The Patient at the Center of a New Healthcare System - All About You at #CinderBlocks2

Y U@ekivemark

The New HealthCare: It’s All About

@ekivemark

DisclaimerThe 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.

2

R LESHHS Entrepreneur-in-Residence

Medyear CTO &Co-Founder

HealthCa.mp Chief Instigator

Ski Instructor

Big Data & Cloud Technologist

Health & Social Data Ninja

@ekivemark

We need information because without It…

@ekivemark

We are all Unique and Beautiful

@ekivemark

#DataIndependenceDay

Together We Are Unstoppable

With 3 Simple Steps@ekivemark

#DataIndependenceDay

Fixing HealthCare takes all of us

@ekivemark#DataIndependenceDay

[email protected]

YOUOne Common Factor…

Consumerism

Technology Data Policy

Regulatory

EconomicFive Transformational Changes in Health

@ekivemark

A Tipping Point is coming…

Consumer HealthCare

RetailPHR

Devices

Genome

EHR

@ekivemark

“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

Innovators are already creating Personal Health Hubs and a

SMART api ecosystem…

@ekivemark

@ekivemarkhttp://healthca.mp

Blue Button Unleashes Personal Data

http://healthca.mp

2010

@ekivemark

…but it left us doing the heavy lifting

An Essential First Step

@ekivemark

1.8MUnique VA and Medicare Members

53,000,000Medicare Beneficiaries

@ekivemark

https://leicalady.files.wordpress.com/2010/08/annie-­‐admiring-­‐paintingsmall.jpeg

You don’t want your data for it’s own sake…

@ekivemark

Our Health data should be a valuable toolwe put to good use

http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg

@ekivemark

<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

Follow our progress, join us and 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

@ekivemark

Mark Scrimshire Chief Instigator, HealthCa.mp

HHS Entrepreneur-in-Residence (CMS)

@ekivemark http://ekivemark.com

[email protected] 703.623.2789