There Has Never Been a Better Time to Be a n Innovator at the Intersection of Health Care & IT

1. Unleashing the Power of Data, IT, and Innovation to Improve HealthTodd Park, Chief Technology OfficerU.S. Department of Health and Human ServicesTwitter: @todd_park

2. There Has Never Been a Better Time to Be an Innovator at the Intersection of Health Care & IT New Incentives + Information Liberation = Rocket Fuel for Innovation

3. New Incentives, Part 1: Meaningful Use 2015 2013 2011 • Medicare/Medicaid incentive payments rewarding “meaningful use” of EHRs (not purchase of EHRs alone) • Physicians: $44,000/$63,750 • Hospitals: $2M plus bonuses for higher Medicare, Medicaid volume • Escalating requirements – 2011, 2013, 2015

4. New Incentives, Part 2: The Affordable Care Act and Payment Reform • True transformation of the health care system depends on changing how we pay for care • The Affordable Care Act will drive a shift from “pay for volume of services” toward “pay for health and value” • Law launches an array of key payment reform programs + a game-changer: the Centers for Medicare and Medicaid Innovation Center

5. Payment Reforms Will Motivate and Reward Innovation at a Whole New Level Innovations Needed: Data Mining/Analytics Timely Clinical Data, Decision Support Care Integration Tools Technology to Extend Physician Reach Consumer Engagement Tools/Platforms/Apps

6. Information Liberation, Part 1: Rising Health Data Liquidity The Direct Project “Blue Button” • Collaborative project to develop a simple method for enabling secure transmission of health care information over the Internet • Launched 3/10, specs posted 6/10, first production transaction 1/11, now being implemented by 65+ vendors • The ability for any veteran or Medicare beneficiary to download an electronic copy of their own personal health or claims information • Launched 10/10, utilized by over 200,000 unique users thus far

7. Information Liberation, Part 2: Increasing Market Transparency HealthCare.gov • Key early requirement of the Affordable Care Act • First website to compile comprehensive inventory of private and public health coverage options across the U.S. for consumers • Initial version deployed 7/10 • Insurance pricing and benefits info added 10/10 • Enhanced clinical provider quality information on the way

8. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” Community Health Data Initiative (CHDI) 3/11/2010: Vision for HHS as “NOAA of health data” outlined at an innovators summit. Shortly thereafter, initial HHS data sets published on CHDI website….

9. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Community Health Data Initiative (CHDI) (cont.) 6/2/10: Less than 90 days later, 20+ new or upgraded apps utilizing HHS CHDI data showcased by private sector innovators at major public meeting

10. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Community Health Data Initiative (CHDI) (cont.) 6/2/10: Less than 90 days later, 20+ new or upgraded apps utilizing HHS CHDI data showcased by private sector innovators at major public meeting

11. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Community Health Data Initiative (CHDI) (cont.) 6/2/10: Less than 90 days later, 20+ new or upgraded apps utilizing HHS CHDI data showcased by private sector innovators at major public meeting

12. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) CHDI Has Now Become a Broader Health Data Initiative (HDI) Community Health Data Clinical and Service Provider Data “Blue Button” Data HHS publishing more and more free data and APIs, fueling a rapidly expanding ecosystem of innovation using our data Medical/Scientific Data Consumer Product Data Government Spending Data

13. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Liberating Community Health Data • HHS Health Indicators Warehouse – www.healthindicators.gov, launched 2/2011 • Contains 1,170 community health performance metrics for the country, states, hospital referral regions (HRRs), and counties • Includes trove of new aggregate metrics of Medicare utilization, quality, prevention, and prevalence of disease (hundreds of indicators) across regions • Includes proven interventions by indicator • Available via website and API

14. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Liberating Clinical and Service Provider Data • Deployed APIs to Hospital Compare, Nursing Home Compare, Home Health Compare and Dialysis Compare at data.medicare.gov – 9/2010 • Large-scale enhancements happening to Compare via the Affordable Care Act – including launch of Physician Compare • Section 10332 of the Affordable Care Act: will make claim files available to “qualified entities” for purposes of provider quality measurement in 2012

15. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Liberating Personal Health Data Via “Blue Button” • “Blue Button” launched by VA and HHS in 10/2010, allowing veterans and Medicare beneficiaries to download copies of their own data. Dept of Defense now also offering Blue Button as well for active duty military and dependents • To date, over 200,000 unique users have downloaded their own data • VA, Medicare, and DoDplanning significant enhancements to available data in 2011

16. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Liberating Medical/Scientific Data • National Library of Medicine API Portal deployed 9/2010 • Includes APIs to ClinicalTrials.gov, Entrez Utilities, Medline Plus, Pillbox, PubChem, RxNorm, Unified Medical Language System, and more • Medline Plus Connect service for EHRs/PHRs launched 11/2010

17. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Liberating Consumer Product Data • FDA recall (drugs, devices, food) data in downloadable XML format published 10/2010 – with improved info on the way

18. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Liberating Government Spending Data • Medicare claims “basic stand alone” files – first-ever claim-level files (“slimmed” for privacy protection) available for free public download – debuted 2/2011 with hospital claims “basic stand alone” file • To be followed with claim “basic stand alone” files for all other care modalities (by 6/2011) • “Medicare dashboards” – much more timely downloadable aggregate data • Greatly enhanced HHS grants data tool (TAGGS 2.0) debuting soon

19. HHS has committed to 2x/yr data publication review and amp-up process by each HHS agency

20. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Launched 2/2011: HealthData.gov New “one-stop” resource: universal catalog of government-supplied health data and APIs, Apps Expo, online community, catalog of non-federal health data websites

21. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) Marketing the Data Marketing the data to innovators who can turn it into supercool apps – through: -- Challenges (Health2Challenge.org): 21 issued to date -- “Codeathons” -- Startup America/DC2VC tour, conferences, meetings, etc. -- Annual Health Data Initiative Forum (next one: June 9)

22. Information Liberation, Part 3: HHS morphing into the “NOAA of Health Data” (cont.) The Goal: a Self-Propelled Health Data Ecosystem • The ecosystem is already becoming self-propelled: • Expanding use of apps developed thus far • New development work from startups and established companies • “Platform jujitsu” • Rapidly growing array of companies, ventures, programs emerging leveraging our data – 40 of the best to be showcased at the Health Data Initiative Forum on June 9

23. A Historic Moment and Opportunity New Incentives + Information Liberation = Rocket Fuel for Innovation