The public challenge, which launched in September 2011 under the ONC Investing in Innovation (i2) program, called for innovative approaches to improving patient safety and facilitating care transitions for patients being discharged from hospitals to their next care setting, including their home, nursing home, or hospice. Statistically, nearly one in five patients discharged from a hospital will be readmitted within 30 days, a large proportion of which could be prevented by improving communications and coordination of care before and after that transition.
Research has shown that empowering patients and caregivers with information and tools to manage the next steps in their care more confidently is an effective way to reduce errors and complications and, in turn, prevent readmissions. In addition to incorporating other data sources and available services, solutions were expected to make use of the discharge checklist made available by the Centers for Medicare & Medicaid Services (which can be found atwww.Medicare.gov/publications/pubs/pdf/11376.pdf).
Axial Exchange, iBlueButton, and VoIDSPAN were rated the top three submitted solutions by a technical review panel of subject matter experts. They will be awarded prizes of $25,000, $10,000, and $5,000, respectively; the winning teams will be demoing their solutions at the CMS QualityNet Conference, which runs from Tuesday, December 13 through Thursday, December 15.
The Axial Care Transition Suite, the first place winner – submitted by Matt Mattox and Joanne Rohde of Axial Exchange – is a web-based application that enables information to flow to a patient’s next care setting so that providers have what they need, when they need it, and to engage patients with the information and tools needed to improve their health knowledge and enhance their ownership of after-care responsibilities. It bridges care-transition gaps across the entire care delivery chain, from first-responders and hospitals on through to providers and patients at the time of discharge. More information on Axial Exchange can be found atwww.AxialExchange.com.
The iBlueButton application, the second place winner – submitted by Bettina Experton, Chris Burrow, Randy Ullrich, Philippe Faurie, and Nina Hein of Humetrix – provides patients and caregivers with immediate access to critical personal health information at home and at the point of care. It is an intuitive mobile app (for mobile phones and tablet computers) that offers automated and secure access, anywhere and anytime, to online health records, D/C instructions, and additional resources; it also allows patients to easily “push” records from their device to their provider’s. More information on Humetrix and iBlueButton can be found atwww.Humetrix.com.
VoIDSPAN, the third place winner – submitted by Andreas Kogelnik and Kenneth Ng of Flexis – integrates voice, SMS, and web technologies into a mobile application designed to help target patients with a high risk of relapse and engage them in their care together with providers, case managers, and caretakers. VoIDSPAN uses structured inpatient and outpatient data and data from local EMRs and health information exchanges, and integrates with other available community resources. Additional information on Flexis and VoIDSPAN can be found at www.Flexis.net/readmission.
About the Investing in Innovation program: The Investing in Innovation (i2) program utilizes prizes and challenges to facilitate innovation and obtain solutions to intractable health IT problems. Aligned with the Administration’s innovation agenda, i2 is the first federal program to operate under the authority of the America COMPETES Reauthorization Act of 2010, signed into law by President Obama on January 4, 2011. For details visit http://go.USA.gov/5DG or www.Challenge.gov/ONC.
About ONC: The Office of the National Coordinator for Health IT is the principal Federal entity charged with coordination of nationwide efforts to implement and use the most advanced health information technology and the electronic exchange of health information. The position of National Coordinator was created in 2004, through an Executive Order, and legislatively mandated in the Health Information Technology for Economic and Clinical Health Act (HITECH Act) of 2009. For more information, visithttp://HealthIT.HHS.gov.
About the Partnership for Patients: The Partnership for Patients is a new nationwide public-private partnership launched by Secretary of Health and Human Services Kathleen Sebelius to tackle all forms of harm to patients. Its aims include a 20% reduction in readmissions over a three year period and a 40% reduction in preventable hospital-acquired conditions.
About Health 2.0: Health 2.0 is a partner of ONC and supports the i2 challenge program. The Health 2.0 Developer Challenge is a series of prize competitions promoting health technology innovation. Health 2.0 was founded by Indu Subaiya & Matthew Holt in 2007 and is now a community of hundreds of organizations and thousands of innovators. For more information, visitwww.Health2Con.com or www.health2challenge.org.