CLEAR HEALTH CLINICAL HEALTH RECORD FEATURE

A new innovative and unique measure for Electronic Medical Record security

and/or delivery

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

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

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

The Problems Clear Health has discovered two

specific problems in the existing system

@ The Patient Medical Information accessibility and security

@ The potential of electronic hackingThe above problems will cause the

tremendous damage for the system in its context and content in a long term

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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