SMART on FHIR Apps for Health Josh Mandel (Boston Children’s Hospital) Ricky Bloomfield (Duke...
Transcript of SMART on FHIR Apps for Health Josh Mandel (Boston Children’s Hospital) Ricky Bloomfield (Duke...
SMART on FHIRApps for Health
Josh Mandel (Boston Children’s Hospital)
Ricky Bloomfield (Duke Medicine)
Kevin Shekleton (Cerner)
John Voith (athenahealth)
April 14, 2015
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
SMART on FHIR: Core API Goals
Health ITSystems
>1000 Certified(VDT, 4/2015)
{authorizationauthenticationclinical dataUX
focus onDemos
Duke MedicineSMART on FHIR Demo
Ricky Bloomfield, MD
Director, Mobile Technology Strategy
April 14, 2015
DISCLAIMER: The views and opinions expressed in this presentation are those of the author and do not necessarily represent official policy or position of HIMSS.
SMART on FHIR @ Duke Medicine
• Implementation:
– Built on latest Epic release
– MITREid Connect (OAuth 2.0 & OpenID) integrates with Duke’s standard credentials
– FHIR resources consumed:
• Patient
• Observation (vital signs)
• Medication + MedicationPrescription
• Apps integrated:
– Pediatric Growth Chart (open source HTML5 app)
– Pediatric Growth Charts by Boston Children’s Hospital (native iOS app)
– Duke Pillbox (HTML5 app)
EHR Demos
Apps
Scalable, Patient-Centered Coordination Across Care Settings
Crimson Care Management
Crimson Care Management App
Patient clinical information (including diagnoses, medications and allergies) automatically fed into EMR using FHIR
Risk score updated as diagnoses pulled in from the EMR using FHIR
Gaps in care presented to caregiver to view, act on, and update on completion
Under Development: Care notes captured during care management encounter sent back to EMR via FHIR
Crimson Care Management
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A New Infrastructure for Value-Based, Population-Oriented Health Care
Leveraging the Power of Interoperability
©2015 The Advisory Board Company • advisory.com
FHIR-Based Data Queries
Crimson Care Manager
Integrating Data
Creating a comprehensive view of
patients and populations
Risk-Stratifying Patients
Prioritizing intensive interventions based on
risk factors
Automating Care Planning
Automatically customizing care to
patient need
StructuringWorkflow
Automated task creation, assignment,
and tracking
Reporting on Performance
Flexible ad hoc reporting for identifying
variance, supporting billing
Argonaut Project
athenahealth Cerner Epic SMART Advisory Board
Plugging in to a Larger Effort
Partial list of participating
organizations
Meducation® Addresses Health LiteracyMore Effective Communication
Universal Medication Schedule−Intuitive representations of times of day and
amount of medicine to be taken
Pictograms
−Reduce dosing errors
Instructions in Plain Speak
−1 line per instruction
−5th to 8th grade reading level
−Visual spacing to reduce cognitive overload
−5 font choices, up to 18 point font
−Select from more than 20 languages
Meducation® Improves Medication Adherence
Multilingual Regimen Summaries
Patient content
access via QR code
Non-adherence indicators
TimeView™ Adherence Report
Adherence Intelligence for Clinicians
TimeView™ Adherence Report
Adherence Intelligence for Clinicians
Other Prescribers
Proportion of days covered, per PQA metric for Star Ratings
Actual patient medication adherence based upon PBM, SureScripts and/or other data
Tackling Non-Adherence at the Point of Care
EHRNew functionality
integrated into existing workflows
Surescripts’ Solution Combats Non-Adherence
PBMDeep analytics,
improved adherence, and gaps in
care programs
EHRNew functionality
integrated into existing workflows
PhysicianSimple, targeted insightsprovide time efficiency
and improved patient care
PatientMore informed careand better outcomes
Reduced time-to-ValueSMART offers a reduced design complexity, helping Surescripts reach a wider audience without the cost
of significant, one-off development efforts
Improved InteroperabilitySMART provides a standardized, secure way to
integrate local data and network data, helping connect users to the power of the Surescripts
network.
Greater innovation through collaborationThe SMART specification extensions built in collaboration
with Surescripts empower our apps to provide both information-rich and visually consistent experiences for users.
Medication Adherence
on the SMART platform
Tackling Non-Adherence at the Point of Care
Our Apps Will Change Care Delivery
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Data extracted, re-organized and presented in a user-friendly way
Workflow facilitated via clinical logic; results of analyses integrated into workflow
Decision support based on analysis of data outside and inside the EHR
Fueled by Geisinger
R+Dinvestment over
18+ yearsAdaptable
to any EHR
Highly valued by clinicians
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