Tag Archives: veterans

With major pharmacies on board, is the Blue Button about to scale nation-wide?

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blue_button_for_homepage1The Obama administration announced significant adoption for the Blue Button in the private sector today. In a post at the White House Office of Science and Technology blog, Nick Sinai, U.S. deputy chief technology officer and Adam Dole, a Presidential Innovation Fellow at the U.S. Department of Health and Human Services, listed major pharmacies and retailers joining the Blue Button initiative, which enables people to download a personal health record in an open, machine-readable electronic format:

“These commitments from some of the Nation’s largest retail pharmacy chains and associations promise to provide a growing number of patients with easy and secure access to their own personal pharmacy prescription history and allow them to check their medication history for accuracy, access prescription lists from multiple doctors, and securely share this information with their healthcare providers,” they wrote.

“As companies move towards standard formats and the ability to securely transmit this information electronically, Americans will be able to use their pharmacy records with new innovative software applications and services that can improve medication adherence, reduce dosing errors, prevent adverse drug interactions, and save lives. ”

While I referred to the Blue Button obliquely at ReadWrite almost two years ago and in many other stories, I can’t help but wish that I’d finished my feature for Radar a year ago and written up a full analytical report. Extending access to a downloadable personal health record to millions of Americans has been an important, steadily shift that has largely gone unappreciated, despite reporting like Ina Fried’s regarding veterans getting downloadable health information.  According to the Office of the National Coordinator for Health IT, “more than 5.4 million veterans have now downloaded their Blue Button data and more than 500 companies and organizations in the private-sector have pledged to support it.

As I’ve said before, data standards are the railway gauges of the 21st century. When they’re agreed upon and built out, remarkable things can happen. This is one of those public-private initiatives that has taken years to take fruit that stands to substantially improve the lives of so many people. This one started with something simple, when the administration gave military veterans the ability to download their own health records using from on MyMedicare.gov and MyHealthyVet and scaled progressively to Medicare recipients and then Aetna and other players from there.

There have been bumps and bruises along with the way, from issues with the standard to concerns about lost devices, but this news of adoption by places like CVS suggests the Blue Button is about to go mainstream in a big way. According to the White House, “more than 150 million Americans today are able to use Blue Button-enabled tools to access their own health information from a variety of sources including healthcare providers, health insurance companies, medical labs, and state health information networks.”

Notably, HHS has ruled that doctors and clinics that implement the new “BlueButton+” specification will be meeting the requirements of “View, Download, and Transmit (V/D/T)” in Meaningful Use Stage 2 for electronic health records under the HITECH Act, meaning they can apply for reimbursement. According to ONC, that MU program currently includes half of eligible physicians and more than 80 percent of hospitals in the United States. With that carrot, many more Americans should expect to see a Blue Button in the doctor’s office soon.

In the video below, U.S. chief technology officer Todd Park speaks with me about the Blue Button and the work of Dole and other presidential innovation fellows on the project.

HUD, Veterans Affairs and Jon Bon Jovi’s foundation launch app challenge for homeless veterans

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To paraphrase President Kennedy: Ask not what your country can code for you — ask what you can code to help your country. If you’re a developer, consider empowering your fellow citizens help the homeless veterans in your community. The Departments of Housing and Urban Development, Health and Human Services, and the Jon Bon Jovi Soul Foundation have collaborated to back a new challenge to developers to create a better way to help the homeless veterans using the Internet and mobile devices.

“Last year’s 12 percent drop in Veterans homelessness shows the results of President Obama’s and the whole administration’s commitment to ending Veterans homelessness,” said Secretary of House and Urban Development Shaun Donovan, in a prepared statement. “I want to thank Jon Bon Jovi for being a part of that effort and for using competition and innovation to advance the cause of ending homelessness.”

The idea here is relatively straightforward: use the open innovation approach that the White House has successfully applied elsewhere federal government to tap into the distributed creativity of the technology community all over the country.

“This contest taps the talent and deep compassion of the Nation’s developer community,” said Secretary of Veterans Affairs Eric K. Shinseki, in a prepared statement. “We are asking them to make a free, easy-to-use Web and smartphone app that provides current information about housing, health clinics and food banks.”

While “Project REACH” stands for “Real-time Electronic Access for Caregivers and the Homeless (REACH),” it actually aspires to do something more meaningful: give mobile citizens and caregivers the information they need to help a homeless veteran where and when it’s needed.

