Embed Size (px)
Citation preview
Healthcare Heal Thyself!Are You Prepared for the Consumer-driven Revolution?
Mark Scrimshire @ekivemark
R LESHHS Entrepreneur-in-Residence
Medyear CTO &Co-Founder
HealthCa.mp Chief Instigator
Ski Instructor
Big Data & Cloud Technologist
Health & Social Data Ninja
@ekivemark
@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.
3
HealthCare is complicated
... because the patient is
usually excluded@ekivemark
YOUOne Common Factor…
Consumerism
Technology Data Policy
Regulatory
EconomicFive Transformational Changes in Health
@ekivemark
A Tipping Point is coming…
Consumer Industry
RetailPHR
Devices
Genome
EHR
@ekivemark
will be the hubY U
@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
@ekivemark
Consumers are still kept in the dark
Joachim @ daysoff.wordpress.com
@ekivemark
http://healthca.mp
$
A decision without Information…
@ekivemark
"Patient Engagement is the
Blockbuster Drug of the Century"
@LeonardKish
@ekivemark
A tough economy drove rapid adoption of High Deductible Health Plans
Consumer-Directed
81%
72%
2014
2015
@ekivemark
17.4%
Health Affairs Magazine
HealthCare percentage of GDP in 2013
$2.9T
@ekivemark
CBO.gov
Medicare shifts to Value-based Pay
$585B@ekivemark
Sensors are becoming commodities @ekivemark
@ekivemarkhttp://healthca.mp
Blue Button Unleashes Personal Data
http://healthca.mp
2010
@ekivemark
…but it left the patient doing the heavy lifting
An Essential First Step
@ekivemark
@ekivemark
https://leicalady.files.wordpress.com/2010/08/annie-‐admiring-‐paintingsmall.jpeg
People don’t want their 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
JSON and the Argonauts: A New ApproachFHIR Fast Healthcare Interoperability Resources Project Argonaut • Open source • Industry Heavyweight adoption • Public/Private partnership
REST API Lightweight web services Read AND write
OAuth Traceability Popular Authorization protocol Familiar to users Layered Authorization
BlueButton Structured Data: JSON XML @ekivemark
Innovators are already creating Personal Health Hubs
and a SMART api ecosystem…
@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
• Structured File Formats:• ( https://github.com/ekivemark/claims )
• BlueButton Text to JSON Converter:• ( https://github.com/ekivemark/python-bluebutton )
• Developer Code of Honor:• ( http://2.healthca.mp/1GjOUsY )
• HL7 - FHIR• ( http://www.hl7.org/implement/standards/fhir/http.html )
• Developer.HealthCa.mp• Washington DC: May 30, 2015• http://healthca.mp/dev
@ekivemark
There are big opportunities
54,000,000Medicare Beneficiaries (2014 est.)
@ekivemark
Are you ready for the Personal Health Hub?
Y U
@ekivemark
Big Data, Little Data and Data Flows all represent Opportunities in the new paradigm
@ekivemark
@ekivemark
Mark Scrimshire HHS Entrepreneur-in-Residence (CMS)
@ekivemark http://ekivemark.com
[email protected] 703.623.2789
Find out more about#BlueButton on FHIR}{ @
