Mark and I have long debated the business model for Microsoft’s Healthvault in a publicly funded healthcare system such as Canada’s. Well, look halfway around the world and you’ll see that the Australians are considering 180 degree shift in their EHR architecture from a centralized model to a distributed model:
According the article, “National E-Health Transition Authority chief executive Peter Fleming said the original vision of a single e-health record system had been abandoned in favour of ‘person-controlled’ records that could be adopted more quickly.” Mr. Fleming is quoted in the article as saying “”Five years ago, there was a strong view that there would be an e-health record for all Australians held on a massive database somewhere. That’s no longer the view.”
Canada Health Infoway has driven important investments in critical eHealth infrastructure. As we seek to leverage these investments perhaps it is time to consider the role of the personal health record (PHR). I suggest that by looking at the Infoway blueprint in a slightly different way we can find ways to take better advantage of PHRs as well as EMRs in physician offices.