Transcript 20150122 - NATE`s Direct Project Connect-a
NATE’s Blue Button for Consumers (NBB4C) Trust Bundle
Direct Project Connect-a-Thon
January 22, 2015
Aaron Seib, NATE CEO [email protected]
301-540-2311
Agenda
• • • • • •
Who is NATE?
What is NBB4C? Why do we need another bundle?
What are the benefits?
How was the NBB4C developed?
When will this trust bundle be available for use?
Who is NATE?
The
National Association for Trusted Exchange
(NATE) is a not-for-profit association focused on enabling trusted exchange among organizations and individuals with differing regulatory environments and exchange preferences.
What is the NBB4C?
The
NATE Blue Button for Consumers
(NBB4C) Trust Bundle is a trust mechanism that provides HIPAA covered entities that use Direct a facile method of exchange with Consumer Facing Applications that must meet or exceed a different set of regulatory criteria and user experience requirements to become a NATE QE.
We make it easy for providers to share health information with their patients so that their patients can do what they want with it.
Two regulatory paradigms; One consumer • • • • • Differences between exchange
among
about a consumer and a consumer
between
HIPAA CE a HIPAA CE and OCR enforces HIPAA which applies to Covered Entities FTC enforces Consumer Protection Laws which applies to Consumer Facing Applications Covered Entities make decisions that affect many consumers Consumers make decisions that affect themselves
Engaged Patients = Better Outcomes • Improve outcomes and enhance patient satisfaction • Communicate and coordinate with providers • Self manage health and wellness • Check for errors or inaccuracies • Potential for cost reduction http://www.rwjf.org/content/dam/farm/reports/issue_briefs/2014/rwjf411217
How was the NBB4C developed?
BB+ Administered by NATE
6/24/2014
HIMSS Interop Showcase
2/24/2014
Initialize NATE Prioritizes Patient Access to PHI
1/1/2013
Phase I ONC PHR Ignite Funding combined with state grants are used to support discovery phase pilots that identify gaps in standards and policies and learn what was possible
04/29/2013
Phase II NATE convenes Scoping Workgroup to refine recommendations for Production Trust Bundle
8/25/2014
Phase II Recommendations Submitted to NATE Board of Directors
1/18/2015
Go-Live
February 2015
What was NATE’s PHR Ignite Experience? Phase 1 • • • Funding from the ONC SHPC grant was combined with funding from member states Phase 1 of NATE’s PHR Initiative began in March of 2013 The PHR pilot was designed to discover as much as possible about enabling patients and providers to securely exchange protected health information bi-directionally using Direct • With over $700,000 in combined funding, we were able to put together a great team that included numerous PHRs, HIEs and others working in three different states around the country
PHR Initiative Phase 1
Audacious scope
PHR Initiative Phase 1 … examining desired capabilities to inform Phase 2 recommendations P2P4Tx
HIMSS14 Interoperability Showcase Script 1: Easing the administrative burden on providers SCHIE, SD Health Connect and NoMoreClipboard While visiting Santa Cruz patient Olive Trekker receives care from Dr. Earl Grey at Santa Cruz Hospital.
Dr. Grey pushes encounter data to Olive’s NMC account. Olive accesses her data via the NMC patient portal. Olive then pushes data to her San Diego provider, Nurse Chris Care, via SD Health Connect. Direct Message Direct Message Nurse Chris Care receives Olive’s encounter data. 11
HIMSS14 Interoperability Showcase Script 2: Wireless science leveraging micro and macro environmental data UCSD Health System, CitiSense, Propeller Health, HealthVault, SD Health Connect, Delphi Asthmatic patient Gloria Gilliam receives care from Dr. James Killeen at UCSD Medical Center. Dr. Killeen provides her with two asthma sensors.
Direct Message Dr. Killeen receives comprehensive view of Gloria’s exposure and inhaler use. Direct Message Gloria’s HealthVault account is updated. Gloria pushes data to Dr. Killeen.
