System Level Patient-Centered Data Sharing

Care coordination strategies have focused on effective data sharing for a specific application (e.g. geriatric rehabilitation after discharge from hip surgery) but not the means of ensuring system level patient-centered data sharing beyond a specific application. The MyPHR framework provides a systematic approach to enable sharing of patient's healthcare data across a system-wide circle of care independent of a specific application. This paper uses the example of Path-to-Home (P2H), an application to support coordination of healthcare within a patient's circle of care for geriatric rehabilitation after discharge from hip surgery, to illustrate how the MyPHR framework can provide guidance on how to support data sharing at a "system level" within a broader system-wide circle of care. Our findings contribute to the broader research problem of enabling healthcare data interoperability.