Utilizing the power of data can empower patients and arm developers in the creation of new tools and platforms. Whether it’s authenticating data, downloading it via BlueButton, or connecting data with other applications using BlueButton on FHIR, increased data accessibility is a win for everyone. Presenters will give an overview of the opportunities and challenges that exist today and share the newest technologies and initiatives that are overcoming them.

1. Free the Data
Aashima Gupta
Vice President – Digital Healthcare Transformation,Apigee
@aashima1gupta

2. 2
Our Customers
AT&T

3. Walking in the shoes of a consumer ...

4. Harnessing information for Total Health
The foundation of personalized, consumer-driven health includes collecting, collating and curating information,
moving from episodic to continuous engagement.
consumer
interactions
BEHAVIORAL DATA
(life style choices, preferences,
activities, quality of life)
PERSONAL“-OMICS”
(Genomics, proteomics, transcriptomes,
metabolomics)
SOCIAL DATA
(friends, family, affiliations, communication, activities)
MEDICAL RECORDS
(encounter, labs, Rx, medical devices, etc)
CONTEXTUAL
Environment (temperature, pollen count, etc)
Geographic (closest hospital, pharmacy, etc)
DEMOGRAPHICS
(age, employer, address, industry)
Powered by Apigee

5. Meet Samantha
Persona
Age 47
Marital Status Married
Occupation Assistant
Language Bilingual

6. Actions and challenges: the current state of chronic care
6
Case manager
contacts patient
via telephone to
collect
information
Patient gives
information to
nurse over the
telephone
Case manager
gathers details
about
medication
Actions
Case manager
records
information
Based on
information
transcribed, nurse
recommends
course of action to
patient
Patient
challenges
Patient may not
be available
when called.
Patient is
frustrated in
giving
repeated
information
clinician/nurse
Patient does
not remember
medication
prescribed or
may make
mistakes
Manual
process of
entry might
introduce
errors
Patient needs to
know about what
is/isn’t covered in
health plan,
needs to write
down care steps,
adherence
Care Interaction

7. MY GOALS
My Medication Plan
Angiotensin On Plan
Aspirin
On Plan
Spironolactone WARNING
ALERTS
MY MILES
MY NUTRITION PLAN
MY Weight Monitor
MY CALORIES
MY APPOINTMENTS
‣Refill Prescription
‣Refill Prescription
‣Check Blood Pressure
‣Check Weight
Thurs., Mar 5
Thurs., Jun 5
Daily, Every 4 hours
Daily
MY STEPS
‣MONDAY
‣TUESDAY
‣WEDNESDAY
‣THURSDAY
‣FRIDAY
Spinach Risotto
Grilled Chicken
Tomato Soup
Spaghetti
Steak + Potatoes
POWERED BY
Sam’s Healthy Heart Dashboard
X
X
X
X
X
X
X
Appointment Details
With : Dr. Be Well
Location: 101 Main, Ste101
Notes: Routine Follow Up
Samantha’s Diabetes Dashboard My Yearly Deductible : $1000 Deductible Remaining : $100

8. Common MU Data Set
1. Patient 9. Immunization
2. Encounter 10. Medication Admin
3. Allergy Intolerance 11. Medication Disp
4. Care Plan 12. Medication Prescrip
5. Care Plan2 13. Medication Stat
6. Condition 14. Observation
7. Diagnostic Order 15. Practitioner
8. Diagnostic Report 16. Doc Reference
Apigee Healthcare: common MU data set
8
Hospitals
Healthcare
Ecosystem
Payers
PharmaPartners
Employer
s
Medical
Devices
Based on FHIR: Fast Healthcare
Interoperability Resources
H $

9. Connecting Samantha’s digital experience is hard
Clinical Alert
readings are abnormal
Reminders
medication reminders
My Readings
daily readings
Schedule
adjust care plan
Payment
get incentives
Eligibility Payment External partnersEMRImaging Hospital PharmacyLabs
Clinical Payer Locations
$

10. What’s needed?
Two Speed IT architecture
Digital Health Platform and Analytics
Payers/Health
Plans
EMR, Legacy
Systems
Eco System
Partners
Data/Analytics
Engine
Remote
Monitoring
Devices
Wellness and
Fitness Devices
Patient Mobile &
Tablet Apps
External Data

11. Samantha’s experience: enabled through the digital value chain
Systems
User
Connected experience
Developers
connect apps, data and devices with APIs
API team
builds, runs and manages APIs
$

12. Traditional approach to build Samantha’s dashboard
12©2015 Apigee. All Rights Reserved.
Define Experiences
Learn and
understand the
requirements for new
experiences
Connect to
Legacy
Define Data
connectors
Connect to EMR
Build, test,
integrate, FHIR
APIs
Secure access
and
authentication
for Developer On
boarding
Build developer
portal
0-6 months 0-3 months 0-3 months 0-3 months
12-18 months
across digital value chain

13. 13©2015 Apigee. All Rights Reserved.
What’s needed?
Greater Innovation
Accelerate
time-to-value
Fail early, fail
cheap, fail often
Identify & adopt
promising candidates
Data
interoperability

14. Introducing Apigee Health APIx
14©2015 Apigee. All Rights Reserved.

15. What is Apigee Health APIx?
• Delivers FHIR (Fast Healthcare
Interoperability Resources) API-
based app and data
interoperability
• Can be deployed in days
instead of months
15©2015 Apigee. All Rights Reserved.

16. Trust
• OAuth Framework
• Access Management
• Token Management
FHIR
• FHIR ready APIs
• Resources & Profiles
• Search capability
Components
Developer
• Tailored portal
• Market sandbox
• Sample code
Health APIx: an accelerator built on Apigee Edge
16
Developer
Portal
Modeling &
Management
SmartDocs Monetization
Developer Services
API
Management
BaaSSecurity API
Programmability
API Services
Ops
Metrics
App
Performance
Developer
Metrics
Business
Metrics
Analytics Services

17. Apigee Health APIx Solution Assets
17©2015 Apigee. All Rights Reserved.

18. Developer portal

19. FHIR APIs

20. Patient API methods
Test Request

21. MY GOALS
My Medication Plan
Angiotensin On Plan
Aspirin
On Plan
Spironolactone WARNING
ALERTS
MY MILES
MY NUTRITION PLAN
MY Weight Monitor
MY CALORIES
MY APPOINTMENTS
‣Refill Prescription
‣Refill Prescription
‣Check Blood Pressure
‣Check Weight
Thurs., Mar 5
Thurs., Jun 5
Daily, Every 4 hours
Daily
MY STEPS
‣MONDAY
‣TUESDAY
‣WEDNESDAY
‣THURSDAY
‣FRIDAY
Spinach Risotto
Grilled Chicken
Tomato Soup
Spaghetti
Steak + Potatoes
POWERED BY
Sam’s Healthy Heart Dashboard
X
X
X
X
X
X
X
Appointment Details
With : Dr. Be Well
Location: 101 Main, Ste101
Notes: Routine Follow Up

22. Recap digital value chain
Challenges of implementing
Samantha’s experience
Accelerator assets
©2015 Apigee. All Rights Reserved.
Lower barriers to interoperability &
innovation
Abstracting complexity of systems of
record
Making the access secure and safe
Enable quick MVP development
Developer Portal with FHIR documentation
and content
Pre-configured proxies for FHIR ready
APIs
Pre-integrated OAuth security proxies and
configurations
Reference implementation

23. How to get started
23©2015 Apigee. All Rights Reserved.
1. Join APIx community through the portal
2. Create your own digital health accelerator (Developer
Portal + API)
3. Create apps and experiences