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First published October 18, 2007 as JAMIA PrePrint; doi:10.1197/jamia.M2562
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J Am Med Inform Assoc. 2008;15:1-7. DOI 10.1197/jamia.M2562.
© 2008 American Medical Informatics Association

Viewpoint Paper

Early Experiences with Personal Health Records

John D. Halamka, MDa,*, Kenneth D. Mandl, MD, MPHb and Paul C. Tang, MDc

a Beth Israel Deaconess Medical Center, Boston, MA
b Children’s Hospital Boston, Boston, MA
c Palo Alto Medical Foundation, Palo Alto, CA.

* Correspondence: John Halamka, MD, MS, CareGroup Healthcare System, 1135 Tremont Street, 6th Floor, Boston, MA 02215 (Email: jhalamka{at}caregroup.harvard.edu).

Received for publication: 07/18/07; accepted for publication: 10/04/07.

Over the past year, several payers, employers, and commercial vendors have announced personal health record projects. Few of these are widely deployed and few are fully integrated into ambulatory or hospital-based electronic record systems. The earliest adopters of personal health records have many lessons learned that can inform these new initiatives. We present three case studies—MyChart at Palo Alto Medical Foundation, PatientSite at Beth Israel Deaconess Medical Center, and Indivo at Children’s Hospital Boston. We describe our implementation challenges from 1999 to 2007 and postulate the evolving challenges we will face over the next five years.




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