Enabling Consumer-Directed Health Data at CMS
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BlueButton on FHIR presentation to HxRefactored 2016 in Boston. An update from 2015 with details of HealthCa.mp/onfhir and HealthCa.mp/dev.
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Enabling Consumer-Directed Health Data at CMS
- 1. Enabling Consumer-Directed Health Data at CMS
- 2. IS HE? @ekivemark WH Mark Scrimshire CMS BlueButton Innovator http://ekivemark.com mark.scrimshire@newwave.io 703.623.2789
- 4. @ekivemark Disclaimer The views expressed in this presentation are my own personal views and should not be construed as an official position of: • US Department of Health and Human Services or • The Centers for Medicare & Medicaid Services.
- 5. @ekivemark 20–30k Downloads/Month • Hospital • Physician • Prescription drugs Federally Inspired Blue Button Community • VA • DoD (TRICARE) • CMS 2xtext downloadsBeneficiaries can download up to 3 years of claims data Private sector applications already ingest, optimize, and visualize data from Blue Button text files @ekivemark
- 6. @ekivemark Unique Medicare Members since 2010
- 7. There are big opportunities… 54,000,000Medicare Beneficiaries (2014 est.) @ekivemark 29,000,000MyMedicare Portal Users
- 8. An Essential First Step @ekivemark …but it left the patient to do the heavy lifting
- 9. BlueButton Vision “Build a Developer-friendly, Standards-based data API that enables beneficiaries to connect their data to the applications, services and research programs they trust”
- 10. @ekivemark Why create an API when the Industry has done that? @ekivemark
- 12. @ekivemark CMS Blue Button on FHIR + @ekivemark
- 13. @ekivemark Fast Health Interoperability Resources
- 14. @ekivemark Making a contribution to the FHIR Community CMS Synthetic Public Use Files (SYN-PUF) FHIR Patient ExplanationOfBenefit 11K Patient Profiles 1.1M EOB Profiles
- 16. @ekivemark A busy 2 days
- 17. @ekivemark And the Winners were: @POC
- 19. @ekivemark CMS FHIR Patient Profile https://api.bbonfhir.com/api/v1/Patient?_format=json {"resourceType":"Patient", "id":"421118", "meta":{ "versionId":"1", "lastUpdated":"2016-03-22T16:38:17.578-04:00"}, "identifier":[ { "system":"CCW_BENE_CRNT_VW.BENE_ID", "value":"0"}], "name":[{ "family":["00013D2EFD8E45D1"], "given":["f5"]} ], "birthDate":"1923-05-01", "address":[{ "line":["1625 N GEORGE MASON DR, 344, ARLINGTON, VA", “222053683”] } ] }
- 20. @ekivemark CMS Blue Button Claim Profile https://api.bbonfhir.com/api/v1/ExplanationOfBenefit?_format=json {"resourceType":"ExplanationOfBenefit", "id":"421383", "meta":{"versionId":"1", "lastUpdated":"2016-03-22T16:38:17.578-04:00"}, "identifier":[{"system":"CCW_PDE_FACT.PDE_ID", "value":"233324492503674"}], "provider":{"reference":"Practitioner/421386"}, "prescription":{"reference":"MedicationOrder/421384"}, "patient":{"reference":"Patient/421118"}, "coverage":{"coverage":{"reference":"Coverage/421134"}}, "item":[{"sequence":1, "type":{"system":"http://hl7.org/fhir/v3/ActCode", "code":"RXDINV"}, "servicedDate":"2008-12-05", "adjudication":[{"category":{"system":"CMS Adjudications", "code":"Patient Pay Amount"}, "amount":{"value":10,"system":"USD"}}, {"category":{"system":"CMS Adjudications", "code":"Total Prescription Cost"}, "amount":{"value":350,"system":"USD"} }] }] }
- 21. @ekivemark Get to know the FHIR Rest API https://api.bbonfhir.com/api/v1/Patient https://api.bbonfhir.com/api/v1/ExplanationOfBenefit ?_format=json|xml &{Search_parameters}
- 22. @ekivemark Patients take ownership of their data I Authorize
- 24. @ekivemark Keep Up To Date http://go.cms.gov/bluebutton
- 25. Mark Scrimshire CMS BlueButton Innovator @ekivemark http://ekivemark.com mark.scrimshire@newwave.io 703.623.2789