HxRefactored - athenahealth - Chip Ach

Chip Ach Senior Architect, More Disruption Please

Healthcare Refactored May 14, 2014

� “Senior Architect, More Disruption Please” sounds like a cool title, but what is More Disruption Please (MDP)?

� Who do you partner with? Why? How? � How does R&D guide the path of openness? � What comes next?

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Agenda

Joy’s Law

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“ ” No matter who you are, most of the smartest people work for someone else.

�  We can’t build fast enough for our clients

�  We need to offer more services than we can possibly build

�  We can go to market with richer tools and solutions if we don’t need to build and own everything

Product Builder MDP (Open Network) �  athenaNet: 52,000+

providers, 40+ million patient records

�  Provide connectivity to the athenaNet core

�  Open our platform to an array of innovative solutions for our client base

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The 2013 Approach To Partnerships

Identify Capability Areas Scheduling Digital Check-In

•  Expose providers’ schedules, building on athenaCommunicator

•  Allow real-time scheduling •  Increase schedule density

and decrease no-shows •  Patient self-service

•  We don’t say “kiosk” •  Increase patient payments •  Reduce administrative

burden on all staff •  Increase patient

satisfaction

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Find Partners Find someone great Have more than one


•  We wanted to be careful •  But the timing wasn’t right for

one company.

•  Having more than one partner means flexibility.

•  It also means managing multiple relationships with different scope.

•  We will measure performance.

Our first… iTriage

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Build APIs Infrastructure and approach More work than you think



•  Build our side once •  We didn’t think traditional

HL7 was enough. •  You need to have the

underlying infrastructure to create an API.

•  Legacy code •  Functionality gaps between

what your partner needs and you have (and think your partner needs)

•  There is a lot to expose

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Beta Test 1. Find Clients 2. Iterate 3. Repeat

Build APIs RESTful, JSON More work than you think



•  The right clients •  High touch setup •  Feedback givers

•  No, we didn’t get it 100% right

•  Feedback from everyone

•  No, we still didn’t get it 100% right

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Marketplace Launch with 20+ Partners https://athenahealth.com/marketplace

Beta Test 1. Find Clients 2. Iterate 3. Repeat

Build APIs RESTful, JSON More work than you think



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A new approach in 2014…

If you build it, they will come.

�  Broad coverage of functional areas

�  We’re building more clinically-focused API calls

�  Cover capability areas to cover product gaps and foster innovation

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Taking the long view in 2014

Clinical Decision Support?

Med Adherence?

Patient Engagement?

Device Integration?

�  Some pieces of the application aren’t ready to be exposed via the API to the outside world. Who does the work to expose them?

�  Quality over quantity of partners? Is a diverse set of choices important? Ratings? Are we physicians most trusted service? (“Our mission is to be medical care givers’ most trusted service, helping them do well, doing the right thing.”)

�  How open? How quickly?

�  Multiple players involved has a downside. Who is responsible when something goes wrong? Who configures what?

�  Partner management is real work.

•  Do we tier partners?

•  Do we let anyone in to see what we’re doing?

•  How should we vet partners?

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All the boring hard questions All the important hard questions

Questions?

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HxRefactored - athenahealth - Chip Ach

Health & Medicine

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