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a strategy for consumer provider engagement through e-business innovation antonio linares, md northern california hims

2. 12/6/07. WellPoint's 2010 Strategic Foundation and HIMSS GoalsOpportunities to Improve Care and TransformationPHR is a Key Enabler to Leverage InformationInteroperable Solutions, Collaboration and HL7e-Business Strategy and Consumer Focus in 360? Health. Agenda. 3. 12/6/07. MissionImprove the lives of the people we serve and the health of our communities.

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a strategy for consumer provider engagement through e-business innovation antonio linares, md northern california hims

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    1. A Strategy for Consumer & Provider Engagement Through e-Business Innovation

    2. 2 12/6/07

    3. 3 12/6/07 WellPoint 2010 Strategic Foundation

    4. 4 12/6/07 HIMSS Strategic Direction Vision Advancing the best use of information and mgt systems for the betterment of health care. Mission To lead change in the healthcare information and management systems field through knowledge sharing, advocacy, collaboration, innovation, and community affiliations. Ambulatory Committee Working with leaders from large healthcare enterprises ambulatory clinics, medical practices, military health system, community health leaders plus consulting and vendor communities, the Ambulatory Information Systems Steering Committee expands HIMSS ability to increase the quality and cost-effectiveness of patient care by removing barriers to IT adoption, and increasing the use of EMR/EHRs and promoting business systems integration in the ambulatory setting. IT has become recognized as significant contributor to the delivery of health care HIMSS vision is that healthcare has and utilizes the best in systems (information and management) for the best possible care HIMSS mission: move from that state where HIMSS is the Gathering Place to where HIMSS is the source of knowledge, expertise, leadershipIT has become recognized as significant contributor to the delivery of health care HIMSS vision is that healthcare has and utilizes the best in systems (information and management) for the best possible care HIMSS mission: move from that state where HIMSS is the Gathering Place to where HIMSS is the source of knowledge, expertise, leadership

    5. 5 12/6/07 Sustainable Opportunity to Improve Care

    6. 6 12/6/07 WellPoints Unique Information Opportunity Multiplicity of WellPoint brands and products result in a uniquely rich data environment that can be leveraged for health and business improvements. WellPoint is the leading health plan in the U.S. with approximately 34 million medical members. One in nine Americans receives coverage for their medical care through WellPoint's health plans. WellPoint is a Blue Cross or Blue Cross Blue Shield licensee in 14 states: California, Colorado, Connecticut, Georgia, Indiana, Kentucky, Maine, Missouri, Nevada, New Hampshire, New York, Ohio, Virginia, and Wisconsin, as well as UniCare, our non-Blue health plan that operates nationwide. WellPoint offers a broad range of medical and specialty products including pharmacy, dental, life, disability, behavioral health, and workers comp.

    7. 7 12/6/07 Key Enabler: Timely Data & Connected Physicians

    8. 12/6/07 Scalable and Interoperable Solutions Key Message: EMRs can help improve efficiency and productivity within a physicians office, but the real value is unlocked core data is made available to healthcare ecosystem partners with permission to have it.Key Message: EMRs can help improve efficiency and productivity within a physicians office, but the real value is unlocked core data is made available to healthcare ecosystem partners with permission to have it.

    9. 9 12/6/07 Interoperable Systems Yields Interoperable Care

    10. 10 12/6/07 Information Management Framework Overview

    11. 11 12/6/07 Data integration from both a clinical capacity and administrative capacity enables us to service Tony to put in talking points. Helping our members stay healthy and our physician partners deliver better care by arming them with information. This information is easy to use & clinically relevant. Data integration from both a clinical capacity and administrative capacity enables us to service Tony to put in talking points. Helping our members stay healthy and our physician partners deliver better care by arming them with information. This information is easy to use & clinically relevant.

    12. 12 12/6/07 HL7 Overview of the PHR-S FM Standard By consensus agreement, a PHR system should: Be consumer-oriented Provide a Longitudinal collection of personal health information List the functions that PHR systems shall, should, or may do Provide immediate electronic access to the consumer and to those authorized by the consumer Serve as an anchor point for system interoperability Provide a certification framework The resulting PHR-S FM standard is: Consensus-based Internationally-oriented

    13. 13 12/6/07 HL7 Overview of the PHR-S FM Standard

    14. 14 12/6/07 HL7 Categorization of the PHR-S FM Functions High-Level Functions: Core Functions Health History Functions Other Relevant Information Functions Planning Functions System Functions Optional Services This is what the FM looks like from the highest level.This is what the FM looks like from the highest level.

    15. 15 12/6/07 WellPoint Personal Health Record (PHR) A repository of information that pre-populates data from multiple sources and organizes it in a consumer friendly manner Accessed via secure website Controlled by the individual, who decides what to include or not include in his/her PHR and how to use, enhance or share that information May be shared with the physicians office through a secure web portal or PIN Integrates data from WellPoints Health Risk Assessment, Medical claims, Rx, labs and worksite biometric screening results.

    16. 16 12/6/07 WellPoint Personal Health Record in Operation

    17. 17 12/6/07

    18. 18 12/6/07 eBusiness Our FOCUS Personalization & Customization Engagement of the Consumer Usability Easy To Use Relevant Information Expansion/Integration of eHealth Transparency Consumerism Product & Web Innovation Leveraging New Technologies Online Communities Blogs

    19. 19 12/6/07

    20. 20 12/6/07 MyHealth Assessment

    21. 21 12/6/07 MyHealth Assessment - The NEW User Experience - 2007

    22. 22 12/6/07 MyHealth Record - Personal Health Record

    23. 23 12/6/07 WellPoint - A Leader in Innovation and Strong Web Foundation VIPPS criteria includes patient rights to privacy, authentication and security of prescription orders and adherence to recognized quality assurance Health on the Net (HON) is an accreditation earned by companies who aim to improve the quality of medical and health information online.VIPPS criteria includes patient rights to privacy, authentication and security of prescription orders and adherence to recognized quality assurance Health on the Net (HON) is an accreditation earned by companies who aim to improve the quality of medical and health information online.

    24. 24 12/6/07

    25. 25 12/6/07 Consumer-Centric Care Brings People Closer to Their Medical Home and Care Givers

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