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DonateData.net	
                                       	
                   	
  	
  PCORI	
  Challenge	
  Submission	
  

                                  DonateData.net – A Summary

Introduction

         DonateData (http://DonateData.net) is an online platform to enable patients to find and support
research studies by donating their medical data and for researchers to list their studies and engage
patients with latest research updates. The platform would allow patients to voluntarily “donate” their
clinical data obtained via patient portals (as downloadable CCR/CCD or Blue Button summary files).
DonateData aims to channelize the impending gush of patient-controlled data to accelerate and amplify
the scope of research studies. In addition, it gives researchers tools to engage patients with research
updates and other relevant information, thus helping bridge the translational gap of disseminating
research knowledge.

Problem

     Research studies, specifically observational studies are severely limited in their ability to re-use
existing patient clinical data, often due to lack of electronic data availability or the need to protect patient
privacy and confidentiality restricts access to such data. Conducting longitudinal or cross-sectional
studies with even a few hundred participants can be painstaking, time consuming and expensive.
Moreover, the entire process is investigator-driven with little to encourage and motivate patients to
contribute towards the study. As a result, on the one hand realms of patient data remains locked in
institutional database silos with less than optimal availability for researchers to re-use them for answering
important healthcare questions. On the other hand, patients are barely provided any incentives or control
to decide how their data could be utilized to further research should they decide to support such initiatives
and more still, disseminate information about such research initiatives to other health consumers.

     Moreover, researchers rarely interact or engage patients either in the research design process or with
providing them research updates or dissemination latest scientific findings. Patients usually are left to find
information through mass media, online searches or discovery through social networks.

Opportunity

     Several trends such as those listed below provide a significant opportunity to disrupt the status quo.

    •    National efforts to increase adoption of Electronic Health Records and mandates to provide
         patients a summary of their visit data (such as through blue button summary files, discharge
         summaries in CDA or CCR formats) can create a landscape of unprecedented liquidity of clinical
         data that is owned and controlled by patients. We believe this would be the much-needed step to
         “unlock” potentially exabytes of data from the existing silos that curtail their full utility.
    •    Consumers are actively involved in using the Internet for health information seeking, self-research
         and using tools to manage their condition. The web has transformed significantly over the last few
         years, providing mechanisms for users to share, disseminate and aggregate into communities
         rapidly, all of which is conducive to galvanize motivated consumers to help promote research
         studies they believe in.
    •    Consumer support for raising awareness or supporting research is strongly established in the
         cultural fabric of the nation; every year millions of Americans donate financially and materially
         (such as participating in races, walks) to help the cause of eliminating hundreds of diseases.

        Given these factors, we believe that DonateData is poised to be a significant game changer in
involving both patients and researchers in a collaborative manner to come together and advance science,
by patients donating their clinical data (which being generated from a healthcare provider organization is
more accurate than patient reported information) to research projects they believe in. We truly believe
that DonateData will usher in a new way for consumers to participate and contribute to research and
could potentially expand the scope of observational studies to include data from hundreds of thousands of
people, not just a few hundred.


DonateData.net	
                       Applied	
  Informatics	
  Inc.	
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DonateData.net	
                                                       	
                             	
  	
  PCORI	
  Challenge	
  Submission	
  


Solution: Key Features

        Built as a community-driven KickStarter.com like platform, DonateData is designed to be a
platform to enable researchers at a given institution to create a consumer-friendly profile for their research
study and promote the same to garner support from potential participants (Figure 1). The site requires the
researchers to specify the details of the study such as its purpose, its intended application to society,
benefits to the individual and measures to securely handle their data (Figure 2 and 3).

                                          Solu/on:'DonateData.net'

                                                                                                          Users can search research
                                                                                                          studies




                       Simple 1-2-3 step overview
                       of the service




                                                                                                                  Or browse research
                                                                                                                  studies
                                                                  Applied'Informa/cs'Inc.'(TrialX)'


                                 Figure 1. Home page of DonateData.net


                                                                                                                        Consumers can


                                                    Research'Study'Page''
                                                                                                                        increase awareness
                                                                                                                        about the study using
                                                                                                                        social media buttons




                       Consumer-friendly
                       study description page
                       containing the purpose
                       of the study, its intended                             Statistics to show how
                       benefits.                                              the data donation
                                                                              campaign is
                                                                              progressing




                                                                          Interested users can
                                                                          volunteer their data by
                                                                          clicking the donate
                                                                          button



                                                                   Applied'Informa/cs'Inc.'(TrialX)'


                     Figure 2. Research Study Details page



DonateData.net	
                                     Applied	
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DonateData.net	
                                             	
                       	
  	
  PCORI	
  Challenge	
  Submission	
  




                     Research'Study'Upload'Form'
                                                                                  Researchers can add/edit the study
                                                                                  description using easy-to-use rich text
                                                                                  editors.

