Consumer Health IT Summit (09/12/2011)

>> GOOD AFTERNOON.
FOR THOSE OF YOU WHO ARE HERE IN
THE GREAT HALL AT HEALTH AND
HUMAN SERVICES, AND GOOD MORNING
TO THOSE OF YOU WHO ARE WATCHING
ON THE WEST COAST ON OUR LIVE
WEBCAST OUT THERE.
I ALSO WANT TO TAKE CARE OF A
BIT OF HOUSEKEEPING BEFORE WE
GET INTO THE PROGRAM.
WHICH IS IF YOU ARE SO INCLINED
TO TWEET, THE TWITTER HASH TAG
IS POUND ONC FOR THIS EVENT.
I THINK AS MY INTRODUCTORY
COMMENTS SIGNAL, WE ARE LIVING
IN AN UNPRECEDENTED MOMENT IN
TIME.
AND JUST IN THE PAST COUPLE OF
DECADES, THE WAY WE COMMUNICATE
AND SHARE INFORMATION HAS
CHANGED RADICALLY.
SWITCHING FROM PAPER-BASED
METHODS TO ELECTRONIC, FROM
BROADCASTING BY EXPERTS TO
INTERACTIVE KNOWLEDGE CREATION
BY ANYONE.
AND IT NOW COSTS NEARLY NOTHING
TO SHARE IDEAS INSTANTANEOUSLY
WITH ANYONE, ANYWHERE.
THESE CHANGES ARE TRANSFORMING
EVERY ASPECT OF OUR WORLD AND
HEALTHCARE.
ALREADY 80% OF INTERNET USERS
SEEK HEALTH INFORMATION ONLINE,
THOUSANDS OF ONLINE COMMUNITIES
OF PATIENTS HAVE FORMED.
PEOPLE USE MART PHONES AND APPS
AND TEXT MESSAGES TO RECORD,
ANALYZE, MANAGE THEIR HEALTH
BEHAVIORS AND THEIR HEALTH.
IT'S JUST THE BEGINNING OF
WHAT'S POSSIBLE.
FOR ENGAGING CONSUMERS AND THEIR
HEALTHCARE, USING HEALTH IT.
SO WE'RE HERE TODAY FOR TWO
REASONS.
FIRST BECAUSE WE RECOGNIZE THAT
THE PATIENT MUST BE AT THE
CENTER OF EVERYTHING WE DO.
SECOND BECAUSE WE BELIEVE, ALL
OF US, THAT INFORMATION IS
POWER.
PATIENTS HAVE A RIGHT TO ACCESS
AND USE THEIR HEALTH
INFORMATION.
THEY HAVE THAT RIGHT.
AND WE ARE HERE TODAY MAKE IT
EASY FOR THEM TO EXERCISE THAT
RIGHT.
TO HELP THEM IMPROVE THEIR
HEALTH AND HEALTHCARE.
EVERYTHING YOU HEAR TODAY AND
THE MONTHS FOLLOWING TODAY'S
LAUNCH OF OUR CONSUMER eHEALTH
PROGRAM WILL ECHO THESE THEMES.
DURING TODAY'S PROGRAM YOU'LL
HEAR FROM LEADERS FROM BOTH THE
PRIVATE SECTOR AND THE
GOVERNMENT.
THESE LEADERS INCLUDING PATIENT
LEADERS, ARE UNITED IN THEIR
DEDICATION TO EMPOWER CONSUMERS
TO ACCESS AND USE THEIR PERSONAL
HEALTH DATA TO IMPROVE THEIR
HEALTHCARE.
PEOPLE IN THIS ROOM AND MANY OF
YOU WATCHING OVER THE WEBCAST
HAVE TAUGHT US, HAVE SHOWED US
WHAT'S POSSIBLE WHEN CONSUMERS
HAVE THE TOOLS TO BECOME ACTIVE
PARTICIPANTS IN THEIR
HEALTHCARE.
WE'RE ALSO GOING TO HEAR ABOUT
SOME TOOLS THAT ARE MAKING IT
EASIER FOR THE MARKET FOR THE
PRIVATE SECTOR, INNOVATORS TO
GIVE CONSUMERS NOT JUST ACCESS
TO DATA BUT CREATE APPS AND
SERVICES AND OTHER INNOVATIONS
THAT MAKE IT EASIER FOR THEM TO
UNDERSTAND THEIR HEALTHCARE DATA
AND TO USE IT FOR HEALTHCARE
DECISION-MAKING.
THAT'S WHAT THIS IS ALL ABOUT.
CREATING A NEW ENVIRONMENT.
A NEW ECOSYSTEM.
AND PROVIDING THE TOOLS TO MAKE
IT EASIER AND MORE REWARDING FOR
PATIENTS WHO WANT TO LEARN ABOUT
THEIR HEALTH, WHO WANT TO KNOW
WHAT'S HAPPENING WITH THEIR
MEDICAL CARE, WHO WANT TO BE
PATIENTS AND SHARE DECISION
MAKING AS PART OF THEIR
HEALTHCARE.
SO WITH THAT, LET ME INTRODUCE
NIKOLAI.
KOLYA NOT ONLY USES TECHNOLOGY
HIMSELF, HE'S ALSO ACCOMPLISHED
AS AN INNOVATOR AND A DESIGNER
ON HEALTH IT TOOLS FOR OTHER
PATIENTS.
AS WE EMBARK ON TODAY'S MEETING
HIS STORY REMINDS US OF WHY
WE'RE HERE.
KOLYA.
[APPLAUSE]
THANK YOU DR. MOSTASHARI.
MY NAME IS NIKOLAI KIRIENKO.
AND AS A PATIENT PASSIONATE
ABOUT HEALTHCARE INFORMATION
TECHNOLOGY IT'S A PRIVILEGE TO
BE HERE TODAY TO SHARE MY STORY
WITH YOU.
WITHOUT FURTHER DELAY BEFOREHAND
IT'S MY DISTINCT HONOR TO
INTRODUCE SECRETARY U.S.
DEPARTMENT OF HEALTH AND HUMAN
SERVICES KATHLEEN SEBELIUS.
[APPLAUSE]
>> GOOD AFTERNOON, EVERYBODY.
THANK YOU, KOLYA, FOR BEING HERE
AND YOUR WILLINGNESS TO NOT ONLY
SHARE YOUR EXPERIENCE WHICH
YOU'LL HEAR ABOUT AFTER A BIT
BUT ALSO TO BE ONE OF THE
INNOVATORS WHO IS HELPING FIGURE
OUT HOW TO EMPOWER PATIENTS WITH
THE NEW TECHNOLOGY.
I'M REALLY PLEASED TO JOIN
FARZAD AT THIS REALLY IMPORTANT
MEETING.
WE HAVE BEEN REALLY FORTUNATE IN
THIS OFFICE OF NATIONAL
TECHNOLOGY TO HAVE GREAT
LEADERSHIP.
WE STARTED WITH DR. DAVID
BLUMENTHAL WHO HELPED TO CREATE
A -- AN INITIATIVE, REALLY FROM
SCRATCH TO LOOK AT TAKING AN
ENTIRE COUNTRY TO USING HEALTH
INFORMATION TECHNOLOGY
SIMULTANEOUSLY.
I DIDN'T REALIZE QUITE HOW
DAUNTING IT WAS UNTIL I BEGAN TO
TALK WITH OUR COLLEAGUES IN
OTHER PARTS OF THE WORLD WHO --
SOME OF WHOM ARE WELL AHEAD OF
US IN TERMS OF THE USE OF
TECHNOLOGY BUT NOBODY EVER TRIED
TO DO IT AT THIS SCALE.
THE MORE THEY TALKED ABOUT BEING
INTERESTED IN BEING EXCITED
ABOUT WHAT'S GOING ON IN THE
UNITED STATES GAVE ME A NEW
PERSPECTIVE ON JUST HOW
REMARKABLE THIS EFFORT IS.
I'M SO PLEASED THAT FARZAD WHO
WAS NOT ONLY AN ABLE PARTNER
WITH DAVID BLUMENTH HARKSAL
ALONG THE WAY BUT A GREAT LEADER
IN HIS OWN RIGHT HERE LEADING
THIS EFFORT.
BOTH DAVID AND FARZAD BROUGHT A
UNIQUE CAPABILITY TO THEIR
LEADERSHIP ROLE.
IT WASN'T JUST UNDERSTANDING THE
TECHNOLOGY AS POLICY MAKERS OR
AS SOME KIND OF ELECTRONIC
RECORD COMPUTER GEEKS, WHAT THEY
DID IS COME TO THIS ROLE AS
LEADERS, AS DOCTORS.
AND STARTED WITH THE NOTION THAT
THIS IS HOW AN ELECTRONIC RECORD
CAN HELP A PROVIDER PRACTICE
BETTER MEDICINE.
THIS IS HOW AN ELECTRONIC RECORD
CAN EMPOWER PATIENTS IN A
MEDICAL SETTING.
I THINK THAT HAS BEEN A VERY
IMPORTANT UNIQUE CHARACTERISTIC.
I WANT TO WELCOME YOU TO THIS
CONVERSATION HOW AMERICANS HAVE
BETTER ACCESS TO THEIR OWN
HEALTH INFORMATION USING
ELECTRONIC HEALTH RECORDS.
OVER THE COURSE OF THIS
AFTERNOON YOU'LL HEAR EXCITING
ANNOUNCEMENTS FROM LEADERS IN
THE FIELD HOW THEY'RE REACHING
OUT TO CONSUMERS AND SOME OF THE
BEST PRACTICES THAT ARE
UNDERWAY.
BUT I THOUGHT I WOULD LAY A
LITTLE FRAMEWORK, PROVIDING A
BROADER OVERVIEW OF THE
INCREDIBLE MOMENTUM BEHIND
HEALTH INFORMATION TECHNOLOGY
RIGHT NOW.
AND WHAT IT HAS THE POTENTIAL TO
MEAN FOR DOCTORS, PATIENTS AN
OVERALL ECONOMY.
THE IDEA OF USING ELECTRONIC
MEDICAL RECORDS ISN'T NEW.
THE FIRST MODELS DATE BACK TO
THE 1960s.
BUT AS TIME WENT ON AND INDUSTRY
AFTER INDUSTRY THROUGH AWAY
THEIR PAPER FILES AND STORAGE
CABINETS, HEALTHCARE CONTINUED
TO LAG BEHINDCH EVEN AFTER
INNOVATIVE HOSPITALS AROUND THE
COUNTRY SHOWED THAT USING
ELECTRONIC RECORDS COULD REDUCE
ERRORS AN IMPROVE COMMUNICATION
BETWEEN DOCTORS RESULTING IN
BETTER PATIENT CARE, PAPER
RECORDS STUCK AROUND.
WHEN PRESIDENT OBAMA CAME INTO
OFFICE TWO AND A HALF YEARS AGO
THE ?AP SHOT LOOKS LIKE THIS.
2 IN 10 DOCTORS AND ONE IN 10
HOSPITALS.
SO 20% OF DOCTOR, 10% OF
HOSPITALS EVEN HAD SOME KIND OF
BASIC ELECTRONIC HEALTH SYSTEM.
THINK OF ANY OTHER INDUSTRY IN
THIS COUNTRY OR AROUND THE WORLD
THAT COULD BE SAID ABOUT IN
2008.
THAT'S TOUGH TO COME UP WITH A
COMPARISON.
SO ONE OF THE FIRST QUESTIONS
THE PRESIDENT ASKED IS WHAT CAN
WE DO TO HELP MORE PATIENTS AND
DOCTORS GET THE BENEFIT OF NEW
TECHNOLOGY?
WHAT WE HEARD WAS THAT PROVIDERS
WANTED TO UPGRADE TO ELECTRONIC
RECORDS BUT THEY OFTEN FACED
DIFFICULT OBSTACLES.
UP FRONT EXPENSES THAT WERE
SOMETIMES TOUGH TO PUT FORWARD,
HARD TO LEARN HOW THE USE A NEW
TECHNOLOGY, ESPECIALLY FOR A
SMALL PRACTICE THAT DIDN'T HAVE
A BIG IT STAFF.
WITHOUT COMMON STANDARDS,
PROVIDERS WERE AFRAID THEY WOULD
INVEST IN ELECTRONIC HEALTH
RECORD ONLY TO SEE IT BECOME
OBSOLETE OR BECOME IMPOSSIBLE TO
TALK FROM ONE SYSTEM TO ANOTHER.
SO OVER THE PAST TWO YEARS WE
HAVE WORKED HARD TO ELIMINATE
THOSE OBSTACLES.
FIRST THERE WERE INVESTMENTS IN
THE RECOVERY ACT.
AND WE CREATED 62 HEALTH IT
REGIONAL EXTENSION CENTERS
AROUND THE COUNTRY MODELED AFTER
THE OLD AGRICULTURE EXTENSION
CENTERS, COMING OUT OF A
GOVERNOR'S OFFICE IN A RURAL
STATE I KNOW HOW VALUABLE THOSE
BOOTS ON THE GROUND ARE TO
FARMERS WHO CAN EXTENSION AGENTS
COME OUT AND LOOK AT YOUR SEAT
CROP AND KICK AROUND THE DIRT
AND LOOK AT WHAT'S GROWING AND
TRY TO FIGURE OUT WHY INDEED
YOUR WEEK DOESN'T LOOK AS GOOD
AS THE FARMER DOWN THE ROAD AND
GUF YOU VERY SPECIFIC ADVICE AND
VERY SPECIFIC STRATEGIES.
SO WE NOW HAVE THAT
AVAILABILITY, PARTICULARLY
TARGETED TO SMALL PRACTICES IN
PLACE AROUND THE COUNTRY.
WE HAVE INVESTED IN STANDARDS
AND FRAMEWORKS THAT ALLOW
INFORMATION TO BE SHARED
SECURELY BETWEEN PROVIDERS.
AND TO HELP OFFSET UP-FRONT
COSTS PROVIDING INCENTIVE
PAYMENTS TO HOSPITALS AND
ELIGIBLE PROVIDERS THAT ADOPT
ELECTRONIC RECORDS AND USE THEM
TO IMPROVE PATIENT CARE.
