Health 2.0 Boston 2015 Code-a-Thon - 1st Place Winner - HEALTHPartner

1. WHAT/WHYAREWEBUILDING?
There is a significant gap between great
physician instruction and meaningful patient
action
Typical EMRs are geared for billing, but hold
important data that could fuel quality of care –
we help unlock that and also create a path to
action for care opportunities. Dashboard, ed
plan manager, digital care plan manager,
communications console.
We are building a chronic condition “overlay”
for Allscripts that identifies gaps in care,
delivers premium patient plans and takes
action against patients between visits
Patients suggest that providers are “great at
telling me what to do, but not how to do it”.
We enable the in-appointment development of
premium programs to build core skills in diet,
physical activity, adherence and logging
HEARTPartner

2. THESPIRITOFHXR
Allscripts Provider as Record
Keeper and Insurance Biller
Allscripts Provider as Heart
Health Manager

3. CREATIVITYAND
INNOVATION
FEASIBILITYOF
IMPLEMENTATION
We are using the CMS Coordinated Care incentive to drive
provider adoption and deliver premium education
• Beginning in January 2015, the CMS Coordinated Care incentive will pay
providers $40/patient/month enrolled in HEARTPartner
• Pershing Yoakley & Associates (Healthcare Consulting/EMR Audit)
estimates the total potential value to a cardiologist of ~$1.2MM/year – this
is enough to get the attention of potential adopters
• Our agreement with providers includes that $40 in the first month be
spent against the patient’s education program in the form of educational
materials (e.g., the books we digitize), the partial purchase of a
monitoring device or diet program
Economic incentives + EMR integration solve the two
biggest challenges to implementations
Common Roadblock #1: “It’s not in the budget!”
Because of the CMS incentive, now it’s in the budget, but as a revenue
source, not a cost.
Common Roadblock #2: “It’s not in our patient workflow…”
Allscripts integration enables context-aware access to the HEARTPartner
program with both active and passive data exchange with patients. We are in
the flow.

4. UTILIZATION
OFAPI
POTENTIAL
FORIMPACT
We used the the Allscripts API to identify patient trends,
update patient-supplied cardio data and store reports
• For this code-a-thon we are using the Professional API
• We used GetServerInfo and GetUserAuthentication as part of the setup
• GetChangedPatients + GetPatient + GetClinicalSummary is used to build
the trend graphs and populate the heart health assessment
• SaveDocumentImage is used to save a printable version of the
Archimedes Heart Health Assessment
• GetSchedule is used to grab patients with appointments in the next week
• GetPatientSections + SaveVitalsData is used to add patient-generated
data to EMR (we use both to support de-duping of data)
Potential for Impact = Size of Problem X Adoption
• 1 in 3 deaths from heart disease, $300B+ in costs, #1 cause of preventable
death in people 40-65, 2MM+ heart attacks/strokes a year. IT’S BIG
• A recent Medscape survey of Cardiologists “half my patients don’t do
anything I tell them”. THERE IS A BIG GAP BETWEEN GREAT PHYSICIAN
INSTRUCTION AND POWERFUL PATIENT ACTION
• The incentives for implementing a coordinated care/remote monitoring
for GPs and Cardiologists range from $200K to $1MM per provider.
MEANINGFUL PROVIDER INCENTIVES IN PLACE
• Smartphone penetration: 45-54 (71%), 55-64 (61%), 65+ (46%).
Americans over 65 sent 4 Trillion text messages last year. TARGET
PATIENT SHOWS READINESS AND CAPABILITY

5. WHAT’SNEXT PROVIDER EXPERIENCE
• Improve “population selection”, i.e., from the complete patient list, identify
the right active subset to include in analytics
• Build more “default sets”, e.g., “MI education pack”, “40+ Female”, etc.
anything that reduces custom or repeated work to serve patients
• Incorporate the summarization of more connected devices
• Make it easier for providers to incorporate their own content
PATIENT EXPERIENCE
• More premium content (two nutritionists at the event hooked me up with
some great videos)
• Expand list of connected monitors/devices
• Upgrade diet programs
ALLSCRIPTS OPERATIONS
• Identity management
• Upgrade encryption
• Improve data deduping