This app “will better connect our nation’s homeless to resources that are already available to them in a manner that reaches them where they are,” said Aneesh Chopra, the first US CTO, in a conference call today with reporters. Chopra, who left the administration earlier this year, later clarified that he was serving as a volunteer and judge for the challenge.

To say that improving the current state of affairs with homeless veterans is needed would be a gross understatement. “Homelessness for anyone is a national tragedy,” said Sean Donovan, secretary of HUD, in today’s call. “It’s never worse than for our nation’s veterans.”

The “Obama administation believes that no one who has fought for our country should ever be invisible to the American people,” said Donovan, who noted that while HUD has housed 28,000 veterans and has gotten nearly “nearly 1 in 5 homeless veterans off our nation’s streets,” more effort is needed.

He’s right. Here’s your jarring statistic of the day: One out of every six men and women in the United States’ homeless shelters are veterans. Veterans are 50 percent, according to the VA, are more likely to fall into homelessness compared to other Americans

The Project REACH challenge asks developers to create a mobile or Web application that will connect service providers to real-time information about resources for the homeless and others in need. “What if we had the ability, in real-time, drawing on local data, to help the homeless vet?” asked Donovan today. He wants to see information that can help them find a place to sleep, find services or work put in the palms of the hands of anyone, giving ordinary citizens the ability to help homeless veterans.

Instead of offering spare change, in other words, a citizen could try to help connect a homeless veteran with services and providers.

The first five entries to meet the requirements will receive a $10,000 cash prize and the opportunity to test their app at the JBJ Soul Kitchen. The winner will receive a $25,000 prize.

“At the Soul Kitchen we’ve seen the need for a simple, user-friendly, comprehensive application that connects those in need to resources in their community,” said Jon Bon Jovi, legendary rock musician, chairman of the JBJ Soul Foundation and White House Council Member, in a prepared statement. “As we sought out a solution to resolve the disconnect, we found the VA, HUD and HHS to be of like mind. Together we can provide the information about existing services – now we need the bright minds in the developer community to create a platform to tie it all together.”

Empowering people to help one another through mobile technology when they want to do so is more about the right-time Web than real-time. And yes, that should sound familiar.

Community groups and service providers sometime lack the right tools, too, explained W. Scott Gould, deputy secretary of veterans affairs, on the call today. The contest launched today will use Internet and smartphones to help them. The app should use tech to show which community provider has a bed or find an employer with openings, he said.

“It’s a high tech, high compassion, low cost solution,” said Gould, that “puts the power in the hands of anyone” to use data to help veterans get the help that they need. He wrote more about using technology to help homeless veterans at the White House blog:

Project REACH (Real-Time Electronic Access for Caregivers and the Homeless) challenges applicants to make a free, easy-to-use, and broadly accessible web- and Smartphone app to provide current and up-to-date information about housing and shelter, health clinics, food banks, and other services available to the homeless. It is designed to tap the enormous talent and deep compassion of the nation’s developer community to help us deliver vital information to the people who care for the homeless.

People caring for homeless veterans will be able to use this app to look up the location and availability of shelters, free clinics, and other social services – and instantaneously be able to share this critical information with those in need.

Bon Jovi, when asked about whether homeless veterans have smartphones on today’s call, told a story about a man at the Soul Kitchen who stayed late into the evening. The staff realized that he didn’t have a place to go and turned to the Internet to try to find a place for him. Although they found that it was easy to find local shelters, said Bon Joivthe websites didn’t inform them of hours and bed availability.

“People like me, who want to help, sometimes just don’t know, real-time, if there are beds available,” he said. “Think about the guys like me that have a computer, in the Soul Kitchen, that want to help.”

As healthcare blogger Brian Ahier noted this afternoon in sharing his post on Project REACH, this is the sort of opportunity that developers who want to make a major contribution to their communities can be proud to work upon.

Improving the ability of citizens to help homeless veterans is a canonical example of working on stuff that matters.

“We will, through our broad and deep network at HUD, make sure that whoever wins this competition, will make sure that app and tech is available to more than 8,000 providers,” said Donovan.

If that network Bon Jovi’s star power can help draw more attention to the challenge and any eventual services, more of the nation’s civic surplus just might get tapped, as more coders find that’s there’s a new form of public service available to them in the 21st century.