Free the Data Aashima GuptaVice President – Digital Healthcare Transformation,Apigee@aashima1gupta

2

Our Customers

AT&T

Walking in the shoes of a consumer ...

Harnessing information for Total HealthThe foundation of personalized, consumer-driven health includes collecting, collating and curating information, moving from episodic to continuous engagement.

consumerinteractions

BEHAVIORAL DATA(life style choices, preferences,

activities, quality of life)

PERSONAL“-OMICS”(Genomics, proteomics, transcriptomes,

metabolomics)

SOCIAL DATA(friends, family, affiliations, communication, activities)

MEDICAL RECORDS(encounter, labs, Rx, medical devices, etc)

CONTEXTUALEnvironment (temperature, pollen count, etc)Geographic (closest hospital, pharmacy, etc)

DEMOGRAPHICS(age, employer, address, industry)

Powered by Apigee

Meet Samantha

PersonaAge 47Marital Status MarriedOccupation Assistan

tLanguage Bilingua

l

Actions and challenges: the current state of chronic care

6

Case manager contacts patient via telephone to collect information

Patient gives information to nurse over the telephone

Case manager gathers details about medicationActions

Case manager records information

Based on information transcribed, nurse recommends course of action to patient

Patient challenges

Patient may not be available when called.

Patient is frustrated in giving repeated information clinician/nurse

Patient does not remember medication prescribed or may make mistakes

Manual process of entry might introduce errors

Patient needs to know about what is/isn’t covered in health plan, needs to write down care steps, adherence

Care Interaction

CURRENT PRESCRIPTIONS

MY GOALS

My Medication PlanAngiotensin On PlanAspirin

On PlanSpironolactone WARNING

ALERTS

MY MILESMY NUTRITION PLAN

MY Weight Monitor

MY CALORIES

MY APPOINTMENTS

‣Refill Prescription

‣Refill Prescription

‣Check Blood Pressure

‣Check Weight

Thurs., Mar 5

Thurs., Jun 5

Daily, Every 4 hours

Daily

MY STEPS‣MONDAY

‣TUESDAY

‣WEDNESDAY

‣THURSDAY

‣FRIDAY

Spinach Risotto

Grilled Chicken

Tomato Soup

Spaghetti

Steak + Potatoes

POWERED BY

Sam’s Healthy Heart DashboardX

X

X

X

X

X

XAppointment Details

With : Dr. Be Well Location: 101 Main, Ste101 Notes: Routine Follow Up

Samantha’s Diabetes Dashboard

My Yearly Deductible : $1000

Deductible Remaining : $100

Common MU Data Set1. Patient 9. Immunization2. Encounter 10. Medication

Admin3. Allergy Intolerance

11. Medication Disp

4. Care Plan 12. Medication Prescrip

5. Care Plan2 13. Medication Stat6. Condition 14. Observation7. Diagnostic Order 15. Practitioner8. Diagnostic Report 16. Doc Reference

Apigee Healthcare: common MU data set

8

Hospitals

Healthcare Ecosystem

Payers

PharmaPartners

Employers

Medical Devices

Based on FHIR: Fast Healthcare Interoperability Resources

H $

Connecting Samantha’s digital experience is hard

Clinical Alert readings are abnormal

Remindersmedication reminders

My Readingsdaily readings

Scheduleadjust care plan

Paymentget incentives

Eligibility Payment External partnersEMRImaging Hospital PharmacyLabs

Clinical Payer Locations

$

What’s needed?Two Speed IT architecture

Digital Health Platform and Analytics

Payers/Health Plans

EMR, Legacy Systems

Eco System Partners

Data/Analytics Engine

Remote Monitoring

Devices

Wellness and Fitness Devices

Patient Mobile &

Tablet AppsExternal Data

Samantha’s experience: enabled through the digital value chain

Systems

User

Connected experience

Developers connect apps, data and devices with APIs

API team builds, runs and manages APIs

$

©2015 Apigee. All Rights Reserved.

Traditional approach to build Samantha’s dashboard

12

Define Experiences

Learn and understand the

requirements for new experiences

Connect to Legacy

Define Data connectors

Connect to EMR

Build, test, integrate, FHIR

APIs

Secure access and

authentication for

Developer On boarding

Build developer portal

0-6 months 0-3 months 0-3 months 0-3 months

12-18 monthsacross digital value chain

©2015 Apigee. All Rights Reserved. 13

What’s needed?Greater Innovation

Accelerate time-to-value

Fail early, fail cheap, fail often

Identify & adopt promising candidates

Data interoperability

©2015 Apigee. All Rights Reserved.

Introducing Apigee Health APIx

14

©2015 Apigee. All Rights Reserved.

What is Apigee Health APIx?

• Delivers FHIR (Fast Healthcare Interoperability Resources) API-based app and data interoperability

• Can be deployed in days instead of months

15

16

Trust• OAuth Framework• Access

Management• Token ManagementFHIR• FHIR ready APIs• Resources &

Profiles• Search capability

ComponentsDeveloper• Tailored portal• Market sandbox• Sample code

Health APIx: an accelerator built on Apigee Edge

Developer Portal

Modeling & Management

SmartDocs Monetization

Developer Services

API Managemen

tBaaSSecurity API

Programmability

API Services

Ops Metrics

App Performance

Developer Metrics

Business Metrics

Analytics Services

Apigee Health APIx Solution Assets

17©2015 Apigee. All Rights Reserved.

Developer portal

FHIR APIs

Patient API methods

Test Request

CURRENT PRESCRIPTIONS

MY GOALS

My Medication PlanAngiotensin On PlanAspirin

On PlanSpironolactone WARNING

ALERTS

MY MILESMY NUTRITION PLAN

MY Weight Monitor

MY CALORIES

MY APPOINTMENTS

‣Refill Prescription

‣Refill Prescription

‣Check Blood Pressure

‣Check Weight

Thurs., Mar 5

Thurs., Jun 5

Daily, Every 4 hours

Daily

MY STEPS‣MONDAY

‣TUESDAY

‣WEDNESDAY

‣THURSDAY

‣FRIDAY

Spinach Risotto

Grilled Chicken

Tomato Soup

Spaghetti

Steak + Potatoes

POWERED BY

Sam’s Healthy Heart DashboardX

X

X

X

X

X

XAppointment Details

With : Dr. Be Well Location: 101 Main, Ste101 Notes: Routine Follow Up

©2015 Apigee. All Rights Reserved.

Recap digital value chainChallenges of implementing

Samantha’s experienceAccelerator assets

Lower barriers to interoperability & innovation

Abstracting complexity of systems of record

Making the access secure and safe

Enable quick MVP development

Developer Portal with FHIR documentation and content

Pre-configured proxies for FHIR ready APIs

Pre-integrated OAuth security proxies and configurations

Reference implementation

How to get started

23©2015 Apigee. All Rights Reserved.

1. Join APIx community through the portal2. Create your own digital health accelerator

(Developer Portal + API)3. Create apps and experiences