Thursday, June 9, 2011

The Health Data Initiative Forum 2011

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The IOM and HHS hosted The Health Data Initiative Forum on Thursday, June 9, 2011 to accelerate momentum for the public use of data and innovation to improve health. The Forum built on the success of The Community Health Data Initiative Forum: Harnessing the Power of Information to Improve Health, held in June 2010, and included a number of fast-paced demonstrations that presented a range of tools and applications developed using health data, a series of discussion sessions, and a data and apps exposition where participants interacted with featured innovators, learn more about available data, and identify opportunities to expand upon current efforts. The sessions were also webcast at http://www.hhs.gov/live



Participating speakers included:
  • Aneesh Chopra, chief technology officer of the United States
  • Harvey Fineberg, president, Institute of Medicine
  • Lisa Jackson, administrator, U.S. Environmental Protection Agency
  • Timothy O’Reilly, chief executive officer, O’Reilly Media
  • Todd Park, chief technology officer, U.S. Department of Health and Human Services
  • Kathleen Sebelius, secretary, U.S. Department of Health and Human Services

Below are the slides (in Flash format) from the morning session of the Health Data Initiative Forum held on June 9, 2011.


Download HERE

These are the morning presenters:

Healthagen (iTriage)
Co-founded by two emergency physicians, Healthagen is the software development company for iTriage, a free, consumer-based healthcare application that is a game-changer in healthcare. The comprehensive iTriage database includes information on thousands of symptoms, diseases, procedures and medications and combines that knowledge with a nationwide directory of every hospital, urgent care, retail clinic, physician, pharmacy and government health center. The proprietary Symptom-to-Provider™ pathway allows users to search symptoms, find possible causes, and be led to the most appropriate provider for a specific condition. Once the end-user selects a provider, the user can find information on ER Wait Times, pre-register for an ER visit (being piloted in select facilities), and access detailed information about that provider’s specialties and credentials. iTriage is truly a one-stop shop for consumer healthcare information.
Aetna / Medicity
Aetna is one of the nation’s largest healthcare companies with over 3,000 nurses, social workers, and behavioral health specialists, and covers over 18 million medical members across the United States.  Aetna is focused on delivering technology and care management solutions that provide greater value to our customers and meet the needs of the emerging ACO market.  Working with our subsidiary, Medicity, and accessing HHS data, we created several new applications that showcase how information can be used to build a more personalized experience that can lead to improved health outcomes. Our use cases highlight both clinicians working from a call center to provide disease management and other services, and primary care/specialty physicians that see and treat patients on a daily basis.  
Ozioma
Ozioma, www.localhealthdata.org, is a new online tool designed to increase the amount of locally-relevant health information in communities through media.  Ozioma allows users to search for health data from HHS (e.g., National Cancer Institute and Centers for Disease Control and Prevention) and more than 60 other reliable sources—all in one place. Search results are presented as easy-to-understand sentences crafted by a team of communication and public health experts, which can be immediately included in press releases, news stories, blogs, reports, grants or policy briefs. Greater access to locally relevant data will help in building healthier communities.
Healthline SPG - Surgical Procedure Guide
Healthline Networks has created comprehensive, data-rich online learning environments to help consumers research and make informed decisions about serious surgical procedures. Leveraging Healthline’s Medically Guided™ semantic search, we have incorporated CMS and FDA data to enhance Healthline’s rich information resources and present consumers with the most comprehensive online surgical procedure resource available today. Healthline Surgical Procedure Guides (SPG) analyze and interpret MedPar data to help consumers understand what events and incurred charges they can expect throughout each stage of the patient pathway—from preparation, to surgery, through recovery and rehabilitation. To personalize this experience, the data is immediately localized based on the user’s zip code. SPG also applies algorithms that process and summarize Hospital Compare data to provide consumers with “quick scores” that rank performance and charge trends for their hospitals against local, state, and national averages. FDA news and alerts for contextually relevant procedure data complement Healthline’s reference and education materials. SPG is the newest offering in Healthline’s suite of products that reach more than 100M consumers each month when they are searching for credible health information.
PatientsLikeMe – Clinical Trials
