1. Blue Button Co-Design Challenge
Informational Webinar
6.19.13

2. Office of the National Coordinator for
Health Information Technology
1
On Today’s Call:
• Adam Wong, Office of the National Coordinator for Health IT
• Rebecca Mitchell-Coelius, Office of the National Coordinator for Health IT
• Patricia Salber, Health Tech Hatch
• Jean-Luc (“JL”) Neptune, Health 2.0
• Graeme Ossey, Health 2.0
Agenda:
• Challenge Background and Goals
• Blue Button Overview
• Crowdsourcing ideas
• Overview of Challenge Details
• Q&A

3. ONC and i2 Goals
Office of the National Coordinator for
Health Information Technology
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• Better Health, Better Care, Better Value through Quality
Improvement
– Further the mission of the Department of Health and Human
Services
– Highlight programs, activities, and issues of concern
• Spur Innovation and Highlight Excellence
– Motivate, inspire, and lead
• Community building – Development of ecosystem
• Stimulate private sector investment

5. A Brief History
• First used by VA in 2010 on the myHealtheVet
portal. 1 million downloads in first year.
• Adopted by CMS, DoD, Aetna, United, and others
• = Potential access to 1/3 of country!!

6. Patients: the Most Underutilized
Part of the Health System
Only 10% to 20% of outcomes are determined by health care.

7. Patient Engagement = Better Care
6
Suffer a health consequence from
poor communcation among providers
Experience a Medical Error
Hospital Readmit within 30 Days
36%
28%
13%
19%
13%
More Activated Patient
Less Activated Patient
49%
Source: AARP Survey of patients over 50 with 2 or more chronic conditions

8. Market Opportunity
Source: Rock Health

9. Meaningful Use Supports
Patient & FamMeaningful ily
EngagementStage 1
2011-2012
Post-Visit
Summary
Stage 2
2014
Secure
Patient
Messaging
+
View,
Download,
Transmit
Stage 3
2016
Patient-
Generated
Health
Info?
+
Blue Button
Plus?

10. Blue Button
Sample Data Files
VA: CMS:
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11. 6/19/2013
Office of the National Coordinator for
Health Information Technology
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12. 6/19/2013
Office of the National Coordinator for
Health Information Technology
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What’s next?
Liberation
1
MU2
Structure
2
CCDA
Automation
3
Push / Pull

13. 6/19/2013
Office of the National Coordinator for
Health Information Technology
12http://bluebuttonplus.org/

14. 6/19/2013
Office of the National Coordinator for
Health Information Technology
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15. Health Tech Hatch
Office of the National Coordinator for
Health Information Technology
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• Facilitates Patient Codesign:
– Crowdsource ideas
– Patient/Consumer iterative feedback
– Crowdvote winners
• Winning ideas from ideas@healthtechhatch.com
– Link my medical device data with my other health data
– Simplify management of multiple chronic conditions
– Make it easy to add rich contextual information (e.g., living situation, language, dietary &
religious preferences) to my health history
– Help me understand what conditions I am at risk for and what preventive services I need
(and where to get them)
• Next steps
– Post concepts on HealthTechHatch.com
– Engage with patient codesigners over time
– Incorporate feedback that makes sense

16. Challenge Goals
Office of the National Coordinator for
Health Information Technology
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• Build support for Blue Button Plus by engaging three crucial
communities:
– Patients through crowd sourcing of application ideas, co-design,
and public voting on winning products
– Companies and application builders through a public
competition and prize money
– Developers by rewarding open source developer tools that
make it easier to build Blue Button Plus enabled applications
• Expand our understanding of how patients want to use
their clinical data, and what products they want to see
developed.
• Increase the number of fully enabled, Blue Button Plus
tools and applications in areas of high priority for patients

17. Submission Requirements
Office of the National Coordinator for
Health Information Technology
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Patient Applications:
• Brief Description of the Product
• Slide Deck
• Working Application (.zip file)
Developer Tools
• Brief Description of the Product
• Slide Deck
• GitHub Link

18. Review Criteria
The winners of the Patient Application category will be determined by a
combination of the review panel (two-thirds) and public voting (one-third);
public voting will be enabled on the co-design site upon closing of the
submission period on August 5.
• Innovative use and integration of Blue Button Plus
• Innovative use of Blue Button patient data
• Application design and ease-of-use
• Relevance to crowd-sourced ideas and participation in co-design
Open Source Developer Tools
• Code readability, maintainability, and extensibility
• Quality of code documentation
• Value added by the tool
Office of the National Coordinator for
Health Information Technology
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19. Timeline
Patient Applications
• August 5: Final Submission Due
• August 6-21: Patient Applications review period, by
review panel and public voting
Developer Tools
• July 8: Final Submission Due
• July 9-19: Developer Tools review period
• July 22-26: Announce Developer Tools winners (All
submissions deemed of sufficient quality will be posted
on a public website)
Office of the National Coordinator for
Health Information Technology
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20. Prizes
Patient Applications:
First Place $20,000
Second Place $10,000
Third Place $5,000
Developer Tools
Three Best $5,000 each
Not to mention: recognition, publicity, credibility and reach!
Office of the National Coordinator for
Health Information Technology
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21. Questions?
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Health Information Technology
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www.health2challenge.com
Contact Graeme:
graeme@health2con.com
Co-design Questions:
www.healthtechhatch.com
info@healthtechhatch.com