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Bosworth sheds some light on a grand experiment

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By now you know my feeling about untethered personal health records. It's not so much that I don't like PHRs, it's that I don't like the hype surrounding them. Untethered records--not tied to a specific healthcare organization--are not going to take off until there is accurate, clinically verifiable data to populate such records and until patients truly have control over such data.

Wouldn't you know, the PHR news just keeps on coming. Microsoft and Siemens have inked a deal to bring HealthVault to Germany, marking the first extension of that personal health information platform into Europe. Another PHR platform called Indivo X surfaced last week when programmers released the source code for that open-source project.

And today in Washington, Adam Bosworth spoke to the mHealth Initiative conference about his Keas PHR product, now in beta testing. Admittedly, I was skeptical.

Bosworth, who headed up early Google Health development before parting ways with the search-engine giant more than two years ago, talked about the trials and tribulations of his fledgling company. Most of the failures sounded awfully similar to problems that have plagued other PHRs. There's no reliable data.

Keas has a partnership with Quest Diagnostics to populate patient records with laboratory data, but Bosworth said but Keas and Quest are disappointed with the data throughput rate. The problem, according to Bosworth, is that physicians aren't clicking on the "send results" button to allow Quest to release results to patients electronically. I imagine that's largely due to the fact that few physicians are using EMRs that would even allow them to see that option without having to log into a Quest portal.

Bosworth also acknowledged the ugly truth. "Very few users are going to come back to our website every day to fill out a questionnaire," he said. Enter mobile technology--and the justification for Bosworth speaking at a mobile healthcare conference. Patients on an aspirin regimen, for example, can sign up for reminders and get a daily text message. Respond with a simple 'yes' or 'no,' and the answer goes into the PHR, which tracks compliance on a graph.

He also acknowledged a truism about business. "The great thing about running a startup is you can re-launch your product every three weeks," Bosworth said, half-jokingly.

Indeed, changing a PHR that's still in beta isn't going to result in a New Coke kind of consumer backlash. Call it an experiment. Just don't call it a panacea. - Neil

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Comments

Neil, you say you don't approve of un-attached EMRs to someone or something correct? However My Product the Key 2 Life Medi-Chip is un-attached to any program, hospital, doctor or clinic and yet is widely accepted and used by doctors, hospitals, clinics, EMT's Fire Departments, Police Departments etc: and help save lives daily.. Why does and EMR have to be attached to on particular program when it can Populate every program on the market today. May i remind you that the field First name is the same on my program, Cerner's, MedTech, Mysis, Mckesson etc: and will upload or download same named fields all day long.
Our program is such that when used in a doctors office it can actually run his office because of the patient management system built in along with the SOAP Notes too. I have created this stand alone Portable EMR Medi-Program to function independently of any other for the that exact purpose, so may I suggest that you take a look at what I am offering and perhaps you will change your opinion. ( I will be glad to send you a sample).
Now as for Microsoft giving Health Vault to Germany... Yeah.. get it out of the US because too many people's names have been hacked already, 200,000 to date and how much medical fraud took place and how much money was spent fraudulently God only knows, and he isn't talking right now.

As a matter of fact, I would think you would be up in arms against the online storage as so many of them have been compromised and stolen, Google, Microsoft, The VA, several Colleges, and that idiot that tried to black mail the FBI for the 80,000 records that he took in Virginia last year..Seems like the best of things can also be the worst of things.. We should protect what we hold dear and keep it close to the vest so to speak. Hey guess what, my Medi-Chip does just that as it is carried in the wallet, worn on the wrist or neck or place on the key ring and is password protected and 256AES encrypted.. hmmmmm nothing could be closer than that...
This is my opinion and you are welcome to it..
Thanks
Norman

Whoops i forgot one thing... OPEN SOURCE... there is a reason the second word starts with S O U R, because it leave a sour taste in ones mouth.. Medical records on open source.. NO< NEVER, YIPES, OMG...why not just give them your social security number and all the other data they need to steal your medical identity.

If you are living on a cloud, and have open source, then you must be thinking, "gee i am up so high no one can touch my information? the only cloud you are on is the cloud of smoke from that funny stuff you might be smoking.

Open source is just that OPEN, an open door isn't closed or locked, it is OPEN, the same holds true for an open window.. people why is it when someone like Bill Gates or Steve Jobs comes out with at phrase everyone thinks they must bow down to them. Yes they are geniuses, but the border between Genius and Insanity is a micro hairline.. and keeping your medical or personal information on an open source platform just crossed over that line..
Do yourself a favor and research it very very well before you decide what to put on your open source cloud.. Your mind might be in the clouds but your personal information is down on earth for all to see.. cover your back, protect your buns and most of all.. for goodness sake please protect your vital information.. even if you have to write it on a piece of paper, stuff it in a gel capsule and swallow it to keep it safe... do it.. psssst it will come out in the end I promise you...:)

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