PatientsLikeMe will present a new feature that helps patients find clinical trials that are right for them and helps companies find patients who are right for their trial.  The feature, which updates daily with all of information reported on ClinicalTrial.gov, allows members of the website to see every clinical trial they are interested in or eligible for based on the conditions and location they report. Investigators can also find their trial listed on PatientsLikeMe and see eligible patients, or search for patients that match their criteria.  Companies, nonprofits, and academics that use PatientsLikeMe for trial recruitment can now also purchase enhanced listings that message eligible patients anonymously through the site’s private system. PatientsLikeMe aims to make trial enrollment faster, more efficient, and ensure patients know and have access to the opportunity to contribute to research.
Maestro (Lumeris)
The Essence Group, through Lumeris, is the nation’s first full-service enabler of next-generation accountable health care delivery systems.  Maestro, from Lumeris, is powerful software that allows health plans, hospitals, medical groups, and individual physicians to find and confidently act on opportunities to improve the quality and lower the cost of health care.  In addition to lending credible context to clinical and financial data, this web-based software supports greater collaboration between the payers and providers of health care.
MAYA Food Oasis
Initially developed at a Health 2.0 Code-a-thon, MAYA Food Oasis is an SMS-based virtual grocery marketplace intended to expand access to healthy, affordable food. To order food, consumers send a simple text message to the central system requesting specific items. Suppliers can review the individual orders, aggregate them into economically viable groups, and negotiate with buyers about price and quantity. Then, suppliers deliver the grouped orders to existing community locations like libraries, schools, or churches. The system provides an easy-to-use and dynamic marketplace that improves access for consumers and expands the market for suppliers. While the system is purposefully designed to have a positive impact on consumers trapped in a food desert, it could also improve access to healthy food for a wide section of the community.
Asthmapolis
Asthmapolis has developed a set of tools to capture data about the real time burden of asthma in communities. Visitors to our exhibit in the Data and Apps Expo can explore some of the medication sensors we’ve built to track the time and location where asthma inhalers are used. In addition, we will highlight the interfaces and mobile applications we’ve developed to help patients, physicians, and public health officials put this information to work to improve the management and control of asthma. We will also provide several case studies to illustrate how the technology is being applied in different settings to help identify patients with uncontrolled asthma, to wirelessly monitor and encourage adherence with preventive medications, and to track the health effects of specific environmental exposures.
Multistate Foodborne Disease Outbreak Investigation System
The Multistate Foodborne Disease Outbreak Investigation System (FDOIS) is a collaboration between the CDC and Palantir Technologies that enables the CDC and its state, local and partner agencies to work together on investigations of disease outbreaks. The CDC facilitated the initial pilot program to address a major gap in multistate foodborne disease outbreak investigation methods: the lack of an electronic system to integrate key data sources and facilitate secure information sharing between public health partners while maintaining patient privacy. The FDOIS rapidly joins disparate data sets, including epidemiologic and laboratory data, into a single environment for partners across organizations to collaboratively analyze. The result is more rapid hypothesis generation and testing that translates into actions to reduce the public’s risk. A “proof of concept” system is currently deployed at the CDC as well as six state health departments with plans to roll out further to federal partners in the next several months. Broadly, the system represents an “all hazards” solution, meaning the systems developed in this framework are applicable and adaptable to programs across CDC.
ElizaLIVE
ElizaLIVE is a multi-modal engagement platform that brings understanding of healthcare data to a whole new level. ElizaLIVE combines data from proprietary outreach on hundreds of millions of individual conversations about health care, taking in interactions from web click streams, email, and automated phone conversations powered by Eliza’s proprietary speech recognition engine. ElizaLIVE weaves this data with clinical data, third-party, and publically-available data to better understand healthcare consumers and create multi-dimensional profiles including socio-demographic, clinical, and behavioral inputs. ElizaLIVE’s proprietary score predicts how people will behave, specifically assigning individuals a number on a 10 point scale that predicts how they will respond to attempted interventions that would improve care and lower costs.  It is not enough to stratify a population by how much they are likely to cost; ElizaLIVE shows whether individual members are likely to respond to an intervention, while creating meaningful interventions, communications strategies, and programs that increase compliance and lower costs.

Wednesday, June 8, 2011

Office of the National Coordinator for Health Information Technology introduces new Investing in Innovations (i2) Initiative

The Office of the National Coorivinator for Health Information Technology (ONC) announceiv toiay the Investing in Innovations (i2) Initiative – a boli new program designed to spur innovations in health IT. The program centers on prizes and competitions to accelerate the development of solutions and communities around key challenges in health IT.

