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OHM Concept

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Beth Yost edited this page Apr 13, 2022 · 14 revisions

Rosie, the Health Manager will be an open source application for use by patients, initially underserved populations or those with chronic conditions, to help them more effectively manage their health. It will provide recommendations and reminders on actions they can take to maintain or improve their health (through interaction with their care plan), help connect underserved populations to validated and trusted services (through identifying low cost alternatives such as at home tests), and allow patients to see a more complete and accurate view of their health data (by pulling in data from multiple institutions). Rosie, the Health Manager will empower patients to improve their health.


What’s the product name?

  • Rosie, the Health Manager
    • Note: this was formerly "Open Health Manager" or OHM

Who are the users?
Initial 2022 scope will be focused on Patients

  • Patients
    • All
      • Must be over 18 in order to consent to data use agreeements, but may be acting on behalf of child
      • Focused on the US/US healthcare system, so likely in the US
    • Underserved populations
    • Those managing a chronic conditions or with multiple co-morbidities that need to try to manage their health data across institutions
  • Providers
    • With patient's consent providers (physicians, clinicians, specialists, etc.) can receive and view some of the patient's data
  • Family or Caregivers
    • With patient's consent, they can use OHM to get a shared view of the data and get appropriate notification when they need to do something

What will it do?
Initial 2022 scope will be focused on the patient's view and their care plan

  • For patients:
    • Get recommendations on fundamental things patient should be doing to manage their own health
    • Get reminders of actions they should take to maintain or improve their health
    • Provide the ability to share their data with providers or family or caregivers
  • For providers:
    • Get information on patient compliance with recommendations
  • For families or caregivers:
    • Get a shared view of the patient's data, if the patient consents
    • Get notifications when they need to do something

What problems will it solve?

  • Will provide a view of their patient care plan (defines health goals, have care plan and awareness of how well they're adhering to it and why or why not)
    • Will be easily digestible and actionable for a user
  • Make these capabilities more widely available, including for those who may not engage often with healthcare providers
    • Currently it's mainly those managing chronic conditions or with multiple co-morbidities that need to try to manage their health data across institutions
    • Want to make this capability more applicable to day to day life, help reduce disparities in healthcare, in part by allowing patient's to leverage of subset of the services to get guidance they may not otherwise receive
  • Help increase health literacy
  • Will make it easier for patients to get access to their health data
    • Currently there is an institution-centric approach to data and healthcare delivery
    • Can take a lot of effort to get health data from multiple institutions
    • OHM will make it easier for patients to get access to their health data by providing an application that on the backend uses standards to interact with and pull data from different sources
  • Will provide patients a more complete, holistic view of their health data
    • Current process is passive and patient's often receive care based on fragmented and incompleted health data
  • Will provide patients a tool to help effectively manage their health
    • Should help people stay healthy or identify issues sooner, resulting in better outcomes for patients
  • Help reduce disparaties in access
  • Eliminate barriers for primary self-care


What is the novelty?

  • Provide a more holistic view by pulling in more patient health data, data beyond what's based on US core, which is only a small part (25-30% of EHR data)
  • Does some data cleaning to help remove duplication
  • Open source and not tied into proprietary services, making it possible to tie into services that exist outside of any particular ecosystem
  • Not specific to a device, available to users of any recent smart phone device, including both Android and iOS devices
  • Ability to integrate with 3rd party services that may be available to provide decision support to patients
  • Predictive information to encourage health behavior change

What are the boundaries?

  • Mental Health is not currently in focus, instead focus is Physical Health

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