The Consumer as an agent of change

Data Advances in Medicine

NOW
• Radiology
• EKG
• Labs
THEN • Meds
• Monitoring • Monitoring
• MD exam • MD exam
• Nurse observations • Nurse observations

THEN NOW TOMORROW

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 Data Advances in Medicine
TOMORROW
• Continuous location tracking
• Constant vital signs monitoring
• Transcutaneous monitoring of
glucose, ETOH, etc.
• Noninvasive testing
• Exhaled breath analysis
• Testing to maintain wellness
• Increased image utilization
• Genomic data
• Proteomics
NOW • Personalized pharmacy
• Radiology • Radiology
• EKG • EKG
• Labs • Labs
THEN • Meds • Meds
• Monitoring • Monitoring • Monitoring
• MD exam • MD exam • MD exam
• Nurse observations • Nurse observations • Nurse observations

THEN NOW TOMORROW

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Consumer Access to Health Data

THEN NOW TOMORROW

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Microsoft Corporation
Confidential and Privileged
Consumer Access to Health Data

Access to the Web

Broadband penetration

THEN NOW TOMORROW

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Microsoft Corporation
Confidential and Privileged
 Shifting Roles: Shifting Economics
• The healthcare industry needs a low cost way to contribute data by source data provider so that it’s easy for consumers to have a
COMPLETE and AGGREGATE view of her health state/needs/activity
• As an industry, we need to make it easy to get DATA LIQUIDITY with existing and future STANDARDS

Employers Payors Providers Industry

The Consumer
Data Explosion vs. Population Explosion
No Data Left Behind

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Microsoft Corporation
Confidential and Privileged
 What is NHIN
• The Nationwide Health Information Network (NHIN) is being developed to provide a secure, nationwide, interoperable health information infrastructure that will connect providers, consumers, and others involved in supporting health and healthcare
• A set of harmonized standards-based specifications for communicating between National Health Information Exchanges (NHIEs)
• A trust fabric that allows for private and secure exchange of Health Information. This includes:

An internet-based
private network that
ensures secure
transport

Membership services
to ensure only valid,
trusted entities may
participate

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 What does NHIN wish to provide
• Certification to ensure interoperability between entities
• Legal agreements to protect privacy and security of information
exchanges
• A curated set of indexes to facilitate proper communications
• A governance model and operating procedures that structures and
defines activities, roles and responsibilities of all participants; and
• The confederation of entities, including NHIEs, bound by this mission
and governance

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 The Nationwide Health Information Network

Health Bank or State and

PHR Support Organization Local Gov

Community
Health Centers

SSA

Community #1
VA
Common “Dial Tone” & Chain of trust
DoD

Labs IHS

CDC

Integrated
Delivery Pharmacies
System
Community #2
The Internet
Standards, Specifications and Agreements
13 for Secure Connections 13
 Benefits of Interoperability:
Linking Research to Care
Unifies clinical research, clinical care, and
discovery (bench-bedside-bed) into a
seamless continuum

Results in improved clinical outcomes

Accelerates the time from discovery to

patient benefit

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