Auto-Populated, Portable PHR Includes Care Information From All of a Consumer’s Providers
The TriZetto Group, Inc. today announced additional features and functions of its new personal health record (PHR), which at year’s end the healthcare IT firm will make available free of charge to health insurers that use its Facets® enterprise administration software and in early 2010 to payers using its QNXTTM application. The PHR will be free, as well, to the providers and consumers who use the electronic record.
When health plans deploy TriZetto’s PHR, consumers will have immediate access to their pre-populated record and may designate family members who can access their record. When physician staffs request eligibility confirmation, payers will be able to provide a concise summary of relevant facts from the patient’s PHR.
“Unlike hospital electronic medical records and physician office electronic health records, TriZetto’s PHR will include information from all of the doctors and facilities that treat a patient over time,” said Dave Pinkert, senior vice president of product management at TriZetto. “Further, only our PHR, populated by the rich repository of digital benefits and care information already in the systems of healthcare payers, are ready now for deployment to nearly half of the nation’s insured.”
Health plans that use TriZetto’s enterprise administration systems provide medical benefits to 106 million Americans.
“The TriZetto PHR will automatically populate and update with clinical information that doctors and hospitals provide when they submit claims to healthcare payers,” Pinkert explained. “This pre-population is completely unique in the market, especially when combined with the opportunity for consumers to add or supplement information to this PHR. It will help ensure consistent care and the most informed decisions between a patient and his or her multiple providers.”
Fully supporting industry interoperability and security standards, TriZetto’s PHR will enable a patient to give a provider a fully digital record of his or her health history. The record will include the following information from the healthcare payer’s claims system:
- Procedural history, including
- Lab work
- Exams
- Surgeries and other treatments
- Diagnoses
- Healthcare providers who have treated the patient
“TriZetto’s PHR will be portable,” noted Pinkert. “So even as consumers change health plans, we’ll make it easy for them to take their health record with them.”
As a consolidated record of a patient’s care by multiple providers and facilities, Pinkert added, TriZetto’s PHR will support the “medical-home” approach to care. Under the medical-home approach, a personal physician takes the lead on coordinating integrated care for a patient by multiple providers who all share a complete record of the individual’s health, medical conditions and treatment.
Members will be able to access their PHR on-line, with the ability to add or supplement information about:
- Family history (e.g., diseases and medical conditions of parents, siblings)
- Emergency contacts
- Medications and dosages
- Allergies
- Claims
- Immunizations
- Personal details, such as preferences and behaviors that can affect health status.
“Using TriZetto’s PHR, consumers will be able to actively participate with their doctors in maintaining or improving their health,” Pinkert said. “For instance, at a doctor’s direction, a patient might regularly record his or her blood pressure in the PHR. Then, at the next office visit, the patient and doctor can evaluate the new data and discuss treatment options together.”
TriZetto’s PHR will be managed by consumers and populated by the large volume of digital benefits and care information in the systems of healthcare payers. “We have great expectations for this new solution,” said Pinkert. “TriZetto’s new PHR will bring a huge and immediate improvement to the efficiency and quality of the U.S. healthcare system.”
About TriZetto
Founded in 1997, TriZetto is the leading privately held healthcare information technology company to the healthcare payer industry. With its technology touching half of the U.S. insured population, TriZetto is Powering Integrated Healthcare Management™, the systematic application of processes and shared information to optimize the coordination of benefits and care for the healthcare consumer. The company’s offerings include enterprise and component software, hosting, outsourcing services and consulting that help payers implement and optimize their operations and minimize the risk of bringing to market new products that drive competitive differentiation.
Contacts:
The TriZetto Group
Loren Finkelstein, 303-542-2460
loren.finkelstein@trizetto.com
or
Schwartz
Communications
Melissa Bruno, 781-684-0770
trizetto@schwartz-pr.com
