Chip Ach
Senior Architect, More Disruption Please
Healthcare Refactored
May 14, 2014
„ “Senior Architect, More Disruption Please”
sounds like a cool title, but what is More
Disruption Please (MDP)?
„ Who d...
Joy’s Law
3
“ ”
No matter who you are, most of the
smartest people work for someone else.
„  We can’t build fast enough f...
4
5
The 2013 Approach To Partnerships
Identify Capability Areas
Scheduling Digital Check-In
•  Expose providers’
schedules, ...
6
The 2013 Approach To Partnerships
Find Partners
Find someone great Have more than one
Identify Capability Areas
Scheduli...
7
The 2013 Approach To Partnerships
Build APIs
Infrastructure and approach More work than you think
Find Partners
Find som...
8
The 2013 Approach To Partnerships
Beta Test
1. Find Clients 2. Iterate 3. Repeat
Build APIs
RESTful, JSON More work than...
9
The 2013 Approach To Partnerships
Marketplace Launch with 20+ Partners
https://athenahealth.com/marketplace
Beta Test
1....
10
A new approach in 2014…
If you build it, they will come.
„  Broad coverage of functional areas
„  We’re building more clinically-focused API calls
„  Cover capability areas to ...
„  Some pieces of the application aren’t ready to be exposed via the API
to the outside world. Who does the work to expos...
Questions?
13
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HxRefactored - athenahealth - Chip Ach

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HxRefactored - athenahealth - Chip Ach

  1. 1. Chip Ach Senior Architect, More Disruption Please Healthcare Refactored May 14, 2014
  2. 2. „ “Senior Architect, More Disruption Please” sounds like a cool title, but what is More Disruption Please (MDP)? „ Who do you partner with? Why? How? „ How does R&D guide the path of openness? „ What comes next? 2 Agenda
  3. 3. Joy’s Law 3 “ ” No matter who you are, most of the smartest people work for someone else. „  We can’t build fast enough for our clients „  We need to offer more services than we can possibly build „  We can go to market with richer tools and solutions if we don’t need to build and own everything Product Builder MDP (Open Network) „  athenaNet: 52,000+ providers, 40+ million patient records „  Provide connectivity to the athenaNet core „  Open our platform to an array of innovative solutions for our client base
  4. 4. 4
  5. 5. 5 The 2013 Approach To Partnerships Identify Capability Areas Scheduling Digital Check-In •  Expose providers’ schedules, building on athenaCommunicator •  Allow real-time scheduling •  Increase schedule density and decrease no-shows •  Patient self-service •  We don’t say “kiosk” •  Increase patient payments •  Reduce administrative burden on all staff •  Increase patient satisfaction
  6. 6. 6 The 2013 Approach To Partnerships Find Partners Find someone great Have more than one Identify Capability Areas Scheduling Digital Check-In •  We wanted to be careful •  But the timing wasn’t right for one company. •  Having more than one partner means flexibility. •  It also means managing multiple relationships with different scope. •  We will measure performance. Our first… iTriage
  7. 7. 7 The 2013 Approach To Partnerships Build APIs Infrastructure and approach More work than you think Find Partners Find someone great Have more than one Identify Capability Areas Scheduling Digital Check-In •  Build our side once •  We didn’t think traditional HL7 was enough. •  You need to have the underlying infrastructure to create an API. •  Legacy code •  Functionality gaps between what your partner needs and you have (and think your partner needs) •  There is a lot to expose
  8. 8. 8 The 2013 Approach To Partnerships Beta Test 1. Find Clients 2. Iterate 3. Repeat Build APIs RESTful, JSON More work than you think Find Partners Find someone great Have more than one Identify Capability Areas Scheduling Digital Check-In •  The right clients •  High touch setup •  Feedback givers •  No, we didn’t get it 100% right •  Feedback from everyone •  No, we still didn’t get it 100% right
  9. 9. 9 The 2013 Approach To Partnerships Marketplace Launch with 20+ Partners https://athenahealth.com/marketplace Beta Test 1. Find Clients 2. Iterate 3. Repeat Build APIs RESTful, JSON More work than you think Find Partners Find someone great Have more than one Identify Capability Areas Scheduling Digital Check-In
  10. 10. 10 A new approach in 2014… If you build it, they will come.
  11. 11. „  Broad coverage of functional areas „  We’re building more clinically-focused API calls „  Cover capability areas to cover product gaps and foster innovation 11 Taking the long view in 2014 Clinical Decision Support? Med Adherence? Patient Engagement? Device Integration?
  12. 12. „  Some pieces of the application aren’t ready to be exposed via the API to the outside world. Who does the work to expose them? „  Quality over quantity of partners? Is a diverse set of choices important? Ratings? Are we physicians most trusted service? (“Our mission is to be medical care givers’ most trusted service, helping them do well, doing the right thing.”) „  How open? How quickly? „  Multiple players involved has a downside. Who is responsible when something goes wrong? Who configures what? „  Partner management is real work. •  Do we tier partners? •  Do we let anyone in to see what we’re doing? •  How should we vet partners? 12 All the boring hard questionsAll the important hard questions
  13. 13. Questions? 13

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