SO THESE CHANGES JUST IN THE
LAST TWO AND A HALF YEARS ARE
ALREADY SHIFTING THE HEALTHCARE
LANDSCAPE.
IN A MATTER OF MONTHS MORE THAN
80,000 DOCTORS HAVE SIGNED UP TO
TAKE ADVANTAGE OF THE INCENTIVE
PAYMENTS.
AROUND THE COUNTRY, 70%, 7 OUT
OF 10 AND PRIMARY CARE PROVIDERS
IN SMALL RURAL COMMUNITIES HAVE
ALREADY SIGNED AGREEMENTS WITH
THE REGIONAL EXTENSION CENTERS,
AN INDICATION THEY ARE EAGER TO
GET THAT HELP ON THE GROUND.
IN SOME STATES LIKE NEBRASKA
ALMOST EVERY RURAL PROVIDER HAS
SIGNED ON.
THAT'S INCREDIBLE PROGRESS IN A
VERY SHORT PERIOD OF TIME.
THE POTENTIAL BENEFIT FOR
PATIENTS IN THIS CHANGE ARE
ENORMOUS.
I KNOW YOU HAVE ALL EXPERIENCED
THE SAME FRUSTRATIONS THAT I
SESH CERTAINLY EXPERIENCE GOING
TO A DOCTOR'S OFFICE BEING
PRESENTED WITH THE BLANK CLIP
BOARD AS IF YOU ARRIVE FROM MARS
ONCE AGAIN AND HAD TO START ALL
OVER AGAIN INTRODUCING YOURSELF.
MOST OF US KNOW WHAT IT'S LIKE
TO HAVE A TEST TAKEN TWICE OR TO
LEARN THERE'S A CONFLICT BETWEEN
MEDICATION WHETHER OURSELVES OR
A FAMILY MEMBER.
AT BEST IT'S A WASTE OF TIME AND
CERTAINLY A WASTE OF MONEY.
AT WORST IT THREATENS PEOPLE'S
HEALTH AND PEOPLE'S LIVES, IT'S
PARTICULARLY TRUE FOR OLDER
AMERICANS.
THE AVERAGE SENIOR WITH A
HANDFUL OF CHRONIC CONDITIONS
SEES 14 DIFFERENT DOCTOR AS
YEAR.
14.
THEIR HEALTH DEPENDS WHETHER
THOSE DOCTORS COMMUNICATE WITH
ONE ANOTHER.
HEALTH IT CAN HELP SOLVE THOSE
PROBLEMS.
A RECENT STUDY TOOK A SNAP SHOT
OF 27,000 ADULTS WITH DIABETES.
THE PATIENTS WITH PAPER HEALTH
RECORDS GOT THE BEST STANDARD OF
CARE 7% OF THE TIME.
PAPER RECORDS, 7% OF THE TIME.
THE PATIENTS WITH ELECTRONIC
HEALTH RECORDS GOT THE BEST
STANDARD OF CARE, 51% OF THE
TIME.
THAT'S A 600% IMPROVEMENT.
STILL NOT GOOD ENOUGH BUT IT IS
A HUGE IMPROVEMENT OVER THOSE
USING INFORMATION EXCHANGES ON
PAPER.
MOST OF THE COUNTRY'S TOP HEALTH
SYSTEMS ARE ALREADY USING
ELECTRONIC HEALTH RECORDS.
AND THE GROWING MOMENTUM BEHIND
HEALTH IT MEANS EVEN MORE
AMERICANS WILL BE ABLE TO
BENEFIT FROM THE BEST QUALITY OF
CARE.
THIS ISN'T JUST ABOUT BETTER
HEALTH.
IT'S ALSO ABOUT JOBS FOR THE
FUTURE.
LAST WEEK, PRESIDENT OBAMA
UNVEILED THE AMERICAN JOBS ACT.
A PLAN TO JUMP-START THE ECONOMY
IN THIS COUNTRY STARTING RIGHT
AWAY.
ULTIMATELY AMERICAS WORKERS AND
BUSINESSES WILL DRIVE THE
RECOVERY, BUT GOVERNMENT CAN
HELP.
GOVERNMENT NEEDS TO HELP.
THE PRESIDENT'S PLAN CONTAINS
PLANS FOR PARTISAN IDEAS FOR
CONGRESS RIGHT AWAY TO PUT
AMERICANS BACK TO WORK.
OUR INVESTMENT IN HEALTH IT IS A
PERFECT EXAMPLE HOW GOVERNMENT
CAN UNLEASH ENTREPRENEURSHIP AND
INNOVATIONCH ONE OF THE MOST
EXCITING PARTS OF THE HEALTH IT
IS OVER 60% OF THE VENDOR WHOSE
HAVE A HEALTH IT PRODUCT
CURRENTLY HAVE FEWER THAN 50
EMPLOYEES.
NOW, ANY ONE OF THEM COULD BE
THE NEXT GOOGLE OR MICROSOFT.
GIVEN THE FACT THAT HEALTHCARE
IS ONE OF THE FASTEST GROWING
FIELDS IN THE UNITED STATES AND
AROUND THE WORLD, WE BELIEVE
HEALTH IT COULD BE A MAJOR JOB
CREATOR FOR YEARS TO COME AND A
MAJOR EXPORT TO OTHER COUNTRIES.
SO TODAY YOU'RE GOING GET A
CHANCE TO HEAR FIRSTHAND ABOUT
EXCITING NEW DEVELOPMENTS IN
HEALTH IT FROM COMPANIES BIG AND
SMALL.
AND I WANT TO THANK ALL OF THE
PARTICIPANTS AND STAKEHOLDERS
AND PATIENTS FOR BEING HERE
TODAY.
THERE'S BEEN A LOT OF DISCUSSION
OVER THE PAST TWO YEARS ABOUT
HOW WE CAN MAKE ELECTRONIC
HEALTH RECORDS WORK BETTER FOR
DOCTORS AND NURSES.
BUT TODAY WE'RE GOING TO HEAR
SOME OF THE BEST IDEAS FOR HOW
TO MAKE THEM WORK FOR PATIENTS.
THAT'S CRITICALLY IMPORTANT.
PATIENTS WANT TO BE INVOLVED IN
THEIR OWN CARE.
THEY WANT TO UNDERSTAND WHAT'S
HAPPENING, THEY WANT TO KNOW
WHAT STEPS THEY CAN TAKE TO GET
HEALTHY AND STAY HEALTHY.
ELECTRONIC RECORDS HAVE THE
POTENTIAL TO HELP THEM DO JUST
THAT.
BEFORE I GO I WANT TO KICK THE
CONVERSATION OFF BY ONE
IMPORTANT STEP WE'RE AT HHS
TAKING TO GIVE CONSUMERS MORE
CONTROL OVER THEIR OWN HEALTH.
TODAY WE'RE RELEASING A PROPOSED
RULE THAT GIVES EVERY AMERICAN
THE RIGHT TO GET THEIR OWN
LABORATORY TEST RESULTS DIRECTLY
FROM THE LAB.
THAT IS A BIG DEAL.
PLAWS
>> IN THE PAST YOU OFTEN HAD TO
WAIT DAYS OR WEEKS TO GET THE
RESULTS FROM YOUR DOCTOR.
AS MANY AS 20% OF THE LAB
RESULTS NEVER MADE IT OUT OF THE
LAB.
UNDER THIS RULE YOU'LL BE ABLE
TO GET YOUR RESULTS DIRECTLY AN
ACT QUICKLY IF THERE'S CAUSE FOR
CONCERN.
OF COURSE AS WE EXPAND ACCESS TO
HEALTH INFORMATION IT'S CRITICAL
TO ENSURE THAT THAT INFORMATION
IS FULLY SECURE.
AND THAT'S WHY PROTECTING
PATIENT PRIVACY CONTINUES TO BE
OUR FIRST AND FOREMOST PRIORITY
IN OUR HEALTH IT INITIATIVE.
YOU WILL HEAR MORE LATER TODAY
FROM OUR TERRIFIC NEW DIRECTOR
AT THE OFFICE OF CIVIL RIGHTS
LEE ANN RODRIGUEZ.
THIS IS TRULY A REMARKABLE
MOMENT FOR HEALTH INFORMATION
TECHNOLOGY.
WE'RE SEEING OUR HEALTHCARE
SYSTEM IMPROVE BEFORE OUR EYES.
GOVERNMENT HAS PROVIDED THE
SPARK BUT THE FUEL FOR THE FIRE
HAS BEEN THE CREATIVITY AND
COMMITMENT OF THE PRIVATE
SECTOR.
WHICH IS FULLY ON DISPLAY TODAY.
IF WE CAN BUILD ON THIS MOMENTUM
THROUGH CONVERSATIONS LIKE THE
ONE WE'RE HAVING TODAY, I
BELIEVE HEALTH IT WILL MAKE EVEN
MORE PROGRESS IN THE NEXT FIVE
YEARS THAN IT HASN'T LAST 50.
THAT'S GOOD NEWS FOR DOCTORS,
IT'S GOOD NEWS FOR PATIENTS, AND
VERY GOOD NEWS FOR OUR ECONOMY.
I WANT TO TELL YOU, YOU NEED TO
MARK THIS DATE ON YOUR CALENDAR,
BECAUSE RECENTLY AS A KICK OFF
TO THIS MEETING, PRESIDENT
BARACK OBAMA DECLARED
SEPTEMBER 11th TO
SEPTEMBER 16th NATIONAL
HEALTH INFORMATION TECHNOLOGY
WEEK BY THE PROCLAMATION HE JUST
SIGNED.
SO HE IS JOINING OUR EFFORTS TO
PROMOTE THIS INITIATIVE.
[APPLAUSE]
>> SO AGAIN, THANK YOU SO MUCH
FOR BEING HERE TODAY.
THANK YOU FOR THE DISCUSSIONS,
WE LOOK FORWARD TO BEING
INFORMED BY YOUR IDEAS, BY YOUR
STRATEGIES AND MAKING SURE THAT
WE'RE DOING THE MOST WITH THE
PLATFORM WE HAVE.
THANK YOU VERY MUCH.
[APPLAUSE]
THANK YOU MADAM SECRETARY.
YOUR FOCUS ON PATIENTS HAS BEEN
A CORNERSTONE OF ALL OF OUR
ACTIVITIES HERE AT HEALTH AND
HUMAN SERVICES.
AS YOU'VE JUST HEARD FROM THE
SECRETARY, THAT'S AMAZING
MOMENTUM, THERE IS AMAZING TIME
TO BE A HEALTHCARE PROVIDER, TO
BE AN INNOVATOR.
AND WE THINK TO BE A PATIENT.
IN TODAY'S SYSTEM TO COME
TOGETHER AS GROUP AND TO MAKE
SURE THE SPARK IS LIT AND THAT
THE FUEL CATCHES.
AND IN DOING SO WE HAVE ALWAYS
SAID WE NEED TO RECOGNIZE THAT
THE PATIENT IS AT THE CENTER OF
EVERYTHING WE DO.
SO WITHOUT FURTHER ADIEU, I
WOULD LIKE TO INVITE YOU TO HEAR
FROM THREE PATIENTS.
PATIENTS WHOSE LIVES HAVE BEEN
TOUCHED BY HEALTH IT AND
MODERATED BY AMERICA'S DOCTOR,
SURGEON GENERAL REGINA BENJAMIN.
[APPLAUSE]
>> GOOD AFTERNOON.
I'M REALLY PLEASED TO JOIN
SECRETARY SEBELIUS AND
DR. MOSTASHARI AND THE SPECIAL
GUESTS WE HAVE TO LAUNCH THIS
HIT CONSUMER PROGRAM.
AS SURGEON GENERAL I HAD THE
OPPORTUNITY TO LAUNCH THE
NATIONAL PATIENT -- NATIONAL
PREVENTION STRATEGY A FEW MONTHS
AGO.
AS YOU KNOW THE NATIONAL
PREVENTION STRATEGIES TRIED TO
MAKE US BECOME A MORE HEALTHY
AND FIT NATION.
AND THIS PARTICULAR PROGRAM IS
ONE OF THE WAYS THE MAKE THAT
NATIONAL PREVENTION STRATEGY
COME TO LIFE.
WITH BETTER COORDINATED CARE,
IMPROVED QUALITY AND DECREASED
ERRORS.
WE WANT TO KNOW -- WANT YOU TO
KNOW THAT EASY ACCESS TO YOUR
OWN HEALTH INFORMATION IS VERY
VALUABLE TO PATIENTS.
WE WANT PATIENTS TO FEEL
COMFORTABLE ASKING FOR THEIR OWN
HEALTH INFORMATION, IT'S YOUR
INFORMATION, YOUR RIGHT TO HAVE
IT, AND THE KNOWLEDGE IS POWER
WHEN IT COMES TO ENSURING YOUR
OWN HEALTH.
WE ALSO WANT YOU KNOW YOUR OWN
HEALTH INFORMATION EMPOWERS YOU
TO BE MORE ENGAGED IN YOUR
HEALTH AND YOUR HEALTHCARE.
AND THAT NO ONE SIZE FITS ALL
WHEN IT COMES TO IT.
DIFFERENT PEOPLE ARE ENGAGED IN
THEIR HEALTHCARE IN DIFFERENT
EXTENTS.
SOME PEOPLE USE DIFFERENT KINDS
OF TECHNOLOGIES, SOME USE MOBILE
PHONE, OTHERS USED PERSONAL
HEALTH RECORDS, SOME USE THE
PATIENT PORTALS TO THE
ELECTRONIC RECORDS.
AND SOME PEOPLE JUST SIMPLY
EMAIL THEIR DOCTORS.
WE WANT TO MAKE SURE THAT YOU
KNOW THAT YOU HAVE CONTROL OF
YOUR OWN HEALTH AND TAKE CONTROL
AND HAVE THAT INFORMATION
AVAILABLE TO YOU.
