1. Unleashing the Power of Data, IT, andInnovation to Improve HealthTodd Park, Chief Technology OfficerU.S. Department of Health and Human Services @todd_park

2. There has never been a better time to be aninnovator at the intersection of health, data, & ITNew Incentives + Information Liberation = Rocket Fuel for Innovation 3. New incentives, part 1: Meaningful Use 20152013 2011Medicare/Medicaid incentivepayments rewarding meaningful useof EHRs (not purchase of EHRs alone) Physicians: $44,000/$63,750 Hospitals: $2M plus bonuses for higher Medicare, Medicaid volume Escalating requirements 2011, 2013, 2015 Over 100,000 providers have registered to participate thus far 4. New incentives, part 2: The Affordable CareAct and payment reform True transformation of the health care system depends onchanging how we pay for care The Affordable Care Act will drive a shift from pay for volumeof services toward pay for health and value Law launches an array of key payment reform programs + agame-changer: the Center for Medicare and MedicaidInnovation 5. Payment reforms will motivate and rewardinnovation at a whole new level Patient Organized outpatientCentered care, coordination and team-based IT Innovations Needed:Medical Homesapproaches Timely Clinical Accountable Shared savings; redesigned care Data, Decision Support Careprocesses for high quality, efficient Organizations deliveryCare Integration Tools Pilot program for episodes of care; Technology to Extend Bundled incentivizes reduced costs around Physician ReachPayments eight conditions Consumer Engagement Readmission Motivates hospitals to engage withTools/Platforms/AppsReductioncare coordinators and betterPrograms organize delivery systems Data Mining/Analytics 6. Information liberation, part 1: rising patientdata liquidity The Direct Project Collaborative, open project todevelop a simple method forenabling secure transmission ofhealth information via the Internet Launched 3/10, specs posted6/10, first secure health careemail production transaction 1/11 Now being implemented by 65+vendors representing over 95% ofthe EHR base of the US, keyconsumer platforms, etc. Go to directproject.org to learnmore 7. Information liberation, part 1: rising patientdata liquidity (continued)Blue Button The ability for any veteran, Medicare beneficiary, or military beneficiary to download an electronic copy of their own personal health or claims information Launched 10/10, utilized by over 450,000 unique users thus far Now being adopted by Aetna, United Health, Walgreens, Indiana, Vermont, etc. Go to bluebuttondata.org to learn more 8. Information liberation, part 1: rising patientdata liquidity (continued) Improved Patient Access to Lab Data New proposed CLIA rule announced by HHS 9/2011 Would give patients the right to get their own test resultsdirectly from the labs that generate them 9. Information liberation, part 2: increasingmarket transparency HealthCare.gov Key early requirement of theAffordable Care Act First website to compilecomprehensive inventory of Insurance pricing and benefits infoprivate and public healthadded 10/10coverage options across the U.S. Significantly enhanced clinicalfor consumersprovider quality information on the Initial version deployed 7/10way 10. Information liberation, part 3 -- the Health DataInitiative (HDI): turning HHS and our sisteragencies into the NOAA of health data Weather data Weather newscasts Weather websites FUELS Weather mobile apps Weather insurance And moreMade available to the public 11. Health Data Initiative core activities: liberatedata and catalyze innovation1. Publish brand new HHS data for public access while rigorously protecting privacy and confidentiality2. Make existing HHS data much more accessible -- machine- readable, accessible via application programming interfaces (APIs), free, much easier to find3. Energetically publicize our data to innovators -- who can use it as raw material to develop applications and services that help improve health and health care 12. What kinds of data are we liberating?CommunityHealth Community Health GovtProvider Data Example: Directories Spending & Quality HHS Health IndicatorsData Being Warehouse, at healthindicators.govLiberated 1,170 metrics of Medical/ Blue community health ScientificButtonand health careKnowledge performanceConsumer Launched 2/2011 Product Information 13. What kinds of data are we liberating?CommunityProvider