Health Datapalooza 2013: Blue Button Plus For Data Holders - Ryan Panchadsaram


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Health Datapalooza IV: June 3rd-4th, 2013
Unlocking Clinical & Claims Data by Giving Consumers Access: Blue Button Plus For Data Holders
Ryan Panchadsaram, Senior Advisor, White House Office of Science and Technology Policy
Kym Martin, Three-time cancer survivor
Jon R. Cohen, Chief Medical Officer, Quest Diagnostics
Craig Lipset, Head of Clinical Innovation, Pfizer
Mark Savage, Director of Health IT Policy and Programs, National Partnership for Women & Families

Consumers can be engaged, active participants in their own health and partners in reducing health care costs. But first, they need access to their own personal health information, and they need tools and services that use this information to help them make better choices. The panel will bring together payers, providers, and other data holders who will discuss the value proposition for sharing data with consumers. They will demonstrate Blue Button Plus, which makes it easy for data holders to share personal health information with consumers and their applications in a standardized, automated format.

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  • Start with a dashboard of you clinical health dataUnderstand your risk for major complicationsBuild a care plan tailored to your data and risk levelsHave a tool that reminds you to follow the care plan, including medication reminders, exercise prompts, incentives, and social pressureShare your care plan and progress with your caregivers and providers
  • Health Datapalooza 2013: Blue Button Plus For Data Holders - Ryan Panchadsaram

