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eP3 Network - Empowering People with Privacy and Personalization
Jonathan HareCEO, WebShield [email protected](415) 265-3250
WebShield Inc.
Merit-Based Incentive
Payment System
Alternative Payment Models OR
MACRAMedicare Access and CHIP Reauthorization Act
Moonshot to Cure Cancer
Veterans Access Choice and Accountability Act
Patient-centered data sharing is the key enablerfor virtually everything that matters in healthcare
2
33
Unfortunately, traditional enterprise-centric techniques for data sharing and analytics are wildly inadequate to patient-centered sharing on a national scale
WebShield Inc.
Previous attempts at much easier challengesin healthcare haven’t
turned out well
The problem isn’t the lack of application interoperability.Interoperability standards have worked all along, and are now widely adopted.
HIE Initiatives &Trust Frameworks
Data Interoperability
StandardsSystematized Nomenclature of Medicine Clinical Terms (Clinical)
Logical Observation IdentifierNames and Codes (Labs)
Normalized Identifiers for Drugs and Devices (Pharmacy)
Unified Medical Language System (Taxonomy Mapping)
International Classification of Diseases (Claims)
Continua Alliance (Personal Health Devices)
Accredited Standards Committee ANSI EDI (Reimbursement)
Digital Imaging and Communications in Medicine (Imaging)
Fast Healthcare Interoperability Resources (REST-JSON)
Health Level 7Clinical Document Architecture (SOAP- XML)
11073
WebShield Inc.4
WebShield Inc.
Consumers have a legal right under HIPAA to get an electronic copy of their health information held by any “covered entity” (payers, providers, labs, pharmacies, etc.), and to designate a third party to receive the health information.
Data blocking isn’t caused by HIPAA or other regulatory barriers
In many cases where records are already in electronic form, they are available to the consumer for free.
5
WebShield Inc.
Further, once the consumer has personal control of their own records, they are legally entitled to share them with anyone for any purpose they choose.
So, why isn’t health data flowing when consumers want it to, and when clinicians need it?
Didn’t the HITECH Act require information exchange to earn those $35 billion in incentive payments?
HITECH Act IncentivesSection 4101. Incentives for Eligible Professionals:
(ii) INFORMATION EXCHANGE.—The eligible professional demonstrates to the satisfaction of the Secretary, in accordance with subparagraph (C)(i), that during such period such certified EHR technology is connected in a manner that provides, in accordance with law and standards applicable to the exchange of information, for the electronic exchange of health information to improve the quality of health care, such as promoting care coordination.
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the fundamental barrierto data sharing
and consumer-centered
healthcare…
WebShield Inc.
is the lack of a mutually trusted way for disparate organizations and systems to agree when the are talking about the same person, and
the resulting inability of the consumer to enforce their legal right to access and share their own health records.
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Industry keeps missing (or dodging) the real problem
Absent a way to agree upon and verify identity, it is impossible to reliably: • recognize the consumer online across devices and apps.• search for and find a consumer’s records across organizations and devices.• prove authorization to access or use a consumer’s records.• link data into a patient-centered longitudinal record.
WebShield Inc.
Health records are fragmented and scattered across enterprise IT siloes
Clinical LabsRadiology and Imaging Centers Providers
PharmaciesPayers
PersonalHealth Devices
DemographicData
CustomerProfiles
…each of which relies upon identity information that is inconsistent, incomplete, and changing – and often erroneous or even fraudulent.
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Credit Bureau
Public Records
Exchange & Clearinghouse MPIs
Online Device Profiles
Fraud PreventionService
Identity Matching Attribute VerificationPhoneRegistries
InsuranceEnrollment
HR/Payroll
GovernmentRecords
ERP/CRM
PostalDatabase
SecurityDirectories
ProfessionalLicensing
OnlineProfiles
In-PersonProofing
WebShield Inc.
Identity Catch-22 All the data necessary to strongly verify the identity and accurately match records of everyone in the country exists, and is held by organizations desperate to do so.
Global Identity Graph
Identity Matching
Algorithms
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Without access to these diverse sources, the consumer can’t prove their identity to the organizations that hold data about them, and therefore can’t authorize the use of their data by matching algorithms that can verify their identity and match their records. Catch-22.
However, identity data itself is highly privacy sensitive, proprietary, and regulated. Only the consumer can authorize the use of data about themselves from all sources.