Directories &Health Quality Data Examples:Provider Govt Directories Nationwide Spending & Quality directories of care HHS providersData Being Provider qualityLiberatedCOMPARE APIs at data.medicare.gov, Medical/ Blue launched 9/2010 ScientificButtonKnowledge Medicare claim files for provider qualityConsumer Product measurement, Information coming 1/2012 14. What kinds of data are we liberating?CommunityHealth Blue Button DataProvider Govt VA, HHS, DoD joint Directories Spendingventure & Quality HHS Allows veterans,Data Being Medicare beneficiaries, andLiberated active duty military Medical/to download their Blue ScientificButtonown claims orKnowledge personal healthConsumer information Product Launched 10/2010 Information 15. What kinds of data are we liberating? Consumer ProductCommunityInformation Examples:Health GovtProvider FDA recall (drugs, Directories devices, food) data in Spending & Quality downloadable XML HHS format --publishedData Being 10/2010Liberated Health insurance Medical/products available in Blue Scientificthe individual andButtonKnowledgesmall business markets across theConsumer Product U.S. made available Information via downloadable files 8/2011 16. What kinds of data are we liberating?CommunityHealth Medical/ScientificProvider GovtKnowledge Examples: Directories Spending & Quality HHS National Library ofData Being Medicine API Portal,Liberateddeployed 9/2010, including Medical/ Blue ClinicalTrials.gov and ScientificButtonPillbox APIsKnowledge Medline PlusConsumer Connect, launched Product Information 11/2010 17. What kinds of data are we liberating?CommunityHealth Govt Spending DataProvider Example: Govt Directories Spending & Quality HHS Medicare claims basic standaloneData Being files first-everLiberatedclaim-level files Medical/(slimmed for Blue Scientificprivacy protection),ButtonKnowledge available for freeConsumer public download for Product all major types of Information care as of 5/2011 18. HealthData.gov, the one-stop place to get all ofour free, publicly available data, launched2/2011 19. Publicizing our data to innovators acrossAmerica Challenges and code-a-thons (health2challenge.org) Many innovator meetups and conferences Annual health datapaloozas 20. The June 9, 2011 Health Data Initiative Forum 2nd annual health datapalooza --sponsored by the Institute of Medicineand HHS Showcased 50 of the best innovationsdeveloped by companies that helpconsumers, careproviders, employers, and communitiesimprove health and health care Featured major announcements bynearly 20 additional companies andother organizations 21. Examples: helping consumers take control oftheir health and health care iTriage Healthline Vitals.com Patients Like Me Asthmapolis Food Oasis 22. Examples: helping care providers deliverbetter care (and succeed as accountabledelivery systems) Aetna Essence Group/Lumeris Doximity Press Ganey Rise Health ElizaLIVE 23. Examples: helping communities improvehealthOziomaESRINetwork of Care for Healthy CommunitiesPalantir/CDC 24. Selected announcements at the Forum Walgreens Health Guides + challenge Aetna Foundation challenge Sanofi Aventis diabetes challenge NCIIA Nursing Home of the Futureinvent-a-thon University of Michigan: nations firstconsumer health informatics mastersdegree program Startup Health: new health startupseed accelerator/entrepreneurshipacademy New Health Data Consortium 25. Founding members of the Health DataConsortiumAcademy HealthCalifornia HealthCare FoundationConsumers UnionESRIGallup-Healthways Well-Being IndexGrantmakers in HealthHealth 2.0InnoCentiveInstitute of MedicineLucile Packard Foundation for Childrens HealthMayo Clinic Center for InnovationNational Association of CountiesOReilly MediaRobert Wood Johnson FoundationU.S. Department of Health and Human Services 26. HDI goal: a self-propelled, open ecosystem ofinnovation using data to improve health (andcreate jobs of the future) A Rapidly Growing Array of InnovativeProducts and Services That: Help consumers take control ofHealth-Related Data fromtheir health and health care Help employers promote healthand wellness FUELS Help care providers deliver bettercare Help journalists shed light Help local leaders make better-informed decisions Support all of the above throughdata intermediary services And much more 27. A historic moment and opportunity!New Incentives + Information Liberation =Rocket Fuel for Innovation & Progress