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CMS Blue Button® on FHIR:
Empowering Patients
Mark Scrimshire
CMS Blue Button Innovator, Office of Enterprise Data and Ana...
●CMS Blue Button Innovator
●Health Data and Cloud Technologist
●Co-Founder & CTO – Medyear
●Chief Instigator – HealthCa.mp...
Disclaimer
The views expressed in this
presentation are my own and should
not be construed as an official position
of the ...
●CMS/OEDA Blue Button Program Analyst
●Project Management Professional (PMP)
●Program and Project Manager
(FAC-P/PM)
●Cont...
A Brief History of Blue Button
5
Blue Button
Unleashes
Personal
Data
Total Users
VA, CMS, DoD
DoD
CMS
VA
But people don’t
want their data
for it’s own sake…
6
7
Blue Button in Use
1.4MCMS users
20–30k
Downloads/Month
Private sector applications
already ingest, optimize,
and visualiz...
● Health information challenging to use in current PDF or plain
text format
● Beneficiary has to return to MyMedicare.gov ...
Blue Button supports several White House initiatives:
● The President’s Precision Medicine Initiative
● The President’s Ca...
How Could We Improve Blue Button?
11
Blue Button Vision
“Build a developer-friendly, standards-based data
API that enables beneficiaries to connect their
data ...
An Enhanced BlueButton has a Critical Role
in Value and Quality-Based Health
Personal Applications Personal Health Record
...
Why Blue Button on FHIR*?
*Fast Health Interoperability Resources
14
“I control who
I share my data with”
“I download my d...
15
Patients take ownership of their data
16
• A Familiar and
Proven
Authorization
Process
• Used billions of
times each day
Research team
registers with CMS
Research
institution obtains
unique access ID
Research team
embeds ID in data
collection ...
Blue Button on FHIR will create a robust data API service
that enables beneficiaries to connect their health data with the...
● Blue Button on FHIR Front-end OAuth Server/Client:
 https://github.com/TransparentHealth/hhs_oauth_server
 https://git...
● Mark Scrimshire
 Blue Button Innovator
 Mark.Scrimshire@cms.hhs.gov
● Carly Medosch
 Outreach
 Carly.Medosch@cms.hhs...
Find Out More
http://go.cms.gov/bluebutton
21
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CMS BlueButton on FHIR at Cinderblocks3

Presenting an update on building BlueButton on FHIR at CMS to enable beneficiaries to point their data at applications, services or research programs they trust using a REST API and HL7 FHIR structured data formats.

Presented to CinderBlocks3 in Grantsville, MD on May 20th, 2016.

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CMS BlueButton on FHIR at Cinderblocks3