                                                                                  They can even attach images and
                                                                                  videos




                                                 Applied'Informa/cs'Inc.'(TrialX)'

         Figure 3. Research Study Edit form for Researchers to edit details
         For each study researchers can specify small incentives (“rewards”) for participants based on the
level of their participation. For example, anyone who donates his or her data could be sent a t-shirt or a
gift card ($25-$50).
         Patients/health consumers can volunteer to participate by uploading their data as blue button
summary files (or import their records from an online Personal Health Record or through downloadable
summary files known as Blue Button Files that are being promoted at the Federal IT level) (Figure 4).
Additionally, the system allows researchers to engage patients and to notify them complete ongoing
surveys if the need be or upload new blue button files (Figure 5).



                         Data'Upload'Process:'Access''

                                              Consumers can choose what part of their
                                              medical record summary would they like to
                                              donate for the study. This allows them to have full
                                              control of the information they are willing to
                                              share.
                                              In this case the user is willing to provide access
                                              to their immunization and lab/tests sections




                                          Applied'Informa/cs'Inc.'(TrialX)'


               Figure 4. Data Donation Process. Users can choose what portions of their record
         summary to donate



DonateData.net	
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  Informatics	
  Inc.	
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DonateData.net	
                                         	
                     	
  	
  PCORI	
  Challenge	
  Submission	
  




              Data'Upload'Process:'Protec/ng'Privacy'

                                                        By default patient identifiable information section
                                                        is marked red and not shareable unless the
                                                        patient explicitly decides to check it off and is
                                                        willing to provide their identity information to the
                                                        research team




                                            Applied'Informa/cs'Inc.'(TrialX)'


         Figure 5. Users can choose not to share their personally identifiable information

        The system allows researchers to download the data uploaded by patients for the study (Figure
6). We are building sophisticated semantic query tools for researchers to query the donated patient data
(our company has an award winning clinical trials matching engine that uses medical terminologies to
achieve semantic data mining and this engine will be used in DonateData).




         Figure 6. Researchers can download the donated data for analysis


DonateData.net	
                      Applied	
  Informatics	
  Inc.	
                                         Page 4 of 6	
  
DonateData.net	
                                    	
                   	
  	
  PCORI	
  Challenge	
  Submission	
  


       DonateData also provides researchers to send information to all study supporters providing them
updates and any preliminary findings that emerge from the study (Figure 7). DonateData will provide
consumers social media tools to promote the study to other patients including their personal network.




         Figure 7. Message Broadcast Feature for Researchers




         Figure 8. Message Feed for patients to receive updates from Researchers

         All studies added to the site will be required to be IRB approved. These projects will also be
curated by the DonateData team. DonateData will also work with patient advocacy groups to promote the
studies to their patient populations.



DonateData.net	
                    Applied	
  Informatics	
  Inc.	
                                   Page 5 of 6	
  
DonateData.net	
                                                                                                                        	
                                     	
  	
  PCORI	
  Challenge	
  Submission	
  

          In short, we believe that DonateData could disrupt the way research studies are performed,
enabling researchers and patients to come together and conduct massive prospective longitudinal or
cross-sectional studies with data that could be garnered from hundreds of thousands of people. This
would be a transformative research model, truly making a subject, a valued “participant”. DonateData
would also open a new mechanism for millions of Americans to express their support for research
activities beyond traditional fund-raising, running races or other activities to support research.

Our Team

         DonateData.net is being built by an award winning team of health care information technology
entrepreneurs and Biomedical Informaticians. The team has previously built groundbreaking applications
                                                                                                    1
(TrialX.com) on personal health record platforms of Google health and Microsoft HealthVault. The
enterprise version of TrialX is currently being used at the Cleveland Clinic, Beth Israel Medical
Center/Harvard Medical, New York Presbyterian Hospital and University of Pennsylvania.
         Our team won the developer challenge organized by the NCI and the Office of the National
                                                                                         2
Coordinator of health (ONC) in 2011 for its clinical trials search application, Ask Dory. We also won the
developer challenge organized by the ONC in 2012 for popEYE, an application that enables physicians to
                                                                                           3
send out automated reminders to patients via voice, SMS or email for preventive services.




