Tuesday, November 18, 2014

@IBX #BlueButton Workshop

Harm Scherpbier recaps the morning session:

  • The Government is behind the initiative to unleash the power of the patient through their data
  • There are tools like iHumetrix and Medyear that are available now

This is not a solution looking for a problem.

Two discussion points:

- Status of implementing BlueButton initiative
- Groundwork for a BlueButton pilot in PA

  1. What are the opportunities for a Philly Regional next generation BB Pilot

Lessons from the morning

  • Too many portals for the patient
  • Portals aren’t sticky
  • Open up and let innovators solve the problem
  • Let the patient unify
  • Look at BlueButton as the Mint for health
  • How do we connect everyone
  • Market is creating solutions for patients
  • [Abington] Portal is ready for BlueButtonPlus but portals still needed for Prescription refills, appointments etc.
  • Are portals ready to allow patients to enter their direct address and to setup the system to push
  • BlueButton needs to be a noun and a verb.
  • Not just a technical problem – need to encourage and support and engage patients on how to do this.
  • Portals were for View Download Transmit as part of MU2
  • What can we use today to get going? Direct? Portals?
  • Where is the economic value proposition for all participants
  • Direct is the unique patient address. Patients can have multiple direct addresses – if they choose.

Mainline Health is able to send via Direct
Abingdon uses Cerner and they are a HISP
Einstein is able to send via Direct
Penn – TBD
IBX – yes

Every Vendor that is certified to View Download AND Transmit.
All can technically Transmit. It is down to the customer vendor relationship as to whether you have implemented the AND Transmit functionality.

Step 1 is to accomplish data transmission outbound to patients via Direct

We have to address the workflows on the provider end.

Opportunities for a Philly Regional Pilot

  • Improving health, saving lives, saving money
  • Improve quality, up the HEDIS levels, reduce readmissions
  • Higher Patient Engagement and HCAPS Scores
  • Philly as Hip healthcare town
  • Connect the patient activity out of network
  • Environment for innovation
  • Reduce redundancy, save cost
  • Bring together payors, providers, innovators
  • Leveraging patient as connector
  • Lead the nation

- Need vendor help to enable BlueButtonPlus and Patient Direct features in portals/EHRs
- How does BB+ fit in to Provider workflow
- How do Care Gaps get to the physician where it is actionable with the patient.
- Find use cases with specific benefits
- Easy access to patient direct addresses
- Align incentives
- Patient engagement – incentivize them

What does a pilot look like?

  • Build around specific target populations
  • Build around specific provider groups
  • Get recent labs and x-rays to the patient. This is number 1 pain point for providers.
  • Curated Medications Lists – Very important.
  • Don’t make it too narrow – we need critical mass
  • Define target population. Complex, costly, chronic patients.

- Strong leadership
- PHR Community coordinator (Nurse to train patients on using PHR) – We need to avoid this. It has to be simple.
- Start small to solve technical issues

  • Small, quick pre-pilot. Small incentives to fill out surveys for feedback

Next Steps

  • Captive population Mainline and Jefferson employees come onboard in January. Pick 50-100 participants.
  • All participants go to BlueButtonConnector.healthit.gov and fill out their profile.
  • HSX to convene groups with common interests to define needs
  • Define the sustainable business model as part of the pilot
  • Multiple providers and tools involved.
  • Include IBCs app and their target patients. Will include Humetrix and Medyear. Patients will pick their chosen app.
  • User experience survey for both patients and providers
  • Timebox the pre-pilot
  • Tightly define use-case for the pilot

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