3. And almost all information is exchanged with paper
Photo by Jason Winshell/SF Public Press
4. Which is dangerous and drives up costs
1.5M adverse
reactions
13K diagnoses or Rx errors
X 4K medical procedures
6K drugs
=
200K deaths/year
from errors
5. Blue Button extends simple, efficient data format in
a way that enables industry-wide data exchange.
In March OPM required all federal carriers
to Blue Button-enable their PHRs
6. Enter VA Innovations
An open government initiative investing over $100 million
in improved access, increased quality, enhanced Veteran
satisfaction, and reduced costs
Prize challenge to drive up Blue Button adoption in private sector
Innovation projects to enhance Blue Button functionality
Presidential Innovation Fellows to automate Blue Button
7. Format: First across the goal line
Threshold: 25,000 providers deploy Blue Button-enabled PHR
for patients
Prize purse: $50,000
Winners: McKesson’s RelayHealth with 200,000 providers
offering Blue Button
Cost: ~0.3¢/patient
9. Industry Challenge: Enhance Blue Button Functionality
Blue Button Focus:
Expand types of data and information that Blue Button handles
Develop applications that make use of the data
Provide tools that help patients personal health information
Extend the usefulness of the Blue Button concept
Nearly half of all submissions came in under this topic area
3 winners selected
10. Presidential Innovation Fellows
“Our purpose is to give patients better access to and use of
their Personal Health Information based on Blue Button.”
Improved readability and organization
Increased data portability
Easier mobile development
Patient-Mediated Information Exchange
11. In the near future, Blue Button will be the way that we
view, download, and transmit health data
#ABBI for your
• primary care physician
• specialty care provider
• in-home caregiver
• pharmacist
PHRs that are tagged, labeled, and coded
will be more clinically useful
12. To be successful, we have to:
We need Blue Button apps that
Keep data current always have latest update of
patient records
We need Blue Button apps that
Enrich the experience make it easier for patients to
engage in their health
We need Blue Button apps that
Connect to health outcomes show how connectivity
improves patient outcomes
14. Coming soon: The complete medical record
• VA Demographics
• VA Problem List
• VA Admissions and Discharges (including Discharge Summaries)
• VA Notes (progress notes)
• VA Laboratory Results
• VA Vitals and Readings
• VA Pathology and Radiology Reports
• VA Electrocardiogram (EKG) Reports
• Self Entered Food and Activity Journals
• VA Continuity of Care Document (VA CCD)
