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1. Unleashing the Power of Data, Innovation + Technology to Improve HealthAman Bhandari US Department of Health & Human Services (HHS)@GHideas/ aman.bhandari@hhs.gov

2. Big Picture: Costs, Disease + Demographics$2.3T (18%) today, 40% of GDP by 2050...if we do nothingTotal cost to families: doubled to $19,393 from $9,235 since 2002 (CPI, wages flat)$1,500 added to every GM car; more paid for health ($4.7B) than for steel10,000 Baby Boomers turn 65 every day for the next 20 yrs

3. Big Picture: What is HHS?Select Operating Divisions and Total Outlays$892B11 Agencies80,000 Employees100M Americans served by Medicare & Medicaid#Gov2.0Source: “FY 2011 Budget in Brief – Strengthening Health and Opportunity for All Americans” – U.S. Department of Health and Human Services”

4. Policy Big Picture: Govt as PlatformHITECH + DATA LIQUIDITY + NEW INCENTIVESTransformation of the system depends on changing how we pay for care:Driving a shift from “pay for volume of services”  “pay for health and value”Launching key payment innovation pilots - a game-changer: the Center for Medicare and Medicaid Innovation ($10B over 10 years)White House Startup America + Open Innovation StrategyThere has never been a better time to be an innovator at the intersection of health, data, & IT

5. Realizing the Open Gov Vision

6. Information liberation - the Health Data Initiative (HDI): turning HHS into the “NOAA of health data” Weather newscasts

7. Weather websites

8. Weather mobile apps

9. Weather insurance

10. And moreWeather dataFUELSMade available to the public

11. What kinds of data are we liberating via HealthData.gov?Community HealthConsumer Product Information Example:FDA recall (drugs, devices, food) data in downloadable XML format

12. Published 10/2010Provider Directories & QualityGovt SpendingHHSData Being Liberated“Blue Button”Medical/Scientific KnowledgeConsumer Product Information

13. Health Data core activities: liberate data and catalyze innovationPublish brand new HHS data for public access – while rigorously protecting privacy and confidentialityMake existing HHS data much more accessible -- “machine-readable,” accessible via application programming interfaces (APIs), free, much easier to findEnergetically publicize our data to innovators -- who can use it as raw material to develop applications and services that help improve health and health care

14. Mashup: Starting with Tech Developers+Health Policy ExpertsTech Developers & InnovatorsOne Day:50 health policy and tech developer experts invited to brainstorm, be inspired and drive action: Asked them to brainstorm most powerful and innovative ideas

15. Asked them to commit to activating the best ideas within 90 days

16. What started as a 1 day event has turned into a much broader effort Buzz volume@Steven_InSites #cm48

17. How do you bring data to the fingertips of consumers?Microsoft Bing announced its latest effort to bring HHS data to the public by incorporating Hospital Compare data into its search functionality

18. Asthmapolis: the power of individual entrepreneurs to “democratize” data collectionInhalers use GPS to anonymously track time and location of use……aggregating to identify outbreaks and aid in treatment of patients

19. Building the EcosystemChallenges and “code-a-thons” (health2challenge.org)

20. Innovation Exchanges

21. Annual “health datapaloozas”June 2011 Health Data Palooza2nd annual “health datapalooza” -- sponsored by the Institute of Medicine and HHS

22. Showcased nearly 50 of the best innovations developed by companies that help consumers, care providers, employers, and communities improve health and health care

23. Walgreens, Aetna, Sanofi Aventis, FoodOasis, RWJF, DailyFeats, VCsExternal Signals/Whispers"The best minds of my generation are thinking about how to make people click ads…that sucks." Jeff Hammerbacher, BW "I turned to healthcare partly because I saw an immense hunger among the developers that I work with to start working on stuff that matters." Tim O’Reilly "On the one hand, you have people…who know nothing about regulation…on the other, a bunch of health-care guys who think Zynga is some kind of fruit. There is truly a chasm between world views." Sonny Vu

24. Innovation Landscape: Seeding DisruptionPrizesHeritage $3M PrizeGE $100M Open InnovationXPrize $10MChallenge.gov Innovation CentersVAi2 ($100M)HumanaKaiserWell PointIncubatorsRockHealth (SF)StartupHealth (NYC)HealthBox (Chicago)BluePrint Health (NYC)Mobile/GlobalmHealth Summit Text Smoking Data LibrariesFDA Mobile MedmLab Africa/Thailand

25. 86%interested in accessing medical information50%want a personal monitoring devicePWC 2010Deloitte 2010SDI 2010Parks 2010ConsumersUS PhysiciansRise in Mobile App Use

26. “Health care has evolved in isolation from many of the forces that have re-shaped other industries in recent years. This isolation is readily apparent to each of us whenever we step into a doctor’s office or hospital… despite the presence of some of the most brilliant minds in public health, despite their best efforts, experts continue to betray an outdated, manufacturing mindset, referring to everything that has impact in the field—that touches communities and provides real human value—as ‘delivery.’ This one-way model of engagement is truly shocking in an age dominated by communications technologies and connectivity.Health is not ‘delivered’ to people. It relies on active engagement and participation. It is a dialogue. You see this mindset reflected everywhere.” Robert Fabricant, VP Frog Design

27. Immediate OpportunitiesToday! The Power of Twilio for HealthcareSept 24th Healthcare 101 Bootcamp for Startups (RockHealth.org)Sept 24, 25th Health2Challenge.orgSept 30th UC Berkeley Hacking for HealthPrizes and Challenges: Challenge.govaman.bhandari@hhs.gov / @ghideas

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