This document summarizes a meeting to discuss the Million Hearts Risk Check Challenge. The challenge asks developers to create apps that assess heart disease risk, encourage users to get blood pressure and cholesterol tests, and direct them to locations offering affordable screenings. The meeting covered an overview of the challenge, APIs provided by Archimedes and Surescripts to power the apps, and criteria for evaluating submissions. Attendees could ask questions and received resources on using the APIs and evaluation process.

1. Million Hearts Risk Check
Challenge
Question and Answer Session
August 23, 2012

2. Agenda for Today’s
Meeting
• Kick off / Introductions
o Austin Cohen, Manager, Developer Challenges, Health 2.0
• Overview of I2 Program
o Adam Wong, Management and Program Analyst, ONC
• Overview of the Risk Check Challenge
o Pierce Graham-Jones, West Health Innovator-In-Residence, HHS
• Overview of Archimedes API
o Don Morris, Vice President, Scientific Products and Technology,
Archimedes
o Brian Zuzga, Senior Software Architect, Archimedes
• Overview of Surescripts API
o Santosh Kalkar, Product Manager, Surescripts
• Question and Answer
o All

3. i2 Goals
• Better Health, Better Care, Better
Value through Quality Improvement
o Further the mission of the
Department of Health and Human
Services
o Highlight programs, activities,
and issues of concern
• Spur Innovation and Highlight
Excellence
o Motivate, inspire, and lead
• Community building – Development of
ecosystem
• Stimulate private sector investment

4. Million Hearts
Risk Check Challenge
“The challenge asks developers to create new apps that
inform consumers of their general heart risk, motivate them
to obtain more accurate risk assessments by entering their
blood pressure and cholesterol values, and direct them to
nearby community pharmacies (and other locations) that
offer affordable and convenient blood pressure and
cholesterol screenings”

5. Million Hearts
Risk Check Challenge
Participating developers will have access to two sources of content that should markedly shape the
development of the app:
1. A new Application Programming Interface (API) for conducting the quick health risk assessment
over a consumer-facing interface, hosted by Archimedes and built using their Indigo product.
2. Locations (and specific descriptors) of places where individuals can go for a lipid and blood
pressure screening, made available through flat files from Million HeartsTM and a new API hosted
by Surescripts.
Each of these source APIs is described in more detail on the Challenge website and in linked appendices.
In order for the Department of Health and Human Services to formally “sponsor” the winning app in a
Million Hearts campaign, it will be important for applicants to specifically follow the inputs and outputs of
the two APIs. Conformity with these inputs and outputs is included in the judging criteria.
Aside from these API elements, creativity is strongly encouraged, particularly in platform design, consumer
engagement, personalized risk communication, and ways to link the two APIs together.

6. Resources
The following Appendices can be found on the Challenge
page:
• Appendix A - Archimedes Indigo API Usage Document
• Appendix B - Archimedes Indigo API Data Spec
• Appendix C - Surescripts API Guide
• Appendix D - Surescripts API Using the Test Application

7. Evaluation Criteria
1. How well the apps follow the specific input and output requirements of the two APIs and exchange
data with the data sources (Surescripts and the Community Healthcare Provider lists), as well as the
Archimedes API
2. Effectiveness in getting individuals to answer all the questions for the initial risk assessment
3. Effectiveness in communicating initial risk to individuals, based on guidelines provided by
Archimedes API
4. Effectiveness in encouraging further testing (specifically lipids and BP), especially for those with
some risk
5. Effectiveness in communicating final risk to individuals, based on guidelines provided by Archimedes
API
6. Effectiveness in encouraging lifestyle changes for those at some risk

8. Evaluation Criteria
7. Effectiveness in encouraging seeing a health professional if they are at high risk
8. How easy and intuitive is the app to use, and how well does it engage consumers from diverse
backgrounds. Which app is the most likely to get the most people to know their full cardiovascular risk?
9. Submissions will be judged on their operating plans for the year, and the sustainability of the app over
the life of the initiative. Has the entrant provided a viable plan for initial and ongoing technical capacity to
meet projected usage as well as for support, maintenance and enhancement of the application?
10. Demonstration of submitter’s current or prior ability to engage consumers.
11. Demonstration of a business plan and likelihood of the app being sustainable beyond the campaign
period.

9. Timeline
Submission Period Ends
October 31, 2012
Semi-Finalists Notified
November 19, 2012
Winner Announced
January, 2013

10. API Logic
Required
User Inputs
Optional
Inputs
Biomarkers
Entered?
NO YES
Archimedes API
Risk Range, Risk
Recommendation to Impact of interventions
obtain biomarkers
Behavior Change
Patient obtains results Discussion with provider
... a KAISER PERMANENTE Innovation

11. Some Key Points
• Input questions
• Using recommended wording is essential
• Risk outputs
• Many available but we expect you will use only a subset
• Types of risk (absolute, relative to age)
• Ways to express risk (percent, percentile, high/low)
• Minimum recommended set outlined in appendix
• Others can be left out or included as options
• Timeline
• Now: API available and performs to spec but values are not meaningful
• Oct 10: test version with results close to final results
• Nov 19: final version available
... a KAISER PERMANENTE Innovation

12. Text4Health IndiGO API
IndiGO Calculation
Engine
HTTP POST
(application/x-
JSON Response
www-form-
urlencoded)
Contestant
Application

13. Surescripts, LLC Overview
• Surescripts is the nation’s largest health information network, connecting
Pharmacies, payers, pharmacy benefit managers, physicians, hospitals,
health information exchanges and health technology firms. Surescripts
helps providers enhance the continuity of care by facilitating a more
timely, accurate, electronic exchange of e-prescriptions, referrals, patient
summaries, lab results, and other vital patient information.
• Surescripts enables healthcare professionals to electronically exchange
clinical information when and where it’s needed to support better care
coordination and improve health outcomes.
• Surescripts is excited to work with Million Hearts™ Risk Check Challenge to
support the technology development and connectivity needed to bring
participating pharmacies and consumers together for health screening
through new mobile apps
Office of the National Coordinator for
8/23/2012 13
Health Information Technology

14. Service Locator API
• Surescripts developed an API to support the mobile
app challenge
• The API supports location based searches for Million
Hearts Risk Check service providers (primarily
pharmacies) that offer blood pressure and
cholesterol screening services
Office of the National Coordinator for
8/23/2012 14
Health Information Technology

15. For more information
• Test API and API key are available now
– Surescripts’ Million Hearts Web Page
• Service Locator Guide (PDF)
– Protocol details
» The Locator supports HTTPS GET and POST
– Message content details
• Service Locator Using the Test Application Guide (PDF)
– Directions for interacting with the API
– Support instructions
• The Production API and API key will be made
available to the challenge winners
Office of the National Coordinator for
8/23/2012 15
Health Information Technology

16. For More Information
http://www.health2con.com/devchallenge/million-hearts-risk-check-challenge/
Registration: Click the blue
‘Register’ button the right-
hand column of the Challenge
page
Contact:
Austin Cohen
austin@health2con.com