SO IT'S MY PLEASURE TO INTRODUCE
THESE THREE WONDERFUL INDIVIDUAL
WHOSE USE HEALTH IT TO MANAGE
THEIR AND IMPROVE THEIR HEALTH.
EACH ONE IS GOING TO SHARE WITH
US HOW HEALTH IT ALLOWED THEM
INVOLVEMENT IN THEIR TREATMENT
FROM THEIR DAY TO DAY MANAGEMENT
OF THEIR CARE.
SO FIRST I'LL INTRODUCE DR.
DR. DENIS STASULIS.
E HE WENT TO THE ER WITH A
KIDNEY STONE AND THE DOCTOR
PRESCRIBED A MEDICINE THAT WOULD
HAVE BEEN -- THE IT SYSTEM
ALERTED THE PHARMACIST AVERTING
A POTENTIAL LIFE-THREATENING
SITUATION.
MR. STASULIS.
>> THANK YOU VERY MUCH.
IT WAS INTERESTING BECAUSE MY
BACKGROUND IS NOT HEALTH AT ALL.
IT'S NOT HEALTH -- I'M AN IT
GUY.
AND THIS EXPERIENCE REALLY
BROUGHT TO BEAR THE IMPORTANCE
OF HAVING ACCESS AND HAVING
OTHER PEOPLE HAVE ACCESS TO YOUR
RECORDS.
AND IN THE EMERGENCY ROOM, I WAS
NOT CONSCIOUS ENOUGH TO GIVE
THEM ENOUGH INFORMATION TO TELL
THEM WHAT WAS WRONG WITH ME.
AND THE DOCTOR PRESCRIBED
SOMETHING THAT HAD SUPREMELY
NEGATIVE -- WOULD HAVE HAD A BAD
THING OCCUR TO ME.
SO LUCKILY THE PHARMACY WAS ABLE
TO TAKE A LOOK AT WHAT WAS
PRESCRIBED, MATCH WITH THE
ELECTRONIC HEALTH RECORDS WITH
MY OTHER PHARMACY AND THEY FOUND
OUT WHY I CAN'T DO THAT.
I CAN'T GIVE THIS GUY THIS DRUG,
IT WOULD REACT BADLY.
AND THEY CHANGED THE DRUG, LET
THE DOCTOR KNOW AND THE DOCTOR
CAME BACK AND TOLD ME, IT'S A
GOOD THING THIS OCCURRED BECAUSE
IT SAVED MY LIFE BASICALLY FOR
ALL INTENTS AND PURPOSES.
AND IN ADDITION TO THAT, I ALSO
WAS CALLED BY SOMEONE AT HHS
ABOUT THIS EVENT AND MY DOCTOR
JUST CALLED ME WITH ANOTHER DRUG
INTERACTION, SO I HAVE HAD TWICE
IN A YEAR'S PERIOD OF TIME WHERE
IT HELPED.
THANK YOU.
>> THANK YOU.
[APPLAUSE]
>> MS. DONNA CRIER LIVES IN D.C.
AND HAS HAD A LONG HISTORY OF
ILLNESSES AND HOSPITALIZATIONS
AN HAD A LIVER TRANSPLANT.
CAN YOU TELL US HOW HEALTH IT
HELPED YOU?
>> ABSOLUTELY.
THANK YOU FOR THE OPPORTUNITY.
IT'S BEEN 27 YEARS SINCE MY
FIRST DIAGNOSIS WITH A CHRONIC
DISEASE AND SEEMS LIGHT LIGHT
YEARS SINCE THE OLD FASHIONED
BULLETIN BOARDS AND LIST SERVES
I USE THE HEAR WHAT'S HAPPENING
WITH PATIENTS AT OTHER
TRANSPLANT CENTERS TO THE
SOPHISTICATED ONLINE COMMUNITIES
AN SOCIAL MEDIA THAT WE USE
TODAY OR EVEN THE MOBILE APP
THAT I USE ON MY iPHONE TO
TRACK MY SYMPTOMS EVERY DAY.
SO I HAVE BENEFITED FROM
INNOVATION IN SURGERY, IN
MEDICATION, AND NOW IN
INFORMATION THROUGHOUT MY
PATIENT JOURNEY.
>> THANK YOU.
[APPLAUSE]
MR. KIRIENKO, HE TRAVELED FROM
SAN FRANCISCO TO BE WITH US AND
HE SUFFERS FROM CROHN'S DISEASE.
HE'S ALSO A STUDENT AND I HAVE
BEEN TRYING TO CONVINCE HIM TO
GO INTO MEDICINE.
NIKOLAI, COULD YOU TELL US YOUR
STORY.
>> ABSOLUTELY.
AMAZING ENCOURAGEMENT COMING
FROM YOU, DR. BENJAMIN, THANK
YOU.
AS A PATIENT WITH CROHN'S
DISEASE HAVING SPENT OVER 10,000
HOURS IN THE HOSPITAL ONE OF THE
THINGS YOU LEARN IS THAT YOU
HAVE TO TELL YOUR STORY OVER AND
OVER AGAIN.
AND WHAT I WOULD LIKE TO TALK
ABOUT IS THE WAY THAT HEALTHCARE
IT CAN HELP PATIENTS IN THE
FUTURE TELL THAT STORY USING
DATA FROM THEIR DAILY LIVES.
THANKS THE A GRANT FROM THE
ROBERT WOOD JOHNSON FOUNDATION
WE'RE PILOTING A PERSONAL HEALTH
RECORD APP FOR KROHN'S DISEASE
ON THE iPAD THAT WE HOPE WILL
ALLOW PATIENTS TO COMMUNICATE
SYMPTOMS FROM THEIR DAILY LIFE
AT THE POINT OF CARE WITH THE
PROVIDER USING DATA TO TELL THAT
SAME STORY THAT PATIENTS HAVE TO
RECALL FROM AD HOC MEMORY.
AND SO I'M EXTREMELY EXCITED
ABOUT THE FUTURE OF ELECTRONIC
MEDICAL RECORDS AS THEY
INTEGRATE WITH TOOLS THAT
PATIENTS CAN USE TO OVERCOME THE
BARRIER TO CARE WHICH IS THE 15
MINUTE PATIENT NARRATIVE.
SO IT'S A PRIVILEGE TO BE HERE
AND TO REPRESENT INFLAMMATORY
BOWEL DISEASE, THANK YOU VERY
MUCH.
[APPLAUSE]
>> COULD YOU TELL US A LITTLE
BIT ABOUT YOUR SITUATION WHERE
YOU WERE GOING TO SURGERY?
>>
>> ABSOLUTELY.
I HAVE HAD SIX SURGERIES FOR
CROHN'S DISEASE.
IT'S AN AUTO IMMUNE DISORDER,
BEST DESCRIBED AS DISREGULATION
OF IMMUNE RESPONSE IN THE GUT.
OVER TIME THAT INFLAMMATION
LEADS TO SCAR TISSUE WHICH
INCLUDES THE FLOW OF FOOD
THROUGH THE DIGESTIVE SYSTEM.
AFTER A PERIOD OF TIME YOU CAN
NO LONGER EAT AND YOU REQUIRE IV
NUTRITION WHICH REQUIRES CENTRAL
ACCESS THROUGH A DEVICE CALLED
PICK LINE AND DURING MY FIRST
SIX MONTHS IN THE HOSPITAL I HAD
A PICK LINE AND IT ACTUALLY
CLOTTED.
DURING THE FIRST THREE MONTHS
THERE WAS A PATIENT BY THE NAME
OF ANASASIA SINCE MY SENIOR YEAR
HIGH SCHOOL.
SHE HAD A CLOT AS WELL BUT IT
WAS UNDIAGNOSED UNTIL SHE WENT
UNDER GENERAL ANESTHESIA AND
BROKE OFF AND BECAME A PULMONARY
EMBOLISM, TRAGICALLY SHE'S NO
LONGER WITH US.
BUT AS I CAPTURED THE STORY IN
MY JURY ROOM WHICH IS COPING
MECHANISM, IT STUCK WITH ME AS
YOU CAN IMAGINE.
FAST FORWARD THREE YEARS TO AN
EXPERIENCE ON AN OPERATING TABLE
AT MASSACHUSETTS GENERAL, I WAS
NOT READY TO HAVE ANYMY SECOND
SURGERY.
I NOTICED SWELLENING MY FINGER,
VERY SLIGHT BUT UNMISTAKABLE
FROM MY EXPERIENCE AND I WAS ON
THE OPERATING TABLE AND I
DECIDED TO REVOKE MY CONSENT AND
ASK FOR A ULTRASOUND TO FIND
THIS CLOT.
AND SO THEY DID.
FAST FORWARD TO JUST LAST SUMMER
AT UCSF, I WAS ON THE TABLE
GETTING ANOTHER WHAT I BELIEVE
TO BE A CENTRAL LINE THAT WAS
NOT A PICK LINE, WE WERE 5 FOR 5
AT THAT POINT BETWEEN BLOOD
CLOTS AND PICK LINES.
UNFORTUNATELY, I FOUND MYSELF ON
THE OPERATING TABLE AND
QUESTIONING MY CONSENT AGAIN.
SO I AT THIS POINT DECIDED TO
DEFER TO THE WISDOM OF THE
PHYSICIANS WHO BELIEVED THAT I
WAS ANTI-CO-ING ALATED THE NIGHT
BEFORE SO DESPITE THE FACT THAT
THAT DIDN'T SIT WELL WITH MY
GUT, I CONSENTED.
I ACTUALLY DID DEVELOP A CLOT,
WITHIN 24 HOURS, THAT BECAME A
PULMONARY EMBOLISM WHICH IS
SOMETHING I HAVE TRIED TO RAISE
AWARENESS OF FOR ANYONE WITH IBD
THAT YOU'RE AT RISK.
SO I WOULD LIKE TO THOUGH THIS
OUT AS A CHALLENGE AND A
REAL-LIFE PATIENT STORY OF HOW
WE DESPERATELY NEED
COLLABORATIVE MEDICAL RECORDS.
I'M INCREDIBLY ENCOURAGED AND
EXCITED THAT WE'RE PUTTING
CONSUMERS IN THE DRIVER'S SEAT
MOVING FORWARD.
THANK YOU VERY MUCH.
[APPLAUSE]
GLTIONZ BEFORE I MAIM --
>> BEFORE I BECAME SURGEON
GENERAL I WAS A PHYSICIAN IN
MISSISSIPPI.
WE WENT THROUGH KATRINA AND IT
WOULD HAVE BEEN FREAT FOR
PATIENTS TO HAVE THEIR
MADECATIONS DURING THAT TIME.
YOU SEEM TO BE VERY TECH SAVVY.
DO YOU FIND PATIENTS ARE AFRAID
TO ENGAGE TECHNOLOGY?
>> I FOR ONE AM NOT TECH SAVVY
VI AT ALL.
MY HUSBAND AND MEMBERS --
FRIENDS OF MINE IN THE AUDIENCE
CAN ATTEST THAT I CAN BARRY USE
MY CELL PHONE OR MY COMPUTER AND
IT'S THE HEIGHT OF IRONY THAT
I'M SITTING UP HERE.
BUT I THINK IT'S APPROPRIATE
BECAUSE I REPRESENT THE AVERAGE
PATIENT WHO HAS TO STRUGGLE WITH
THIS INFORMATION, FOR PATIENTS
LIKE KOLYA AND MYSELF, THE
VOLUME OF DATA ARE
INSURMOUNTABLE CERTAINLY FOR A
PATIENT BUT EVEN FOR MY
PHYSICIANS AN MEMBERS OF MY
HEALTHCARE TEAM.
SO TO HAVE TOOLS THROUGH HEALTH
INFORMATION TECHNOLOGY WHETHER
ELECTRONIC MEDICAL RECORD OR
SOME TYPE OF MOBILE APPLICATION,
TO HELP COLLECT AND AGGREGATE
THAT DATA SO WE CAN ALL CHECK
ACTIVELY MAKE BETTER DECISIONS
AND I CAN ENGAGE IN MY CARE,
IT'S REALLY INCREDIBLE SO I'M SO
EXCITED ABOUT WHAT WE'RE DOING
HERE TODAY AND WHAT WE'LL
CONTINUE TO DO IN THE FUTURE TO
FULLY IMPLEMENT HEALTH
INFORMATION TECHNOLOGY TO
IMPROVE ALL OF OUR LIVES.
>> FOR ME IT'S -- IT SPEAKS --
THE SAME FOR ALL OF US HERE IS
THAT WE HAVE BEEN REALLY
TREMENDOUSLY AFFECTED IN A
POSITIVE WAY BY THE ACCESS TO
THE DATA WHEN NEEDED.
HAVING IT CRUMPLED UP IN YOUR
POCKET DOESN'T MEAN THE DOCTOR
WILL SEE IT WHEN YOU NEED IT.
HAVING IT ON LIEB WHERE A
PHARMACEUTICAL COMPANY SAYS YOU
CAN'T USE THAT DRUG OR YOU NEED
SOMETHING DIFFERENT OR SEE
THERE'S ANOTHER ILLNESS THEY
NEED TO CONSIDER IS HUGELY
IMPORTANT AND I'M GLAD WE'RE
MAKING PROGRESS IN THIS AREA.
[APPLAUSE]
>> THANK YOU SO MUCH.
WE'LL HAVE -- I WANT TO THANK
THE SURGEON GENERAL, I WANT TO
THANK NIKOLAI, DENIS AND DONNA
FOR SHARING THEIR STORIES.
THANK YOU.
[APPLAUSE]
>> AND THERE ARE THOUSANDS AND
HUNDREDS OF THOUSANDS OF STORIES
JUST LIKE THIS EVERY DAY AND I
THINK -- I LOVED HOW DONNA
CAPTURED THE POSSIBILITIES FOR
PATIENTS MANAGING THEIR OWN
HEALTH BETTER, HOW NIKOLAI
CAPTURED THE PATIENT BECOMING
REALLY AN ACTIVE PARTICIPANT IN
THEIR CARE THROUGH BETTER
INFORMATION AND DENIS TALKING
ABOUT HOW THE PATIENT CAN BE THE
TOOL FOR COORDINATING CARE
BETWEEN PROVIDERS.