Direct Message Gloria’s HealthVault account is updated following final visit. Macro Air Quality Data (Delphi) Azure Cloud integrates Gloria’s device data and macro environmental data from the Delphi Project. Aggregate data sent to Gloria’s HealthVault account.
Gloria receives and uses her CitiSense sensor and Propeller Health sensor. Device Data Transmitted to Mobile Phone (via Bluetooth) MS Proprietary Data Transfer (Not Direct Message) Gloria sends sensor data from her mobile phone to SD Health Connect in Microsoft Azure Cloud.
HIMSS14 Interoperability Showcase Script 3: Ensuring patient safety with mobile anytime/anywhere access to health records San Diego Health Connect and Humetrix iBlueButton Vet receives care from Dr. Killeen at UCSD Medical Center. Dr. Killeen transmits UCSD Epic C-CDA to Vet’s Humetrix iBlueButton app.
Pre-Populated Data MyHealth
e
Vet CCD Direct Message Direct Message Medicare BB Data Pulled Record The iBlueButton app provides an aggregated view of all data and enables the patient to annotate his records.
iBlueButton App is updated by receiving C CDA from Dr. Smith.
TriCare Online CCD Direct Message Device to Device Secure Transfer OR Visual Sharing Direct Message Dr. Smith has access to Vet’s current medical history when Vet receives care from Dr. Smith in SC. Dr. Smith transmits C CDA to Vet’s Humetrix iBlueButton app.
PHR Initiative Phase 1 …outcomes and next steps • Phase 1 pilot outcomes were reported to the ONC and presented to NATE’s Board • NATE’s Board directed the Team to: • Establish a Phase 2 Scoping Workgroup to develop a set of artifacts informed by what was learned in Phase 1 • • Make a public call for comment Reconvene the scoping workgroup to assess public comment • Make a final recommendation to the Board on policies for NATE’s Blue Button for Consumers (NBB4C) Trust Bundle Phase 1 Report
PHR Initiative Phase 2 …scoping workgroup
Role
Co-Chair Co-Chair WG Member WG Member WG Member WG Member WG Member
Workgroup Member
Adam Greene Jeff Livesay Bettina Experton Jeff Donnell Nathan Reno Christina Caraballo Johnny Allen WG Member WG Member Consumer Representative Behavioral Health Representative Josh Mandel Janet Campbell MaryAnne Sterling Michael Lardieri
Organization
Davis Wright Tremaine MiHIN Humetrix NoMoreClipboard Microsoft HealthVault Get Real Health Pennsylvania eHealth Partnership Authority Children’s Hospital, Boston Epic Sterling HIT Consulting North Shore-LIJ Health System
PHR Initiative Phase 2 …scoping workgroup • The function of the Phase 2 workgroup was to review NATE’s PHR Ignite Phase 1 pilot work and existing trust bundles (P2P4Tx, P2PHR, PHR2P and BB+), evaluate the current landscape and make a recommendation on next steps • The end goal of the project being scoped by this workgroup is to establish the materials that define a practical trust community, which relying parties will adopt and PHR vendors will participate in, that satisfies applicable law while minimizing the burden of being determined eligible • Following a public comment period (
ended 11/14
), reconvene and evaluate inputs garnered to determine if changes to proposed materials are warranted or if the recommendation better fits into a future extension of the trust community • Recommendations of workgroup have been submitted to NATE’s Board of Directors and it is an agenda item to be considered on January 23 • Pending approval - NBB4C is anticipated to be operational in early February 2015
DirectTrust & NATE together?
• • Simplifying patient sharing for providers Getting consumers their health information Healthcare Ecosystem HIPAA Covered Entities Exchanging PHI with other HIPAA Covered Entities OCR Consumers aggregating health data about themselves FTC
DirectTrust Trust Store E M R C F A NATE Trust Store DirectTrust NATE
NATE-trust.org/trustbundles
Join NATE’s PHR Community to Stay Informed:
NATE-trust.org/phr-community-signup