

Women Would Particularly Benefit from Access to Dependent Records
One aspect we found particularly interesting in our survey was that women trusted the cloud and online management of health a bit less then men. However, women, perhaps even more than men, could greatly benefit from easy access to dependent health records. A study by the Kaiser Family Foundation< found that women, whether working full-time, part-time, or stay at home mothers, are still the primary caretakers for the health of their children and often, elderly parents. In the study, 40% of women reported considerable stress in managing the health needs of someone other than themselves. While the unification of patient health records can greatly reduce stress for those managing dependents' health, it can also provide invaluable health benefits. For example, mammograms are best reviewed in terms of comparisons to priors. A patient who has moved states and does not have access to prior imaging loses the ability to have priors reviewed. At best, if anything in the imaging is of concern, the prior images are able to be mailed on CD within a few days to the new physician. However, these are still a few days of additional worry and concern for a patient. And at worst, the patient may face further imaging or unnecessary biopsies if priors can't be accessed. Imagine a Netflix-style family plan for Health Records
Imagine a seamless platform just like Netflix, where each individual you managed had an account. Upon clicking on their account, you’d find access to their entire health picture, including imaging. Now, while this doesn’t quite exist yet, healthcare is slowly but surely moving in a direction of interoperability. Doctor’s offices are starting by offering patient portals with visit summaries, medication lists, lab results, and some have even added image-enablement. We’ve also seen many imaging centers themselves offer a patient portal where patients can view reports and images after they’ve been sent to the referring physician.

And better yet, some states now participate in HIEs (Health Information Exchanges) that gather all of a patient’s data within a region. This is invaluable for patients with a condition like cancer, who often require a team of physicians. Some have even suggested that the unification of the patient health records could aide in stopping the current opioid epidemic in our nation.  Rep. Mark Wayne Mullin (R-OKLA) and Rep. Katherine Clark (D-Mass.), introduced H.R. 3528, the Every Prescription Conveyed Securely (EPCS) Act to help combat opioid abuse by mandating that all controlled substances be put into the electronic health record to help states monitor the use of opioids across the country

What is clear, is that patients need access to their own health records and those of dependents to allow providers to offer the best care possible.

Want to Learn More?
To learn more about our survey’s findings, you can access the full report on today’s healthcare consumer here, or listen in to a webinar we hosted on September 28th that covered actionable insights providers can take away from the survey.  You can hear a recording of the webinar here.

Mini Peiris, Chief Marketing Officer

About Mini Peiris

Mini Peiris owns go-to-market initiatives and works closely with Ambra’s advisory group of physicians, administrative executives, and healthcare IT leaders. She most recently served as the CMO of OpenGov, an Andreessen-Horowitz-backed start-up. Prior to that, Mini spent over 12 years at NetSuite Inc. (NYSE: N) as VP, Worldwide Marketing and VP, Product Management. In these leadership roles, she drove NetSuite’s marketing strategy and product direction as they grew from startup to IPO to a $500M+ revenue business. Mini holds a BS in Cellular Molecular Biology from the University of Michigan and began her career as a research scientist at Janssen Pharmaceutical, but secretly wishes she was a marine biologist. So its no surprise that she's been scuba diving in far-flung spots like Papua New Guinea to see pygmy seahorses; Utila, Honduras for whale sharks, and the Galapagos Islands for hammerhead shark sightings.

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