SO IT REALLY ENCAPSULATES THE
STATEMENT THAT I HAVE HEARD THAT
THE MOST UNDERUTILIZED RESOURCE
IN HEALTHCARE TODAY IS THE
PATIENT.
WE HAVE WITH US NEXT AN AMAZING
PANEL OF FEDERAL OFFICIAL LIKES
YOU HAVE NEVER HEARD BEFORE.
NEXT UP WE'RE GOING TO HAVE DON
BERWICK.
IF ANYBODY UNDERSTANDS THE NEED
TO GET MORE VALUE OUT OF
HEALTHCARE, IT'S DON.
AND HE ALSO HAPPENS TO BE
SOMEONE WHO HAS BEEN A
PASSIONATE AND ARTICULATE
SPOKESPERSON FOR
PATIENT-CENTERED HEALTHCARE FOR
DECADES.
DON.
[APPLAUSE]
>> THANKS, FARZAD.
HI, EVERYBODY.
I WANT TO SPEND A FEW MINUTES
MUSING ON THE WONDERFUL WORK
UNDERWAY BEING CELEBRATED IN
THIS MEETING.
BUT THE PANELIST STOLE MY
THUNDER WHAT AN AMAZING GROUP OF
TESTIMONIES TO THE VALUE OF WHAT
FARZAD AND HIS COLLEAGUES ARE
LEADING.
I'M SPOILED.
I HAVE ONLY PRACTICED IN AN
AUTOMATED MEDICAL ENVIRONMENT.
I NEVER MISSED A PATIENT RECORD
IN 20 YEARSCH IT WAS ALWAYS
THERE BECAUSE IT WAS AN
ELECTRONIC RECORD SYSTEM.
IT REMINDED ME WHEN I DID THING
WRONG, CHECKED FOR DRUG
INTERACTIONS AND I DON'T KNOW
WHAT IT'S LIKE TO PRACTICE
WITHOUT THAT SO I HAVE SEEP THE
FUTURE.
I HAVE ALSO SEEN THE PROBLEM
VERY CLOSE FRIEND OF MINE DEAR
FRIEND ABOUT 15 YEARS AGO,
PHYSICIAN, BEGAN TO DEVELOP
DIFFICULTY WALKING.
HE PROGRESSED TO SEVERE PAIN
AROUND HIS MIDRIF AND HE FOUND
HE COULDN'T GO THROUGH A DAY OF
PRACTICE, IT GOT WORSE AND HE
WAS ADMITTED TO A MAJOR MEDICAL
CENTER FOR WHAT TURNED OUT A
THREE WEEK WORK-UP AS HIS
CONDITION PROGRESSED.
THEY DIDN'T FIND AN ANSWER.
THEY GUESSED HE HAD MULTIPLE
SCLEROSIS, UNUSUAL FOR A YOUNG
MALE WITH HIS BACKGROUND.
AND HE WAS SENT HOME TO CONTINUE
TO SUFFER.
AS PHYSICIAN, HE USED A TRUMP
CARD.
HE ASKED THE HOSPITAL TO PLEASE
COPY AND SEND HIM HIS ENTIRE
MEDICAL RECORD.
THERE WAS NO AUTOMATED RECORD IN
THOSE DAYS, THEY HAD TO XEROX
THE ENTIRE THING BUT THEY DID
IT.
I REMEMBER HIS PHONE CALL TO ME.
ON THE LAST PAGE OF THE LAST
PORTION OF HIS RECORD WAS A
LABORATORY SLIP.
IT HAD NOT ARRIVED UNTIL HE HAD
BEEN DISCHARGED HOME AND HAD
SIMPLY BEEN INSERTED BY A CLERK
INTO THE RECORD, IT REPORT AD
VITAMIN B-12 LEVEL OF ZERO.
FOR THE PHYSICIANS AND NURSES
AND CLINICIANS THAT MEANS HE HAD
PER ANY SHUS ANEMIA, A TOTALLY
TREATABLE CAUSE OF WHAT
OTHERWISE WOULD HAVE LED TO A
LETHAL OUTCOME FOR MY FRIEND.
HE RETURNED TO FULL HEALTH AND
PRACTICED AGAIN FOR 20 MORE
YEARS.
THE PATIENT, THE PERSON IS PART
OF THE SAFETY SYSTEM.
AND CAN BE.
WHY WOULD WE NOT USE ALL OF THE
KNOWLEDGE AVAILABLE?
WHY WOULD WE WASTE A BIT OF IT?
YOU HEARD FROM OUR COLLEAGUE
PATIENT PANEL HOW WISE THE
PATIENT CAN BE AS AN ASSET IN
IMPROVING THEIR OWN CARE.
WHO KNOWS MORE THAN THE PATIENT
THEMSELVES.
WE'RE THE EXPERTS, WE THINK, BUT
WE'RE NOT.
THEY'RE THE EXPERTS.
WE'RE THE COACHES.
UNFORTUNATELY MANY LEGACY
TRADITIONS THAT WE HAVE MOSTLY
INAT
INADVERTENTLY, KEEP PATIENTS
FROM EXERCISING THEIR FULL
CAPABILITIES IN SELF-CARE,
CONTROLLER CHOICES AND ADVICE TO
THOSE WHO ARE ALSO TRYING TO
HELP THE REST OF US.
THIS LEGACY IS NOT MODERN.
THE PATIENTS MEDICAL RECORD IN
PARTICULAR IS THEIR STORY, IT'S
THEIR BOOK.
IT BELONGS TO THEM.
WE THE CAREGIVERS ARE GUESTS IN
THEIR LIVES, WE'RE NOT HOSTS IN
OUR BUILDINGS.
IN THE AMAZINGLY IMPORTANT
CHARTERING DOCUMENT FOR THE
MODERNIZATION OF AMERICAN
HEALTHCARE, THE IOM CROSSING THE
QUALITY CHASM REPORT OF 2001,
SIX DIMENSIONS OF QUALITY ARE
ARTICULATED.
I OFTEN REPEAT THEM AND USE THEM
MYSELF IN AIM SETTING.
THEY ARE SAFETY, EFFECTIVENESS,
PATIENT-CENTEREDNESS,
TIMELINESS, EFFICIENCY AND
EQUITY.
THOSE DEFINE COLLECTIONS OF
PROPERTIES IN A HEALTHCARE
SYSTEM AS YOU WOULD IN YOUR
AUTOMOBILE SCORE SAFETY AND GAS
MILEAGE AND COMFORT AND FUND
DRIVING, SAFE EFFECTIVE PATIENT
CENTERED AND TIMELY EQUITABLE
CARE.
I HAVE FELT SINCE MY INITIAL
INVOLVEMENT IN THAT WORK THAT
THERE IS A PRINCE OF QUALITIES
FIRST AMONG THE SIX IS PATIENT
CENTEREDNESS.
THE REASON IS THAT IT'S SUCH AN
IMPORTANT KEYSTONE TO THE OTHERS
IN ADDITION TO BEING QUALITY IN
ITS OWN RIGHT.
SAFETY, THINK OF MY FRIENDS'
EXPERIENCE, PART OF SAFETY
SYSTEMS, WE SEE THAT HAPPEN NOW
THE HOSPITALS ALL OVER THE
COUNTRY EVERY TIME A PATIENT
ASKS A CAREGIVER DID YOU WASH
YOUR HANDS.
WE SEE IT EVERY TIME A PATIENT
HAS SUPPORT AND ENCOURAGEMENT TO
UNDERSTAND WHAT MEDICATIONS
THEY'RE ON.
DO THEY UNDERSTAND THEM AND DO
THOSE CARING FOR THEM UNDERSTAND
THEM.
PATIENTS ARE PART OF THE SAFETY
SYSTEM.
EFFECTIVENESS, THE ALIGNMENT OF
CARE WITH PROPER CARE, WITH
EXACTLY WHAT SHOULD HAPPEN.
YOU COULD HEAR NIKOLAI TALK
ABOUT THAT AS HE DISCUSSED HIS
OWN DEEP KNOWLEDGE ABOUT BLOOD
CLOTTING MECHANISMS THAT COULD
HAVE THREATENED HIM.
WHAT IS SUPPOSED TO HAPPEN TO ME
IN MY CARE?
IS IT HAPPENING?
DOES DR. A KNOW WHAT DR. B DID
OR THOUGHT OR IS DOING?
PEOPLE ACTUALLY NOW COME INTO
CARE OFTEN KNOWING THING,
DOCTORS AN NURSES DON'T KNOW
ABOUT THE MEDICINE ITSELF.
WHY WOULD WE WASTE THAT
KNOWLEDGE.
TIMELINESS T. QUICKEST CARE IS
SELF-CARE.
THE MOST ACCURATE ACTION IS
LOCAL ACTION.
THE MORE THE PATIENT KNOW IT IS
MORE KNOWLEDGE IS PUSHED OUT TO
EXACTLY WHERE IT COUNTS THE
MOST.
WITH THE PATIENT.
WITH THE PERSON.
THE FASTER THAT KNOWLEDGE CAN BE
USED.
EFFICIENCY.
TAKING ADVANTAGE OF THE WISDOM
THAT THE PERSON BRINGS TO HIS OR
HER OWN CARE REDUCES WASTE,
REDUCES COST.
SHARED DECISION MAKING FOR
EXAMPLE.
WELL SUPPORTED BY APPROPRIATE
ENVIRONMENTS OF MODERN
INFORMATION TECHNOLOGY WITH
FAMILIES AND PATIENTS, SHARED
DECISION MAKES IS WELL-STUDIED,
IT PRODUCES BETTER OUTCOMES AT
LOWER COST AND SUPPORTED BY
MODERNIZING TECHNOLOGY AND
GIVING PATIENTS MORE ACCESS AN
INFORMATION ABOUT THEIR OWN
CARE.
EQUITY.
HONORING DIVERSITY.
HONORING DIFFERENCES AN
PREFERENCES AND BACKGROUND AND
RESOURCES AND ASSETS.
UNDERSTANDING THE DEFINITION OF
EXCELLENCE ITSELF IS INDIVIDUAL
AND THAT QUALITY IS ABOUT
MEETING EACH AND EVERY PERSON'S
NEEDS ON THEIR OWN TERMS.
ALL THIS, SAFE, EFFECTIVE
PATIENT-CENTERED, TIMELY,
EFFICIENT EQUITABLE CARE,
SUPPORTED BY, ENERGIZED BY,
GIVEN WHOLE NEW POSSIBILITIES BY
THE AVAILABILITY OF THE KIND OF
INFORMATION THAT IS NOW MADE
AVAILABLE TO PEOPLE AS THEY
BECOME PARTICIPANTS IN THEIR OWN
CARE.
I'M VERY PROUD OF THE CMS
PARTICIPATION IN THE BLUE BUTTON
INITIATIVE.
THIS WONDERFUL ICONIC IDEA OF
BEING ABLE TO HAVE ACCESS
THROUGH A WINDOW, THROUGH A
PORTAL TO ONE -- TO THE MOST
IMPORTANT FACTS ABOUT ONE'S
SELF.
THE BLUE BUTTON ISN'T JUST
VALUABLE, IT'S MAGIC.
IT'S THE OPEN SESAME BUTTON THE
TO A NEW SYSTEM OF CARE, IT
MARKS AND ACCELERATES A NEEDED
CHANGE IN CULTURE TO BRING US TO
A NEW LEVEL OF PERFORMANCE IN
THE HEALTHCARE SYSTEM THAT WE
DEEPLY CARE ABOUT.
THANK YOU VERY MUCH.
[APPLAUSE]
>> ONE WORD.
WOW!
[APPLAUSE]
>> THANK YOU, DON.
WELL, WE HEARD ABOUT THE PATIENT
PROVIDER RELATIONSHIP AND
PATIENT CENTEREDNESS.
ONE THING THAT IS CLEAR IS THAT
TRUST IS AT THE HEART OF THAT.
TRUST OF THE PATIENT THAT THE
PROVIDER IS ACTING IN THEIR BEST
INTEREST, THE TRUST OF THE
PATIENT IN THE HEALTHCARE
SYSTEM.
AND AS THE SECRETARY REMARKED
ONE OF THE MOST IMPORTANT
ASPECTS OF THAT TRUST IS THE
TRUST THAT HEALTHCARE PROVIDERS
AND THAT THE SYSTEM IS DOING ITS
OUT MOST IN PROTECTING THE
PRIVACY AND SECURITY OF THAT
HEALTH INFORMATION.
AND THAT IS BALANCED WITH THE
PATIENT'S RIGHT TO GET THEIR OWN
HEALTH INFORMATION IF THEY WANT
IT.
AND I FEEL A LITTLE BIT LIKE
WOODY ALLEN AND ANNIE HALL WHEN
HE PULLS MARSHA OUT FROM MIND
THE PLANT AND SAYS THAT'S NOT AT
ALL -- SO WE HAVE ACTUALLY HEARD
SOME PROVIDERS SAY WELL, I'M NOT
SURE IF I CAN GIVE THE PATIENT,
NOT SURE IF I CAN GIVE YOU YOUR
HEALTH RECORD BECAUSE OF HIPAA.
SO I HAVE HERE THE NEW HEAD OF
THE OFFICE OF CIVIL RIGHTS, LEON
RODRIGUEZ TO TELL US ARE
PATIENTS ALLOWED TO GET THEIR
OWN RECORDS UNDER HIPAA.
[APPLAUSE]
>> WHAT A GREAT SET-UP.
AND THE ANSWER IS YES YOU CAN.
[APPLAUSE]
SO I WANT TO START BY THANKING
FARZAD MOSTASHARI AND MY
PARTNERS IN THE OFFICE OF THE
NATIONAL COORDINATOR FOR THEIR
LEADERSHIP IN CONVENING THIS
EVENT AND FOR ALL THE PARTNERS
HERE FROM GOVERNMENT, FROM
INDUSTRY, FROM THE CONSUMER AD
VO CRA CA SI SECTORS, FOR THEIR
-- ADVOCACY SECTORS, LEADERSHIP
EMPOWERING CONSUMERS TO
UNDERSTAND AND TO DRIVE THEIR
HEALTHCARE.