Credit Bureau
Public Records
Exchange & Clearinghouse MPIs
Online Device Profiles
Fraud PreventionService
Identity Matching Attribute VerificationPhoneRegistries
InsuranceEnrollment
HR/Payroll
GovernmentRecords
ERP/CRM
PostalDatabase
SecurityDirectories
ProfessionalLicensing
OnlineProfiles
In-PersonProofing
WebShield Inc.
Breakthrough Innovation allows frictionless pooling and analysis of regulated & proprietary data
Privacy Network Unified Trust Model• “Neutral Zone” where policies of consumer and each
original source of data are simultaneously enforced. • All data is encrypted and anonymized at source. • Supports arbitrary data pooling and computation
without revealing any information to anyone. • No one has “keys” to breach privacy or security.• Allows consumers to prove their identity and
attributes without revealing the data used to do so.
• Attribute level enforcement of diverse trust criteria (regulatory compliance, commercial terms, etc.) • Cloud-based enforcement by neutral authorities. • Trust criteria automatically inherited by any
aggregates, analytic outputs or user responses. • Allows data with disparate regulatory requirements
(HIPAA, GLBA, IRS 6103, EU Data Protection, etc.) and commercial terms to be pooled and analyzed.
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Digitally SignedSecurely EncryptedVerified AttributesVerified Assurance
Credit Bureau
Public Records
Exchange & Clearinghouse MPIs
Online Device Profiles
Fraud PreventionService
Identity Matching Attribute VerificationPhoneRegistries
InsuranceEnrollment
HR/Payroll
GovernmentRecords
ERP/CRM
PostalDatabase
SecurityDirectories
ProfessionalLicensing
OnlineProfiles
In-PersonProofing
Authentication
SMS
Touch IDVoice
AuthenticatorPassword Device ID
Email ID Verification
Privacy Network
WebShield Inc.
• Authentication • Identity Proofing/Matching• Attribute Verification• Records Discovery• Access Authorization
• Frictionless and Free• Unprecedented Privacy • Unmatched Accuracy• Unlimited Scale• Built-in Compliance• Neutral Governance• Open Architecture
Privacy PreservingTrusted Identities
TrustNetwork
11
Please enter your email address or mobile number:
Mobile Phone - or -Email Address
other options…
* Protected by the Privacy Network ✅ Accept Privacy Policies explain
CancelVerify my Identity*
Choose how to authenticate your identity:
◎ Message my Cell Phone AND send me Email ◎ Send me Email AND Google Authenticator ◎ Touch ID on my Cell Phone
` explainCancelAuthenticate Me
TrustNetwork
Free Health Services News & Advocacy Members Contribute
Patient Record Request
Digitally SignedProvider NPIPatient ID (at Provider)Deliver to (Direct Address)Patient Digital Signature
Welcome Jonathan,
Would you like to have Buena Salud® Club help you enforce your right to access to your health records under HIPAA, and give you direct control over security, privacy and access policies? (explain)
Yes Why should I? Skip
Laboratory Data Sources
Radiology and Imaging Data
SourcesEMR/Clinical Data Sources
Pharmacy Data Sources
Payer/Claims Data Sources
PersonalCloud Storage
• Patient-controlled (no longer covered by HIPAA) • Comprehensive Longitudinal Records
- claims, labs, clinical, genomic, proteomic, etc.- device, self-reported, demographic, etc.- linked and reconciled through time, across disparate sources
• Available on-demand for any use authorized by Consumer
WebShield Inc.
Yes
Great! Buena Salud® Club will send digitally signed HIPAA patient record requests to the organizations that hold your health records, directing each of them to send you encrypted copies of your records. (explain)
Select a personal cloud storage service to receive encrypted records: ✅ Buena Salud® ☐ HealthVault ☐ Box.com ☐ Other
Explain how my privacy is protected
Create Account & Request Records CancelCreate Account & Request Records
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PopulationAnalytics
• Patient Safety• Clinical Research• Precision Care Management• Pay-for-Value Reimbursement• Eligibility Verification / Enrollment
Laboratory Data Sources
Radiology and Imaging Data
SourcesEMR/Clinical Data Sources
Pharmacy Data Sources
Payer/Claims Data Sources
WebShield Inc.
