Andy Oram

Health Care Challenge combines patient empowerment and data crunching

by @praxagora  | +Andy Oram  | Comments: 115 July 2010

I looked over the five applications requested by the Health Care Challenge launched last week. This challenge was set up by the organizers of the Health 2.0 Conference along with the Department of Health and Human Services and other partners (including O'Reilly Media). Two unifying threads tie together all the challenges, indirectly showing the way the health care field is heading.

The first thread is involving the patients in their own care -- sometimes collaboratively. The health care field has come to realize that as we pick off and solve the obvious problems that surgery or drugs can take care of, and as the population's general health and hygiene increase, diseases are getting harder to deal with. The patient has to be responsible for his or her own well-being.

This is fairly clear in problems such as high blood pressure and obesity, but applies even to conditions that are immediately treatable by health care professionals. Take surgery, for instance. It would seem the ultimate occasion for passivity on the part of the patient, but every surgery requires a lengthy recovery. If the patient fails to follow orders or doesn't understand the need to report a complication, she could end up worse than she started.

The second thread is collecting and sharing data. Sometimes this involves existing standards for electronic storage, but many vendors are creating their own APIs and data structures to fill the gap left by these standards -- especially to record patient activity, as part the previous thread involving the patients.

Together, these threads take health out of specialized, clinical settings and integrate it into everyday routines -- the way true health has always been attained.

Take a look at the five challenges and see whether you'd like to try your hand at them. More challenges will hopefully be added.

Real-Time Patient-Driven Data Challenge, by Practice Fusion

There has been a lot of talk about health care providers giving patients access to patient data in the hands of the provider--most recently in the final meaningful use rules, covered in recent blogs on the Radar site by me and by Brian Ahier. But what about using electronic systems to let patients report data to their doctors?

That's the goal of this challenge. Practice Fusion here is showcasing an API that allows data to be set in and retrieved from their web service for physicians. They are challenging programmers to develop apps that make it easy for patients to input real-time data about exercise, heart rate, etc.--perhaps collecting that data directly from devices, including GPS systems, instead of requiring the patient to type it in. Programmers have to provide their own authentication system for patients.

Improving Health Together, by Keas

The challenge is to produce a text messaging application, using the Keas RESTful API, that pushes reminders to participants. The app can remind them to take medication, give feedback on their exercise, etc. Somewhat in the mode of PatientsLikeMe, an app might allow users to post their data and compare it to others.

The Keas API is quite rich--providing control flow, for instance--and includes calls and data tables manipulating common information of medical interest. You can report height, weight, cholesterol level, medications taken, etc., create a care plan to deal with such issues as weight and exercise, and create your own categories of information.

Move Your App! Developer Challenge, by Snaptic and Hope Lab

The challenge is a mobile app, based on Snaptics's RESTful API, that encourages people to pick up their pace--something that makes them want to dance or run or do some other form of movement for fun--and then record data about that movement for medical use. Snaptic provides APIs for several languages--including the iPhone's Objective-C and Android's Java--but seems to offer a much less detailed, more high-level set of calls than Keas.

Why-Health ?!?!, by Whyville

The challenge is a game or graphical display of health data for Whyville's audience of children aged 9 to 15.

The Living Record: Rethinking Medical Record Documentation, by the Szollosi Healthcare Innovation Program

The challenge is an application than can document the course of a patient's condition or treatment: a hospital stay, for instance, or a series of visits to different health care providers. Most data about patients, currently, is broken up into the reports of individual visits by a doctor or nurse. A fundamental requirement for the app is to accept data from multiple sources and combine it all accurately.


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Comments: 1

Matthew Holt [15 July 2010 06:27 PM]

Andy--Many thanks for this excellent summary. Just to make it clear to everyone we are hoping that BOTH more people and organizations issue challenges, AND that more developers, designers and others will join us by investigating and registering at http://health2challenge.org/