AS YOU HAVE HEARD FROM SO MANY
HERE TODAY, A PATIENT'S ACCESS
TO INFORMATION ABOUT THEIR
HEALTHCARE IS THE KEYSTONE TO
THEM GETTING QUALITY OF CARE.
THE STORIES THAT YOU HEARD FROM
KOLYA KIRIENKO AND OTHERS
UNDERSCORE HOW IMPORTANT THAT
ACCESS IS.
YOU HEARD FROM SECRETARY
SEBELIUS EARLIER THAT AS PART OF
OUR ONGOING EFFORTS ACROSS THE
DEPARTMENT TO EMPOWER PATIENTS
TO BE INFORMED PARTNERS WITH
THEIR HEALTHCARES AND MAKING
HEALTHCARE DECISIONS, WE HAVE
NOW PROPOSED A RULE THAT WOULD
GIVE PATIENTS OR THEIR
REPRESENTATIVES THE ABILITY TO
ACCESS THEIR LABORATORY TEST
RESULTS DIRECTLY FROM
LABORATORIES.
THE OFFICE OF -- FOR CIVIL
RIGHTS IS ISSUING THIS PROPOSED
RULE JOINTLY WITH THE CENTER FOR
MEDICARE AND MEDICAID SERVICES
AND THE CENTER FOR DISEASE
CONTROL.
WHICH ARE RESPONSIBLE FOR
SECRETARY -- LABORATORY
REGULATION UNDER THE CLINICAL
LABORATORY IMPROVEMENT ACT OF
1988.
AT THE SAME TIME FARZAD AND
SECRETARY SEBELIUS REALLY NAILED
IT WHEN THEY SAY THE TRUST IS AN
IMPORTANT KEY TO MAKING THIS ALL
WORK.
NOW MORE THAN EVER CONSUMER
CONFIDENCE IN THE PRIVACY AND
SECURITY OF HEALTH INFORMATION
IS PARAMOUNT AS WE UNDERGO THIS
TRANSFORMATION IN THE WAY IN
WHICH WE DO THE BUSINESS OF
HEALTHCARE.
THE HHS OFFICE FOR CIVIL RIGHTS
IS COMMITTED TO USING EVERY
VEHICLE IT HAS TO ADVANCE AND
ENFORCE SENSIBLE PROTECTIONS FOR
THE PRIVACY AND SECURITY OF
PROTECTED HEALTH INFORMATION.
WHILE THE HIPAA AND PRIVACY ROLE
SET NATIONAL STANDARDS FOR
HEALTHCARE INFORMATION IT
REQUIRE IT IS COMMITMENT OF
COVERED ENTITIES AND BUSINESS
PARTNERS TO BUILD A CULTURE OF
COMPLIANCE WITHIN THE WORKPLACE.
PATROL SIS -- POLICIES AND
PROCEDURES CANNOT BE BINDERS ON
A SHELF.
I KNOW AS A PROSECUTOR AND AS A
HEALTHCARE PROVIDER AND LAWYER
THAT THIS IS A REALITY.
TO AVOID ENFORCEMENT, COVERED
ENTITIES MUST ENSURE THEY'RE
ALWAYS IN COMPLIANCE WITH THE
HIPAA PRIVACY AND SECURITY
ROLES, A ROBUST COMPLIANCE
PROGRAM INCLUDES EMPLOYEE
TRAINING, VIGILANT
IMPLEMENTATION OF POLICIES AND
PROCEDURES, REGULAR INTERNAL
AUDITS AND A PROMPT CORRECTIVE
ACTION TO RESPOND TO THESE
INCIDENTS.
PROVIDERS ARE NOT ALONE IN THIS
EFFORT.
WE ARE WORKING IN TANDEM WITH
OUR PARTNERS AT THE OFFICE OF
THE NATIONAL COORDINATOR ON A
NATIONAL EDUCATION CAMPAIGN
GEARED AT CONSUMERS AND
PROVIDERS.
THROUGH THIS INITIATIVE OCR WILL
DELIVER ENHANCED TECHNICAL
ASSISTANCE TO PROVIDERS ON
COMPLIANCE WITH HIPAA AND TO
REMIND CONSUMERS THAT IF THAT I
BELIEVE THERE'S BEEN A VIOLATION
OF THEIR RIGHTS, THEY HAVE A
RIGHT TO FILE A COMPLAINT.
BUT THIS IS AN IMPORTANT
TRANSFORMATION THAT WE ARE
UNDERGOING RIGHT NOW.
WE LOOK FORWARD TO WORKING WITH
YOU AS WE MOVE FORWARD TOGETHER
IN OUR SHARED MISSION OF
BUILDING A SECURE AND TRUSTED
INFRASTRUCTURE FOR HEALTHCARE
TECHNOLOGY.
THANK YOU AND THANK YOU ALL.
[APPLAUSE]
>> THANK YOU SO MUCH, LEON.
I WANT TO MENTION ANOTHER
ANNOUNCEMENT, NEW ANNOUNCEMENT
WE HAVE TODAY THAT HHS IS TODAY
RELEASING A PERSONAL HEALTH
RECORD, MODEL PRIVACY NOTICE
THAT PHR VENDORS USE TO
COMMUNICATE THEIR DATA SHARING
AND SECURITY AND PRIVACY
POLICIES TO CONSUMERS.
AND THIS TOOL PROVIDES A UNIFORM
AND EASY TO UNDERSTAND APPROACH
TO -- FOR PHR VENDORS TO BE
TRANSPARENT ABOUT KEY PRIVACY
AND SECURITY ISSUES, AND LIKE
THE FDA NUTRITION LABELS THE
MODEL NOTICE IS INTENDED TO
ENABLE COMPANIES TO PRESENT
COMPLEX INFORMATION IN A MANNER
THAT IS ACCESSIBLE, CONSISTENT
AND CONDUCIVE TO PROMOTING
INFORMED CHOICE BY CONSUMERS.
THIS NOVEL WEB-BASED APPROACH TO
PROVIDING IMPORTANT INFORMATION
REINFORCES THE CONSUMER'S TRUST
IN PERSONAL HEALTH RECORDS BY
INCREASING TRANSPARENCY AND
PROMOTING COMPETITION TO DRIVE
POLICIES THAT ARE PROTECTIVE OF
PRIVACY AND SECURITY.
IT WAS DEVELOPED BASED ON
CONSUMER TESTING THE ADDRESS THE
ISSUES CONSUMERS CARE ABOUT THE
MOST USING LANGUAGE THEY
UNDERSTAND.
WE WORKED CLOSELY WITH FTC, THE
FEDERAL TRADE COMMISSION ON THE
DEVELOPMENT OF THE MODEL NOTICE
AND THEY HAVE AGREED TO ENFORCE
IT.
FOR ENTITIES UNDER THEIR
JURISDICTION.
[APPLAUSE]
THE PERSONAL HEALTH RECORD
COMPANIES HERE WITH US TODAY,
MICROSOFT, DOSSIA AND NO MORE
CLIP BOARD HAVE AGREED TO USE
THE NOTICE ON THEIR WEBSITE.
[APPLAUSE]
SO WE HAVE TALKED ABOUT THE
BIGGEST STAGE POSSIBLE, THE
BIGGEST PICTURE POSSIBLE, WE
TALKED ABOUT HEALTHCARE AND
PATIENT CENTEREDNESS FROM DON
BERWICK'S PERSPECTIVE, AND NOW
WE'RE GOING TO GO DOWN TO ONE
VERY IMAGINATIVE VERY SIMPLE BUT
TRANSFORMATIVE INITIATIVE THAT
DON MENTIONED, THE BLUE BUTTON.
I WOULD LIKE TO INTRODUCE PETER
LEVIN BUT ALSO ASK TO COME UP
PAUL TARINI FROM ROBERT WOOD
JOHNSON FOUNDATION AND LAURA
BAILYN, SENIOR DIRECTOR AT
MARKLE FOUNDATION.
[APPLAUSE]
>> SO GOOD AFTERNOON, EVERYONE.
SECRETARY SEBELIUS IN HER
OPENING REMARKS MENTIONED THAT
SOMETIMES WHEN WE GO TO THE
DOCTOR'S OFFICE FOR THE FIRST
TIME OUR RECEPTION IS THAT OF
SOMEONE COMING IN FROM MARS,
THEY HAND YOU A CLIP BOARD AND
YOU'RE SUPPOSED TO SIT THERE
PATIENTLY AND DILIGENTLY AND PUT
DOWN THE INFORMATION THAT YOU
THINK WILL BE RELEVANT TO THAT
PARTICULAR CLINICAL ENCOUNTER.
I WOULD LIKE TO INTRODUCE TO YOU
THE NEW WELCOMING COMMITTEE, THE
PEOPLE WHO BRING YOU BLUE
BUTTON.
THIS NEW KIND OF PERSONAL HEALTH
INFORMATION I WOULD BE REMISIN
MY DUTY AS KICKING OFF THIS PART
OF OUR SESSION IF I DIDN'T
ACKNOWLEDGE FOUR OTHER CRUCIAL
MEMBERS OF OUR TEAM, TWO OF WHOM
ARE SITTING UPON THE STAGE,
ANEESH CHOPRA IN HIS ROLE AS
U.S. CTO, SPEARHEADED THIS
EFFORT AND MY BROTHER IN ARMS
TODD PARK, WITH WHOM I HAVE
BUILT THIS INITIATIVE ALONG WITH
STEVE ANDRE SOMEPLACE IN THE
AUDIENCE AND JENNA NOBLE, I HOAB
YOU'RE HERE -- HOPE YOU'RE HERE
AS WELL.
MANY PEOPLE STARTED THIS PROJECT
AND GUESS WHAT, IT STARTED, IT
STARTED INSIDE THE GOVERNMENT
BUT IT'S NOT A GOVERNMENT
PROGRAM.
IT'S NOT A GOVERNMENT PROGRAM.
WE RELY EXCLUSIVELY RELY
COMPLETELY ON THE COOPERATION
THAT WE CAN GET AND RECEIVE FROM
OUR PARTNERS IN THE PRIVATE
SECTOR, FROM THE MARKLE
FOUNDATION, FROM THE ROBERT WOOD
JOHNSON FOUNDATION, FROM THE
MANY CORPORATE INTERESTS
REPRESENTED HERE TODAY THAT
WE'LL BE ABLE TO TELL YOU ABOUT
THEIR PLEDGE AND PARTICIPATION
GOING FORWARD.
BLUE BUTTON IS NOT A FULL
COMPREHENSIVE ELECTRONIC MEDICAL
RECORD, IT'S NOT THAT.
IT'S NOT THAT YET.
BUT IT'S A WHOLE LOT BETTER THAN
THE THING THAT WE STARTED WITH,
I'M AN APPLIED MATHEMATICIAN, I
CAN SAY THIS WITH EXPERT
CREDIBILITY, IT'S INFINITELY
BETTER BECAUSE WE STARTED WITH
ZERO.
WE STARTED WITH NOTHING AT ALL.
BLUE BUTTON IS GETTING BETTER.
WE AT THE VA SPONSORED A VARIETY
OF COMPETITIONS AND CONTEST
COMPETITIONS GOING TO INDUSTRY
ASKING THEM WHAT WOULD YOU DO IF
WE COULD SUPPORT THE EXTENSION
OF THE ROADMAP.
TELL US ABOUT IMAGES, DOCTOR'S
NOTES, TELL US ABOUT USE MODELS
WE HAVEN'T THOUGHT OF YET, HOW
COULD YOU INCORPORATE BLUE
BUTTON IN THIS INTERACTIVE, THIS
LIQUID AND THIS LIBERATED, THANK
YOU TODD AGAIN, THIS LIBERATED
MODEL OF PATIENT CENTERED CARE.
IT IS ALL ABOUT THE CONSUMER.
IT'S ALL ABOUT THIS NEW MODEL OF
CARE WHICH PUTS THE PATIENT AT
THE CENTER.
AT THE BEGINNING OF THIS VENTURE
YOU CAN IMAGINE WHEN WE FIRST
STARTED TALKING ABOUT THIS AND
REALLY A CLIP BOARD AND WHAT
ABOUT PATIENT PRIVACY, WHAT
ABOUT PAIRT SECURITY AND THE INN
-- PATIENT SECURITY AND THE
INNOVATION LED FROM OCP, THE
INNOVATION LED FROM CMS AND DOD
AND I THINK A LITTLE BIT FROM VA
AS WELL, WAS LET'S GET STARTED.
SO LOOK WHERE WE ARE TODAY, ONE
YEAR LATER, ONE YEAR AFTER
PRESIDENT OBAMA INTRODUCED THE
BLUE BUTTON TO US, 400,000 PLUS
VETERANS, CMS SUBSCRIBERS AND
SERVICE MEMBERS ARE ALREADY
USING IT AND YOU'RE GOING TO
HEAR HOW WE'LL SCALE THAT UP
DRAMATICALLY TODAY.
THANKS VERY MUCH.
[APPLAUSE]
>> THANKS, PETER.
SO BLUE BUTTON IS RELATIVELY
SIMPLE, AS YOU HEARD DON BERWICK
SAY, MAGICAL CONCEPT, GIVE
PATIENTS A SINGLE BUTTON THEY
CAN CLICK TO GET THEIR RECORDS.
FROM THEIR DOCTOR, THEIR
INSURERS, THEIR PHARMACIES AND
IF THE NEW REG PASSES FROM THE
LABS.
GREAT.
YOU CAN LOG INTO A SECURE
WEBSITE AND GET YOUR DATA.
CHECK IT.
SHARE IT WITH YOUR DOCTORS AND
OTHERS AND EXAMINE IT AND THINK
IT THROUGH.
