Clinical Health Care Record

1. CLEAR HEALTH CLINICAL
HEALTH RECORD FEATURE
A new innovative and unique
measure for Electronic Medical
Record security and/or delivery

2. The Mandate
 By 2014, it is mandated that all
Americans must have the access of
their own medical record
 In the state of New York, the mandate
started in 2012
 And therefore, time is running out to
comply to the required mandate

3. The Institutional Medical
Information Services
 To comply to the mandate, medical
institutions must set up the medical
information system that can store,
interact, share and secure the patient
medical information and date
 This will speed up the process of
medical operation and treatment

4. On the Pipe
 Rochester RHIO, Unity Health, Strong
and RGH have developing the EMR
and PHR systems within Rochester
medical community to comply to the
mandate and serving Rochester
community
 However, there are a few major
problems in the system that needed to
be addressed

5. The Problems
 Clear Health has discovered two
specific problems in the existing system
@ The Patient Medical Information
accessibility and security
@ The potential of electronic hacking
The above problems will cause the
tremendous damage for the system in
its context and content in a long term

6. The central EMR concept
 The central concept of developing the
EMR and PHR is to create a platform
that the service provider and get in, get
the information and begin treatment
 But this concept create a problem of
selecting which one can get in to the
patient portal and able to get the record

7. At the moment
 Presently, a physician who is in the
EMR network can get in the system by
providing the user ID and password
 When he get in, he can check out any
patient information in the system
 This platform creates the dangerous
situation that the patient private
information can be viewed so easy

8. Potential Major Problem
 The concept is to create a pool of
information, that more data in the
system will serve more service provider
 On the other hand, more users in the
system will create a greater chance that
the patient medical information to be
checked out without good cause

9. Greater problem
 The accessibility of the patient medical
information including the physician,
nurse, all medical staff and associates
 In this instant, a front desk receptionist
in one office can get in the system to
find out her mother in law PHR from the
other office across the state

10. By Accidence
 And so, if there is no measure to
prevent any ID user in the system to get
in the patient medical information base,
this, will be the clear violation of HIPPO
compliance
 This problem must be addressed and
corrected as the system developing

11. Public Relation disaster
 If the problem is not corrected, which
patient will sign up to the system if
he/she knows that the medical record
can be broken to by anyone who has
the access of the system
 This problem will destroy the whole
purpose of the PHR and EMR platform

12. CLEAR HEALTH VISION
 In developing our platform, Clear Health
has recognized this problem long time
ago and has structured its system to
deal with this problem accordingly
 Its system will provide the absolute
security for the patient in the matter of
medical information delivery

13. CLEAR HEALTH PRINCIPLE
 According to Clear Health, no one can
get in the patient medical file UNLESS
and UNTIL the patient releases his
approval to do so
 In this instant, the patient is the one
who knows who in or out for what
purpose and anything else

14. How it work ( Part I )
 The patient and his primary physician
will have the authority to allow who can
view the medical file
 Commonly, the primary physician will
be the one who manage and make the
decision on the patient medical file with
the patient knowledge and approval

15. How it work ( Part II )
 When the doctor sends a patient to a
specialist, the doctor will request the
system to create an electronic link from
the doctor to the specialist
 With the patient acknowledgement and
approval, the system will create the link
to set up the communication and
interaction process

16. How it work ( Part III )
 The doctor can issue the Approval
Code to the specialist, and the patient
medical file will not open UNLESS and
UNITIL the system recognize the
Approval code
 So, if one does not have the Approval
Code, one can get to the system, but
not the patient medical file

17. Additional Feature
 The Approval Code, not only protect the
patient medical file security, but it also
provides the electronic record of the
parties who got in the file
 This feature will be the plus in the
matter of medical information liability
and accountibility

18. Pyramid Medical Information
System ( PMIS )
 One medical information can be
developed as the Pyramid system
 The top 20% is the general information
 The next 60% is the medical informs
that required the Doctor Approval Code
 The last 20% must have the patient
knowledge and approval

19. Patient E-Approval KEY
 We have proposed that the patient will
carry an USB as his PHR
 In addition, the USB can also be the
patient Electronic Key to get in one
medical file
 It can be the Approval key for the
service provider to open the file

20. Tony Story
 Tony has been issued an USB as PHR
 He has been referred to see specialist
 When he is at the specialist location, he
offers his USB as the E-Approval KEY
 The system recognizes Tony Approval
key and open his medical for the
specialist

21. Liability Issues
 By exposing one medical file without
any control mechanism, it will create the
problem of who is accounted for the
medical information being misused
 Clear Health system will create an
electronic transaction trail that can be
tracked and monitored accordingly

22. Medical Electronic Trail
 Ether from the primary physician or
from the patient to provide the approval
for entering one medical file
 Clear Health system will record in detail
with specificity the source, time and
other critical elements of one medical
file to be open for monitoring purpose

23. Medical Information Litigation
 The exposing of one medical file to be
misused can be the litigation subject
 In this instant Clear Health will work
with the medical community to develop
a sound and secure medical information
delivery platform to serve the patient
needs and prevent medical litigation

24. The nature of the risk
 Any subject that using the electronic
network will have a risk of being hacked
 It will take less than one hour for a
hacker to break in any EMR or medical
information database at the moment
 And this risk, we must take to deliver
our process

25. Instant E Approval Process
 A patient being admitted to an ER
 His USB to be activated in the system
 The system will contact the primary
physician to request the approval to get
in the patient medical file
 On the doctor cell phone or PC
Press 1 to approve Press 2 to reject

26. Other relate problem
 A good hacker, not only can get in the
system to get the information, he can
create new information if he’s desired
 By the electronic structural setting up
one can collect the information in mass
and use them for business and/or
commercial intention

27. Let’s recap
 Clear Health in the process of working
with medical community in the matter of
EMR and PHR has discovered the
problem of patient medical file security
 Its CHR system will provide the
absolute security for the patient in the
matter of medical information delivery

28. The Approval Process
 Clear Health has developed a process
by which no medical file to be open
UNLESS and UNTIL the patient or the
primary physician approve so
 This process will create the protection
for medical information liability and
accountability

29. A tough road ahead
 Clear Health recognizes that there will
be a tough road ahead in the matter of
electronic hacking, medical information
misuse and other related matters
 Clear Health pledge to work hard with
the medical service community to deal
with the problem squarely to get the
positive result

30. Rochester Community Project
 Clear Health plan to offer our service to
all medical service providers in
Rochester to deal with this problem
 If it is the case, Rochester community
will be the first to recognize the
problem, find the solution and able to
serve the patient needs better

31. Action time
 The time that we must act as the
community of Rochester as well as
medical community is now
 The further delay to deal with the
problem, the worsen the situation will
become

32. Proactive rather than Reactive
 Very soon in a near future, someone
with the criminal intention will break in
and create tremendous damage
 Then, the patient will loose the
confidence to the system and
undermine the whole process

33. CLEAR HEALTH Position
 Clear Health is in position to provide the
immediate service in the matter of
patient medical file security
 Its capacity to be able to adopt, adapt
and adjust to any EMR platforms to
provide the security needed in the
patient medical file exposure

34. We’re looking to hear from
you
 Clear Health is looking to hear from you
for further advices, guidance and other
opinion about this process
 In the medical term, we have found the
problem, developed the treatment plan
ready to attack the problem and time to
act is now

35. THANK YOU – AND WE’RE
LOOKING FORWARD TO
WORK WITH YOU