  1. 1. CMS Blue Button® on FHIR: Empowering Patients Mark Scrimshire CMS Blue Button Innovator, Office of Enterprise Data and Analytics Carly Medosch CMS Blue Button Program Analyst, Office of Enterprise Data and Analytics May 2016 Cinderblocks3
  2. 2. ●CMS Blue Button Innovator ●Health Data and Cloud Technologist ●Co-Founder & CTO – Medyear ●Chief Instigator – HealthCa.mp ●Blogger – blog.ekivemark.com ●Twitter – @ekivemark Introductions: Mark 2
  3. 3. Disclaimer The views expressed in this presentation are my own and should not be construed as an official position of the US Department of Health and Human Services or The Centers for Medicare & Medicaid Services. 3
  4. 4. ●CMS/OEDA Blue Button Program Analyst ●Project Management Professional (PMP) ●Program and Project Manager (FAC-P/PM) ●Contracting Officer’s Representative (FAC-COR) ●Chronic illness patient/advocate Introductions: Carly 4
  5. 5. A Brief History of Blue Button 5 Blue Button Unleashes Personal Data Total Users VA, CMS, DoD DoD CMS VA
  6. 6. But people don’t want their data for it’s own sake… 6
  7. 7. 7
  8. 8. Blue Button in Use 1.4MCMS users 20–30k Downloads/Month Private sector applications already ingest, optimize, and visualize data from Blue Button text files • Hospital • Physician • Prescription drugs Federally Inspired Blue Button Community • VA • DoD (TRICARE) • CMS 2xtext downloads Beneficiaries can download up to 3 years of claims data 8
  9. 9. ● Health information challenging to use in current PDF or plain text format ● Beneficiary has to return to MyMedicare.gov to get at least 6 months of data each time new information is available ● Apps like iBlueButton have entered the market to automate this process by screen scraping and borrowing beneficiary userids and passwords weakening security ● Health care industry has moved to structured data formats (BlueButton+ / CCDA) ● Enhanced Blue Button service can be a powerful tool to support the drive to improve quality of care ● Interoperability is finally taking hold in health care Why Should Blue Button Change? 9
  10. 10. Blue Button supports several White House initiatives: ● The President’s Precision Medicine Initiative ● The President’s Cancer Moonshot Task Force Why Should Blue Button Change? “that ensures consumers have access to their own health data—and to the applications and services that can safely and accurately analyze it” 10 “Enhanced Data Sharing: Data sharing can break down barriers between institutions, including those in the public and private sectors, to enable maximum knowledge gained and patients helped. The cancer initiative will encourage data sharing and support the development of new tools to leverage knowledge about genomic abnormalities, as well as the response to treatment and long-term outcomes.” Sources: https://www.whitehouse.gov/the-press-office/2015/01/30/fact-sheet-president-obama-s-precision-medicine-initiative https://www.whitehouse.gov/the-press-office/2016/02/01/fact-sheet-investing-national-cancer-moonshot
  11. 11. How Could We Improve Blue Button? 11
  12. 12. Blue Button Vision “Build a developer-friendly, standards-based data API that enables beneficiaries to connect their data to the applications, services and research programs they trust” 12
  13. 13. An Enhanced BlueButton has a Critical Role in Value and Quality-Based Health Personal Applications Personal Health Record Care CoordinationResearch 13 Putting Patients at the center
  14. 14. Why Blue Button on FHIR*? *Fast Health Interoperability Resources 14 “I control who I share my data with” “I download my data”
  15. 15. 15
  16. 16. Patients take ownership of their data 16 • A Familiar and Proven Authorization Process • Used billions of times each day
  17. 17. Research team registers with CMS Research institution obtains unique access ID Research team embeds ID in data collection app Research team recruits Medicare user Medicare user uses data collection app Blue Button on FHIR API requires Medicare user to authenticate Medicare user gives app data access permission via API Blue Button on FHIR API issues user access key to data collection app Data collection app uses ID and key to automate data collection for user Behind the Scenes: Consumer Consent and Data Donation 1 2 3 4 5 6 7 8 9 17
  18. 18. Blue Button on FHIR will create a robust data API service that enables beneficiaries to connect their health data with the applications and services they trust. ● For beneficiaries  More easily using their health data for better health  Structuring Blue Button data will unleash innovation  International standard improves interoperability ● Directly supporting key administration initiatives  Supports several White House initiatives  Reduces agency FOIA requests  Supports PCOR investment objectives Enhanced Blue Button Outcomes 18
  19. 19. ● Blue Button on FHIR Front-end OAuth Server/Client:  https://github.com/TransparentHealth/hhs_oauth_server  https://github.com/TransparentHealth/hhs_oauth_client ● POET  https://github.com/HHSIDEALab/BlueButtonFHIR_API  https://github.com/HHSIDEALab/poet ● HL7 FHIR  http://www.hl7.org/implement/standards/fhir/http.html ● HL7 WIKI  http://hl7-fhir.github.io/index.html ● HAPI Server:  https://github.com/jamesagnew/hapi-fhir Follow Our Progress, Join Us, and Contribute 19
  20. 20. ● Mark Scrimshire  Blue Button Innovator  Mark.Scrimshire@cms.hhs.gov ● Carly Medosch  Outreach  Carly.Medosch@cms.hhs.gov Contact Info 20
  21. 21. Find Out More http://go.cms.gov/bluebutton 21

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