Transcript Document
SMART on FHIR
Apps 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
authorization
authentication
clinical data
UX
{
Health IT
Systems
>1000 Certified
(VDT, 4/2015)
focus on
Demos
Duke Medicine
SMART 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
Crimson Care Management
Crimson Care Management
Scalable, Patient-Centered Coordination Across Care Settings
Crimson Care Management App
Risk score updated as
diagnoses pulled in from
the EMR using FHIR
Patient clinical information (including
diagnoses, medications and allergies)
automatically fed into 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
©2015 The Advisory Board Company • advisory.com
Leveraging the Power of Interoperability
A New Infrastructure for Value-Based, Population-Oriented Health Care
Plugging in
to a Larger Effort
Argonaut
Project
FHIR-Based
Data Queries
Crimson
Care Manager
Partial list of
participating
organizations
Integrating
Data
Risk-Stratifying
Patients
Automating Care
Planning
Structuring
Workflow
Reporting on
Performance
Creating a
comprehensive view of
patients and populations
Prioritizing intensive
interventions based on
risk factors
Automatically
customizing care to
patient need
Automated task
creation, assignment,
and tracking
Flexible ad hoc reporting
for identifying variance,
supporting billing
©2015 The Advisory Board Company • advisory.com
athenahealth
Cerner
Epic
SMART
Advisory Board
Meducation® Addresses Health Literacy
More 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
Adherence Intelligence for Clinicians
TimeView™ Adherence Report
Non-adherence
indicators
Adherence Intelligence for Clinicians
TimeView™ Adherence Report
Proportion of days covered,
per PQA metric for Star
Ratings
Other Prescribers
Actual patient medication
adherence based upon PBM,
SureScripts and/or other data
Tackling Non-Adherence at the Point of Care
EHR
PBM
New functionality
integrated into
existing workflows
Deep analytics,
improved adherence,
and gaps in
care programs
Surescripts’ Solution
Combats Non-Adherence
Physician
Simple, targeted insights
provide time efficiency
and improved
patient care
Patient
More informed care
and better outcomes
Tackling Non-Adherence at the Point of Care
Reduced time-to-Value
SMART offers a reduced design complexity, helping
Surescripts reach a wider audience without the cost
of significant, one-off development efforts
Greater innovation through collaboration
The SMART specification extensions built in collaboration with
Surescripts empower our apps to provide both information-rich
and visually consistent experiences for users.
Improved Interoperability
SMART provides a standardized, secure way to
integrate local data and network data, helping connect
users to the power of the Surescripts network.
Medication
Adherence
on the
SMART
platform
Our Apps Will Change Care Delivery
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
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Re-creation or delivery to another party in any format is strictly prohibited.
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