Connecting the Dots Open health data accelerating care delivery transformation
Apigee@apigee
Aneesh Chopra@aneeshchopra Aashima Gupta, Apigee@aashima1gupta
#FHIR #OPENDATA
Agenda• What is driving care delivery transformation?
• How do open APIs, as nurtured through Project Argonaut, play a role?
• How can you accelerate the open API journey through Apigee?
• Q/A
5
Looking to the future• This combination of consumer expectations and industry shifts puts external pressure on traditional
health providers to create differentiated value.
C ON S UM E R E X P E C T A T I O N S
I N D U S T R Y S H I F T S
Whoever can achieve this state and co-‐create value across the con2nuum will win. As of yet, no one has been able to op@mize the con@nuum.
DIGITAL HEALTH TRANSFORMATION
T E C H NO L O G Y T R E N D S
Source: http://www.whitehouse.gov/the-press-office/2015/01/30/fact-sheet-president-obama-s-precision-medicine-initiative
The Era of Precision Medicine Data-Driven Treatments at the Heart of Tomorrow’s Care Delivery System
“The Administration will carefully consider and develop an approach to precision medicine, including appropriate regulatory frameworks, that ensures consumers have access to their own health data – and to the applications and services that can
safely and accurately analyze it – so that in addition to treating disease, we can empower individuals and families to invest in and manage their health.”
A Steady March Towards Health Innovation Open Data + Interoperable Health IT + Payment Reform = Innovation Fuel
Source: Microstrategy, The Advisory Board Company, http://www.hhs.gov/news/press/2015pres/01/20150126a.html
HHS announces 2018 goal to shift 50% of payments towards “alternative models;” CMS opens up provider spending data; ONC publishes interoperability “road map” focused
on care coordination
Meaningful Use “Stage 3” Delivers on Vision Bold Proposal Seeks Input on Patient Data Access via APIs in Lieu of Portals
Source: http://www.healthit.gov/sites/default/files/CMS-Stage-3-Meaningful-Use-proposed-rule%20_FactSheet.pdf
Offer Patients Data Access within 24 Hours (API, Portal)
1
2 “No Fee” for Use Expectation
3 HHS Seeks Comment on API Access in lieu of Portal Usage
“APIs provide the patient with access to their health information through a third-party application with more
flexibility than often found in many current "patient portals." From the provider perspective, using this option
would mean the provider would not be required to separately purchase or implement a "patient portal...”
A Promising Path for Healthcare’s Open API “Project Argonaut” a Public/Private Effort to Accelerate Open Data
Source: smartplatforms.org; http://www.hl7.org/documentcenter/public_temp_116392EE-1C23-BA17-0C7948F3ECB2359F/pressreleases/HL7_PRESS_20141204.pdf
Built upon R&D initiative leading the way in defining an open clinical API to fuel a growing
array of third party apps
“At this point in history we have an unprecedented opportunity…for query/response transactions in healthcare using the same type of technologies that Facebook, Google, and Amazon have already
implemented at scale” -John Halamka
Common MU Data Set
Source: Asthmapolis, Symcat, ProviderSocialIndex.com, Iodine, Apigee
CMS Provider Spending Data
Patient Feedback Apps
Predictive Diagnosis Analytics
Physician-Ordered Apps
Medication Adherence
Tools
Preventive Service
Reminders
“Front-Door” Interop to Complete Patient Profile Built on API Management Best Practices
EMR system(s) Administra2ve systems
FHIR
API
Harnessing information for better healthThe foundation of personalized, consumer-driven health includes collecting, collating and curating information, moving from episodic to continuous engagement.
consumer interactions
BEHAVIORAL DATA (life style choices, preferences,
activities, quality of life)
PERSONAL“-OMICS” (Genomics, proteomics, transcriptomes,
metabolomics)
SOCIAL DATA (friends, family, affiliations, communication, activities)
MEDICAL RECORDS (encounter, labs, Rx, medical devices, etc)
CONTEXTUAL Environment (temperature, pollen count, etc) Geographic (closest hospital, pharmacy, etc)
DEMOGRAPHICS (age, employer, address, industry)
Powered by APIgee
Remote Monitoring DevicesClinical-grade personal devices to remotely monitor clinical parameters
Digital Health Technology StrategyDigital Platform will be the central component of an entire “ecosystem” that will enable capabilities to securely exchange data, create insights, and connect the edge.
Wellness and Fitness DevicesConsumer devices monitoring activity levels and wellness parameters
Patient Mobile and Tablet AppsMobile Applications
External DataConnect to external data assets that give insights about me and my peers
Analytics EngineCentralized application server to perform analytic tasks
Eco System PartnersPeers in the healthcare industry (Payors, Providers, ACOs, HIEs)
Data RepositoriesData warehouses, including in-house and outsourced infrastructure
Digital Health Platform and Analytics
Legacy SystemsEMR , System of records, Claims, Pharmacy, outsourced infrastructure
Developer Adoption to Expand Reach!
Agility to Scale with the API Economy!
Channel Visibility to Innovate at the Edge!
API !Team!App!
User!
App Developer API!
The Developer is the Key in the App Economy
Systems!
Apps!
1 2 3
Pearson: accelerating the shift to digital & services
17
“Developer communities, especially in the ed-tech market, are set for phenomenal growth, and we believe Pearson’s APIs are going to play a key role.” - Diana Stepner, Head of Future Technologies
Showcase apps using Pearson APIs
APIs
• The world’s leading learning company
• 11+ external APIs, multiple internal APIs on the Plug & Play platform
• Creating value by monetizing APIs
• $2 billion from digital content in 2012
HealthCare: FHIR API-X Solution
Physicians & Other Care Professionals
Hospital/ MOB
Pharmacy Imaging Lab
health informa@on
“Total health” informa@on access
health informa@on flow
Apigee API Management PlaOorm • Only select data available to trusted partners • “Unlock the data”
data in
data out
FHIR APIs HIIPAA compliant solu2on
Partners Mobile Web Sites Developers Mone2za2on HIE Exchanges Internal Apps
EHR Systems Epic, Cerner, MediTech CCDA -‐> FHIR Converter
Examples of data captured into EMR
Medica@ons Care Plans Pa@ent Procedures Problems Common MU Data Record – 16 elements
FHIR Connectors
PRIVATE PARTNER PUBLIC PAID
Apigee Edge Value Proposition
• Unified platform for API exposure, discovery, consumption, and operations management
• Transforms web services into manageable, elegant APIs • Enables developers to self-discover and test APIs • Protects systems from internet-based threats through rate
limiting, authentication, and authorization policies • Provides visibility of digital interactions from backend to app
Apigee offers API management software that dramatically accelerates the production of engaging, innovative digital experiences – within the control of IT
Early Adopter Program (EAP)Objective : Create live proof of success of the patient FHIR APIs for common meaningful use data
20
Advantages
q Low risk trial.
q Connectors for your EMR, HIS systems
q Live patient app/portal or use case
q Opportunity to shape the FHIR standard
q Peer discussion and collaboration – as part of Apigee Healthcare Advisory Council
q Access to highly skilled, API product and services team
Apigee Healthcare API-X EAP – Next Stepsq Sign up for EAPq Join Apigee Healthcare Advisory Council q Initiate Discovery
21
Aneesh Chopra
@aneeshchopra.
Aashima Gupta
@aashima1gupta
Questions?
Join us at HIMSS Booth 8127 @Connected Patient Gallery for a live demo
Connected Health Session April 13th 4:45 pm http://www.himssconference.org/event.aspx?ItemNumber=40463