The document discusses the Blue Button+ initiative, which enables consumers to access and download their health records, highlighting its growth from 1.5 million users in 2010 to over 88 million. It addresses the limitations of the original Blue Button, such as data unstructure and lack of secure transport, and outlines the improvements needed for Blue Button+. Additionally, it emphasizes the significance of consumer data in healthcare transformation and invites participation in ideation for its future use.

1. Powering Applications Using Consumer
Data: Blue Button+ for Developers
Health Datapalooza IV
June 3, 2013

2. Agenda
Moderator:
• Pierce Graham-Jones, West Health Innovator-in-Residence, Department of Health
and Human Services
Speakers:
• John Wilbanks, Senior Fellow, Kauffman Foundation; Chief Commons Officer,
Sage Bionetworks
• Dave Chase, Chief Executive Officer and Co-Founder, Avado
• Sean Nolan, Distinguished Engineer & General Manager, Microsoft HealthVault
• Darren Hite, Partner, Aberdare Ventures
• Q&A (15 minutes)
6/11/2013
Office of the National Coordinator for Health
Information Technology
2

3. 6/11/2013
Office of the National Coordinator for Health
Information Technology
3
Over 1.5 million people across the country
have downloaded their health record
In 2010, Department of Veterans Affairs
starts the Blue Button initiative
Now over 88 million Americans can download their
health record from a portal
(CMS, Dept. of Defense, Aetna, and United)

4. Limitationsof Blue Button
Lacks Structure: Data is difficult to parse
because data is unstructuredX
Inconsistent: Each system uses different
vocabularies and templatesX
No Secure Transport: No defined, widely
adopted way to securely transport dataX
Not Seamless: Current applications require too
much manual effort by consumersX

5. 68 committed organizations defined
the next version of BB

6. 6/11/2013
Office of the National Coordinator for Health
Information Technology
6
Structure
1
Electronic EOB
C-CDA
Transport
2
Direct
Automation
3
Triggers

7. WhatBlueButton+lookslikefor Dataholders
(HIEs,Providers,Payors,etc.)
ANY Destination
of Consumer’s
Choice

8. WhatBlue Button+looks like for Developers andPatients

9. MeaningfulUse Stage 2 andBlue Button+
Blue Button+ gives specific guidance to EHR companies
in meeting the V/D/T requirements.
Structure Consolidated CDA (C-CDA)
Section & Fields Described in Meaningful Use 2
Transmit Direct Protocol (SMIME/SMTP)
Certificates Ability To Exchange Certificates “Ad Hoc”
Transmit Frequency Send once
Certificates Certificate Bundles
Transmit Context In message body
Transmit Frequency Send on change, automation
MU 2 regulations
requires these for
all certified EHRs
Required for Blue
Button+

10. 6/11/2013
Office of the National Coordinator for Health
Information Technology
10Quick Link - Implementation Guide http://bluebuttonplus.org

11. 6/11/2013
Office of the National Coordinator for Health
Information Technology
11
Implementation Guide
http://bluebuttonplus.org
C-CDA Scorecard
http://ccda-scorecard.
smartplatforms.org
Direct Reference Implementations
Patient Anchor Bundle
http://secure.bluebuttontrust.org
Training and Resources
http://healthit.gov

12. Some of the organizations on the Path to Blue Button+ Today
CurrentAdoption

13. Agenda
Moderator:
• Pierce Graham-Jones, West Health Innovator-in-Residence, Department of Health
and Human Services
Speakers:
• John Wilbanks, Senior Fellow, Kauffman Foundation; Chief Commons Officer,
Sage Bionetworks
• Dave Chase, Chief Executive Officer and Co-Founder, Avado
• Sean Nolan, Distinguished Engineer & General Manager, Microsoft HealthVault
• Darren Hite, Partner, Aberdare Ventures
• Q&A (15 minutes)
6/11/2013
Office of the National Coordinator for Health
Information Technology
13

14. 6/11/2013
Office of the National Coordinator for Health
Information Technology
14
link

18. • One home
• Consumer
• Family Sharing
everywhere
connected
application
400+ apps | 200+ devices | 8 languages

21. 400+ apps | 200+ devices | 8 languages

25. http://healthvault.com

26. INVESTING IN TRANSFORMATIONAL
HEALTHCARE

27. E ARE FOCUSED ON transformational
healthcare opportunities. To us, thisWmeans SMARTER, LESS COSTLY, and MORE
EFFICIENT
—not just better. Neither businesses, nor
consumers, nor government can bear the
current costs, and each has an URGENT and
IMMEDIATE NEED for solutions.

28. 28
Transformational healthcare
HEALTHCARE OPPORTUNITY MARKET ACCELERATORS ENABLING TECHNOLOGIES
• Chronic cost problem has
become acute
• Unsustainable spending growth
for all payers
• Business competitiveness
hindered by rising costs
• Risk being shifted to providers
and consumers
• Most significant policy changes
since 1965
• Every player transforming
existing business models
• Enabled in ubiquitous sensing,
computing, analytics and
communications
$2.8
TRILLION

29. BlueButton+Co-Design ChallengeLaunchingToday!
Are you a patient
or caregiver? Tell
us how you want
to use your data.
Share ideas
through June 11
http://ideas.healthtechhatch.com