himss interoperability showcase march 4 , 2013
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Blue Button+ Deep Dive. Pierce Graham-Jones Innovator in Residence Dept. of Health & Human Services. Greg Meyer S&I Framework Committed Member CERNER TITLE. HIMSS Interoperability Showcase March 4 , 2013. Patient Engagement => Better Care. 49%. - PowerPoint PPT PresentationTRANSCRIPT
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HIMSS Interoperability ShowcaseMarch 4, 2013
Blue Button+Deep DivePierce Graham-JonesInnovator in ResidenceDept. of Health & Human Services
Greg MeyerS&I Framework Committed MemberCERNER TITLE
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Patient Engagement => Better Care
2
Suffer a health consequence from poor communcation among providers
Experience a Medical Error
Hospital Readmit within 30 Days
13%
19%
13%
36%
28%
More Activated PatientLess Activated Patient
49%
Source: AARP Survey of patients over 50 with 2 or more chronic conditions
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A Growing Evidence Base Supports Consumer Engagement via eHealth
•Improve outcomes and enhance patient satisfaction
•Communicate and coordinate with providers
• Self manage health and wellness
•Check for errors or inaccuracies
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Untapped Demand for eHealth
• 20% have accessed their health info online
• 10% have a personal health record (PHR)
•9% have mobile app to manage health
• 21% of individuals who track use a form of technology
•90% agree you should be able to get your own medical info electronically
•2 out of 3 would consider switching to a provider who offers online access
•52% would use a smart phone to monitor health
•69% track a health indicator
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1. Ensure everyone can access their health information
electronically
2. Help application developers use that data to build products
and services that help individuals with their health
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Over 1 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)
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Limitations of Blue Button and Health Data
Lacks Structure: Data is difficult to parse because data is unstructuredXInconsistent: Each system uses different vocabularies and templatesXNo Secure Transport: No defined, widely adopted way to securely transport dataXNot Seamless: Current applications require too much manual effort by consumersX
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68 committed organizations defined the next version of BB
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Structure
1
Electronic EOB
C-CDA
Transport
2
Direct
Automation
3
Triggers
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What Blue Button+ looks like for Dataholders (Providers, Payors, etc.)
ANY Destinatio
n of Consumer’s Choice
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What Blue Button+ looks like for Developers and Patients
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Meaningful Use Stage 2 and Blue 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)
Trust Anchors Manual Anchor Exchange
Transmit Frequency Send once
Anchor Bundle Blue Button Anchor Bundle
Transmit Context In message body
Transmit Frequency Send on change, automation
MU 2 regulations
requires these for all certified
EHRs
Required for Blue Button+
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Blue Button+ Implementation Guide
Quick Link - Implementation Guidehttp://bluebuttonplus.org
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http://bluebuttonplus.org
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For Providers
For Developers
• Better ways to communicate with patients
• Easier way to send personal health information to consumers
• Ask your vendors for Blue Button+
Will finally get automated access to the personal data you need to build useful products and unlock
value for providers and consumers
For EHR Vendors• You don’t have to invent
every consumer tool yourself – connect to a larger ecosystem
• Respond to customer requests to connect data to other places
• Blue Button+ is a quick guide for MU2 – V/D/T
For Investors• As developers begin to
unlock value from personal health information for consumers and providers, should create attractive business models
For Consumers• Myriads of new tools
available for you to track and manage your health care
• Tools that previously seemed promising, but required too much effort or did not provide meaningful support
Impact of Blue Button+
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Organization Demonstrating their Path to Blue Button+ Today
Interoperability Showcase
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Join our group of early adopters
Your Action Items
Share http://bluebuttonplus.org with your colleagues
Implement Blue Button+ Today
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