A presentation about MHealth, My Health and BlueButton and BlueButton on FHIR developments at CMS. Presentation given on June 18th at Connected Health 2015 in San Diego.

1. The MyHealth
Revolution Are You Ready?
mHealth
MyHealth

2. Why m Health?
…because the Patient is
on the Away Team
y
^

3. R LES
HHS
Entrepreneur
-in-Residence
Medyear CTO &
Co-Founder
HealthCa.mp
Chief Instigator
Ski Instructor
Big Data & Cloud
Technologist
Health & Social
Data Ninja
@ekivemark

4. @ekivemark
Disclaimer
The views expressed in this presentation are my
own personal views and should not be construed as
an official position of the US Department of Health
and Human Services or the Centers for Medicare
and Medicaid Services.
4

5. "Patient Engagement
is the
Blockbuster Drug
of the Century"
@LeonardKish
@ekivemark

6. A decision without
Information…
@ekivemark

7. Portals ≠ Patient Engagement
@ekivemark

8. HyperPortalosis*
* borrowed via Steve Posnack from Jacob Reider, ONC
@ekivemark

9. Health Care is not the only
element of Health
@ekivemark

10. Sensors are
becoming
commodities @ekivemark

11. A Tipping Point is
coming…
Consumer Industry
Retail
PHR
Devices
Genome
EHR
@ekivemark

12. YOU
One Common Factor…
Consumerism
Technology Data Policy
Regulatory
Economic
Five Transformational Changes in Health
@ekivemark

13. A tough economy
drove rapid adoption
of High Deductible
Health Plans
Consumer-Directed
81%
72%
2014
2015
@ekivemark

14. 17.4%
Health Affairs Magazine
HealthCare percentage of GDP in 2013
$2.9T
@ekivemark

15. CBO.gov
Medicare shifts to
Value-based Pay
$585B@ekivemark
{
$117B

16. BlueButton v1
@ekivemark

17. @ekivemarkhttp://healthca.mp
Blue Button
Unleashes Personal Data
http://healthca.mp
2010
@ekivemark

18. …but it left the patient doing the heavy lifting
An Essential First Step
@ekivemark

19. @ekivemark
https://leicalady.files.wordpress.com/2010/08/annie-­‐admiring-­‐paintingsmall.jpeg
People don’t want
their data
for it’s own sake…
@ekivemark

20. Our Health data
should be
a valuable tool
we put to good use
http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg
@ekivemark

21. Innovators are already creating
Personal Health Hubs
and a SMART api ecosystem…
@ekivemark

22. JSON and the Argonauts:
A New Approach
FHIR
Fast Healthcare Interoperability Resources
Project Argonaut
• Open source
• Industry Heavyweight adoption
• Public/Private partnership
REST API
Lightweight web services
Read AND write
OAuth
Traceability
Popular Authorization protocol
Familiar to users
Layered Authorization
BlueButton Structured Data:
JSON
XML @ekivemark

23. Time for a new logo?
BlueButton v2
@ekivemark

24. <XML>BlueButton
CCDA</XML>
FHIR. “Resources” are:
• Granular concepts
• Managed in isolation, or
aggregated into complex
documents
• Designed for the web
• Simple XML or JSON
structures
• HTTPS-based RESTful
protocol
• Predictable URLs
• Using open internet
standards for data
representation
• Authorization via OAuth
BBonFHIR: One Platform – Two Services
OAuth 2.0:
• Defeats the
password anti-
pattern
• Creates a
consistent, flexible
identity and policy
architecture
• Suited to web
applications, web
services, devices
and desktop clients
communicating with
Cloud APIs.
{“json”:”format”}
<xml>format</xml>
BLUEBUTTON
ON FHIR
@ekivemark

25. Follow our progress. Join us. Contribute
• #DataIndependenceDay / @getMyHealthData
• ( http://GetMyHealthData.org )
• Share Fight DPS Today: http://2.healthca.mp/DIDFightDPSToday
• Structured File Formats:
• ( https://github.com/ekivemark/claims )
• BlueButton Text to JSON Converter:
• ( https://github.com/ekivemark/python-bluebutton )
• FHIR Server Java Code Base
• ( https://github.com/ekivemark/FHIR-Server )
• Developer Code of Honor:
• ( http://2.healthca.mp/1GjOUsY )
• HL7 - FHIR
• ( http://www.hl7.org/implement/standards/fhir/http.html )
@ekivemark

26. Are you ready for your
Patients to be a Health Hub?
Y U
@ekivemark

27. There are big opportunities
54,000,000Medicare Beneficiaries (2014 est.)
@ekivemark

28. “The new health care infrastructure must be
built on independent and autonomous
patients, not on systems that surround and
subordinate patients.
Once it is, the systems will be vastly
improved, and far more profitable for all.”
Doc Searls - Cluetrain Manifesto
@ekivemark

29. Big Data, Little Data and Data Flows all
represent Opportunities in the new paradigm
@ekivemark

30. @ekivemark
Mark Scrimshire
HHS Entrepreneur-in-Residence
(CMS)
@ekivemark
http://ekivemark.com
mark.scrimshire@cms.hhs.gov
703.623.2789