SMART Reverberations from Health:Refactored

Reflecting on his recent experience at the first-of-its-kind Health:Refactored conference, SMART lead architect Josh Mandel (left) said:

Health:Refactored convened a vibrant mix of doers in Health technology, with a clear focus on designing, building, and iterating on better health tools.  It was an exciting chance to meet and scheme with the broader developer community about SMART, BlueButton+, and the burgeoning marketplace of health APIs. A key theme for me: the critical importance of breaking down silo walls so patients (consumers!) and clinicians can—to echo Zak Kohane’s TEDMED mantramake their data count for them.

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Query Health: Interoperability for Population Data

One of our fellow travelers on the ONC’s interoperability journey is Query Health. Like the SMART platform architecture, Query Health defines a standard framework for looking at medical record data. While SMART focuses on a single-patient view of that data, Query Health is designed to ask questions about a broad swath of patients so that clinical quality trends can be observed.
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Global Design Studio Adds SMART App to Portfolio

Doctors and parents alike are frustrated by today’s standard growth charts. For a fresh look at how to fix this, the SMART team turned to the New York studio of Fjord, a global service design consultancy. Read their case study to see how they worked with a panel of pediatric specialists to turn medical intuition into design thinking, integrating “multiple graphs into a single view to gain a detailed, all-encompassing picture of a child’s health.”

Introducing the SMART C-CDA Scorecard

The SMART team is proud to introduce the C-CDA Scorecard, a web-based tool to help vendors, providers and other health data holders produce high-quality clinical summaries for Meaningful Use Stage 2.

Get ready for Meaningful Use Stage 2

Consolidated Clinical Document Architecture (C-CDA) is the specification cited by Meaningful Use Stage 2 for creating structured clinical summary documents. C-CDA documents are required by MU2 to support transitions of care, to enable patient-driven “view/download/transmit” objectives, and to promote medical record data portability.

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Congratulations, SMART-Indivo Challenge Winners!

Also read about Meducation, winner of our 2011 SMART Apps for Health Challenge.

Thanks to the winning entries in the SMART-Indivo App Challenge, patients may one day find themselves using tools like these within the Indivo personally-controlled health record (PCHR):

  • Webnotes—to clip, organize, and share health information snippets from the web with their care networks.
  • My Health Plus—to view and update their personal health information through a dashboard that adds visualizations of vital signs and integrates disease prevention information from sources on the web.
  • rxInfo—to visualize their data in graph form, download their records according to the VA’s Blue Button protocols, or search government directories for health centers, drug labels, drug interactions, or clinical trials.

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AMIA 2012 Proceedings

AMIA members, if you missed the symposium in Chicago but want to learn more about the SMART team’s presentations, our materials are now published in the Proceedings. (If you are not an AMIA member, you will have access to a limited number of pages.)

Apps to display patient data, making SMART available in the i2b2 platform

Building the SMART Platforms Ecosystem: Toward an Apps-Based Health Information Economy

Supporting Population Queries and Clinical Trials in i2b2 with SMART

Integrating Substitutable Medical Apps, Reusable Technologies (SMART) in the i2b2 Platform

Guiding the Design of Evaluations of Innovations in Health Informatics: a Framework and a Case Study of the SMArt SHARP Evaluation

Spotlight on OSEHRA

We recently posted about Ken Mandl’s participation in a panel at the OSEHRA 1st Annual Open Source EHR Summit and Workshop. Audio and slides are now available to those with OSEHRA user accounts; scroll to Day One, 3pm, “Open Source Best Practice and Business Models.”

OSEHRA logoNow we’d like to back up and talk briefly about OSEHRA itself, and share links that highlight its relationship to SMART.

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Late-Breaking AMIA 2012 Session on Interoperability

Follow the AMIA 2012 Twitter feed in their chat room – no account necessary. Or use hashtag #AMIA2012.

SMART Lead Architect Josh Mandel and Evaluator Ross Koppel will speak in the following late-breaking session.

LB05: Interoperability: Why is it Taking so Darn Long?
Tuesday, November 6 3:30 p.m. – 5:00 p.m. Room: Continental A

Gil Kuperman, New York Presbyterian Hospital; Harry Solomon, GE Healthcare; Ross Koppel, University of Pennsylvania; Charles Jaffe, HL7, Joshua Mandel, Children’s Hospital Boston, Douglas B. Fridsma, Office of the National Coordinator for HIT

Questions abound around why it’s taking so long to achieve practical interoperability in the US health system? Patients and their advocates wonder why can’t the records of care at one institution easily be merged with the records of care somewhere else? Or why can’t health information interoperate on the Internet the way that so many other types of industries do? Those in the industry debate the level of difficulty around technical problems and standards.

AMIA 2012 SPC Chair Bill Hersh, MD, asked recently “is it something inherent in the nature of clinical data, such as concern for privacy or the economic aspects of healthcare that lead to organizations not wanting to share data?”

This panel will examine the potential for interoperability to improve care, the role of standards organizations in advancing interoperability and what is needed beyond standards per se to support interoperability-based use cases. Whoever or whatever is at fault, the problem is that in the eyes of many, including AMIA members, interoperability is not happening fast enough. In other words “why is it taking so darn long?”

SMART on the Agenda at AMIA 2012

The AMIA 2012 Annual Symposium begins today in Chicago, where it is currently “Informatics Week” as declared by Mayor Rahm Emanuel.

SMART will be highlighted in Scientific Sessions S27 & S33 on Monday and S94 & S99 on Wednesday, as well as in Poster Session 2 on Tuesday.

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“ITdotHealth II” 2012 Materials Now Posted

A section of our site is now devoted to coverage of the meeting held on September 10-11, including video and slides from keynotes, talks and panels, and a summary report from the meeting.

The meeting brought together over 100 thought leaders and affirmed the importance of developing and maintaining a standard programming interface to underpin an “app store” for health. We began to outline the actions required to create an ecosystem of health IT apps that use EHR data and enable a nimble and constantly evolving health system. Collaborations will soon be underway to define the technical approach and governance for supporting an API standard similar to the SMART Platforms alpha releases.