Dossia, the organization launched by five large employers last year to bring
personal health records to millions of employees, is showing that transforming
the health care system is harder than it looks.
Announced a year ago with much fanfare, Dossia, a product initially of Intel,
Wal-Mart, Pitney Bowes, BP and Applied Materials, promised to develop what the
health care industry has not: a patient-focused personal electronic health
record that could be accessed by a person’s medical providers and by patients
regardless of who provided or paid for their health insurance. Cardinal Health
later joined the group and, more recently, AT&T and Sanofi-Aventis became
members. All companies have committed $1.5 million to the project.
This summer, however, Dossia found itself embroiled in a lawsuit with its
technology provider, Omnimedix, a nonprofit based in Portland, Oregon.
Dossia
said the group didn’t meet its milestones and Omnimedix said it wasn’t being
paid. Details of the dispute remain unknown, as a court granted Dossia’s request
to seal the records.
Late last month, however, Dossia announced it was
starting over with a new technology provider, the Children’s Hospital
Informatics Program based at Children’s Hospital Boston, which has developed a
personal health record called Indivo.
To accompany the change, the founding member companies recently announced
they would not only staff Dossia, but do so with their own employees.
“When we started this thing a year ago, we realized this is a learning
adventure,” says Colin Evans, Dossia’s president and director of policy and
standards for Intel’s health group. “It became clear as we worked through this
that our interests were better served if we were directly involved.”
J.D. Kleinke, chairman and chief executive of Omnimedix, would not comment on
the case but believes it would be difficult for Dossia to manage the project
more closely without accessing private employee data.
“We don’t believe a system that is developed and operated by employers will
be trusted by employees,” he says.
Evans said the project would be managed by Dossia, but that only their
technology partner would have access to data.
“We’re bringing in experienced senior people to make sure the project gets
managed properly,” he says. “That does not mean the companies are operating the
system—that, somehow, that means they have access to the data.”
The eight member companies have about 5 million employees. Other Dossia
executives, each of whom has experience managing computer engineering or health
benefits, include Bob Hartley, vice president of global compensation and
benefits for Applied Materials; Carolyn Walton, a vice president in Wal-Mart’s
information systems division; Tom Foth, an inventor and engineer at Pitney
Bowes; and Dave Hammond, vice president of enterprise architecture of Cardinal
Health.
“Most health information is pretty boring unless you’re a celebrity,” says
Glen Tullman, chief executive of AllScripts Healthcare Solutions, a health care
software company. “I have total confidence that we can both technically and
legally protect people’s privacy. The real focus is, how do we get people to use
this stuff? I think employers are the best party to do this because they are the
ones paying the bills.”
Evans says some employees will begin using the personal health record by the
end of this year, and that by the end of 2008, the group could take on new
members. The health record will be designed to fit with commercially available
software being developed by companies like Microsoft, Google and Revolution
Health so employees could continue to access their record regardless of their
employer.
—Jeremy Smerd