From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin FW: VA and Apple Fri Apr 28 2017 09:53:01 CDT Hi Marc It was great meeting you yesterday at VA. If you are available next week, I would like to discuss with you what VA is looking to do with Apple and the 5 Centers. I am happy to meet at your office. Please let me know when you are available. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) 0542 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> (b) (6) Poonam Alaigh < hotmail.com> (b) (6) aol.com <(b) (6) aol.com>; Selnick, Darin ; < gmail.com>; (b)) (6) gmail.com <(b) (6) gmail.com> (6 ) [EXTERNAL] Apple Tue May 02 2017 06:36:39 CDT I think the number one priority with Apple will be to have what they are already working on, portable health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. We will need their assistance to have a patient centric program for preventive medicine that can also tract progress Tracking mechanism for opioid prescriptions within and outside of the VA Organize mental health early detection and treatment strategies. Currently there are too many unorganized initiatives and no feed back on effectiveness. Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. I am available to discuss 24/7 and the academic team is ready to move now. Sent from my iPad Bruce Moskowitz M.D. 0543 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) gmail.com <(b) (6) gmail.com>; (b) (6) Selnick, Darin ; (b) (6) On May 3, 2017, at 3:41 PM, Selnick, Darin wrote: > > Hi Bruce > > Thanks for the emaiI, it was great meeting you last week and I am looking forward to working with you on the partnership. I wanted to let you and Marc know that we have just completed and signed the NDA with Apple. Going forward I recommend that we set up a conference call with Apple to discuss the path forward and partnership of VA, Apple and the 5 Centers. The call would include you, Marc, from VA myself and (b) (6) and our Apple points of contact. > > In preparation for that call, I would like to have a call with you and Marc so that I can get you up to speed on the past initial discussions VA has had with Apple. We had discussed three broad health IT areas to explore and a process to do it. > > Please let know when you and Marc are available for a call. > > Best regards > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Tuesday, May 02, 2017 7:37 AM > To: Poonam Alaigh > Cc: (b) (6) aol.com; Selnick, Darin; IP; (b) (6) (b) (6) gmail.com > Subject: [EXTERNAL] Apple > > I think the number one priority with Apple will be to have what they are already working on, portable 0546 8 health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. > > We will need their assistance to have a patient centric program for preventive medicine that can also tract progress > > Tracking mechanism for opioid prescriptions within and outside of the VA > > Organize mental health early detection and treatment strategies. Currently there are too many unorganized initiatives and no feed back on effectiveness. > > Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. > > The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. > > I am available to discuss 24/7 and the academic team is ready to move now. > > > > > > > Sent from my iPad > Bruce Moskowitz M.D. 0547 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) gmail.com <(b) (6) gmail.com>; (b) (6) On May 3, 2017, at 3:41 PM, Selnick, Darin wrote: > > Hi Bruce > > Thanks for the emaiI, it was great meeting you last week and I am looking forward to working with you on the partnership. I wanted to let you and Marc know that we have just completed and signed the NDA with Apple. Going forward I recommend that we set up a conference call with Apple to discuss the path forward and partnership of VA, Apple and the 5 Centers. The call would include you, Marc, from VA myself and (b) (6) and our Apple points of contact. > > In preparation for that call, I would like to have a call with you and Marc so that I can get you up to speed on the past initial discussions VA has had with Apple. We had discussed three broad health IT areas to explore and a process to do it. > > Please let know when you and Marc are available for a call. 0548 > > Best regards > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Tuesday, May 02, 2017 7:37 AM > To: Poonam Alaigh > Cc: (b) (6) aol.com; Selnick, Darin; IP; (b) (6) (b) (6) gmail.com > Subject: [EXTERNAL] Apple > > I think the number one priority with Apple will be to have what they are already working on, portable health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. > > We will need their assistance to have a