	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
1	
  http://www.sciencedirect.com/science/article/pii/S1570826810000636	
  
2	
  http://www.hhs.gov/news/press/2012pres/01/20120104a.html	
  
3	
  http://www.health2news.com/2012/02/22/pophealth-­‐tool-­‐development-­‐challenge-­‐winners/	
  



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  Informatics	
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DonateData.net PCORi Challenge Details

  • 1. DonateData.net        PCORI  Challenge  Submission   DonateData.net – A Summary Introduction DonateData (http://DonateData.net) is an online platform to enable patients to find and support research studies by donating their medical data and for researchers to list their studies and engage patients with latest research updates. The platform would allow patients to voluntarily “donate” their clinical data obtained via patient portals (as downloadable CCR/CCD or Blue Button summary files). DonateData aims to channelize the impending gush of patient-controlled data to accelerate and amplify the scope of research studies. In addition, it gives researchers tools to engage patients with research updates and other relevant information, thus helping bridge the translational gap of disseminating research knowledge. Problem Research studies, specifically observational studies are severely limited in their ability to re-use existing patient clinical data, often due to lack of electronic data availability or the need to protect patient privacy and confidentiality restricts access to such data. Conducting longitudinal or cross-sectional studies with even a few hundred participants can be painstaking, time consuming and expensive. Moreover, the entire process is investigator-driven with little to encourage and motivate patients to contribute towards the study. As a result, on the one hand realms of patient data remains locked in institutional database silos with less than optimal availability for researchers to re-use them for answering important healthcare questions. On the other hand, patients are barely provided any incentives or control to decide how their data could be utilized to further research should they decide to support such initiatives and more still, disseminate information about such research initiatives to other health consumers. Moreover, researchers rarely interact or engage patients either in the research design process or with providing them research updates or dissemination latest scientific findings. Patients usually are left to find information through mass media, online searches or discovery through social networks. Opportunity Several trends such as those listed below provide a significant opportunity to disrupt the status quo. • National efforts to increase adoption of Electronic Health Records and mandates to provide patients a summary of their visit data (such as through blue button summary files, discharge summaries in CDA or CCR formats) can create a landscape of unprecedented liquidity of clinical data that is owned and controlled by patients. We believe this would be the much-needed step to “unlock” potentially exabytes of data from the existing silos that curtail their full utility. • Consumers are actively involved in using the Internet for health information seeking, self-research and using tools to manage their condition. The web has transformed significantly over the last few years, providing mechanisms for users to share, disseminate and aggregate into communities rapidly, all of which is conducive to galvanize motivated consumers to help promote research studies they believe in. • Consumer support for raising awareness or supporting research is strongly established in the cultural fabric of the nation; every year millions of Americans donate financially and materially (such as participating in races, walks) to help the cause of eliminating hundreds of diseases. Given these factors, we believe that DonateData is poised to be a significant game changer in involving both patients and researchers in a collaborative manner to come together and advance science, by patients donating their clinical data (which being generated from a healthcare provider organization is more accurate than patient reported information) to research projects they believe in. We truly believe that DonateData will usher in a new way for consumers to participate and contribute to research and could potentially expand the scope of observational studies to include data from hundreds of thousands of people, not just a few hundred. DonateData.net   Applied  Informatics  Inc.   Page 1 of 6  
  • 2. DonateData.net        PCORI  Challenge  Submission   Solution: Key Features Built as a community-driven KickStarter.com like platform, DonateData is designed to be a platform to enable researchers at a given institution to create a consumer-friendly profile for their research study and promote the same to garner support from potential participants (Figure 1). The site requires the researchers to specify the details of the study such as its purpose, its intended application to society, benefits to the individual and measures to securely handle their data (Figure 2 and 3). Solu/on:'DonateData.net' Users can search research studies Simple 1-2-3 step overview of the service Or browse research studies Applied'Informa/cs'Inc.'(TrialX)' Figure 1. Home page of DonateData.net Consumers can Research'Study'Page'' increase awareness about the study using social media buttons Consumer-friendly study description page containing the purpose of the study, its intended Statistics to show how benefits. the data donation campaign is progressing Interested users can volunteer their data by clicking the donate button Applied'Informa/cs'Inc.'(TrialX)' Figure 2. Research Study Details page DonateData.net   Applied  Informatics  Inc.   Page 2 of 6  
