[Federal Register Volume 77, Number 235 (Thursday, December 6, 2012)]
[Notices]
[Pages 72865-72867]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2012-29524]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Announcement of Requirements and Registration for ``Mobilizing
Data for Pressure Ulcer Prevention Challenge''
AGENCY: Office of the National Coordinator for Health Information
Technology, HHS; Award Approving Official: Farzad Mostashari, National
Coordinator for Health Information Technology.
ACTION: Notice.
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SUMMARY: According to the Agency for Healthcare Research and Quality
(AHRQ), each year more than 2.5 million people in the United States are
affected by skin breakdowns that cause pain, increased risk for serious
infection, and increased health care utilization. The National Pressure
Ulcer Advisory Panel (NPUAP) serves as the authoritative voice for
improved patient outcomes in pressure ulcer prevention and treatment
through public policy, education and research, and publishes resources
and documents at www.npuap.org/index.html. AHRQ has published an acute
care toolkit for prevention of pressure ulcers at www.ahrq.gov/research/ltc/pressureulcertoolkit/putool7b.htm. Many of today's
electronic documentation systems require nurses to enter oversimplified
text narratives or check boxes. Even when documentation systems include
standard terminology, the data is locked inside proprietary software.
Development of a mobile health application (app) for iPhone, iPad,
or Android devices that implements standards for documenting and
exchanging health information about pressure ulcers will facilitate
meaningful information exchange and improve the patient experience and
coordination of care across the healthcare continuum while reducing
health care costs. A mobile health app would support nurses, in
partnership with patients, families, caregivers and the
multidisciplinary health care team, to reduce the incidence and
severity of pressure ulcers.
There are two goals for the Mobilizing Data for Pressure Ulcer
Prevention Challenge. First, the development of a standard bedside
pressure ulcer assessment tool, and second, the broader goal to promote
the integration of nursing content into common information models and
Systematized Nomenclature of Medicine Clinical Terms (SNOMED CT). With
documentation tools that include common information models and standard
terminology for structured representation of appropriate nursing
knowledge, nurses achieve the ability to track changes in patient
status and to exchange information to improve continuity of care.
The statutory authority for this challenge competition is Section
105 of the America COMPETES Reauthorization Act of 2010 (Pub. L. 11-
358).
DATES: Effective on December 5, 2012. Challenge submission period ends
April 29, 2013, 11:59 p.m. et.
FOR FURTHER INFORMATION CONTACT: Adam Wong, 202-720-2866.
SUPPLEMENTARY INFORMATION:
Subject of Challenge Competition
The ``Mobilizing Data for Pressure Ulcer Prevention Challenge'' is
a multidisciplinary call to develop a mobile health app to facilitate
observation and documentation for prevention, early detection and
appropriate management of pressure ulcers in clinical settings. The app
is intended to encourage the use of information exchange standards. The
challenge will demonstrate the value of common models and terminologies
and promote the continued integration of nursing content into SNOMED
CT, as well as the development of common clinical information models of
interest to nursing.
Submissions must include the following attributes:
Provide an easy-to-understand and intuitive user interface
Enter information about the pressure ulcer, including skin
color, temperature, and moisture
Capture photos of the pressure ulcer
Generate a clinical assessment document
Apply the following HL7 health care information systems
security standards and knowledge, available at http://wiki.hl7.org/index.php?title=Pressure_Ulcer_Prevention:
[cir] Reconciled PDF (October 2011) with introduction (http://wiki.hl7.org/images/e/eb/PressureUlcerPrevention_DomainAnalysisModel_Oct2011pdf.zip)
[[Page 72866]]
[cir] The model, Sparx Enterprise Architect (http://wiki.hl7.org/images/4/4b/PressureUlcerPrevention_Oct2011_reconciled.zip)
Apply the terminology and candidate models in the
LOINC[supreg] Nursing Subcommittee and the International Health
Terminology Standards Development Organization (IHTSDO) Nursing Special
Interest Group (SIG), available at https://csfe.aceworkspace.net/sf/sfmain/do/viewProject/projects.nursing_sig
Collect, display and transmit content suitable for
reporting for meaningful use, quality measures, research and for health
information exchange with an electronic health record (EHR) and/or
personal health record (PHR)
[cir] Where applicable, use Nationwide Health Information Network
(NwHIN) standards and services including, but not limited to, transport
(Direct, web services), content (Transitions of Care, CCD/CCR), and
standardized vocabularies
Eligibility Rules for Participating in the Competition
To be eligible to win a prize under this challenge, an individual
or entity--
(1) Shall have registered to participate in the competition under
the rules promulgated by the Office of the National Coordinator for
Health Information Technology.
(2) Shall have complied with all the requirements under this
section.
(3) In the case of a private entity, shall be incorporated in and
maintain a primary place of business in the United States, and in the
case of an individual, whether participating singly or in a group,
shall be a citizen or permanent resident of the United States.
(4) May not be a Federal entity or Federal employee acting within
the scope of their employment.
(5) Shall not be an HHS employee working on their applications or
submissions during assigned duty hours.
(6) Shall not be an employee of Office of the National Coordinator
for Health IT.
