The ABBI Hour (or two)

I've spent the last couple of days at the ONC Annual Meeting.  Yesterday morning was filled with a joint session between the Beacons and S&I Framework folk. The afternoon was an S&I Framework Round Table, followed by the ABBI Town Hall Meeting.  I covered the morning session in yesterday's post.  I'm not going to cover the S&I Framework Round Table since it was basically a report out from the various S&I Projects, and either you care and already know, or you aren't that interested.  What I will cover today (as promised) is what we talked about in the ABBI Town Hall meeting.

First of all, I'm not sure what the difference is between the "Round Table" and "Town Hall" meeting format.  I think they just pulled these names out of a hat.  The ABBI Meeting certainly had the flavor of "Town Meeting" though, especially if you'd had any experience with that form of government.

Farzad Mostashari kicked off the ABBI Town Hall meeting with a rather personal story.  [FYI: Everything I'm telling you here Farzad cleared with his parents, and was also stated in public in a room full of 1300 people this morning].

It starts with this tweet from Presidential Fellow Henry Wie MD (which Farzad retweeted) just before Thanksgiving:

RT @henryweimd: On T-day, show older family how to get their Blue Button health data; eg myMedicare.gov Could save their life someday

And he did sign up his father and mother on Turkey day.  Then he looked at the nearly unreadable text, and decided that he needed to get them hooked in with an App that would make sense of that. So he downloaded the winning app from the Blue Button Mashup Challenge (from ABBI committed participant Humetrix).  He had to e-mail some folks at the company to resolve an issue, but got it worked out (all on T-day).

The next day, his father complains about serious eye pain.  Great, he thinks.  This is going to be a miserable Thanksgiving Holiday.  He and his parents are going to spend half the day or more at an ED in a hospital, that doesn't have an Opthamologist on call, and with no access to provider records from physicians in their home state (MA).  But, now Farzad can look at the diagnosis code that the physician provided for a previous procedure on his father's eye, or even better yet, look it up on the Internet.

As it turns out, he winds up finding an Opthamolagist who can see his father the same day using another App.  And his father, upon being asked for the history of this problem, can hand the Doctor his cell phone and say, here it is.

OK.  If you thought Farzad was over the top about the value of Blue Button before, you should see him prance about now.  There is nothing like a personal story that will make it hit home.  I've been through this hassle (One of the stories on my jacket is about the 3 extra days spent in the hospital, uselessly waiting on data that wasn't available until Monday morning).  Guess the date.  Yep, my step-father also went into the hospital the day after Thanksgiving when he was visiting me.

Farzad wondered why his parents medicines weren't also in the CMS download data, but then realized that they weren't enrolled in Part D.  So, he made sure to enroll them in that as well.

This kind of solution is what ABBI is about.  But better than a file of text that has to be parsed out, ABBI will use the same standards that are in Meaningful Use.

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