the patient at the center of a new healthcare system - all about you at #cinderblocks2
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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
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We need information because without It…
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We are all Unique and Beautiful
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#DataIndependenceDay
Together We Are Unstoppable
With 3 Simple Steps@ekivemark
#DataIndependenceDay
Fixing HealthCare takes all of us
@ekivemark#DataIndependenceDay
YOUOne Common Factor…
Consumerism
Technology Data Policy
Regulatory
EconomicFive Transformational Changes in Health
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A Tipping Point is coming…
Consumer HealthCare
RetailPHR
Devices
Genome
EHR
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“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
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Innovators are already creating Personal Health Hubs and a
SMART api ecosystem…
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@ekivemarkhttp://healthca.mp
Blue Button Unleashes Personal Data
http://healthca.mp
2010
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…but it left us doing the heavy lifting
An Essential First Step
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1.8MUnique VA and Medicare Members
53,000,000Medicare Beneficiaries
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https://leicalady.files.wordpress.com/2010/08/annie-‐admiring-‐paintingsmall.jpeg
You don’t want your data for it’s own sake…
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Our Health data should be a valuable toolwe put to good use
http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg
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<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
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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