    1. 1. Unlocking Clinical & Claims Data byGiving Consumers Access: BlueButton Plus For Data HoldersHealth Datapalooza IVJune 3, 2013
    2. 2. AgendaModerator:• Ryan Panchadsaram, Senior Advisor, White House Office ofScience and Technology PolicySpeakers:• Mark Savage, Director of Health IT Policy andPrograms, National Partnership for Women & Families• Kym Martin, Three-time cancer survivor• Jon R. Cohen, Chief Medical Officer, Quest Diagnostics• Craig Lipset, Head of Clinical Innovation, Pfizer• Q&A (15 minutes)6/11/2013Office of the National Coordinator forHealth Information Technology1
    3. 3. 6/11/2013Office of the National Coordinator forHealth Information Technology2Over 1 million people across the countryhave downloaded their health recordIn 2010, Department of Veterans Affairsstarts the Blue Button initiativeNow over 88 million Americans can downloadtheir health record from a portal(CMS, Dept. of Defense, Aetna, and United)
    4. 4. Worldof DataHoldersProviders: Hospitals and PracticesHealth PlansLabs and DiagnosticsPharmacies and Pharmacy Benefit ManagersDevices and Apps
    5. 5. PainPointsforDataHoldersUndefined Structure: Simpler to keep dataunstructured or in custom formatsXInconsistent Asks: Historically access to thisdata has been from one-off-asksXNo Secure Transport: No defined, widelyadopted way to securely transport dataXNot Seamless: Current applications requiretoo much manual effort by consumersX
    6. 6. 6/11/2013Office of the National Coordinator forHealth Information Technology568 committed organizationsdefined the next version of BB
    7. 7. 6/11/2013Office of the National Coordinator forHealth Information Technology6Structure1Electronic EOBC-CDATransport2DirectAutomation3Triggers
    8. 8. WhatBlueButton+looks like forDataholders(HIEs,Providers,Payors,etc.)ANYDestinationofConsumer’sChoice
    9. 9. WhatBlueButton+looks like forDataHoldersAdvantages:Enables you to securely deliver a payload toa destination of a consumer’s choosing.Using patient bundles simplifies exchange.
    10. 10. WhatBlueButton+looks like forDevelopersandPatients
    11. 11. MeaningfulUseStage 2 andBlueButton+Blue Button+ gives specific guidance to EHRcompanies in meeting the V/D/T requirements.Structure Consolidated CDA (C-CDA)Section & Fields Described in Meaningful Use 2Transmit Direct Protocol (SMIME/SMTP)Certificates Ability To Exchange Certificates “Ad Hoc”Transmit Frequency Send onceCertificates Certificate BundlesTransmit Context In message bodyTransmit Frequency Send on change, automationMU 2regulationsrequires thesefor all certifiedEHRsRequired forBlue Button+
    12. 12. 6/11/2013Office of the National Coordinator forHealth Information Technology11Implementation Guide
    13. 13. 6/11/2013Office of the National Coordinator forHealth Information Technology12Implementation Guidehttp://bluebuttonplus.orgC-CDA Scorecardhttp://ccda-scorecard.smartplatforms.orgDirect ReferenceImplementationsPatient Anchor Bundlehttp://secure.bluebuttontrust.orgTraining and Resources
    14. 14. Organizations on the Path to Blue Button+ TodayCurrentAdoption
    15. 15. 6/11/2013Office of the National Coordinator forHealth Information Technology14
    16. 16. From HIPAA to Health Datapalooza:A Consumer Perspective on Data AccessMark SavageDirector of Health ITPolicy and ProgramsHealth Datapalooza IVWashington, D.C.June 3, 2013 15
    17. 17.  HIPAA Privacy Rule (2003): Patients have a right toinspect and copy their health data (with limitedexceptions) within 30-90 days of the request HITECH Act of 2009: Patients have a right to obtaintheir health data in an electronic format whereproviders use or maintain the data in an EHR, and tohave providers transmit the data to designated thirdparties Regulations in 2013 now require access within 30-60 daysHIPAA: Access in 30-90 Days16
    18. 18.  Meaningful Use Stage 1, core requirements (2010): Electronic copy of health information (including diagnostics testresults, problem list, medication lists, medication allergies), within 3business days Clinical summaries for each office visit, within 3 business days Electronic copy of discharge instructions, within 3 business days Meaningful Use Stage 2, core requirements (2012): Ability to view online, download, and transmit health information,within 4 business days Clinical summaries for each office visit, within 1 business day Patient-specific educational resources Secure messaging to communicate on relevant health informationMeaningful Use Program:Access in 1-4 Business Days17
    19. 19.  Meaningful Use Stage 3, proposed core requirements in HITPolicy Committees request for comment: Ability to view online, download, and transmit healthinformation, within 24 hours of visit or 4 business days forinformation not generated within a visit Clinical summaries for each office visit, within 1 business day Patient-specific education resources, with materials in at leastone of the top 5 non-English languagesMeaningful Use Program:Access in 1-4 Business Days18
    20. 20. HIPAA: Access in 30-90 daysMeaningful Use Program: Access in 1-4 BusinessDaysBlue Button Plus: Access at the click of a buttonBlue Button Plus:Access in Real Time19
    21. 21. In a major nationwide survey released last year by theNational Partnership for Women & Families:Of respondents/patients with online access to doctors withEHRs, 80 percent use it.They were consistently more positive about the perceivedvalue of EHRs, and about trust in EHRs.Of those whose doctors use paper medical-record systems,nearly two thirds (65%) said online access is "very" or"somewhat" important to them.National Partnership for Women & Families, "Making IT Meaningful: HowConsumers Value and Trust Health IT" (Feb. 2012).Do Patients Care? YES WE DO!20
    22. 22.  Patient-generated health data: We must add U to V/D/T. Usability: Blue Button Plus improves upon Blue Button, butwe must accommodate wide ranges of literacy with healthinformation and literacy with health information technology. Access does not necessarily mean understanding and use. No barriers: Access in language and interoperability withassistive devices are critical for over 58 million people whospeak languages other than English at home, and over 56million people with a disability.Where we need to go next21
    23. 23. For more informationFind me:Mark SavageDirector of Health IT Policy and 986-260022
    24. 24. Kym Martin, MBAI have ExperienceI am EngagedI seek Empowerment“Knowing the Score”by Regina Holliday
    25. 25. 1983 Summer Plans• Fun with friends• Beach trips w/ beau• Softball pitching camps• Work at McDonald’s• Scouting out colleges1983 Summer Reality• Hodgkin’s Lymphoma IIB• Multiple surgeries• Barium cocktails• CAT scans,• Chest x-rays• Lymph angiogram• 40 rounds mantle radiation
    26. 26. Hodgkin’sSurvivorDecember 1999True LoveApril 2000Hodgkin’sscareDecember 2004Melanomain situSeptember 2012Breast CancerStage IIBMarch 2001BIGSurprise!June 2000Kaua’iWedding
    27. 27. Healthier PatientsHealthier Planet
    28. 28. Kym Martinkym@kymmartin.comThank You“Trinity” by Regina HollidayPlease visitwww.thewalkinggallerydc.comHelp raise awareness of trulypatient-centric carePlease visitwww.ACMImimi.orgHelp advance music & medicine
    29. 29. Unlocking Data to Transform the Role of PatientsFrom Subjects to Participants in Clinical ResearchCraig H LipsetHealth Data Initiative IV, June 3 2013The PfizerBlue Button®Project
    30. 30. The PfizerBlue ButtonProject
    31. 31. The PfizerBlue ButtonProjectonly 5% participate in clinical researchhundreds of pieces of data generateddata aggregated for researchvery little given to patient in returna subject of researchyesterday
    32. 32. The PfizerBlue ButtonProjectfirst of its kind projectenable patient to download herindividual clinical data at study endprovide patient with lay languagesummary of study resultsimprove her health & decision-makingshare data with her treating cliniciansa participant in researchtoday
    33. 33. The PfizerBlue ButtonProjectRole of thepatient and herdata inradicallyacceleratingthedevelopmentof newmedicalbreakthroughs
    34. 34. The PfizerBlue ButtonProjectlow participation a challenge to all research sponsors(universities, government, and pharma)less than 4% of US physicians participatein clinical trials as an investigatoronly 7% of Americans say their physician has talkedto them about research participationlack of engagement and participation delaysthe development of new medicines
    35. 35. The PfizerBlue ButtonProjectUnlocking datatransforms the roleof the patient in researchWhen given access and controlover their health data,91% of patients are willing to sharemedical information for research
    36. 36. The PfizerBlue ButtonProjectEarn Trust By Sharing FirstUse Data and Information to Transform theRole of the Patient in Clinical ResearchIndividual Study DataStudy Results
    37. 37. The PfizerBlue ButtonProjectIn 2012,Pfizer Completedover 100 clinical trialswith over 50,000patientsincluding over37,000,000data points*If Successful…beyond U.S.additionalcutting-edgedata types(such as precision medicine)*significant investment in clinical trial data to ensurethe highest quality for regulatory scrutiny
    38. 38. The PfizerBlue ButtonProjectPartnering withthe Health DataCommunityEnable patientuse of existingBB toolsContribute newdata types forBB developercommunityExploretogether howto help patientsrealize thegreatest impact
    39. 39. The PfizerBlue ButtonProject“…I, the patient, can share whatever healthinformation I want. It can be scrubbed ornot. I share this with you to help othersand aid in the aggregation of data. And all Iask of you, is that you do the same forme. I ask you to share the data andconclusions that you have reached…We are no longer subjects. We arepartners in care. Let patient’s help, that isall we ask.”Regina Holliday“Subjects”September 5, 2011
    40. 40. The PfizerBlue ButtonProjectAcknowledgmentsJennifer WulffMunther Baara
    41. 41. BlueButtonPlus– Co DesignChallengeAre you a patientor caregiver? Tellus how you wantto use your data.Share ideasthrough June 11