Connecting Patients, Providers, and Payers - ACHE...
15
Connecting Patients, Providers, and Payers John D. Halamka
Transcript of Connecting Patients, Providers, and Payers - ACHE...
Connecting Patients, Providers, and Payers
John D. Halamka
What happening in 2015?
Federal Interoperability Roadmap
Meaningful Use Stage 3 notice of proposed rule making
New mobile devices and risk-based regulatory approaches
Accelerating security incidents and increased privacy enforcement/audits
Return of Private Sector Innovation – Argonauts and new apps.
Core technical standards and functionsConsistent data formats and semantics
Consistent, secure transport technique(s)
Standard, secure services
Accurate identity matching
Reliable resource location
Certification to support adoption and optimization of health IT products and services6. Stakeholder assurance that health IT is interoperable
Privacy and security protections for health information7. Ubiquitous, secure network infrastructure
8. Verifiable identity and authentication of all participants
9. Consistent representation of permission to collect, share, and use identifiable health information
10. Consistent representation of authorization to access health information
Supportive business, clinical, cultural, and regulatory environments11. A supportive business and regulatory environment that encourages interoperability
12. Individuals are empowered to be active managers of their health
13. Care providers partner with individuals to deliver high value care
Rules of engagement and governance
Meaningful Use Stage 3The Final Stage of the of the meaningful use incentive program.
One calendar year reporting period for everyone
Stage 3 begins in 2017, but CMS will allow attestation to Stages 1,2 or 3 in 2017. Everyone needs to attest to Stage 3 in 2018.
Simplified Objectives and Measures – 8 objectives, all tied to HHS Delivery System Reform Goals
“Decoupled” from the Certification Rule
The Importance of Mobile in Healthcare
New payment models are creating different incentives - continuous wellness rather than episodic sickness
New devices are providing middleware solutions
Provenance is important
FDA regulation must be risk based and protect patients while fostering innovation
Mobile and social are two sides of the same coin
Accelerating Security Incidents
Anthem, Home Depot, Target, JP Morgan, Sony, Community Health Systems
Who and Why?
Spearfishing
Social engineering
What do we do?
Argonauts Project
What is Fast Health Interoperability Resources (FHIR)?
How can we accelerate it?
The two profiles we need
Securing the transactions
What it means for innovation
The Grand ChallengesOur imagination and innovation can be crushed by over regulation
Perfection is the enemy of the good enough
The status quo is hard to change and digitizing paper is not the right answer
We need to take risks to capture the big rewards
A meritocracy wins the war - bring running code
