himss interoperability showcase march 4 , 2013

HIMSS Interoperability ShowcaseMarch 4, 2013

Blue Button+Deep DivePierce Graham-JonesInnovator in ResidenceDept. of Health & Human Services

Greg MeyerS&I Framework Committed MemberCERNER TITLE

Patient Engagement => Better Care

2

Suffer a health consequence from poor communcation among providers

Experience a Medical Error

Hospital Readmit within 30 Days

13%

19%

13%

36%

28%

More Activated PatientLess Activated Patient

49%

Source: AARP Survey of patients over 50 with 2 or more chronic conditions

A Growing Evidence Base Supports Consumer Engagement via eHealth

•Improve outcomes and enhance patient satisfaction

•Communicate and coordinate with providers

• Self manage health and wellness

•Check for errors or inaccuracies

Untapped Demand for eHealth

• 20% have accessed their health info online

• 10% have a personal health record (PHR)

•9% have mobile app to manage health

• 21% of individuals who track use a form of technology

•90% agree you should be able to get your own medical info electronically

•2 out of 3 would consider switching to a provider who offers online access

•52% would use a smart phone to monitor health

•69% track a health indicator

04/22/2023 Office of the National Coordinator for Health Information Technology

5

1. Ensure everyone can access their health information

electronically

2. Help application developers use that data to build products

and services that help individuals with their health

04/22/2023 Office of the National Coordinator for Health Information Technology

6

Over 1 million people across the country have downloaded their health record

In 2010, Department of Veterans Affairs starts the Blue Button initiative

Now over 88 million Americans can download their health record from a portal

(CMS, Dept. of Defense, Aetna, and United)

Limitations of Blue Button and Health Data

Lacks Structure: Data is difficult to parse because data is unstructuredXInconsistent: Each system uses different vocabularies and templatesXNo Secure Transport: No defined, widely adopted way to securely transport dataXNot Seamless: Current applications require too much manual effort by consumersX

04/22/2023 Office of the National Coordinator for Health Information Technology

8

68 committed organizations defined the next version of BB

04/22/2023 Office of the National Coordinator for Health Information Technology

9

Structure

1

Electronic EOB

C-CDA

Transport

2

Direct

Automation

3

Triggers

What Blue Button+ looks like for Dataholders (Providers, Payors, etc.)

ANY Destinatio

n of Consumer’s Choice

What Blue Button+ looks like for Developers and Patients

Meaningful Use Stage 2 and Blue Button+

Blue Button+ gives specific guidance to EHR companies in meeting the V/D/T requirements.

Structure Consolidated CDA (C-CDA)

Section & Fields Described in Meaningful Use 2

Transmit Direct Protocol (SMIME/SMTP)

Trust Anchors Manual Anchor Exchange

Transmit Frequency Send once

Anchor Bundle Blue Button Anchor Bundle

Transmit Context In message body

Transmit Frequency Send on change, automation

MU 2 regulations

requires these for all certified

EHRs

Required for Blue Button+

Blue Button+ Implementation Guide

Quick Link - Implementation Guidehttp://bluebuttonplus.org

04/22/2023 Office of the National Coordinator for Health Information Technology

14

04/22/2023 Office of the National Coordinator for Health Information Technology

15

04/22/2023 Office of the National Coordinator for Health Information Technology

16

04/22/2023 Office of the National Coordinator for Health Information Technology

17

04/22/2023 Office of the National Coordinator for Health Information Technology

18

04/22/2023 Office of the National Coordinator for Health Information Technology

19

04/22/2023 Office of the National Coordinator for Health Information Technology

20

04/22/2023 Office of the National Coordinator for Health Information Technology

21

04/22/2023 Office of the National Coordinator for Health Information Technology

22

04/22/2023 Office of the National Coordinator for Health Information Technology

23http://ccda-scorecard.smartplatforms.org

04/22/2023 Office of the National Coordinator for Health Information Technology

24

04/22/2023 Office of the National Coordinator for Health Information Technology

25

04/22/2023 Office of the National Coordinator for Health Information Technology

26

04/22/2023 Office of the National Coordinator for Health Information Technology

27

04/22/2023 Office of the National Coordinator for Health Information Technology

28

04/22/2023 Office of the National Coordinator for Health Information Technology

29

04/22/2023 Office of the National Coordinator for Health Information Technology

30

04/22/2023 Office of the National Coordinator for Health Information Technology

31

04/22/2023 Office of the National Coordinator for Health Information Technology

32

04/22/2023 Office of the National Coordinator for Health Information Technology

33

04/22/2023 Office of the National Coordinator for Health Information Technology

34

04/22/2023 Office of the National Coordinator for Health Information Technology

35

04/22/2023 Office of the National Coordinator for Health Information Technology

36

04/22/2023 Office of the National Coordinator for Health Information Technology

37

04/22/2023 Office of the National Coordinator for Health Information Technology

38

http://bluebuttonplus.org

39

For Providers

For Developers

• Better ways to communicate with patients

• Easier way to send personal health information to consumers

• Ask your vendors for Blue Button+

Will finally get automated access to the personal data you need to build useful products and unlock

value for providers and consumers

For EHR Vendors• You don’t have to invent

every consumer tool yourself – connect to a larger ecosystem

• Respond to customer requests to connect data to other places

• Blue Button+ is a quick guide for MU2 – V/D/T

For Investors• As developers begin to

unlock value from personal health information for consumers and providers, should create attractive business models

For Consumers• Myriads of new tools

available for you to track and manage your health care

• Tools that previously seemed promising, but required too much effort or did not provide meaningful support

Impact of Blue Button+

Organization Demonstrating their Path to Blue Button+ Today

Interoperability Showcase

Join our group of early adopters

Your Action Items

Share http://bluebuttonplus.org with your colleagues

Implement Blue Button+ Today

04/22/2023 Office of the National Coordinator for Health Information Technology

42