jump-start health data interoperability with apigee health apix

Aashima Gupta

Apigee

@aashima1gupta

Anurag Wadehra

Apigee

@awadehra

Walking in the shoes of a consumer ...

Meet Samantha

Persona Age 47 Marital Status Married Occupation Assistant Language Bilingual

Actions and challenges: the current state of chronic care

5

Case manager contacts patient via telephone to collect information

Patient gives information to nurse over the telephone

Case manager gathers details about medication

Actions

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 Plan

Spironolactone WARNING

ALERTS

MY MILESMY NUTRITION PLAN

MY Weight Monitor

MY CALORIES

MY APPOINTMENTS

‣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 Set 1. Patient 9. Immunization

2. Encounter 10. Medication Admin

3. Allergy Intolerance 11. Medication Disp

4. Care Plan 12. Medication Prescrip

5. Care Plan2 13. Medication Stat

6. Condition 14. Observation

7. Diagnostic Order 15. Practitioner

8. Diagnostic Report 16. Doc Reference

Apigee Healthcare: common MU data set

7

Hospitals

Healthcare Ecosystem

Payers

Pharma Partners

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 Readings daily readings

Schedule adjust care plan

Paymentget incentives

Eligibility Payment External partnersEMRImaging Hospital PharmacyLabs

Clinical Payer Locations

$ H

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

$ H

Traditional approach to build Samantha’s dashboard

10 ©2015 Apigee. All Rights Reserved.

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 months

across digital value chain

Introducing Apigee Health APIx


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


•  Unified and complete platform for API exposure, discovery, consumption, and operations management

•  Built from the ground up for digital with rock-solid reliability, internet scalability, and enterprise-grade flexibility

•  Accelerates API adoption, simplifies learning, and increases business value

•  Protects systems from internet-based threats through rate limiting, authentication, and authorization policies

•  Provides visibility of digital interactions from backend to app

Apigee offers API management software that dramatically accelerates the production of engaging, connected digital experiences—within the control of IT

Trust •  OAuth Framework •  Access Management •  Token Management

FHIR •  FHIR ready APIs •  Resources & Profiles •  Search capability

Components Developer •  Tailored portal •  Market sandbox •  Sample code

Health APIx: an accelerator built on Apigee Edge

14

Developer Portal Modeling & Management

SmartDocs Monetization

Developer Services

API Management BaaS Security API "

Programmability

API Services

Ops "Metrics

App Performance

Developer Metrics

Business "Metrics

Analytics Services

Health APIx FHIR APIs: initial 16 set"(expanding to 99 supported by Argonaut)


Common MU Data Set 1. Patient 9. Immunization

2. Encounter 10. Medication Admin

3. Allergy Intolerance 11. Medication Disp

4. Care Plan 12. Medication Prescrip

5. Care Plan2 13. Medication Stat

6. Condition 14. Observation

7. Diagnostic Order 15. Practitioner

8. Diagnostic Report 16. Doc Reference

Hospitals Payers

Pharma Partners

Employers Pharmacies Based on FHIR: Fast Healthcare Interoperability Resources

H $

Healthcare consumer interacts with a number of entities and data silos during the care process. Digital enables a more seamless interaction and new healthcare journeys across the continuum of care.

Samantha

-  Care where I am -  Transitions of Care -  Personalized Health experiences -  Chronic Condition Management Providers

MY DIGITAL EXPERIENCES

Remote Monitoring

Hospitals

Wellness

Medical Devices

Rx

Payers

-  Meaningful Use Stage-3 compliance

-  Remote Monitoring -  Re-admission rates

-  Provide Motivation incentives -  Aggregate/analyze employee pop -  Improve Care outcomes -  Trend early disease indicators

-  Contextual: Access to EMR Data -  Make connectivity simple -  Easy and portable access to data -  Clinical Trials

-  Manage my prescriptions -  Refill my prescriptions -  Inform me on clinical trials -  Medication Adherence

-  Omni channel consumer engagement -  Explanation of benefits -  Claims Services -  eServices, Payments, -  Population Health

Health APIx applicable use cases

Apigee Health APIx Solution Assets


Developer portal

FHIR APIs

Patient API methods

Test Request

Gallery of your Apps and available sources

CURRENT PRESCRIPTIONS

MY GOALS

My Medication PlanAngiotensin On PlanAspirin On Plan

Spironolactone WARNING

ALERTS

MY MILESMY NUTRITION PLAN

MY Weight Monitor

MY CALORIES

MY APPOINTMENTS



‣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

Recap digital value chain

Challenges of implementing Samantha’s experience Accelerator assets

©2015 Apigee. All Rights Reserved.

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


1.  Join APIx community through the portal 2.  Create your own digital health accelerator (Developer Portal

+ API) 3.  Create apps and experiences

Q & A Aashima Gupta,"@aashima1gupta"

Anurag Wadehra @awadehra

jump-start health data interoperability with apigee health apix

Technology