HealthCare Heal Thyself - The Patient as the hub of a new health system
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Presentation at Digital Health In Context 2015: Big Data presented by @TigerLabsCo. This is my presentation about the changes in Healthcare and how the patient will become the hub. Also referencing #BlueButton and #BlueButtonOnFHIR and how it empowers patients. To find out more come to http://healthca.mp/dev on 5/30/2015 in Washington DC.
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HealthCare Heal Thyself - The Patient as the hub of a new health system
- 1. Healthcare Heal Thyself! Are You Prepared for the Consumer-driven Revolution? Mark Scrimshire @ekivemark
- 2. R LES HHS Entrepreneur -in-Residence Medyear CTO & Co-Founder HealthCa.mp Chief Instigator Ski Instructor Big Data & Cloud Technologist Health & Social Data Ninja @ekivemark
- 3. @ekivemark Disclaimer The 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
- 4. HealthCare is complicated ... because the patient is usually excluded @ekivemark
- 5. YOU One Common Factor… Consumerism Technology Data Policy Regulatory Economic Five Transformational Changes in Health @ekivemark
- 6. A Tipping Point is coming… Consumer Industry Retail PHR Devices Genome EHR @ekivemark
- 7. will be the hubY U @ekivemark
- 8. “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
- 9. @ekivemark Consumers are still kept in the dark Joachim @ daysoff.wordpress.com @ekivemark http://healthca.mp $
- 11. "Patient Engagement is the Blockbuster Drug of the Century" @LeonardKish @ekivemark
- 12. A tough economy drove rapid adoption of High Deductible Health Plans Consumer-Directed 81% 72% 2014 2015 @ekivemark
- 13. 17.4% Health Affairs Magazine HealthCare percentage of GDP in 2013 $2.9T @ekivemark
- 14. CBO.gov Medicare shifts to Value-based Pay $585B@ekivemark
- 17. @ekivemarkhttp://healthca.mp Blue Button Unleashes Personal Data http://healthca.mp 2010 @ekivemark
- 18. …but it left the patient doing the heavy lifting An Essential First Step @ekivemark
- 19. @ekivemark https://leicalady.files.wordpress.com/2010/08/annie-‐admiring-‐paintingsmall.jpeg People don’t want their data for it’s own sake… @ekivemark
- 20. Our Health data should be a valuable tool we put to good use http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg @ekivemark
- 21. JSON and the Argonauts: A New Approach FHIR 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
- 22. Innovators are already creating Personal Health Hubs and a SMART api ecosystem… @ekivemark
- 23. <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
- 24. 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
- 25. There are big opportunities 54,000,000Medicare Beneficiaries (2014 est.) @ekivemark
- 26. Are you ready for the Personal Health Hub? Y U @ekivemark
- 27. Big Data, Little Data and Data Flows all represent Opportunities in the new paradigm @ekivemark
- 28. @ekivemark Mark Scrimshire HHS Entrepreneur-in-Residence (CMS) @ekivemark http://ekivemark.com mark.scrimshire@cms.hhs.gov 703.623.2789 Find out more about #BlueButton on FHIR}{ @