On Saturday May7th, Aneesh Chopra gave a Keynote Address at HealthCa.mp/dev. This is the year to engage in the FHIR API and the FHIR Community to push HealthCare interoperability forward.

1. @aneeshchopra
www.navhealth.com
FHIR API ~
2016 is the Year to Participate

2. David Van Sickle collaborates with Mayor Fisher (Louisville) to
micro-target air quality improvement opportunities; patient inhaler
GPS data informs action to lower particulate matter 10%; results in
27% reduction in asthma risk area

3. Three Trends “Fueling” Care Delivery Reform
Open Data + Interoperable Health IT + Payment Reform = Active
Ingredients
Source: Microstrategy, RxREVU, HHS
CJR Bundle Data Services
#Telemedicine Services#Integrated EHR Data #SNF/HH Assessments
#PRO Survey (~$75/case)#Home Monitoring (~$1k/case) #CMS Claims Data

4. Source: http://www.voanews.com/content/nih-taking-first-steps-to-huge-precision-medicine-project/3207453.html; https://www.whitehouse.gov/the-press-office/2016/02/25/remarks-president-precision-medicine-panel-discussion
I’m going to hijack this just for one second…so often what we label as a health care system is
actually more of a disease-care system in which the patient is passive...one of the promises of
precision medicine is empowering individuals to monitor and take a more active role in their own
health...If we do precision medicine well, and we get that…data to consumers, it gives them the
ability to stay healthy for long periods of time. Sorry to interrupt.” – President Obama (February 25,
2016)
President Obama Drops the Mic…for Patients

5. What is Health Information Exchange? A
PortfolioBut Open APIs for Pt-Designated Apps Required Under
CEHRT/MU/MACRA
Source: https://www.healthit.gov/providers-professionals/health-information-exchange/what-hie; https://www.federalregister.gov/articles/2015/10/16/2015-25595/medicare-and-medicaid-
programs-electronic-health-record-incentive-program-stage-3-and-modifications#p-1518
“The EP, eligible hospital, or CAH provides access for patients to view online, download, and
transmit their health information, or retrieve their health information through an API, within 24
hours of its availability…[patient data must be] available for the patient (or
patientauthorized representative) to access using any application of their choice that is
configured to meet the technical specifications of the API in the provider's CEHRT.”

6. Argonaut FHIR API an Open Developer
ResourceImplementation Program Encourages Feedback Loops for
Improvement
Source: argonautproject.org; smartplatforms.org; https://github.com/argonautproject/implementation-program/wiki
“The purpose of the Argonaut Project is to rapidly
develop a first-generation FHIR-based API and
Core Data Services specification to enable
expanded information sharing for electronic
health records” – Epic, Cerner, MEDITECH,
athena, Advisory Board, Surescripts, Accenture as
Sponsors

7. Source: NavHealth
“When will our HIE connect to…the Church?”
Re-Building the Data Model from Patient “In”
A Dashboard for Church Health
“I can see group data (for example: 28 of 59
people at church X have had a high reading in
the last year), but no individual data or any of
the names of congregants.”
– Dr. Thomas Cannell (NYC Health Dept)
Source: http://chreader.org/dashboard-church-health/

8. Leadership Opportunities for Pioneers
#1: Precision Medicine Initiative – “Sync for Science”
Source: http://syncfor.science

9. Leadership Opportunities for Pioneers
#2: Accountable Health Communities – Beneficiary Data Access
Source: https://blog.cms.gov/2016/01/11/can-helping-patients-social-needs-also-be-good-for-their-health/

10. Leadership Opportunities for Pioneers
#3: Million Hearts Innovation Model – Shared Decision Making
Source: https://innovation.cms.gov/initiatives/Million-Hearts-CVDRRM/

11. Standardizing Procurement Language for
APIsONC-Funded “SMART on FHIR” R&D Collaborative Publishes Best
Practice
Source: http://smarthealthit.org/2014/10/rfp-language-for-buying-smart-compatible-hit/

12. #GetMyHealthData Preview: Must Shift
Culture“Patients have the right...if they ask correctly.”
Source: http://www.wellstar.org/patient-visitor-information/pages/request-medical-records.aspx