1. PHR in an Integrated Clinical Engagement model Saji Salam MD,MBA Clinical Transformation Group Cognizant Healthcare Practice TEPR Conference May 20, 2008, Florida

2. Integrated Clinical Engagement model

4. Integrated Clinical Engagement-Data model Clinical Data Repository Payer / Purchaser Info Pharmacy Data Encounter/Clinical Data Labs / Imaging Data Family/Social History/ Demographic data Provider quality/cost data Medical Management Info (HRA, DM, CM etc) Claims Data

5. PHR

6. PHR in an Integrated Clinical engagement model

8. Challenges

9. AHIP- BCBSA Implementation guide: P(B)HR Data transfer between health plans Not Included HL7/ASTM CCD Plan of care Not Included HL7/ASTM CCD Alerts Not Included HL7/ASTM CCD Health Risk factors Not Included HL7/ASTM CCD Benefit information Not Included NCPDP Immunization Not Included HL7/ASTM CCD Physiological information Not Included HL7/ASTM CCD Family History Included ASC X12 N Subscriber information Included ASC X12 N Health Plan information Included ASC X12 N Facility Included ASC X12 N Provider Included NCPDP Medication Included ASC X12 N Encounter Included ASC X12 N Patient Information Plan to Plan transfer Alignment with existing standards PHR data domain

10. Way forward? Source: Dr.William Gerardi - HCSC

11. Q & A Contact:saji.salam@cognizant.com