[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]


-----------------------------------------------------------------------

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.

-----------------------------------------------------------------------

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