Former CTO of the Obama administration, Aneesh Chopra, joins Apigee’s health care transformation strategist, Aashima Gupta, to discuss how to foster an application ecosystem that leverages connected apps and data to implement patient-centric reform. In this webcast we will discuss: - imperatives to open up data across multiple EHRs, payers, government and remote monitoring services - Project Argonaut, an open, industry-led “code sprint” to support FHIR-based APIs for patient data interoperability - how APIs built on a secure platform will enable expanded information sharing for patient health records - value and viability of low cost inter-operability through FHIR-based APIs at healthcare systems

1. Connecting the Dots
Open health data accelerating care delivery transformation
Apigee
@apigee
Aneesh Chopra
@aneeshchopra
Aashima Gupta, Apigee
@aashima1gupta
#FHIR #OPENDATA

2. youtube.com/apigee

3. slideshare.net/apigee

4. Aneesh Chopra
EVP, Hunch Analytics
@aneeshchopra
Aashima Gupta
Apigee
@aashima1gupta
Presenters

5. 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

6. Looking to the future
• This combination of consumer expectations and industry shifts puts external pressure on traditional
health providers to create differentiated value.
C O N S U M 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 N O L O G Y
T R E N D S

7. Open Health Data and Project Argonaut

8. 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.”

9. 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

10. 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...”

11. 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

12. 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

13. Apigee’s approach

14. Harnessing information for better health
The 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

15. Remote Monitoring Devices
Clinical-grade personal devices to
remotely monitor clinical parameters
Digital Health Technology Strategy
Digital 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 Devices
Consumer devices monitoring activity
levels and wellness parameters
Patient Mobile and Tablet Apps
Mobile Applications
External Data
Connect to external data assets that
give insights about me and my peers
Analytics Engine
Centralized application server to
perform analytic tasks
Eco System Partners
Peers in the healthcare industry
(Payors, Providers, ACOs, HIEs)
Data Repositories
Data warehouses, including in-house
and outsourced infrastructure
Digital Health Platform and Analytics
Legacy Systems
EMR , System of records, Claims,
Pharmacy, outsourced infrastructure

16. 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

17. 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

18. 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

19. 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

20. 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

21. Apigee Healthcare API-X EAP – Next Steps
q Sign up for EAP
q Join Apigee Healthcare Advisory Council
q Initiate Discovery
21

22. 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

23. Thank you