YOU HEARD PETER SAY VA, MEDICARE
TRICARE HAVE MADE THE BLUE
BUTTON REAL FOR THOUSANDS,
HUNDREDS OF THOUSANDS OF
PATIENTS WITH A SINGLE CLICK.
AND THERE'S SEVERAL OTHER
ORGANIZATIONS THAT ARE POLICE
IMPLEMENTING IT.
WALGREENS, PATIENTS LIKE ME,
RELAY HEALTH, MCKESSON, VERMONT,
BLUEPRINT FOR HEALTH.
IT RUN IT IS RANGE OF
ORGANIZATIONS.
AT ROBERT WOOD JOHNSON WE
APPLAUD LEADERSHIP SHOWN BY
ORGANIZATIONS.
WE'RE BEGINNING TO SEE A GROUND
SWELL OF SUPPORT FROM
INDIVIDUALS, PROVIDERS, INSURERS
AND MAJOR HEALTH ORGANIZATIONS
AS THEY REALIZE THIS SIMPLE
CAPABILITY CAN LEAD TO IMPROVED
CARE AT REDUCED COST.
KEEP THE MOMENTUM GOING ROBERT
WOOD JOHNSON FOUNDATION
SUPPORTED THE DEVELOPMENT OF A
NEW WEBSITE.
I GOT AN EMAIL ON THE TRAIN
TODAY THAT SAID IT'S LIVE NOW,
WWW.BLUEBUTTONDATA.ORG.
IT'S A WAY FOR ORGANIZATIONS TO
REGISTER THEIR COMMITMENT TO
IMPLEMENT BLUE BUTTON AND ALSO
GIVE PATIENTS A WAY TO HELP
ADVOCATE FOR IT.
SO GO VISIT
WWW.BLUEBUTTONDATA.ORG AND LEARN
MORE ABOUT THE SIMPLE MAGICAL
CONCEPT.
[APPLAUSE]
>> THE IDEA FOR THE BLUE BUTTON
DOWNLOAD CAPABILITY WITH
CONCEIVED AT A MEETING OF THE
MARKLE FOUNDATION'S CONNECTING
FOR HEALTH PUBLIC PRIVATE
COLLABORATIVE.
MARKLE'S COLLECTING FOR HEALTH
COLLABORATIVE BRINGS TOGETHER
PUBLIC PRIVATE AND NON-PROFIT
GROUPS TO ACCELERATE DEVELOPMENT
OF HEALTH IT TO IMPROVE PEOPLE'S
HEALTH AND QUALITY AND COST
EFFECTIVENESS OF HEALTHCARE
WHILE PROTECTING PRIVACY AND
ENCOURAGING INNOVATION.
OUR APPROACH IS ROOTED IN
LOOKING AT LEKTOLOGY AND --
TECHNOLOGY AND POLICY ISSUES
TOGETHER.
INFORMATION ACCESS IS A CRITICAL
BUILDING BLOCK TO BETTER
DECISION, BETTER HEALTH AND
BETTER CARE.
AND IT STARTS WITH THE SIMPLE
CLICK OF A BLUE BUTTON.
BUT IN ORDER TO MAKE IT A
RELIABLE TRUSTWORTHY CLICK, WE
LEARNED AGAIN AND AGAIN THAT
SOUND POLICIES ARE CRITICAL.
IN ADDITION TO GENERATING THE
BLUE BUTTON IDEA MARKLE'S
COLLABORATIVE HAS DEVELOPED
PRIVACY AND SECURITY PRACTICES
FOR THE DOWNLOAD CAPABILITY.
YOU CAN FIND THEM AT THE
MARKLE.ORG WEBSITE AND ROBERT
WOOD JOHNSON NEW BLUE BUTTON
WEBSITE.
WE'RE DELIGHTED TO SEE THE SEEDS
OF OUR COLLABORATIVE EFFORTS
COME TO FRUITION WITH THE
REMARKABLE WORK OF THE VA, CMS
AND DOD AND ALL THOSE TAKING THE
PLEDGE TODAY AND THOSE WHO WILL
COMMIT TOMORROW TO MAKING THE
BLUE BUTTON A REALITY FOR ALL
AMERICANS.
THANK YOU.
[APPLAUSE]
>> THANK YOU SO MUCH.
BLUE BUTTON AS YOU HEARD FROM
PETER IS NOT A GOVERNMENT
PROGRAM, IT IS AN OPENING.
IT'S A WAY TO SAY I WANT TO GET
IN NOW.
I WANT TO DO THIS NOW.
WE CAN START NOW WITH SOMETHING
SIMPLE.
WE PLEDGE, WE COMMIT TO MAKING
IT EASY FOR PEOPLE TO GET THEIR
OWN INFORMATION.
IT IS REALLY NOT JUST CMS AND
DOD AND VA BUT ALL THE OTHER
ORGANIZATIONS OUT THERE STARTING
TO SAY THAT ARE CONTINUING TO
SAY IN MANY CASES WE ARE
COMMITTED TO THIS, WE HAVE
PATIENT DATA, THEY HAVE A RIGHT
TO IT, AND WE WILL MAKE IT EASY
FOR THEM TO DO SO.
SO TODAY WE'RE LAUNCHING A
PLEDGE CAMPAIGN FOR DIVERSE
ORGANIZATIONS TO SHOW THEIR
SUPPORT FOR CONSUMER ENGAGEMENT
IN HEALTH THROUGH HEALTH IT,
ORGANIZATIONS THAT HOLD CONSUMER
HEALTH INFORMATION LIKE
HOSPITALS AND PAYERS PLEDGING TO
MAKE IT MORE EASILY AVAILABLE.
MANY ARE USING BLUE BUTTON,
OTHERS ARE USING SECURITY HEALTH
EMAIL CALLED THE DIRECT
PROTOCOLS TO DEPOSIT PEOPLE'S
INFORMATION INTO THEIR SECURE
ACCOUNTS.
ORGANIZATIONS THAT DON'T HOLD
CONSUMER HEALTH INFORMATION CAN
COMMIT TO THE PLEDGE BY EITHER
HELPING CONSUMERS UNDERSTAND,
HELPING THEM GET ENGAGED WITH
THE POSSIBILITY OR HELPING THEM
DEVELOP TOOLS TO MAKE IT MORE
USEFUL SO THEY WANT TO ENGAGE
WITH MORE FULLY WITH THEIR OWN
HEALTH INFORMATION.
SO WITHOUT FURTHER ADIEU, I'M
GOING TO INTRODUCE THE TWO ROCK
STARS WHO ARE STILL ON THE
STAGE.
ANEESH CHOPRA, CHIEF TECHNOLOGY
OFFICER FOR THE PRESIDENT OF THE
UNITED STATES, AND OUR VERY OWN
BELOVED TODD PARK, CHIEF
TECHNOLOGY OFFICER FOR HEALTH
AND HUMAN SERVICES WHO WILL WALK
US THROUGH WHAT SOME OF THOSE
EXCITING PLEDGES HAVE BEEN TO
DATE.
BUT BEFORE I DO THAT, I WANT TO
ACKNOWLEDGE, THIS IS AS OF
TODAY, TOMORROW IS LIST WILL BE
LONGER.
THE DAY AFTER THAT, THE WEEK
AFTER THAT, THE MONTH AFTER
THAT, THIS IS NOT THE MOVEMENT.
THIS IS THE START OF A PLACE FOR
PEOPLE TO CONVENE AND TO MAKE
THOSE PLEDGES AND TO SUPPORT
EACH OTHER AN SUPPORT PATIENTS
IN THEIR CARE.
SO TODD PARK, COME ON UP.
[APPLAUSE]
>> WE'RE VERY EXCITED TO START
BY CELEBRATING LEADING PAYERS
AND PROVIDERS TO PLEDGE TO MAKE
IT EASIER FOR INDIVIDUALS AN
CARE GIVERS TO HAVE SECURE
TIMELY ACCESS TO THEIR OWN
HEALTH INFORMATIONCH THESE ARE
DATA LIBERATION PIONEERS WORKING
ON BEBEHALF OF THE PATIENT.
AS I ANNOUNCE THE PLEDGER I LIKE
TO ASK THE PLEDGE REPRESENTATIVE
TO STAND UP, TAKE A BOW AND BASK
IN THE AJLATION AND -- AJLATION,
LET'S KEEP IT INSIDE UNTIL WE
HAVE THEM ALL AT THE END.
WE HAVE A LONG LIST.
AT THE BEING OF THE MOVEMENT,
LONG LIST.
SO MANY PEOPLE.
AETNA.
DR. BRIAN KELLY HEAD OF
INFORMATICS, STRATEGIC ALIGNMENT
AS OF RIGHT NOW IN A MOVEMENT
THAT JUST BECAME REALITY, AETNA
HAS DEPLOYED BLUE BUTTON MAKING
IT POSSIBLE FOR OVER 9 MILLION
AMERICANS TO THE DOWN LODE THEIR
OWN HEALTH INFORMATION IN TEXT
FORMAT FOR THEIR ONLINE PERSONAL
HEALTH RECORDS THROUGH AETNA
NAVIGATOR.
FANTASTIC.
UNITED HEALTH GROUP.
JOEL WHITE, EXECUTIVE DIRECTOR.
NOT CONTENT TO LET AETNA OUTDO
THEM, UNITED TODAY IS JOINING
THE BLUE BUTTON MOVEMENT AS WELL
AS ANNOUNCING PLANS TO PROVIDE
BLUE BUTTON LINKED TO PERSONAL
HEALTH RECORD TO MORE THAN
7 MILLION ADDITIONAL AMERICANSCH
SPECTACULAR.
SPECTACULAR.
KAISER PERMANENTE.
TED EATON.
THERE WE GO.
DIRECTOR AND INNOVATION GURU
EXTRAORDINARY FOR THE PERSON
ANYONE TAI FOUNDATION.
AND THEY PLEDGE TO KEEP DOING IT
IN EVER BETTER WAYS THROUGH
THEIR HEALTH MANAGEMENT TOOL,
KEISER PLEDGES TO CONTINUE TO
PROVIDE MEMBERS WITH ACCESS TO
THE CLINICAL RECORD AND TOOLS TO
INTERACT WITH PROVIDERS AND
HEALTH PLAN AND A IMPRESSIVE
PERFORMANCER, MORE THAN
3.6 MILLION KEISER MEMBERS, Z OF
TODAY, 60% OF THE ELIGIBLE
POPULATION ACTVATED THEIR PHR.
MORE THAN 40% OF USERS SIGNED ON
FIVE OR MORE TIME IT IS LAST SIX
MONTHS AND JUST THE FIRST TWO
QUARTERS OF 2011 MORE THAN
4.7 MILLION PRESCRIPTIONS HAVE
BEEN REFILLED ONLINE.
SEE WHAT UNITED AND AETNA DO TO
TRY TO BEAT YOU.
THAT'S INCREDIBLY EXCITING.
>> IS IT OKAY FOR THEM TO GET
DOWN AND THEN GET UP AT THE END?
>> THAT SOUNDS GREAT.
WONDERFUL.
KEEP STANDING AS WELL BUT
ENTIRELY UP TO YOU.
TRUMAN'S -- CHILDREN'S HOSPITAL
BOSTON, THE GREAT HEALTH
INSTITUTIONS OF ALL TIME,
DR. DANIEL NIGRIN SENIOR VP FOR
INFORMATION SERVICES CIO.
THEY PLEDGE TO CONTINUE TO MAKE
HEALTH INFORMATION AVAILABLE
THROUGH A SECURE PORTAL
MYCHILDREN'S.ORG AND ALSO PLANS
TO ADD IN 2012 AND 13 THE
ABILITY TO ACCEPT AND SEND FEEDS
OUT OF ITS PHR THROUGH THE
SECURE EMAIL PROTOCOL.
CLEVELAND CLINIC.
DR. MARTIN HARRIS.
CIO.
WHO IS ALSO DOING PATIENT
LIBERATION, PATIENT LIBERATION
LONG BEFORE IT WAS COOL.
CLEVELAND CLINIC PLANS TO
CONTINUE TO ENABLE PATIENTS
ACCESS THEIR OWN HTION
INFORMATION SECURELY AND'
HEALTHCARE INFORMATIONALLY AND
EASILY.
MORE THAN 300,000 ALREADY ACCESS
THEIR DATA THROUGH MY CHART,
THEIR PERSONAL HEALTH RECORD
CONNECTING TO THEIR OWN PERSONAL
HEALTH DATA VIEWING RESULTS AN
ACCESSING ONLINE SERVICES SUCH
AS PRESCRIPTION RENEWALS.
PALO ALTO MEDICAL CLINIC,
DR. TALL TANG, CHIEF INFORMATION
PLEDGES TO CONTINUE TO PROVIDE
PATIENTS WITH ACCESS TO THEIR
OWN INFO THROUGH THE MY HEALTH
ON LINE PATIENT PORTAL.
CLINIC STAFF AND PHYSICIANS
SUPPORT 65% OF THE CLINICS
PATIENTS ARE ALREADY ACTIVE
USERS.
THIS IS A PLAY AT OVER 65% OF
PATIENTS OF THE CLINIC ARE
ENGAGENING AND NEW FUNCTIONALITY
TESTED NOW AND IN CLINICAL
TRIALS ALLOWS DIABETIC PATIENTS
TO WIRELESSLY UP LOAD GLUCOSE IN
PATIENTS WITH HYPERTENSION TO UP
LOAD BLOOD PRESSURE DATA SO
PHYSICIANS AND PATIENTS CAN
BETTER MANAGE PATIENT HEALTH
TOGETHER ON A DAY-TO-DAY BASIS
WHICH YOU HEARD TODAY IS
CRITICAL.
DR. CHRIS -- SOMETHING ONLY
PEOPLE LIKE PALO ALTO AND
CLEVELAND CLINIC CAN DO, HE
REPRESENT AS GROUP PRACTICE OF
27 PHYSICIANS AND OTHER
PROVIDERS AND IS COMMITTED TO
MAKING INFORMATION MORE
AVAILABLE, WITH TARGET
IMPLEMENTING THIS CAPABILITY,
CLEVELAND AND CHILDREN'S
HOSPITAL CLINICS WITHIN SIX
MONTHS SO BIG, BIG, BIG HUGE
SHOUT-OUT TO CHRIS AND HIS COME
PAD RAYS.