patient centric program for preventive medicine that can also tract progress > > Tracking mechanism for opioid prescriptions within and outside of the VA > > Organize mental health early detection and treatment strategies. Currently there are too many unorganized initiatives and no feed back on effectiveness. > > Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. > > The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. > > I am available to discuss 24/7 and the academic team is ready to move now. > > > > > > > Sent from my iPad > Bruce Moskowitz M.D. 0549 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin ; (b) (6) On May 3, 2017, at 4:02 PM, Selnick, Darin wrote: > > Great, how about 4:30pm ET on Monday, May 8. > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Wednesday, May 03, 2017 3:47 PM > To: Selnick, Darin > Cc: (b) (6) gmail.com; (b) (6) > Subject: Re: [EXTERNAL] Apple > > I can do usually a noon or 430 > > Sent from my iPhone > >> On May 3, 2017, at 3:41 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> Thanks for the emaiI, it was great meeting you last week and I am looking forward to working with you on the partnership. I wanted to let you and Marc know that we have just completed and signed the NDA with Apple. Going forward I recommend that we set up a conference call with Apple to discuss the path forward and partnership of VA, Apple and the 5 Centers. The call would include you, Marc, from VA myself and (b) (6) and our Apple points of contact. 0550 >> >> In preparation for that call, I would like to have a call with you and Marc so that I can get you up to speed on the past initial discussions VA has had with Apple. We had discussed three broad health IT areas to explore and a process to do it. >> >> Please let know when you and Marc are available for a call. >> >> Best regards >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Tuesday, May 02, 2017 7:37 AM >> To: Poonam Alaigh >> Cc: (b) (6) aol.com; Selnick, Darin; IP; (b) (6) (b) (6) gmail.com >> Subject: [EXTERNAL] Apple >> >> I think the number one priority with Apple will be to have what they are already working on, portable health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. >> >> We will need their assistance to have a patient centric program for preventive medicine that can also tract progress >> >> Tracking mechanism for opioid prescriptions within and outside of the VA >> >> Organize mental health early detection and treatment strategies. Currently there are too many unorganized initiatives and no feed back on effectiveness. >> >> Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. >> >> The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. >> >> I am available to discuss 24/7 and the academic team is ready to move now. >> >> >> >> >> >> >> Sent from my iPad 0551 Bruce Moskowitz MD. 0552 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) gmail.com <(b) (6) gmail.com>; (b) (6) On May 3, 2017, at 4:02 PM, Selnick, Darin wrote: > > Great, how about 4:30pm ET on Monday, May 8. > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > 0553 > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Wednesday, May 03, 2017 3:47 PM > To: Selnick, Darin > Cc: (b) (6) gmail.com; (b) (6) > Subject: Re: [EXTERNAL] Apple > > I can do usually a noon or 430 > > Sent from my iPhone > >> On May 3, 2017, at 3:41 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> Thanks for the emaiI, it was great meeting you last week and I am looking forward to working with you on the partnership. I wanted to let you and Marc know that we have just completed and signed the NDA with Apple. Going forward I recommend that we set up a conference call with Apple to discuss the path forward and partnership of VA, Apple and the 5 Centers. The call would include you, Marc, from VA myself and (b) (6) and our Apple points of contact. >> >> In preparation for that call, I would like to have a call with you and Marc so that I can get you up to speed on the past initial discussions VA has had with Apple. We had discussed three broad health IT areas to explore and a process to do it. >> >> Please let know when you and Marc are available for a call. >> >> Best regards >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Tuesday, May 02, 2017 7:37 AM >> To: Poonam Alaigh >> Cc: (b) (6) aol.com; Selnick, Darin; IP; (b) (6) (b) (6) gmail.com >> Subject: [EXTERNAL] Apple >> >> I think the number one priority with Apple will be to have what they are already working on, portable health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. >> >> We will need their assistance to have a patient centric program for preventive