Previously submitted to: JMIR Formative Research (no longer under consideration since Sep 02, 2018)
Date Submitted: May 11, 2018
Open Peer Review Period: May 14, 2018 - Jul 9, 2018
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Patient-centric portable health record exchange: A feasibility study
Background:
Patient medical records contain important information for healthcare professionals to make the right decisions that provide efficient care and optimize quality patient outcomes. Electronic health record (EHR) systems are now the standard to document patient health information. However, the exchange of patient protected health information remains a challenge due to the lack of connectivity across hundreds of different EHR systems.
Objective:
The aim of the study is to describe the implementation of a secure and EHR-agnostic portable patient medical record technology, and to describe initial user experiences.
Methods:
We developed the VYRTY solution, a HIPPA compliant and secure medical record card and reader that allows for user authentication, patient authentication, data capture, data storage, and documentation sharing that works with any EHR system. Storage of all patient medical records is encrypted on the VYRTY card allowing safe patient transportation of medical records. Physician activation was phased in over the first 5 months of the one-year pilot. Patient enrollment was voluntary and was complete within 8 months from start of the pilot. Physicians uploaded medical record documents from their EHR by using the print function. Patients that were referred shared their VYRTY card with the receiving physician for downloading of medical records. The exchange of medical records was recorded by the VYRTY system and personal interviews were conducted and recorded to assess user experience.
Results:
One hundred and ninety-four patients participated out of 200 enrolled, while 23 physicians actively participated out of 45 enrolled. Patients utilized their VYRTY cards 49% of the time, and physicians downloaded documents 51% of the time during the 1-year pilot period. Participating physicians found VYRTY easy to use and their patients were very satisfied with the convenient portability of their medical records.
Conclusions:
VYRTY was implemented successfully and found to be easy to use by physicians and patients. Using the VYRTY system gave patients their own medical records to share with other providers, which effectively solved the problem of exchanging health information between different EHR systems.
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