December 3, 2012
Today providers have many patients and patients have many providers
And almost all information is exchanged with paper
Photo by Jason Winshell/SF Public Press
Which is dangerous and drives up costs
13K diagnoses4K medical procedures6K drugs
1.5M adverse reactions or Rx errors
200K deaths/year from errors
X =
Blue Button extends simple, efficient data format in a way that enables industry-wide data exchange.
In March OPM required all federal carriers to Blue Button-enable their PHRs
Enter VA Innovations
An open government initiative investing over $100 million in improved access, increased quality, enhanced Veteran satisfaction, and reduced costs
Prize challenge to drive up Blue Button adoption in private sector
Innovation projects to enhance Blue Button functionality
Presidential Innovation Fellows to automate Blue Button
Format: First across the goal line
Threshold: 25,000 providers deploy Blue Button-enabled PHR for patients
Prize purse: $50,000
Winners: McKesson’s RelayHealth with 200,000 providers offering Blue Button
Cost: ~0.3¢/patient
Selected Blue Button partners
Over 400 commitments on the ONC website
Industry Challenge: Enhance Blue Button Functionality
Blue Button Focus:Expand types of data and information that Blue Button handles
Develop applications that make use of the data
Provide tools that help patients personal health information
Extend the usefulness of the Blue Button concept
Nearly half of all submissions came in under this topic area
3 winners selected
Presidential Innovation Fellows
“Our purpose is to give patients better access to and use of their Personal Health Information based on Blue Button.”
Improved readability and organizationIncreased data portabilityEasier mobile developmentPatient-Mediated Information Exchange
In the near future, Blue Button will be the way that we view, download, and transmit health data
PHRs that are tagged, labeled, and coded will be more clinically useful
#ABBI for your• primary care physician• specialty care provider• in-home caregiver• pharmacist
To be successful, we have to:
Keep data current
We need Blue Button apps that make it easier for patients to engage in their health
Enrich the experience
We need Blue Button apps that always have latest update of patient records
Connect to health outcomesWe need Blue Button apps that show how connectivity improves patient outcomes
www.va.gov/VAi2
www.innovation.va.gov
Coming soon: The complete medical record
• VA Demographics• VA Problem List• VA Admissions and Discharges (including Discharge Summaries)• VA Notes (progress notes)• VA Laboratory Results• VA Vitals and Readings• VA Pathology and Radiology Reports• VA Electrocardiogram (EKG) Reports• Self Entered Food and Activity Journals• VA Continuity of Care Document (VA CCD)