medicine that can also tract progress >> 0554 >> Tracking mechanism for opioid prescriptions within and outside of the VA >> >> Organize mental health early detection and treatment strategies. Currently there are too many unorganized initiatives and no feed back on effectiveness. >> >> Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. >> >> The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. >> >> I am available to discuss 24/7 and the academic team is ready to move now. >> >> >> >> >> >> >> Sent from my iPad >> Bruce Moskowitz M.D. 0555 From: Bruce Moskowitz <(b) (6) mac.com> (b) (6) To: <(b) (6) kp.org>; (b) (6) <(b) (6) jhu.edu>; (b) (6) < jhmi.edu>; <(b) (6) mayo.edu>; (b) (6) <(b) (6) ccf.org>; (b) (6) (b) (6) ccf.org < ccf.org>; (b) (6) <(b) (6) kp.org>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) (b) (6) < mayo.edu> (b) (6) <(b) (6) mayo.edu>; (b) (6) gmail.com <(b) (6) gmail.com>; Selnick, Darin (b) (6) (b) (6) jhu.edu (b) (6) (b) (6) jha.edu (b) (6) (b) (6) mayo.edu Dr. (b) (6) (b) (6) mayo.edu (b) (6) (b) (6) kp. org (b) (6) (b) (6) ccf.org (b) (6) (b) (6) ccf.org (b) (6) (b) (6) ccf.org 0556 (b) (6) (b) (6) mayo.edu (b) (6) Cleveland Clinic Acting CIO ccf.org (216) 469-(b) (6) (b) (6) (b) (6) (216) 445 (b) (6) To: <(b) (6) kp.org>; (b) (6) <(b) (6) jhu.edu>; (b) (6) < jhmi.edu>; <(b) (6) mayo.edu>; (b) (6) <(b) (6) ccf.org>; (b) (6) (b) (6) ccf.org < ccf.org>; (b) (6) <(b) (6) kp.org>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) (b) (6) < mayo.edu> (b) (6) <(b) (6) mayo.edu>; (b) (6) gmail.com <(b) (6) gmail.com>; Selnick, Darin (b) (6) gmail.com <(b) (6) gmail.com>; (b) (6) On May 3, 2017, at 4:02 PM, Selnick, Darin wrote: > > Great, how about 4:30pm ET on Monday, May 8. > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Wednesday, May 03, 2017 3:47 PM > To: Selnick, Darin > Cc: (b) (6) gmail.com; (b) (6) > Subject: Re: [EXTERNAL] Apple > > I can do usually a noon or 430 > > Sent from my iPhone > >> On May 3, 2017, at 3:41 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> Thanks for the emaiI, it was great meeting you last week and I am looking forward to working with you on the partnership. I wanted to let you and Marc know that we have just completed and signed the NDA with Apple. Going forward I recommend that we set up a conference call with Apple to discuss the path forward and partnership of VA, Apple and the 5 Centers. The call would include you, Marc, from VA myself and (b) (6) and our Apple points of contact. >> >> In preparation for that call, I would like to have a call with you and Marc so that I can get you up to speed on the past initial discussions VA has had with Apple. We had discussed three broad health IT areas to explore and a process to do it. >> >> Please let know when you and Marc are available for a call. >> 0563 >> Best regards >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Tuesday, May 02, 2017 7:37 AM >> To: Poonam Alaigh (b) (6) (b) (6) >> Cc: (b) (6) aol.com; Selnick, Darin; (b) gmail.com (6) >> Subject: [EXTERNAL] Apple >> >> I think the number one priority with Apple will be to have what they are already working on, portable health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. >> >> We will need their assistance to have a patient centric program for preventive medicine that can also tract progress >> >> Tracking mechanism for opioid prescriptions within and outside of the VA >> >> Organize mental health early detection and treatment strategies. Currently there are too many unorganized initiatives and no feed back on effectiveness. >> >> Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. >> >> The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. >> >> I am available to discuss 24/7 and the academic team is ready to move now. >> >> >> >> >> >> >> Sent from my iPad >> Bruce Moskowitz M.D. 0564 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin ; (b) (6) On May 8, 2017, at 3:24 PM, Selnick, Darin wrote: > > Hi Bruce and Marc > > Just confirming we are on for the call at 4:30pm. > > FYI - In the couple phone calls Apple had with VHA staff, these are the three broad areas they were looking to focus on. > > * Credentialing/authenticating > * Patient mediated data exchange and analytics > * Development of a research type app related to suicide prevention. > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Selnick, Darin > Sent: Wednesday, May 03, 2017 4:30 PM > To: 'Bruce Moskowitz' > Cc: (b) (6) gmail.com; (b) (6) > Subject: RE: [EXTERNAL] Apple > > Great, here is the conference call in number and instructions for May 8 at 4:30pm ET. > (6), > Dial 800-767-(b) and follow