The changing face of Healthcare and how CMS is updating BlueButton to enable beneficiaries to connect their data to the applications and services they trust. A presentation given at #CinderBlocks2, June 5, 2015

1. Y U
@ekivemark
The New HealthCare: It’s All About

2. @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.
2

3. 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

4. We need information
because without It…
@ekivemark

5. We are all Unique and Beautiful
@ekivemark
#DataIndependenceDay

6. Together We Are Unstoppable
With 3 Simple Steps
@ekivemark
#DataIndependenceDay

8. Fixing HealthCare takes
all of us
@ekivemark
#DataIndependenceDay
Your.Name-Goes-Here
@MedYear.com

9. YOU
One Common Factor…
Consumerism
Technology Data Policy
Regulatory
Economic
Five Transformational Changes in Health
@ekivemark

10. A Tipping Point is
coming…
Consumer HealthCare
Retail
PHR
Devices
Genome
EHR
@ekivemark

11. “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

12. Innovators are already creating
Personal Health Hubs and a
SMART api
ecosystem…
@ekivemark

13. @ekivemarkhttp://healthca.mp
Blue Button
Unleashes Personal Data
http://healthca.mp
2010
@ekivemark

14. …but it left us doing the heavy lifting
An Essential First Step
@ekivemark

15. 1.8M
Unique VA and Medicare Members

16. 53,000,000
Medicare Beneficiaries

17. @ekivemark
https://leicalady.files.wordpress.com/2010/08/annie-­‐admiring-­‐paintingsmall.jpeg
You don’t want
your data
for it’s own sake…
@ekivemark

18. Our Health data
should be
a valuable tool
we put to good use
http://commons.wikimedia.org/wiki/File:Toolbox_(6788494881).jpg
@ekivemark

19. <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

20. Follow our progress, join us and contribute
• #DataIndependenceDay / @getMyHealthData
• ( http://GetMyHealthData.org )
• Share Fight DPS Today: http://2.healthca.mp/DIDFightDPSToday
• Structured File Formats:
• ( https://github.com/ekivemark/claims )
• BlueButton Text to JSON Converter:
• ( https://github.com/ekivemark/python-bluebutton )
• FHIR Server Java Code Base
• ( https://github.com/ekivemark/FHIR-Server )
• Developer Code of Honor:
• ( http://2.healthca.mp/1GjOUsY )
• HL7 - FHIR
• ( http://www.hl7.org/implement/standards/fhir/http.html )
@ekivemark

21. @ekivemark
Mark Scrimshire
Chief Instigator, HealthCa.mp
HHS Entrepreneur-in-Residence
(CMS)
@ekivemark
http://ekivemark.com
mark.scrimshire@cms.hhs.gov
703.623.2789