TwilioDevCon

Unleashing the Power of Data, Innovation + Technology to Improve Health
Aman Bhandari US Department of Health & Human Services (HHS)@GHideas/ aman.bhandari@hhs.gov

Big Picture: Costs, Disease + Demographics
$2.3T (18%) today, 40% of GDP by 2050...if we do nothing
Total cost to families: doubled to $19,393 from $9,235 since 2002 (CPI, wages flat)
$1,500 added to every GM car; more paid for health ($4.7B) than for steel
10,000 Baby Boomers turn 65 every day for the next 20 yrs

Big Picture: What is HHS?
Select Operating Divisions and Total Outlays
$892B
11 Agencies
80,000 Employees
100M Americans served
by Medicare & Medicaid
#Gov2.0
Source: “FY 2011 Budget in Brief – Strengthening Health and Opportunity for All Americans” – U.S. Department of Health and Human Services”

Policy Big Picture: Govt as Platform
HITECH + DATA LIQUIDITY + NEW INCENTIVES
Transformation of the system depends on changing how we pay for care:
Driving a shift from “pay for volume of services”  “pay for health and value”
Launching key payment innovation pilots - a game-changer: the Center for Medicare and Medicaid Innovation ($10B over 10 years)
White House Startup America + Open Innovation Strategy
There has never been a better time to be an innovator at the intersection of health, data, & IT

Realizing the Open Gov Vision

Information liberation - the Health Data Initiative (HDI): turning HHS into the “NOAA of health data”
Weather newscasts
Weather websites
Weather mobile apps
Weather insurance
And more
Weather data
FUELS
Made available to the public

What kinds of data are we liberating via HealthData.gov?
Community Health
Consumer Product Information Example:
FDA recall (drugs, devices, food) data in downloadable XML format
Published 10/2010
Provider Directories & Quality
Govt Spending
HHS
Data Being Liberated
“Blue Button”
Medical/
Scientific Knowledge
Consumer Product Information

Health Data core activities: liberate data and catalyze innovation
Publish brand new HHS data for public access – while rigorously protecting privacy and confidentiality
Make existing HHS data much more accessible -- “machine-readable,” accessible via application programming interfaces (APIs), free, much easier to find
Energetically publicize our data to innovators -- who can use it as raw material to develop applications and services that help improve health and health care

Mashup: Starting with Tech Developers
+
Health Policy Experts
Tech Developers & Innovators
One Day:50 health policy and tech developer experts invited to brainstorm, be inspired and drive action:
Asked them to brainstorm most powerful and innovative ideas
Asked them to commit to activating the best ideas within 90 days
What started as a 1 day event has turned into a much broader effort
Buzz volume
@Steven_InSites #cm48

How do you bring data to the fingertips of consumers?
Microsoft Bing announced its latest effort to bring HHS data to the public by incorporating Hospital Compare data into its search functionality

Asthmapolis: the power of individual entrepreneurs to “democratize” data collection
Inhalers use GPS to anonymously track time and location of use…
…aggregating to identify outbreaks and aid in treatment of patients

Building the Ecosystem
Challenges and “code-a-thons” (health2challenge.org)
Innovation Exchanges
Annual “health datapaloozas”

June 2011 Health Data Palooza
2nd annual “health datapalooza” -- sponsored by the Institute of Medicine and HHS
Showcased nearly 50 of the best innovations developed by companies that help consumers, care providers, employers, and communities improve health and health care
Walgreens, Aetna, Sanofi Aventis, FoodOasis, RWJF, DailyFeats, VCs

External Signals/Whispers
"The best minds of my generation are thinking about how to make people click ads…that sucks." Jeff Hammerbacher, BW
"I turned to healthcare partly because I saw an immense hunger among the developers that I work with to start working on stuff that matters." Tim O’Reilly
"On the one hand, you have people…who know nothing about regulation…on the other, a bunch of health-care guys who think Zynga is some kind of fruit. There is truly a chasm between world views." Sonny Vu

Innovation Landscape: Seeding Disruption
Prizes
Heritage $3M Prize
GE $100M Open Innovation
XPrize $10M
Challenge.gov
Innovation CentersVAi2 ($100M)
Humana
Kaiser
Well Point
Incubators
RockHealth (SF)
StartupHealth (NYC)
HealthBox (Chicago)
BluePrint Health (NYC)
Mobile/Global
mHealth Summit Text Smoking Data Libraries
FDA Mobile Med
mLab Africa/Thailand

86%
interested in accessing medical information
50%
want a personal monitoring device
PWC 2010
Deloitte 2010
SDI 2010
Parks 2010
Consumers
US Physicians
Rise in Mobile App Use

“Health care has evolved in isolation from many of the forces that have re-shaped other industries in recent years. This isolation is readily apparent to each of us whenever we step into a doctor’s office or hospital… despite the presence of some of the most brilliant minds in public health, despite their best efforts, experts continue to betray an outdated, manufacturing mindset, referring to everything that has impact in the field—that touches communities and provides real human value—as ‘delivery.’ This one-way model of engagement is truly shocking in an age dominated by communications technologies and connectivity.Health is not ‘delivered’ to people. It relies on active engagement and participation. It is a dialogue. You see this mindset reflected everywhere.” Robert Fabricant, VP Frog Design

Immediate Opportunities
Today! The Power of Twilio for Healthcare
Sept 24th Healthcare 101 Bootcamp for Startups (RockHealth.org)
Sept 24, 25th Health2Challenge.org
Sept 30th UC Berkeley Hacking for Health
Prizes and Challenges: Challenge.gov
aman.bhandari@hhs.gov / @ghideas

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TwilioDevCon

by Aman Bhandari on Sep 22, 2011

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