THE GREAT STATE OF INDIANA, ONC
STATE INFORMATION EXCHANGE,
ANDREW VANZEE, CEO OF INDIANA
HEALTH INFORMATION TECHNOLOGY
INC. AND STATEWIDE DIRECTOR OF
THAT GREAT STATE.
INDIANA AS A STATE IS COMMITTED
TO PROVIDING CONSUMERS WITH
ELECTRONIC ACCESS TO THEIR OWN
INFORMATION A IN STANDARDIZED
FORMATS LEVERAGING THE SECURE
EMAIL, BLUE BUTTON MEANINGFUL
USE, ET CETERA.
FANTASTIC.
I WILL I'M GOING TO MOVE TO
INDIANA.
NO BETTER PLAY TO GET CARE GOING
FORWARD THAN INDIANA.
ANOTHER ONC STATE -- THE ONLY
PLAY I MIGHT MOVE IS ROME,
GEORGIA.
FLOYD MEDICAL CENTER, REDMOND
REGIONAL MEDICAL CENTER
REPRESENTED BY ALAN WILLS
ASSOCIATE DIRECTOR OF HEALTH AT
GEORGIA TECH ENTERPRISE
INSTITUTE AND FLOYD MEDICAL
CENTER, AND REDMOND REGIONAL
MEDICAL CENTER IN ROME, GEORGIA,
ARE PLEDGING TO EMPOWER PATIENTS
BEING WITH THOSE DIAGNOSED WITH
CANCER BY GIVING SECURE
ELECTRONIC ACCESS NEL
INFORMATION, THIS WILL BENEFIT
CONSUMERS AN HEALTHCARE
PROVIDERS ENABLING BETTER
COMMUNICATION AND ENCOURAGE
ACTIVE PARTICIPATION BY PATIENTS
IN THE HEALTHCARE DECISION
MAKING PROCESS.
SO SPECTACULAR MOVE FROM ROME,
GEORGIA.
FROM THE GREAT STATE OF VERMONT.
ANOTHER ONC STATE HICSE GRANTEE,
BLUEPRINT FOR HEALTH
ORGANIZATION AT THE DEPARTMENT
OF VERMONT'S HEALTH ACCESS.
DR. CRAIG JONES EXECUTIVE
DIRECTOR OF VERMONT BLUEPRINT
FOR HEALTH.
VERMONT IS PLEDGING WITHIN SIX
MONTHS IT WILL DEPLOY BLUE
BUTTON TO ALLOW PATIENTS TO DOWN
LOAD INFORMATION AGGRAVATED FROM
INDEPENDENT PROVIDERS
ORGANIZATIONS ACROSS THE STATE.
VERMONT ANOTHER SPECTACULAR
PLACE TO GET HEALTHCARE GOING
FORWARD.
MOVING TO THE TECHNOLOGY
INNOVATOR SPACE, NO MORE CLIP
BOARD.COM, JEFF DONALD,
PRESIDENT, NO MORE CLIP BOARD
OFFERS PERSONAL PHRs AND
PORTALS TO HELP CONSUMERS AN
CARE GIVERS ACCESS MANAGE AND
SHARE INFORMATION.
TODAY NO MORE CLIP BOARD IS
LAUNCHING CC AMERICAS A TOOL FOR
MEDICAL PROFESSIONALS TO
SECURELY SEND DATA AND
CONTINUITY OF CARE DOCUMENT
FORMAT TO A PERSONAL PORTABLE
HEALTH RECORD USING SECURE EMAIL
I.'S ALSO COMMITTED TO USE ONC
PH MODEL PRIVACY NOTICE.
ALLSCRIPTS, DR. JENTILE,
WELCOME, TO CONTINUE PROVIDE
PROVIDERS WITH TOOLS TO HELP
MAKE ACCESSFUL TO PATIENTS,
PATIENT PORTAL, AND ALLSCRIPTS
TO MULTIPLE PHR SYSTEMS THE
ABILITY FOR ALLSCRIPTS TO OFFER
A SUMMARY OF CARE TO THEIR
PATIENTS, VIA OUTPUT OF A CCD
CONTINUITY OF CARE DOCUMENT IN
SUPPORT OF DIRECT PROJECT
PROTOCOLS.
AND FOOTPRINT IN HERS, THAT'S A
TREMENDOUS ENABLER OF DATA
LIBERATION.
SEMENS, NOT A SMALL COMPANY WITH
A SMALL FOOTPRINT.
PLEDGES TO EVALUATE AND IMPROVE
ITS PRODUCT STABILITY TO PROVIDE
PATIENTS ACCESS TO THEIR
INFORMATION, SEMENS WILL MAKE
CRITICAL EDUCATION RESOURCES
AVAILABLE TO PROVIDERS ABOUT
NECESSITY OF ENGAGING PATIENTS
AN PARTICIPANTS IN THE CARE
PROCESS.
GIVEN YOUR FOOTPRINT IT'S
SPECTACULAR CATALYST FOR
LIBERATION AND ADVANCEMENT IN
TERMS OF PATIENT DATA AND
PATIENT CARE.
FINALLY LAST BUT NOT LEAST, GE
HEALTHCARE, ANOTHER COMPANY,
BRANDON SAVAGE, CHIEF MEDICAL
OFFICER, GE CONTINUES TO SUPPORT
PROVIDERS MAKING HEALTH INFO
ACCESSIBLE BY OFFERING A
WEB-BASED PATIENT PORTAL AS A
COMPONENT OF ELECTRONIC HEALTH
RECORD ENABLING GE PROVIDERS
CLIENTS THE TO PROVIDE PATIENT
CAREGIVERS WITH A SINGLE SECURE
PLACE ONLINE TO UP LOAD VIEW AND
DOWNLOAD HEALTH INFORMATION AS
HUMAN READABLE DOCUMENTS AND AS
CONTINUITY OF CARE DOCUMENTS
WHICH CAN BE SHARED WITH OTHER
HEALTHCARE PROVIDERS, GE WILL
ALSO ENHANCE THIS CAPABILITY
GOING FORWARD.
IF EVERYBODY CAN STAND AGAIN,
PLEASE JOIN ME IN CELEBRATING
ALL THE PATIENT CARE LIBERATORS.
[APPLAUSE]
>> FANTASTIC.
[APPLAUSE]
>> NOW MAKING IT EASY TO GET A
COPY OF THEIR OWN INFORMATION IS
CRITICALLY IMPORTANT.
BUT IT'S ONLY HALF THE BATTLE.
OUR NEXT PLEDGERS ARE COMMITTING
TO HELP SPREAD THE WORD OF
CONSUMERS ABOUT THE
ACCESSIBILITY AND POWER OF THEIR
HEALTH INFO AND TO HELP PROVIDE
PATIENTS AND CONSUMERS WITH
SERVICES AND PRODUCTS THAT
HARNESS THIS INFORMATION TO HELP
THEM TAKE CONTROL OF THEIR OWN
HEALTHCARE AND IMPROVE THEIR
LIVES.
TO CELEBRATE THIS NEXT GROUP OF
PLEDGES IT'S MY PLEASURE TO
INTRODUCE MY BROTHER IN ARMS THE
CHIEF TECHNOLOGY OFFICER OF THE
UNITED STATES OF AMERICA, ANEESH
CHOPRA.
[APPLAUSE]
>> THIS IS THE FUN PART.
AS YOU ALL KNOW ON THE
PRESIDENT'S FIRST FULL DAY IN
OFFICE HE CHALLENGED OUR COUNTRY
TO BE MORE OPEN, MORE
COLLABORATIVE, MORE TRANSPARENT.
THIS VISION OF BOTTOM UP CHANGE
IS AT THE HEART OF THIS SECOND
CATEGORY OF PLEDGEES TODAY.
SO WHAT I AM HONORED TO DO IS
SHARE A FEW OF THE STORIES OF
THE INDIVIDUALS THAT WILL BE
TAKING THIS MESSAGE TO
NEIGHBORHOODS AND COMMUNITIES
ALL AROUND THE UNITED STATES.
FIRST UP, PETER NEWPORT FROM
MICROSOFT, HOLE YOUR APPLAUSE.
PETER AT MICROSOFT ON THEIR
HEALTH VAULT PLATFORM.
ALREADY BEFORE THIS PLEDGE
PROCESS WAS COOL COMMITTED TO
ALLOWING INDIVIDUALS TO UP LOAD
THEIR BLUE BUTTON FEATURE IN TO
THEIR PHR IN OCTOBER OF 2010.
NOT TO BE OUTDONE WHEN THE
DIRECT SPECIFICATION CAME OUT
THEY COMMITTED TO ANNOUNCING AND
SUPPORTING INDIVIDUALS TO
ESSENTIALLY SAFELY AND SECURELY
EMAIL THAT INFORMATION TO THEIR
HEALTH VAULT ACCOUNT.
TODAY AS FARZAD MENTIONED THEY
PLEDGE TO ADOPT THE PHR MODEL
PRIVACY FOR CONSUMERS.
SECOND, I WOULD LIKE TO BRING UP
BRAD PERKINS FROM THE DOSSIA
CONSORTIUM, CHAIRMAN OF THE
BOARD.
DOSSIA 2 ON BEHALF OF THE
PATIENTS IN THIS COUNTRY, THEY
PLEDGE TO ADVOCATE FOR DATA
TRANSPARENCY AND FOR CONSUMER
AND PATIENT ENGAGEMENT AND HAVE
ALSO PLEDGED TO ADOPT THE PHR
MODEL PRIVACY NOTICE FOR
CONSUMERS.
THIRD, A SMALL ORGANIZATION YOU
MIGHT HAVE HEARD OF, CALLED THE
AARP.
WHERE IS NORA SUPER?
SHE'S DIRECTOR OF FEDERAL
GOVERNMENT AFFAIRS FOR HEALTH
AND FAMILY ISSUES.
THANK YOU, NORA.
THE AARP, ONE OF THE MOST
TRUSTED SOURCES OF INFORMATION,
PLEDGED TO EDUCATE THEIR MEMBERS
ON THE BENEFITS AND THE VALUE OF
HEALTHCARE IT, THEY'LL BE
OFFERING INFORMATION HOW
ELECTRONIC MEDICAL RECORDS AND
PERSONAL HEALTH RECORDS HIEs
AND ALL THE OTHER RELATED TOOLS
CAN IMPROVE UPON THE PATIENT
EXPERIENCE AND ENHANCE THE
DOCTOR/PATIENT CARE GIVER
COMMUNICATION PATHWAY OFFERING
REAL TIME INFORMATION TO IMPROVE
SELF-MANAGEMENT, SUPPORTING
INFORMATION EXCHANGE AND
ENSURING BETTER COLLABORATIVE
DECISION MAKING.
FOURTH, I WOULD LIKE TO CALL UP
MY GOOD FRIEND ON THE HEALTH IT
STANDARDS COMMITTEE, STEVEN
FINDLY FROM CONSUMERS UNION,
WHAT'S UP, MY MAN, THE SENIOR
HEALTH POLICY IN ANALYST FOR
CONSUMER US UNION.
YOU MIGHT HAVE HEARD OF THIS
MAGAZINE CALLED CONSUMER
REPORTS.
THEY HAVE GOT 8 MILLION
SUBSCRIBERS, THAT'S RIGHT,
STEVEN, 8 MILLION SUBSCRIBERS.
AND THEY PLEDGED TO ENSURE THAT
THEIR AUDIENCE UNDERSTANDS THE
BENEFITS OF HAVING ELECTRONIC
ACCESS AND LSH OR COPIES OF
THEIR MEDICAL RECORDS AND
INFORMATION.
FIFTH UP, THE NATIONAL HEALTH IT
COLLABORATIVE FOR THE
UNDERSERVED, MARSHA, THOMAS,
BROWN.
THE CHIEF OPERATING OFFICER,
THANK YOU VERY MUCH, MARSHA.
THE COLLABORATIVE FOCUSES ON THE
UNDERSERVED.
THEY PLEDGE TO EDUCATE INFORM
AND ENGAGE CONSUMERS IN THE
UNDERSERVED COMMUNITIES WITH
EMPHASIS ON COMMUNITIES OF COLOR
AND THOSE WHO CARE FOR THOSE IN
THESE UNDERSERVED COMMUNITIES.
WE'RE PLEASED THEY'RE COMMITTED
TO ENSURING THE MESSAGE IS CLEAR
TO ELIMINATE HEALTH DISPARITIES
ONE CAN BE EMPOWERED BY ACCESS
TO INFORMATION.
CHIEF EXECUTIVE OFFICER, THANK
YOU VERY MUCH.
THROUGH THEIR CONSUMER
CONSORTIUM ON eHEALTH, NEHIC
WHICH HAS OVER 200 ORGANIZATIONS
FROM CONSUMER GROUPS AND
PROVIDERS, EMPLOYERS AND
TECHNOLOGY COMPANY, PATIENT
ADVOCATES IN FEDERAL AGENCIES
AGREE TO SUPPORT AND COORDINATE
INFORMATION SHARING ON HOW
CONSUMERS CAN TAKE MORE
ADVANTAGE OF THIS INFRASTRUCTURE
IN HEALTH IT.
NEHIC I'LL GIVE A SHOUT OUT CAN
CONTRIBUTE TO THE LOVELY NEW
WEBSITE THAT FARZAD LAUNCHED
HEALTHIT.GOV.
NUMBER 7, I WOULD LIKE TO
HIGHLIGHT AMERICAN NURSES
ASSOCIATION, MARLAS WE TON.
NICE TO SEE YOU.
AMERICAN NURSES ASSOCIATION
PLEDGED TO EDUCATE CONSUMERS ON
AVENUES TO MAKE INFORMED CHOICES
ABOUT THEIR HEALTHCARE.
