Transcript PowerPoint Dr. Jon White Blockchain Presentation

Advancing Progress Toward a Safe and Secure
Nationwide System of Interoperable Health IT
Rockstars of Blockchain in Healthcare at HIMSS17 | February 22, 2017
P. Jon White, M.D., Acting National Coordinator for Health IT @pjonwhite
Steve Posnack, Director, Office of Standards & Technology @HealthIT_Policy
ONC’s Role
 Promote the widespread adoption of standardized and certified health IT
 Facilitate the secure use and exchange of interoperable health information
 Foster the delivery of safe, high-quality care
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Recent Progress: Adoption
100%
84%
75%
54%
50%
25%
0%
17%
9%
2008
2009
2010
2011
2012
2013
2014
2015
Basic EHR (Non-Federal Acute Care Hospitals)
Basic EHR (Office-based Physicians)
NOTES: [1] Hospitals have adopted a Basic EHR system with clinician notes when the main site of the hospital includes a computerized system with capabilities in the following areas:
patient demographics, physician notes, nursing assessments, patient problem lists, electronic lists of medications taken by patients, discharge summaries, advanced directives, orders
for medications, viewing laboratory results, and viewing radiology results. [2] Physicians adopted a Basic EHR system if they reported their practice performed all of the following
computerized functions: patient demographics, patient problem lists, electronic lists of medications taken by patients, clinician notes, orders for medications, viewing laboratory
results, and viewing imaging results. [3] In 2015, certified EHR adoption was 96% for Non-Federal Acute Care Hospitals and 78% for Office-based Physicians. A certified EHR system is
one that meets the requirements adopted by the US Department of Health and Human Services.
SOURCE: Data from the American Hospital Association (AHA), AHA Annual Survey Information Technology Supplement, and the NAMCS Electronic Medical Record Supplement (20082011) and the National Electronic Health Records Survey (2012-2015).
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Interoperability Defined
• IEEE as basis:
» The ability of a system to exchange electronic health information with and use
electronic health information from other systems without special effort on the
part of the user.
• Less jargon-y:
» All individuals, their families and health care providers should be able to send,
receive, find, and use electronic health information in a manner that is
appropriate, secure, timely and reliable to support the health and wellness of
individuals through informed, shared decision-making.
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Big Picture: The Federal Health IT Strategic Plan
Federal Health IT Strategic Plan
Goal 4
Objective A:
Implement the Shared Nationwide
Interoperability Roadmap
Available from http://bit.ly/1QySrGW
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Shared Nationwide Interoperability Roadmap
Available from http://bit.ly/1KZvxcu
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Roadmap’s Overarching Goals
2015-2017:
Send, receive, find, and use priority data domains to
improve health care quality and outcomes.
2018-2020:
Expand data sources and users in the
interoperable health IT ecosystem to improve health
and lower cost.
2021-2024:
Achieve nationwide interoperability to enable a
learning health system, with the person at the
center of a system that can continuously improve
care, public health, and science through real-time
data access.
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ONC’s Key Roadmap Efforts
• Challenges
» Blockchain Challenge
» Move Health Data Forward
ONC
ROADMAP
» Consumer Health Data Aggregator
» Provider User Experience
HIGHLIGHTS
• Interoperability Standards Advisory
• Interoperability Proving Ground
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Blockchain and Health IT
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Thor’s Hammer: Discovering the Right Nail for Blockchain
Provenance/Metadata tagging
Consent/Non-repudiation
? Key/Identity Management
? Patient Reported Outcome Measures
? Business issues: ROI
• Quality Reporting
• Precision Medicine Initiative
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The Use of Blockchain in Health IT and Health-related Research Challenge
• 1 phase, with 15 winners
• Monetary awards ranging from $1,500-$5,000
•
8 winners presented at the Blockchain &
Healthcare
Workshop at NIST in September, 2016.
• Challenge website:
http://www.cccinnovationcenter.com/challenge
s/block-chain-challenge/
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Blockchain in Healthcare Workshop
TOPICS INCLUDED:
• Cryptography
• Use cases and implementations
• Capabilities and limitations
• Standards and Policy obstacles
• “Distributed ledger” alternatives to
Blockchain, etc…
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Workshop Summary and Next Steps
• Ongoing industry outreach
» Include additional Government Agencies
• Coordinate workshops every
6 or 12 months
» Participation must include industry
experts in standards, policy, and
implementation.
• Explore Federal Advisory Committee
» Look into the possibility of creating
Tiger Teams
• Continued demonstrations and trial
implementations of Blockchain
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PMAL Challenges: Completed (Cont’d)
Blockchain Site on ONC Tech Lab
• Healthit.gov/blockchain
• All challenge submissions posted
• Full access to all workshop materials including workshop
transcripts
• Bio and contact information for workshop presenters.
Blockchain Summary Report
•
•
•
•
Summary report for both the Challenge and Workshop
Highlights key findings and results
Details meeting logistics
Brief discussion of next steps
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