HIMSS Interoperability Showcase March 4 , 2013

1. Blue Button+Deep Dive Pierce Graham-Jones Innovator in Residence Dept. of Health & Human Services Greg Meyer S&I Framework Committed Member CERNER TITLE HIMSS Interoperability ShowcaseMarch 4, 2013

2. Patient Engagement => Better Care 49% Source: AARP Survey of patients over 50 with 2 or more chronic conditions 1

3. A Growing Evidence Base Supports Consumer Engagement via eHealth • Improve outcomes and enhance patient satisfaction • Communicate and coordinate with providers • Self manage health and wellness • Check for errors or inaccuracies

4. Untapped Demand for eHealth • 90% agree you should be able to get your own medical info electronically • 2 out of 3 would consider switching to a provider who offers online access • 52% would use a smart phone to monitor health • 69% track a health indicator • 20% have accessed their health info online • 10% have a personal health record (PHR) • 9% have mobile app to manage health • 21% of individuals who track use a form of technology

5. 1. Ensure everyone can access their health information electronically 2. Help application developers use that data to build products and services that help individuals with their health Office of the National Coordinator for Health Information Technology

6. In 2010, Department of Veterans Affairs starts the Blue Button initiative Now over 88 million Americans can download their health record from a portal (CMS, Dept. of Defense, Aetna, and United) Over 1 million people across the country have downloaded their health record Office of the National Coordinator for Health Information Technology

7. Limitations of Blue Button and Health Data X X X X Lacks Structure: Data is difficult to parse because data is unstructured Inconsistent: Each system uses different vocabularies and templates No Secure Transport: No defined, widely adopted way to securely transport data Not Seamless: Current applications require too much manual effort by consumers

8. 68 committed organizations defined the next version of BB Office of the National Coordinator for Health Information Technology

9. Structure Transport Automation 1 2 3 C-CDA Electronic EOB Direct Triggers Office of the National Coordinator for Health Information Technology

10. What Blue Button+ looks like for Dataholders(Providers, Payors, etc.) ANY Destination of Consumer’s Choice

11. What Blue Button+ looks like for Developers and Patients

12. Meaningful Use Stage 2 and Blue Button+ Blue Button+ gives specific guidance to EHR companies in meeting the V/D/T requirements. MU 2 regulations requires these for all certified EHRs Required for Blue Button+

13. Blue Button+ Implementation Guide Quick Link - Implementation Guide http://bluebuttonplus.org

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23. http://ccda-scorecard.smartplatforms.org Office of the National Coordinator for Health Information Technology

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38. http://bluebuttonplus.org Office of the National Coordinator for Health Information Technology

39. Impact of Blue Button+ • For Providers • For EHR Vendors • Better ways to communicate with patients • Easier way to send personal health information to consumers •  Ask your vendors for Blue Button+ • You don’t have to invent every consumer tool yourself – connect to a larger ecosystem • Respond to customer requests to connect data to other places •  Blue Button+ is a quick guide for MU2 – V/D/T For Developers • Will finally get automated access to the personal data you need to build useful products and unlock value for providers and consumers • For Investors • For Consumers • As developers begin to unlock value from personal health information for consumers and providers, should create attractive business models • Myriads of new tools available for you to track and manage your health care • Tools that previously seemed promising, but required too much effort or did not provide meaningful support 38

40. Interoperability Showcase Organization Demonstrating their Path to Blue Button+ Today

41. Your Action Items Share http://bluebuttonplus.orgwith your colleagues Implement Blue Button+ Today Join our group of early adopters

42. Office of the National Coordinator for Health Information Technology