title: Early experiences with personal health records.
abstract: Over the past year, several payers, employers, and commercial vendors have announced personal health record projects. Few of these are widely deployed and few are fully integrated into ambulatory or hospital-based electronic record systems. The earliest adopters of personal health records have many lessons learned that can inform these new initiatives. We present three case studies--MyChart at Palo Alto Medical Foundation, PatientSite at Beth Israel Deaconess Medical Center, and Indivo at Children's Hospital Boston. We describe our implementation challenges from 1999 to 2007 and postulate the evolving challenges we will face over the next five years.
authors.affiliation: Beth Israel Deaconess Medical Center, Boston, MA, USA. jhalamka@caregroup.harvard.edu
authors.forename: John D
authors.initials: JD
authors.lastname: Halamka
authors.forename: Kenneth D
authors.initials: KD
authors.lastname: Mandl
authors.forename: Paul C
authors.initials: PC
authors.lastname: Tang
mesh_terms: D016494:Computer Security; D006751:Hospital Information Systems; D006801:Humans; D008499:Medical Records; D016347:Medical Records Systems, Computerized; D009936:Organizational Innovation; D033283:Patient Access to Records; D018511:Systems Integration