THEY'RE GOING TO SET UP
INFORMATION BRIEFS AND BE A VERY
INTERESTING AND CREATIVE USE OF
SOCIAL MEDIA AND OTHER TOOLS TO
GET THE WORD OUT.
NOT TO BE OUTDONE IN THE NURSING
COMMUNITY, MY OTHER CYST NER
ARMS ON THE HEALTH IT STANDARDS
COMMITTEE, JUDY MURPHY AND HER
CAPACITY AS CO-CHAIR FOR
ALLIANCE FOR NURSING INFORMATICS
AND IN A PRIVATE CAPACITY AS
VICE PRESIDENT FOR IT AT AURORA
HEALTHCARE.
THE ALLIANCE FOR NURSING
INFORMATICS IS COORDINATING A
CAMPAIGN WITH OTHER NURGSESSING
ORGANIZATIONS TO PROMOTE USE OF
THE PERSONAL HEALTH RECORDS IN
PATIENT PORTALS.
EVERYONE KNOWS HOW MUCH PATIENTS
TRUST THEIR NURSES AND TO HAVE
THIS IMMUNITY ENGAIBLG ON THIS
ISSUE IS CRITICALLY IMPORTANT.
TODD WAS GIVEN SHOUT-OUTS TO ONC
AWARDEES.
TODAY I WANT TO HIGHLIGHT THE
GRANTEE IN THE BEACON
COMMUNITIES PROGRAM FOCUSING ON
IMPROVING HEALTHCARE OUTCOMES,
POWERED BY INFORMATION
TECHNOLOGY.
THE CINCINNATI BEACON TEXT FOR
HEALTH PROGRAM IN PARTNERSHIP
WITH HEALTH BRIDGE.
CATHY LORDO DEPUTY HEALTH
COMMISSIONER FROM HEALTH BRIDGE.
AS PART OF THE BEACON COMMUNITY
PROGRAM, HEALTH BRIDGE ISN'T
JUST TALKING ABOUT ADVOCATING
FOR THIS CAPABILITY, THEY'RE
ACTUALLY GOING TO BE
IMPLEMENTING THIS AND ENSURING
THAT 25,000 PATIENTS AT LEAST
WILL HAVE ACCESS TO THE
INFORMATION TO BE MADE AVAILABLE
IN THEIR CINCINNATI'S TEXT FOR
HEALTH PROGRAM FOCUSING ON
INDIVIDUALS THAT ARE AT RISK FOR
DIABETES.
PIMS, NOT A VERY SMALL
ORGANIZATION, CARLA SMITH FROM
THE EXECUTIVE VICE PRESIDENT,
THANK YOU VERY MUCH, CARLA.
HIMS IS GOING TO PLEDGE TO EQUIP
CLINICIANS AND OTHER FRONT LINE
HEALTHCARE PERSONNEL WITH
EDUCATION, TOOLS, RESOURCES SO
THEY CAN ENGAGE CONSUMERS
THROUGH HEALTH IT.
THEY'RE GOING TO DO THIS THROUGH
ALL THE TOOLS AT HIMSELF
DISPOSAL FROM CONFERENCES,
PODCAST, SOCIAL MEDIA
ACTIVITIES.
HIMSELF WILL TOUCH 38,000 --
HIMS WILL TOUCH 38,000 MEMBERS.
NEXT UP, I WANT TO BRING UP
CHARLIE JARVIS, VICE CHAIR OF
EHR ASSOCIATION WHO IS THE VICE
PRESIDENT FOR HEALTHCARE
SERVICES AND GOVERNMENT
RELATIONS AT NEXTGEN HEALTHCARE.
THE EHR ASSOCIATION WILL
CONTINUE ITS EFFORTS TO EDUCATE
MEMBERS ON THE VALUE OF BUILDING
PRODUCTS AND SERVICES THAT
ENABLE PATIENTS TO HAVE ACCESS
SAFELY AND SECURELY TO THEIR OWN
DATA.
BY THE WAY, A LITTLE SHOUT-OUT
TO THE EHR AASSOCIATION THEY
HAVE BEEN DEMONSTRATED RESULTS
HOW PERSONAL ACCESS TO DATA CAN
IMPROVE COMPLIANCE.
ANOTHER SMALL COMPANY, ORACLE
CORPORATION, BRETT DAVIS SENIOR
DIRECTOR FOR HEALTH SCIENCES,
ORACLE IS PLEDGE OAG THEY HAVE
HAD A LONG STANDING HISTORY IN
DATA ANS ASSET BUT THEY -- AS AN
ASSET.
BUT THEY'RE PLEDGING TO CONTINUE
THEIR COMMITMENT TO EMPOWER
CONSUMERS THROUGH THE IT
SOLUTIONS THAT THEY'RE MAKING
AVAILABLE SO CLINICIANS CAN BE
-- CAN OFFER TIMELY AND SECURE
ACCESS TO PERSONAL HEALTH
RECORDS, ANOTHER NOT SO SMALL
COMPANY, INTEL CORPORATION.
RICK NASAN, DIRECTOR OF INTEL
WORLDWIDE HEALTHCARE PROGRAM
OFFICE.
INTEL IS PUTTING ITS MONEY WHERE
ITS MOUTH IS, THEY'RE PLEDGING
THEIR OWN EMPLOYEES WILL HAVE
ELECTRONIC ACCESS TO THEIR DATA
GIVING THEM THE TOOLS THEY NEED
TO BETTER MANAGE THEIR RISKS,
THEIR HEALTHCARE AND SO FORTH.
AND LAST TWO TO ANNOUNCE ON
THESE PLEDGES, SOME OF THESE
ENTREPRENEURIAL COMPANIES OUT
THERE, HEALTHRAGEOUS, RICK LEE,
THE CEO, HEALTHRAGEOUS ENGAGES
CONSUMERS IN HEALTH IMPROVEMENT
USING ONLINE AND MOBILE
APPLICATIONS.
AND HEALTHRAGEOUS PLANS TO
CONTINUE ITS EFFORTS.
IT'S IMPORTANT IN THIS WEB
CULTURE, NOT JUST WEB ACCESS IN
THE ENS OF COMPUTER BUT
INCREASINGLY IN MOBILE PLATFORMS
AN THANK YOU FOR REMINDING ME OF
THE IMPORTANCE OF THIS.
- BUT NOT LEAST, THE NATIONAL
HEALTH COUNCIL, MERRILL
WINEBERG, WHERE ARE YOU?
THANK YOU SO MUCH.
THANK YOU.
PLEDGING THE RESOURCES OF THE
NATIONAL HEALTH COUNCIL WILL
EQUALLY BE FOCUSED ON EMPOWERING
CONSUMERS.
CAN WE GET ALL THOSE PLEDGEES TO
STAND UP AND GIVE THEM MORE LOVE
THAN THE DATA HOLDERS.
MORE LOVE.
GRASSROOTS CHANGE.
[APPLAUSE]
FARZAD, IF I MAY, THREE MORE
POINTS IF I MAY.
>> IT'S OKAY.
>> POINT NUMBER ONE.
I'M PLEASED TO ANNOUNCE THAT AS
PART OF OUR EFFORT TO LIBERATE
HEALTHCARE INFORMATION UNDER THE
LEADERSHIP OF MY BROTHER TODD
PARK, THE HEALTH DATA INITIATIVE
OR WHAT TODD LOVES TO REFER TO
AND WE THINK AS EQUALLY COOL,
DATAPALOOZA PLEDGED TO ADD A
CONSUMER TRACK FOR THE 2012
SERIES WHICH MEANS WE WILL
EXPLICITLY OFFER SHOWCASE
OPPORTUNITIES TO INNOVATORS THAT
ARE DOING CREATIVE THINGS TO
HELP EMPOWER INDIVIDUALS AND
ALLOW THEM TO PROVIDE SAFETY AND
SECURE ACCESS TO THE
INFORMATION, THEY HAVE IN VERY
CREATIVE WAYS AS PART OF THAT
2012 SHOWCASE EFFORTS.
SO PAY ATTENTION, PENCIL THOSE
DATES AND WE'LL FEATURE YOUR
BEST PRACTICES.
THAT'S NOT ALL, FARZAD.
THAT'S NOT ALL.
NUMBER TWO.
UNDER FARZAD'S LEADERSHIP ONE OF
THE PRESIDENT'S COMMITMENTS
CHANGING THE WAY WASHINGTON
WORKS IS TO GET OUT OF THE
TRADITIONAL APPLY RFPs AND
GRANTS AND WASHINGTON SPEAK, AND
REALLY TAP INTO THAT CREATIVE
SPIRIT OUT IN NEIGHBORHOODS AND
COMMUNITIES.
WHICH IS WHY WE HAVE THE LEGAL
AUTHORITY THANKS TO THE AMERICA
COMPETES ACT TO EVERY FEDERAL
AGENCY TO RUN CHALLENGES PRIZES
AND CONTESTS TO TAP INTO THAT
ENTREPRENEURIAL SPIRIT.
FARZAD STEPPED UP TO THE PLATE.
AND IN HIS LEADERSHIP AT ONC
WE'RE PLEASED TO ANNOUNCE THE
FIRST OF WHAT WILL BE A
LONG-RUNNING LIST OF CHALLENGES.
AND THIS ONE IN THE SPIRIT OF
QUALITY AND HEALTHCARE
IMPROVEMENT WAS BUILT ENTIRELY
IN COLLABORATION WITH CMS UNDER
DR. BERWICK'S LEADERSHIP.
AND PARTNERSHIP FOR PUBLIC
HEALTH.
WHAT FARZAD IS ANNOUNCING TODAY
IS A NEW CHALLENGE ON ENINSURING
SAFE TRANSITIONS FROM HOSPITAL
TO THE HOME.
THAT'S YOU, YOU GOT A PLAY IN
THIS SPACE.
SAFE TRANSITIONS FROM THE
HOSPITAL TO THE HOME.
AS ALL OF US KNOW 20% OF
PATIENTS DISCHARGED FROM
HOSPITALS ARE READMITTED TO THE
HOSPITAL WITHIN 30 DAYS.
THIS CHALLENGE WILL LOOK FOR
CREATIVE OPPORTUNITIES TO
STRENLTEN THAT INFORMATION FLOW.
WE WILL OFFER A $25,000 PRIZE
AWARDED THIS DECEMBER FOR THE
MOST INNOVATIVE IDEA TO ENSURE
WE HAVE THAT SAFE TRANSITION
FROM HOSPITAL TO THE HOME.
BUT ISLE END WITH WHERE
SECRETARY SEBELIUS ENDED HER
REMARKS.
AS YOU KNOW, THE PRESIDENT DID
ANNOUNCE THIS WEEK AS HEALTH IT
WEEK.
IN HIS PROCLAMATION, HOWEVER,
THE PRESIDENT ISSUED A
CHALLENGE, NOT CAPITAL CHALLENGE
WITH PRIZE MONEY BUT AS A
CHALLENGE TO US AS AMERICANS.
THAT EVERYONE IN THIS ROOM AND
WATCHING ON THIS WEBCAST AN
EVERY NEIGHBORHOOD AND COMMUNITY
HAS A ROLE THAT WE CAN PLAY TO
IMPROVE OUR HEALTHCARE SYSTEM.
HE'S CHALLENGED ALL OF US TO
EMPOWER PATIENTS AND TO ENGAGE
THEM AS THEY REALIZE THEIR
GOALS.
THAT IS THE MESSAGE THAT WE'D
LIKE TO SHARE WITH ALL OF YOU
TODAY.
WITH THAT, I TURN IT BACK OVER
TO FARZAD TO BRING US HOME.
THANK YOU VERY MUCH.
[APPLAUSE]
>> WHAT A GREAT SERIES OF
ANNOUNCEMENTS.
I THINK WE HAVE HEARD FROM THE
BEGINNING OF THIS SOME OF WHAT
GOVERNMENT CAN DO.
WE CAN HELP WITH STANDARDS.
WE HEARD ABOUT THE HEALTH EMAIL
PROTOCOLS THAT WE BROUGHT FOLKS
TO AGREE TO.
THE MODEL PRIVACY NOTICE, THAT
STANDARDIZES TRANSPARENCY AROUND
PRIVACY.
WE CAN CLARIFY REGULATIONS AS
LEON RODRIGUEZ DID.
WE CAN UNBLOCK AND REDUCE
UNCERTAINTY AS IN THE CLEAR
REGULATIONS THAT LEON AND THE
SECRETARY ANNOUNCED, TO RESOLVE
STATE BY STATE DIFFERENCES.
WE CAN DO OURSELVES AS PETER
SAID, SHOW THE WAY WITH THE VA,
DOD, WITH CMS AND OTHERS.
WE CAN CALL ATTENTION.
WE CAN BRING FOLKS TOGETHER THE
WAY WE'RE HERE TODAY.
THE WAY WE'RE WATCHING ON THE
WEB, REPORTERS IN THE ROOM.
WE CAN CALL ATTENTION SOMETHING
THAT'S ALREADY HAPPENING.
WE CAN ISSUE CHALLENGES AN
AWARDS TO HIGHLIGHT THAT
FURTHER.
WE CAN CONVENE.
BUT THIS IS NOT OUR MOVEMENT.
THIS IS YOUR MOVEMENT.
EVERY ONE OF YOU IN THIS ROOM
HERE IS LEADING AND IN SOME
CASES MILLIONS OF PEOPLE ARE
AFFECTED BY EACH OF YOUR
ORGANIZATIONS.
AND ALL WE CAN DO AND WHAT WE
WAN YOU TO HOLE US ACCOUNTABLE
FOR IS TO DO OUR OUT MOST IN A
COMMITTED ENERGETIC BUT LIMITED
WAY TO UNBLOCK YOUR ABILITY TO
ENABLE YOUR DRIVE, CREATIVITY,
YOUR PASSION TO HELP MAKE
MEDICINE AS PATIENT CENTERED, AS
SAFE AND EFFECTIVE AS IT CAN
POSSIBLY BE.
THANK YOU.
[APPLAUSE]