PersonalCloud Storage
Buena Salud® Club puts you in control of which online services can access your health Information. The National Alliance For Hispanic Health’s Expert Panel recommends these personalized services powered by the Privacy Network:
✅ Personal Health Concierge helps you find the best healthcare providers and services, makes sure they are covered by your health plan, and allows them to securely use your health information. (explain)
✅ Patient Safety Watch sends de-identified health information to a privacy preserving analytics service to detect potential health risks, and gives you and your clinicians personalized alerts and health advice. (explain)
✅ Paperwork Assistant automates routine paperwork, and finds discounts, benefits and free services you are eligible for. (explain)
✅My Clinical Researcher prvoides personalized health education materials, and tells you about clinical research studies that you are eligible for. (explain)
Free Health Services News & Advocacy Members Contribute
Activate these services Not now Never
ClinicalResearch
Personalized Care Management
ConsumerAuthorization • Multi-encrypted and anonymised.
• Precision enforcement of regulatory compliance, privacy and commercial policies of all stakeholders.
Activate these services
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Self-funding Network Each additional solution, person or organization pulls in more data, users, and ecosystem resources, creating a self-reinforcing network effect.Business Model Enabling global crowd-sourcing of privacy sensitive and proprietary resources from organizations and people that don’t agree on policies or trust each other translates into vastly lower costs and unprecedented personalization and privacy.
WebShield Inc.14
PersonalizedHealthcare
SolutionOrchestration
in-kind resources
Individuals Enterprises
ConsumerOnline
E-commerce
CitizenServices
PersonalizedEducation
PersonalFinance
Analytics
Identity &Authentication
Trust & Compliance
User Interaction
Security
DataPeople
CloudInfrastructure
anonymised data, opt-ins,online engagement
Consumers and enterprises “pay” for solutions with cash and/or in-kind resources.
$
$
Solutions
Vendors
licensedresources
WebShield Inc.
eP3 Network Empowering People with Privacy and Personalization
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Non-Profit and Trust Governance Launch Partners
Clinical Research and Advocacy
Digital Signatures and Identity Credentials
National Association for Trusted Exchange – Consumer Mediated Health Information
Community Services, Outreach, Healthcare Research and Advocacy (affiliates reach 15 million Hispanics in US.)
Cardiovascular Clinical Research and Education
The Internet Keep Safe Coalition – Children’s Online Safety and Privacy Certifications
eP3 Network is a consortia of non-profits, commercial vendors and individuals dedicated to empowering people with the ability to control who can access information about them, support unprecedented personalization and process optimization, all rigorously protecting their privacy. It will be unveiled at the Health 2.0 Conference in Cupertino, CA on September 27th.
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Identity & Trust
Members
Partners
SAFE-BioPharma Digital Signatures and Identity Credentials:• Compliant with EU/EMA requirements for digital signatures - recognized by FDA, DEA and EMA• Includes governance framework for global legal enforceability, risk mitigation, non-repudiability, instantly auditable • Meets US Department of Commerce and EU Privacy Shield requirements for personal data protection
Privacy & Trust Governance• Not-for-profit focused exclusively on consumer access to their health information• Helps covered entities comply with consumer sharing requirements• Manages the Blue Button for Consumers Trust Bundle governance process
#1 Rated Global Electronic Medical Record
#1 Rated EMR Independent HIE Platform
Data Interoperability
Laboratory
Radiology and Imaging
EMR/Clinical Pharmacy
Claims
Composite Health Record
Consent Management
Terminology Management
eHealth Exchange Gateway
Clinical Message Delivery
Audit Services (ATNA)
InterSystemstechnology
manages
67% of patient records
in the USA
InterSystemsEMR
manages
100m+ patient records
world-wide
Netherlands UK Sweden
Indian Health SrvUS DoDVeterans Affairs
US Federal and International
Regional, State, National HIEIDNs and Payers
Software
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Clinical Research Solution
• Enhances the patient experience to increase patient enrollment and retention.
• Simplifies clinical trial participant interactions to increase the transparency, accountability and validity of clinical data
Patient Enrollment, Retention & Data Collection Platform
VIRTUAL / HYBRID / SITE BASED
CONSULT
RECRUIT
ENROLLENROLL ENGAGEENGAGE REPORTRECORDDESIGN
RECORDREPORT
MONITOR
EDC/CTMS/EHR mHealth Devices Lab Feeds Payments
Reach-Link Integration Layer
Databases Data Feeds Web Other