collaborative opportunities open health tools & clinical groupware collaborative september 2011...
TRANSCRIPT
Collaborative OpportunitiesOpen Health Tools & Clinical Groupware Collaborative
September 2011Presented by Vince Kuraitis, Better Health Technologies, LLCDr. Adrian Gropper, HealthURL
A Decade of Opening Up Platforms to 3rd Party App Developers
Agenda
CGC Background
CGC Initiatives
OHT/CGC Collaboration
Specific Collaboration Opportunity – P4 (Dr. Adrian Gropper)
Market Openness Model (MOM) for Collaborative CareCGC Goal: Enable Market Competition Between Walled Garden and Open Platforms
1Closed
1Closed
2Walled Garden
2Walled Garden
3Open
Platform & Apps
3Open
Platform & Apps
Technology Architecture
Collaborative Healthcare Business
Ecosystem(Value Network)
Closed Open
Co
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Members/Board of Directors
Members• Alere• Amedisys• American Medical Association• Christus Health• Coto Partners• Covington Associates• Covisint• Epocrates• Intel• McKesson• Medseek• Microlife Corporation• NaviNet• PointClear Solutions• Resilient Networks• VisionTree• + individual members
Board• Steve Adams, SVP, Alere• Mark Blatt MD, MBA, Intel• Hank Fanberg, Christus Health• Michael Fleming, MD, CMO, Amedisys• Vince Kuraitis JD, Better Health Technologies• Tom Morrison JD, SVP & Co-founder, Navinet• Martin Pellinat, CEO, VisionTree
Advisory Board Chair – David Kibbe MD, MBA, American Academy of Family Physicians
Simple
Open
Trusted
Modular
Innovative
Disruptive
Platforms/apps
Internet/web
Affordable
User-centric
“Platform” has many connotations.
Platforms for Collaborative Care
Unified definition of platform elements
Core components
Complementary components
Interface
Unified domain focus
Technological architecture
Business ecosystem
Clinical accountable care
“Platform” used by vendors to describe current offerings
For details see: http://bit.ly/pggz98
Alere Eccentex Medseek SurescriptsAllscripts EMC2 Microsoft TriZettoAMA/Dell Epocrates Navinet Unival-MedAmerican Medical Assoc GE OptumHealth VerizonAT&T Healthcare Health Access Solutions Oracle VitalHealthAxSysExcelicare Intel-GE Ozmosis WellcommBCBS Alabama/ZeOmega Kony Practice Fusion WiproCerner McKesson/Portico Quest DiagnosticsCovisint MEDecision RelayHealthDOD/VA Medicity/Aetna SAP
Long standing debate
Standards are created (cats)1. Create (complex) technical standards
2. Market adopts (hopefully)
Standards are adopted (dogs)1. Market adopts (simple) standards
2. Technical standards evolve
Synthesis
Planning for creation and adoption of standards should occur simultaneously, not sequentially
Significant implications, e.g.,• “Come to the table planning to implement and/or
contribute code• Rethink nature of process
• Technical• AND• Business ecosystem development
• Need for product launch planning• Role for CGC
Health IT Vendors that Want to Bring Disruptive Innovations to the Health IT Market• Technology Infrastructure Vendors• Application developers• EHR vendor community
Healthcare Stakeholders that Want to Enable Health IT Disruptive Innovation• Patients • Payers
• Health plans• Employers• Government
• Population Health• Consumer Health Industry• Financial Industry• Providers• Others
CGC As A Big Tent
CGC Initiatives
CGC “Initiatives”
Advocacy
Direct Project support
Friday Pilots/Collaboration Workgroup webinars. Sign up at http://www.clinicalgroupwarecollaborative.org/events.aspx
HIMSS/CGC conference -- February 23, 2012
P4 (Participatory Patient-Provider Portal)
OHT CGC
OpenSourceSoftware
Modular Software
Privacy
Security System integrity
Functional completeness
Composite licensing
Versioning Code repositories
Support
Integration with NwHIN
Internationalization
P4 -- A Project for Persistent Connectivity Between Systems
Problem and OpportunityHow do software vendors work together toward the “Triple Aim” of better health, better care, and lower costs for the overall population?
Persistent Connectivity Clinical adoption
• Within an institution• Across institutions
Technical adoption• Software Developers• Clinician Innovators
Wanted
Adoption of connectible systems• Lower developer costs• Practical adoption model• Keep it Simple
Rapid impact• Stick to existing standards and accepted policies• Don’t wait for or presume HIE adoption
P4 Project Scope Capture connection authorization by individual users (doctors,
patients, staff) Benefits from Single Sign-On (but SSO itself is out of scope) Agnostic to API and to document formats Useful to both payer and provider institutions Accessible to patients and professionals Open Source Reference Implementation Support for Stage 2 Meaningful Use
Next Steps Identify sponsors of P4 Software vendors Provider Institutions Payers Formalize Governance
Website: www.clinicalgroupwarecollaborative.org
Contact Info:
Vince Kuraitis
208-395-1197
Adrian Gropper
617-571-3857
BACKUP SLIDES
Market Openness Model (MOM) for Collaborative Care
1Closed
1Closed
2Walled Garden
2Walled Garden
3Open
Platform & Apps
3Open
Platform & Apps
Technology Architecture
New Business Ecosystem
(Value Network)
Closed Open
Co
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sive / C
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Illustrative CGC Principles Mapped to Evolution of HIT
• Data portability• Minimize switching costs• Avoid lock-in based on proprietary, non-interoperable technology• Importance of app developers
• Opening API necessary but not sufficient
• Low barriers to entry• Indirect network effects
• Affordable• Value to patients and payers• Collaborative business model• etc.
• Use of Internet and web technologies• Modular/component architecture: platforms + apps• Open standards• Data portability• Open source• Application portability• Private and secure• etc.
Technology Architecture
Closed Open
New Business
Ecosystem(Value Network)
Co
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Fra
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Defining Moments in Platform Evolution
Technology Architecture
New Business Ecosystem
(Value Network)
Closed Open
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Opened API &
Shared Data
Shared
Workflow
Health IT Examples
Technology Architecture
New Business Ecosystem
(Value Network)
Closed Open
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Epic
Cerner
Allscripts Helios
Medicity
Covisint
Alere
Many EMRs
others
Practice Fusion
Kaiser
Value Creation vs. Value Capture
Technology Architecture
New Business Ecosystem
(Value Network)
Closed Open
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Maximum
Value
Creation
Maximum
Value
Capture
CGC Industry Shaping Vision
• Break vicious cycle of “closed/monolithic” HIT• Providers haven’t demanded open, standardized, interoperable EHRs• Vendors build proprietary, non-standardized, non-interoperable EMRs
• Enable sharing of • Health records across providers and with patients• Workflow across care providers and with patients• Accountability for improved patient outcomes, lower costs, improved
quality
• Identify and/or enable high value use cases for health information exchange and clinical workflow enhancement
• Enable competition between walled garden and open HIT platforms• CGC is a catalyst in shaping the technical and business environment• Identify and promote implementation of high value initiatives
Conference Theme Options
1) Technology and Business Ecosystems for Collaborative Care
2) Unified Platforms for Collaborative Care, Technology, and Business Ecosystems
(not yet to the point of suggesting a specific title; needs wordsmithing):