TrustArc Webinar - Unlock the Power of AI-Driven Data Discovery
Finding the Right Provider Challenge Q&A Webinar
1. Robert Wood Johnson Foundation & ProPublica
“Finding the Right Provider” Challenge
Informational Q&A Webinar
January 12, 2016
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2. On Today’s Call
Katherine Hempstead, Director of Coverage
Robert Wood Johnson Foundation
Charles Ornstein, Senior Reporter
ProPublica
John Riney, Technical Evangelist
PokitDok
Alicia Davis, Program Manager
Health 2.0
Graeme Ossey, Senior Program Manager
Health 2.0
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3. Agenda
•Introductions from Katherine Hempstead and Charles
Ornstein
•Overview of Challenge Details
•Additional Resources
◦ CMS Physician and Supplier Data Set
◦ PokitDok API with John Riney
•Q & A
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5. Focus of Challenge
Consumers have a variety of reasons for using online provider
search tools. Some want to maintain existing relationships with
doctors and rely on the tools to ensure the health plan they
choose includes them. Others are looking for a new doctor.
Consumers who are shopping for providers have many
potential information needs, which are not currently addressed
by existing tools.
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6. What we are looking for
Submissions for this challenge should use pertinent data to provide consumers
with an easy to use provider search tool that will allow them to find the answers
to any questions they have about a provider or practice.
Evaluation Criteria:
◦ Creativity and Innovation
◦ Design, Usability and intuitiveness of application
◦ Potential to help informed consumer decisions on choosing a provider for their needs
◦ Sustainability model and realistic plans for community adoptions
◦ Quality and use of available data
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7. Criteria to Apply
•Business & nonprofit entities must be formed and maintain a
principal place of business in the U.S.
•Individuals must be citizens or permanent residents of the
U.S.
•Teams must have no more than 5 members
•Individuals must be of legal age of majority, at the time of
entry, to form valid contracts in their respective jurisdiction of
legal residence
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8. Submission Requirements
The challenge will take place in two phases. Phase I will require teams to submit concepts
and wireframes, while phase II will require working prototypes. The submission
requirements for each phase can include (but not limited to):
Phase I:
◦ A text description of the app or tool (no more than 1500 characters) including what data were used, how
they were used, need, solution and business plan for dissemination and use
◦ Wireframes or similar design layout of the application
◦ Slide deck of no more than 10 slides describing the app and operating plan (in PDF format)
Phase II:
◦ Updated materials above
◦ A video pitch (no more than 5 minutes) describing the app/tool and how it would be used by the public to
make better health plan purchasing decisions
◦ Link to working application
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9. Prizes & Timeline
Prizes
◦ Phase 1:
◦ Five (5) finalist will receive $5000
◦ Phase 2:
◦ First Place: $50,000
◦ Second Place: $15,000
◦ Third Place: $10,000
Timeline
◦ Challenge Launch: December 11, 2015
◦ Phase 1 Deadline: Mach 11, 2016
◦ Phase 1 Announcement: April 12, 2016
◦ Phase 2 Launch: May 13, 2016
◦ Phase 2 Deadline: August 12, 2016
◦ Phase 2 Announcement : Health 2.0 10th Annual Fall Conference September 25-28, 2016
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12. Demographic data
In September 2015, CMS updated its Medicare Part B data release to include demographic and
health information associated with each provider’s beneficiary panel. This provider level
summary (i.e., one record per NPI) now includes aggregated information on beneficiary age, sex,
race, Medicare and Medicaid entitlement, sixteen (16) chronic conditions and risk scores. More
detailed information on each variable added to this summary file is provided in the
Documentation tab of the data file. https://www.cms.gov/Research-Statistics-Data-and-
Systems/Statistics-Trends-and-Reports/Medicare-Provider-Charge-Data/Physician-and-Other-
Supplier2013.html
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