Transcript A Sustainable Business Model for a RHIO: Win

Southern California Health Care Summit
Ontario, CA
October 29, 2009
Health Record Banks:
A Financially Sustainable Model
for Health Information Exchange
William A. Yasnoff, MD, PhD, FACMI
Managing Partner, NHII Advisors
Founder and President, Health Record
Banking Alliance
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What is a Health Record Bank?
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See video at:
http://www.healthbanking.org
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Health Record Bank Operation
Encounter
Data sent to
Health
Record Bank
Clinician’s Bank
Patient data
delivered to
Clinician
optional
payment
Secure
patient
health data
files
Clinician EHR
System
YES
Encounter Data
Entered in EHR
Patient
Permission?
NO
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Clinical Encounter
Clinician
Inquiry
DATA NOT
SENT
Health Record
Bank
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An HRB Business Model
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Costs (with 1,000,000 subscribers)
 Operations: $6/person/year
 EHR incentives: $10/person/year
Revenue
 Reminders & Alerts: >=
$12/person/year
– “Peace of mind” alerts
– Preventive care reminders
– Medication reminders
 Advertising: $6/person/year
 Queries: ?
No need to assume/capture any
health care savings (!!)
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Health Record Bank Governance
Community Non-profits
RESPONSIBLE FOR:
Policy
Governance
Oversight
Community Board of Directors
Executive Director
Other Staff(Optional)
regulate via
contract
% of
revenue
HRB Operator Board of Directors
Management
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Marketing
Operations
Customer Support
Many communities
use single HRB
Health Record Bank
Operator (for-profit)
RESPONSIBLE FOR:
Obtaining Capital
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Operating HRB
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HRBs Solve the Key Problems
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Privacy
 Patient control --> each person sets
their own privacy policy
Stakeholder Cooperation
 Patients request data --> all
stakeholders must provide it (by law)
Making Information Electronic
 Business model can provide free
EHRs for physicians
Financial Sustainability
 New compelling value for patients -->
~$20/person/year recurring revenue N
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Questions?
For more information:
www.ehealthtrust.com
www.healthbanking.org
www.yasnoff.com
William A. Yasnoff, MD, PhD, FACMI
[email protected]
703/527-5678
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