  • 3. DonateData.net        PCORI  Challenge  Submission   Research'Study'Upload'Form' Researchers can add/edit the study description using easy-to-use rich text editors. They can even attach images and videos Applied'Informa/cs'Inc.'(TrialX)' Figure 3. Research Study Edit form for Researchers to edit details For each study researchers can specify small incentives (“rewards”) for participants based on the level of their participation. For example, anyone who donates his or her data could be sent a t-shirt or a gift card ($25-$50). Patients/health consumers can volunteer to participate by uploading their data as blue button summary files (or import their records from an online Personal Health Record or through downloadable summary files known as Blue Button Files that are being promoted at the Federal IT level) (Figure 4). Additionally, the system allows researchers to engage patients and to notify them complete ongoing surveys if the need be or upload new blue button files (Figure 5). Data'Upload'Process:'Access'' Consumers can choose what part of their medical record summary would they like to donate for the study. This allows them to have full control of the information they are willing to share. In this case the user is willing to provide access to their immunization and lab/tests sections Applied'Informa/cs'Inc.'(TrialX)' Figure 4. Data Donation Process. Users can choose what portions of their record summary to donate DonateData.net   Applied  Informatics  Inc.   Page 3 of 6  
  • 4. DonateData.net        PCORI  Challenge  Submission   Data'Upload'Process:'Protec/ng'Privacy' By default patient identifiable information section is marked red and not shareable unless the patient explicitly decides to check it off and is willing to provide their identity information to the research team Applied'Informa/cs'Inc.'(TrialX)' Figure 5. Users can choose not to share their personally identifiable information The system allows researchers to download the data uploaded by patients for the study (Figure 6). We are building sophisticated semantic query tools for researchers to query the donated patient data (our company has an award winning clinical trials matching engine that uses medical terminologies to achieve semantic data mining and this engine will be used in DonateData). Figure 6. Researchers can download the donated data for analysis DonateData.net   Applied  Informatics  Inc.   Page 4 of 6  
  • 5. DonateData.net        PCORI  Challenge  Submission   DonateData also provides researchers to send information to all study supporters providing them updates and any preliminary findings that emerge from the study (Figure 7). DonateData will provide consumers social media tools to promote the study to other patients including their personal network. Figure 7. Message Broadcast Feature for Researchers Figure 8. Message Feed for patients to receive updates from Researchers All studies added to the site will be required to be IRB approved. These projects will also be curated by the DonateData team. DonateData will also work with patient advocacy groups to promote the studies to their patient populations. DonateData.net   Applied  Informatics  Inc.   Page 5 of 6  
  • 6. DonateData.net        PCORI  Challenge  Submission   In short, we believe that DonateData could disrupt the way research studies are performed, enabling researchers and patients to come together and conduct massive prospective longitudinal or cross-sectional studies with data that could be garnered from hundreds of thousands of people. This would be a transformative research model, truly making a subject, a valued “participant”. DonateData would also open a new mechanism for millions of Americans to express their support for research activities beyond traditional fund-raising, running races or other activities to support research. Our Team DonateData.net is being built by an award winning team of health care information technology entrepreneurs and Biomedical Informaticians. The team has previously built groundbreaking applications 1 (TrialX.com) on personal health record platforms of Google health and Microsoft HealthVault. The enterprise version of TrialX is currently being used at the Cleveland Clinic, Beth Israel Medical Center/Harvard Medical, New York Presbyterian Hospital and University of Pennsylvania. Our team won the developer challenge organized by the NCI and the Office of the National 2 Coordinator of health (ONC) in 2011 for its clinical trials search application, Ask Dory. We also won the developer challenge organized by the ONC in 2012 for popEYE, an application that enables physicians to 3 send out automated reminders to patients via voice, SMS or email for preventive services.                                                                                                                 1  http://www.sciencedirect.com/science/article/pii/S1570826810000636   2  http://www.hhs.gov/news/press/2012pres/01/20120104a.html   3  http://www.health2news.com/2012/02/22/pophealth-­‐tool-­‐development-­‐challenge-­‐winners/   DonateData.net   Applied  Informatics  Inc.   Page 6 of 6