Million Hearts Risk Check Challenge Question and Answer Session

August 23, 2012

Agenda for Today’s Meeting

• Kick off / Introductions o Austin Cohen, Manager, Developer Challenges, Health 2.0

• Overview of I2 Program o Adam Wong, Management and Program Analyst, ONC

• Overview of the Risk Check Challenge o Pierce Graham-Jones, West Health Innovator-In-Residence, HHS

• Overview of Archimedes API o Don Morris, Vice President, Scientific Products and Technology,

Archimedes o Brian Zuzga, Senior Software Architect, Archimedes

• Overview of Surescripts API o Santosh Kalkar, Product Manager, Surescripts

• Question and Answer o All

i2 Goals

• Better Health, Better Care, Better Value through Quality

Improvement

o Further the mission of the Department of Health and Human

Services

o Highlight programs, activities, and issues of concern

• Spur Innovation and Highlight Excellence

o Motivate, inspire, and lead

• Community building – Development of ecosystem

• Stimulate private sector investment

Million Hearts

Risk Check Challenge

“The challenge asks developers to create new apps that inform consumers of their general heart risk, motivate them to obtain more accurate risk assessments by entering their blood pressure and cholesterol values, and direct them to nearby community pharmacies (and other locations) that offer affordable and convenient blood pressure and cholesterol screenings”

Million Hearts

Risk Check Challenge

Participating developers will have access to two sources of content that should markedly shape the development of the app:

1. A new Application Programming Interface (API) for conducting the quick health risk assessment over a consumer-facing interface, hosted by Archimedes and built using their Indigo product.

2. Locations (and specific descriptors) of places where individuals can go for a lipid and blood pressure screening, made available through flat files from Million HeartsTM and a new API hosted by Surescripts.

Each of these source APIs is described in more detail on the Challenge website and in linked appendices. In order for the Department of Health and Human Services to formally “sponsor” the winning app in a Million Hearts campaign, it will be important for applicants to specifically follow the inputs and outputs of the two APIs. Conformity with these inputs and outputs is included in the judging criteria. Aside from these API elements, creativity is strongly encouraged, particularly in platform design, consumer engagement, personalized risk communication, and ways to link the two APIs together.

Resources

The following Appendices can be found on the Challenge

page:

• Appendix A - Archimedes Indigo API Usage Document

• Appendix B - Archimedes Indigo API Data Spec

• Appendix C - Surescripts API Guide

• Appendix D - Surescripts API Using the Test Application

Evaluation Criteria

1. How well the apps follow the specific input and output requirements of the two APIs and exchange data with the data sources (Surescripts and the Community Healthcare Provider lists), as well as the Archimedes API

2. Effectiveness in getting individuals to answer all the questions for the initial risk assessment

3. Effectiveness in communicating initial risk to individuals, based on guidelines provided by Archimedes API

4. Effectiveness in encouraging further testing (specifically lipids and BP), especially for those with some risk

5. Effectiveness in communicating final risk to individuals, based on guidelines provided by Archimedes API

6. Effectiveness in encouraging lifestyle changes for those at some risk

Evaluation Criteria

7. Effectiveness in encouraging seeing a health professional if they are at high risk

8. How easy and intuitive is the app to use, and how well does it engage consumers from diverse backgrounds. Which app is the most likely to get the most people to know their full cardiovascular risk?

9. Submissions will be judged on their operating plans for the year, and the sustainability of the app over the life of the initiative. Has the entrant provided a viable plan for initial and ongoing technical capacity to meet projected usage as well as for support, maintenance and enhancement of the application?

10. Demonstration of submitter’s current or prior ability to engage consumers.

11. Demonstration of a business plan and likelihood of the app being sustainable beyond the campaign period.

Timeline

Submission Period Ends October 31, 2012

Semi-Finalists Notified November 19, 2012

Winner Announced January, 2013

API Logic

... a KAISER PERMANENTE Innovation

Required User Inputs

Optional Inputs

Archimedes API

Risk Range, Recommendation to

obtain biomarkers

Biomarkers Entered?

Risk Impact of interventions

NO YES

Patient obtains results Behavior Change

Discussion with provider

Some Key Points

• Input questions

• Using recommended wording is essential

• Risk outputs

• Many available but we expect you will use only a subset

• Types of risk (absolute, relative to age)

• Ways to express risk (percent, percentile, high/low)

• Minimum recommended set outlined in appendix

• Others can be left out or included as options

• Timeline

• Now: API available and performs to spec but values are not meaningful

• Oct 10: test version with results close to final results

• Nov 19: final version available

... a KAISER PERMANENTE Innovation

Text4Health IndiGO API

IndiGO Calculation Engine

JSON Response

Contestant Application

HTTP POST (application/x-

www-form-urlencoded)

Surescripts, LLC Overview

• Surescripts is the nation’s largest health information network, connecting Pharmacies, payers, pharmacy benefit managers, physicians, hospitals, health information exchanges and health technology firms. Surescripts helps providers enhance the continuity of care by facilitating a more timely, accurate, electronic exchange of e-prescriptions, referrals, patient summaries, lab results, and other vital patient information.

• Surescripts enables healthcare professionals to electronically exchange clinical information when and where it’s needed to support better care coordination and improve health outcomes.

• Surescripts is excited to work with Million Hearts™ Risk Check Challenge to support the technology development and connectivity needed to bring participating pharmacies and consumers together for health screening through new mobile apps

9/14/2012 Office of the National Coordinator for

Health Information Technology 13

Service Locator API

• Surescripts developed an API to support the mobile app challenge

• The API supports location based searches for Million Hearts Risk Check service providers (primarily pharmacies) that offer blood pressure and cholesterol screening services

9/14/2012 Office of the National Coordinator for

Health Information Technology 14

For more information

• Test API and API key are available now – Surescripts’ Million Hearts Web Page

• Service Locator Guide (PDF) – Protocol details

» The Locator supports HTTPS GET and POST

– Message content details

• Service Locator Using the Test Application Guide (PDF) – Directions for interacting with the API

– Support instructions

• The Production API and API key will be made available to the challenge winners

9/14/2012

Office of the National Coordinator for Health Information Technology

15

For More Information

http://www.health2con.com/devchallenge/million-hearts-risk-check-challenge/

Registration: Click the blue ‘Register’ button the

right-hand column of the Challenge page

Contact:

Austin Cohen

austin@health2con.com