hunt for collaboration: realizing a learning health system ... · hunt for collaboration: realizing...
TRANSCRIPT
Hunt for Collaboration: Realizing a Learning Health System
Together to Democratize Health
Tuesday, June 14, 2016
Joshua C. Rubin, JD, MBA, MPH, MPP
@JoshCRubin
http://www.healthcareitnews.com/blog/memoraim-hunt-blair
A Learning Health System (LHS)…A System of Health Learners…
•Every Human Health Experience…
•Every Decision Affecting Health…
•Every Person…
5
Patient Groups
GovernanceEngagementData AggregationAnalysisDissemination
Insurers
Pharma
Universities
Government/Public Health
Healthcare Delivery Networks
ResearchInstitutes
Tech Industry
All-Inclusive Decentralized ReciprocalTrusted
https://lillypad.lilly.com/entry.php?e=8284www.LearningHealth.org
104 Endorsements of the LHS Core Values*(As of 5/16/2016)
The Center for Learning Health Care
Siemens Health Services
GE Healthcare IT
*To be included on the www.LearningHealth.org website.
SecureHealthHub, LLC
Department of Primary Careand Public Health
Program in HealthInformatics, SONHP
Veterans Health AdministrationOffice of Informatics & Analytics
Division of Health and Social Care Research
“… for those of us who have battled against the weariness and ennui most change agents face in the institutions of government and the healthcare industrial complex, we know that this change has been a long time coming, and it’s too late to stop now.”– Hunt Blair, 2015
http://collaborationforlhs.blogspot.com/2015/07/somethings-happening-here.html
Michelle Garber, USAC
Vice President, Lifeline
Lifeline Program
What is it?
The program is undergoing modernization
• 13 million households
• $9.25 / mo. voice discount ($34.25 tribal)
• Eligible through varied social service programs or income
• Carriers confirm eligibility
Consumers are eligible for a Lifeline benefit if enrolled in1:
• Medicaid
• Supplemental Nutrition Assistance Program
• Supplemental Security Income
• Federal Public Housing Assistance
• Veterans Pension and Survivors Benefit
• Income-based eligibility
Who can get it?
Reside on Tribal lands and participate in a federal or state assistance program such as:
• Bureau of Indian Affairs General Assistance
• Head Start• Tribal Temporary Assistance for
Needy Families• Food Distribution Program on
Indian Reservations
OR
1List reflects criteria effective on the later of December 1, 2016 or 60 days after PRA approval
What services are discounted?
Subscribers may receive a discount on either:
Current State Future State1
Fixed voice (home phone) Fixed voice (home phone)
Mobile voice (cell phone) Mobile voice (cell phone)
Fixed broadband
Mobile broadband
Bundled voice + broadband
1Inclusion of broadband is effective on the later of December 1, 2016 or 60 days after PRA approval
Carrier verifies consumer eligibility
Begins delivering discounted services on a monthly basis
Carrier reimbursed by USAC based on
self-reported subscribers
How does it work?
Current State: Carrier Verifies Eligibility
National Verifier verifies consumer
eligibility
Consumer selects Lifeline carrier and begins receiving
discounted service
Carrier reimbursed by USAC based on National Verifier
records
Future State1: National Verifier
1First phase of National Verifier will be implemented December 31, 2017.
Enabling Responsible Information
Sharing and Interoperability
Common Data Taxonomy – Core Semanticshttps://m.youtube.com/watch?v=gmOTpIVxji8
Normative Interoperability Framework– Context Neutral Packaging (ICIF)
Applied Reuse – Context Specific Instantiation(s)
…No One Size Fits All
SCC Membership
IJIS InstitutePrograms
&Initiatives
National Practice Associations
Standards Development Organizations
Academic&
Research
Technology/Engineering
Organizations
Industry Associations
Technology Incubators
SCCProject
Interoperability
Mission Centric – IS&S Strategic• Policy Automation (ICAM)• Info Security/Safeguarding• Services Adaptability• Standards-based
Acquisition• Viability and Sustainability
Enablement Centric – ICIF• Common Taxonomy• Common Profile (SIP’s)• Crosscutting Capabilities• Standards Normalization –
Project Prototyping (Pipe)• Reference Implementation• IS&S Products
http://www.standardscoordination.org/
Business Working Group
Technical Working Group
Architecture Working Group
Outreach and Communications Working Group
Performance Measurement
Working Group
Information Sharingand Access Interagency
Policy Committee (Government)
Security Working Group
Privacy Working Group
Information
Sharing Council
(ISC)
Adaptability to Technological Change
Human Adaptation
Organizational
Adaptation
Pace of
Technological
Change
Data Use
PolicyInfoSec/
Safeguarding
Digital
Integrity
This is
NOT
a
Phone!
Thank You
Steven Ambrosini
Executive Director
IJIS Institute, USA