(7) Federal grantees may not use Federal funds to develop COMPETES
Act challenge applications unless consistent with the purpose of their
grant award.
(8) Federal contractors may not use Federal funds from a contract
to develop COMPETES Act challenge applications or to fund efforts in
support of a COMPETES Act challenge submission.
An individual or entity shall not be deemed ineligible because the
individual or entity used Federal facilities or consulted with Federal
employees during a competition if the facilities and employees are made
available to all individuals and entities participating in the
competition on an equitable basis.
Entrants must agree to assume any and all risks and waive claims
against the Federal Government and its related entities, except in the
case of willful misconduct, for any injury, death, damage, or loss of
property, revenue, or profits, whether direct, indirect, or
consequential, arising from my participation in this prize contest,
whether the injury, death, damage, or loss arises through negligence or
otherwise.
Entrants must also agree to indemnify the Federal Government
against third party claims for damages arising from or related to
competition activities.
Registration Process for Participants
To register for this challenge participants should either:
[ssquf] Access the www.challenge.gov Web site and search for the
``Mobilizing Data for Pressure Ulcer Prevention Challenge''.
[ssquf] Access the ONC Investing in Innovation (i2) Challenge Web
site at:
[cir] http://www.health2con.com/devchallenge/challenges/onc-i2-challenges/
[cir] A registration link for the challenge can be found on the
landing page under the challenge description.
Amount of the Prize
[ssquf] First Prize: $60,000
[ssquf] Second Prize: $15,000
[ssquf] Third Prize: $5,000
Awards may be subject to Federal income taxes and HHS will comply
with IRS withholding and reporting requirements, where applicable.
Payment of the Prize
Prize will be paid by contractor.
Basis Upon Which Winner Will Be Selected
The review panel will make selections based upon the following
criteria:
Innovation
Design and usability, including user friendliness and
attractiveness of the interface
Use of National Pressure Ulcer Advisory Panel (NPUAP) guidance
to improve pressure ulcer prevention and care
Ease of integration with PHR/EHR interface
Application of the HL7 Pressure Ulcer Prevention Domain
Analysis Model (DAM)
Application of the LOINC[supreg] Nursing Subcommittee and the
International Health Terminology Standards Development Organization
(IHTSDO) Nursing Special Interest Group (SIG) terminology and candidate
models
In order for an entry to be eligible to win this Challenge, it must
meet the following requirements:
1. General--Contestants must provide continuous access to the app,
a detailed description of the app, instructions on how to install and
operate the app, and system requirements required to run the app
(collectively, ``Submission'').
2. Acceptable platforms--The tool must be designed for use with the
Web, a personal computer, a mobile handheld device, console, or any
platform broadly accessible on the open Internet.
3. No HHS or ONC logo--The app must not use HHS' or ONC's logo or
official seal in the Submission, and must not claim endorsement.
4. Section 508 Compliance--Contestants must acknowledge that they
understand that, as a pre-requisite to any subsequent acquisition by
FAR contract or other method, they may be required to make their
proposed solution compliant with Section 508 accessibility and
usability requirements at their own expense. Any electronic information
technology that is ultimately obtained by HHS for its use, development,
or maintenance must meet Section 508 accessibility and usability
standards. Past experience has demonstrated that it can be costly for
solution-providers to ``retrofit'' solutions if remediation is later
needed. The HHS Section 508 Evaluation Product Assessment Template,
available at http://www.hhs.gov/od/vendors/index.html, provides a
useful roadmap for developers to review. It is a simple, web-based
checklist utilized by HHS officials to allow vendors to document how
their products do or do not meet the various Section 508 requirements.
5. Functionality/Accuracy--A Submission may be disqualified if the
application fails to function as expressed in the description provided
by the user, or if the application provides inaccurate or incomplete
information.
6. Security--Submissions must be free of malware. Contestant agrees
that the ONC may conduct testing on the app to determine whether
malware or other security threats may be present. ONC may disqualify
the app if, in ONC's judgment, the app may damage government or others'
equipment or operating environment.
Additional Information
Since the Health Level 7 (HL7) Pressure Ulcer Prevention Domain
Analysis Model (DAM) does not address
[[Page 72867]]
the use of photographic images, the ONC invites suggestions for
extending the HL7 DAM to accommodate images.
Ownership of intellectual property is determined by the following:
Each entrant retains title and full ownership in and to
their submission. Entrants expressly reserve all intellectual property
rights not expressly granted under the challenge agreement.
By participating in the challenge, each entrant hereby
irrevocably grants to Sponsor and Administrator a limited, non-
exclusive, royalty free, worldwide, license and right to reproduce,
publically perform, publically display, and use the Submission to the
extent necessary to administer the challenge, and to publically perform
and publically display the Submission, including, without limitation,
for advertising and promotional purposes relating to the challenge.
Authority: 15 U.S.C. 3719.
Dated: November 20, 2012.
Farzad Mostashari,
National Coordinator for Health Information Technology.
[FR Doc. 2012-29524 Filed 12-5-12; 8:45 am]
BILLING CODE 4150-45-P