This landmark initiative is the first Administration-wide program using prizes and challenges to advance an agency's mission made possible by the America COMPETES Reauthorization Act of 2010, signed into law by President Obama on Jan. 4, 2011. The Act invests in innovation through research and development and seeks to improve the competitiveness of the United States.

As part of the initiative's rollout, ONC has awarded nearly $5 million to the Capital Consulting Corporation (CCC) and Health 2.0 LLC, to fund projects supporting innovations in research and encouraging health IT development through open-innovation mechanisms like prizes and challenges.

"The initiative demonstrates ONC's recognition of the importance of investing in innovations and provides a platform that will attract an expanded community of innovators to the full range of the agency's programs.  It opens the door to new opportunities for open collaboration from a wide range of diverse individuals and organizations that will increase the national rate of innovation and adoption of health IT as we improve health care of all Americans," said Farzad Mostashari, M.D., Sc.M., national coordinator for health information technology.

The i2 Initiative will consult stakeholders across the health care sector including hospitals, doctors, consumers, payers, states, employers, advocates, and relevant federal agencies to obtain direct input on execution and to build partnerships.

The core of the i2 Initiative is an effort to use prizes and challenges to facilitate innovation and obtain solutions to identified health IT challenges.  Recognizing the promise of prizes and challenges, the President has called on agencies to promote innovation by using such innovation tools to address intractable problems. The use of prizes and competitions is widely regarded as a powerful tool to attract innovators from all walks of life to address hard problems with the added benefit of only rewarding best-in-class work. The approach makes possible rapid response to emerging issues that are difficult to address with more traditional funding approaches.

Examples of health IT competition topics developed in consultation with CCC and Health 2.0 LLC, include the following:
  • Applications that allow an individual to securely and effectively share health information with members of his or her social network;
  • Applications that generate results for patients, caregivers, and/or clinicians by providing them with access to rigorous and relevant information that can support real needs and immediate decisions;
  • Applications that allow individuals to connect during natural disasters and other periods of emergency; and
  • Tools that facilitate exchange of health information while allowing individuals to customize the privacy allowances for their personal health records.
Another component of the i2 Initiative will support analysis of the current health IT environment in an effort to track and model clusters of innovation, while simultaneously identifying connections between disparate innovator communities.  The effort will identify technology development trends in a fast-moving sector to inform future advisory and policy-making activities.

Capital Consulting Corporation, Health 2.0 LLC, along with other contributors will help provide detailed and up-to-date analysis of relevant, emerging innovations and associated trends that will help ONC and other HHS agencies better understand these developments, as well as the issues that surround them.

ONC recognizes that policies that do not appropriately anticipate technological change can jeopardize success by potentially limiting competition and setting in stone inferior technologies. Accurate and timely information from this phase of the initiative will enable the Federal government to engage in methodical and strategic health IT policies.

"Through the i2 Initiative, ONC is directly supporting innovation in health IT to accelerate the nation's progress toward a high-performing, adaptive health care system," said Wil Yu, the special assistant for innovations within ONC.

For more information please visit ONC's home page at http://healthit.hhs.gov/portal/server.pt/community/healthit_hhs_gov__onc/1200

via hhs.gov

Not What the Doctor Ordered: Health IT Barriers for Small Medical Practices

On Thursday, June 2, 2011 at 10:00 am, the House Small Business Committee Subcommittee on Healthcare and Technology held a hearing entitled "Not What the Doctor Ordered: Health IT Barriers for Small Medical Practices."

The hearing examined the adoption of health information technology by small medical practices. The Subcommittee considered witness testimony regarding the barriers that small providers have encountered and possible solutions for addressing those barriers.

Farzad Mostashari, M.D., Sc.M., National Coordinator for Health Information Technology, testified at the hearing. Here is a clip from his testimony:



The full written testimony submitted by Dr. Mostashari for the hearing is below:



Updated section

Other testimony was provided by:
Much of the testimony was very supportive of the efforts on adoption of health IT. After this post was published Dr. Mostashari tweeted on the bipartisan nature of the hearing:


The full video of the hearing is available HERE

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Meaningful Use Workgroup Recommendation to Delay Stage 2

The Meaningful Use Workgroup of the HIT Policy Committee recommended at the June 8, 2011 meeting to delay the transition from stage 1 to stage 2 meaningful use requirements by one year, only for providers who qualify for meaningful use in 2011.


Meaningful Use Workgroup Recommendations:




Draft recommendation letter:




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