the voice prompts. When asked, please enter the Moderator Code (b) (5) 0565 (b) (6), (b) (5) followed by the # key > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Wednesday, May 03, 2017 4:13 PM > To: Selnick, Darin > Cc: (b) (6) gmail.com; (b) (6) > Subject: Re: [EXTERNAL] Apple > > Ok > > Sent from my iPad > Bruce Moskowitz M.D. > >> On May 3, 2017, at 4:02 PM, Selnick, Darin wrote: >> >> Great, how about 4:30pm ET on Monday, May 8. >> >> Best >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Wednesday, May 03, 2017 3:47 PM >> To: Selnick, Darin >> Cc: (b) (6) gmail.com; (b) (6) >> Subject: Re: [EXTERNAL] Apple >> >> I can do usually a noon or 430 >> >> Sent from my iPhone >> >>> On May 3, 2017, at 3:41 PM, Selnick, Darin wrote: >>> >>> Hi Bruce >>> >>> Thanks for the emaiI, it was great meeting you last week and I am looking forward to working with you on the partnership. I wanted to let you and Marc know that we have just completed and signed the NDA with Apple. Going forward I recommend that we set up a conference call with Apple to discuss the path forward and partnership of VA, Apple and the 5 Centers. The call would include you, Marc, from 0566 VA myself and (b) (6) and our Apple points of contact. >>> >>> In preparation for that call, I would like to have a call with you and Marc so that I can get you up to speed on the past initial discussions VA has had with Apple. We had discussed three broad health IT areas to explore and a process to do it. >>> >>> Please let know when you and Marc are available for a call. >>> >>> Best regards >>> >>> Darin >>> >>> Darin Selnick >>> Senior Advisor to the Secretary >>> Cell 202-390-(b) (6) >>> >>> >>> -----Original Message---->>> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >>> Sent: Tuesday, May 02, 2017 7:37 AM >>> To: Poonam Alaigh >>> Cc: (b) (6) aol.com; Selnick, Darin; IP; (b) (6) (b) (6) gmail.com >>> Subject: [EXTERNAL] Apple >>> >>> I think the number one priority with Apple will be to have what they are already working on, portable health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. >>> >>> We will need their assistance to have a patient centric program for preventive medicine that can also tract progress >>> >>> Tracking mechanism for opioid prescriptions within and outside of the VA >>> >>> Organize mental health early detection and treatment strategies. Currently there are too many unorganized initiatives and no feed back on effectiveness. >>> >>> Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. >>> >>> The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. >>> >>> I am available to discuss 24/7 and the academic team is ready to move now. >>> >>> >>> >>> >>> 0567 Sent from my iPad Bruce Moskowitz MD. 0568 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) gmail.com <(b) (6) gmail.com>; (b) (6) On May 8, 2017, at 3:24 PM, Selnick, Darin wrote: > > Hi Bruce and Marc > > Just confirming we are on for the call at 4:30pm. > > FYI - In the couple phone calls Apple had with VHA staff, these are the three broad areas they were looking to focus on. > > * Credentialing/authenticating > * Patient mediated data exchange and analytics > * Development of a research type app related to suicide prevention. > > Best > > Darin 0569 > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Selnick, Darin > Sent: Wednesday, May 03, 2017 4:30 PM > To: 'Bruce Moskowitz' > Cc: (b) (6) gmail.com; (b) (6) > Subject: RE: [EXTERNAL] Apple > > Great, here is the conference call in number and instructions for May 8 at 4:30pm ET. > (6), > Dial 800-767-(b) and follow the voice prompts. When asked, please enter the Moderator Code (b) (5) (b) (6), followed by the # key (b) (5) > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Wednesday, May 03, 2017 4:13 PM > To: Selnick, Darin > Cc: (b) (6) gmail.com; (b) (6) > Subject: Re: [EXTERNAL] Apple > > Ok > > Sent from my iPad > Bruce Moskowitz M.D. > >> On May 3, 2017, at 4:02 PM, Selnick, Darin wrote: >> >> Great, how about 4:30pm ET on Monday, May 8. >> >> Best >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Wednesday, May 03, 2017 3:47 PM 0570 >> To: Selnick, Darin >> Cc: (b) (6) gmail.com; (b) (6) >> Subject: Re: [EXTERNAL] Apple >> >> I can do usually a noon or 430 >> >> Sent from my iPhone >> >>> On May 3, 2017, at 3:41 PM, Selnick, Darin wrote: >>> >>> Hi Bruce >>> >>> Thanks for the emaiI, it was great meeting you last week and I am looking forward to working with you on the partnership. I wanted to let you and Marc know that we have just completed and signed the NDA with Apple. Going forward I recommend that we set up a conference call with Apple to discuss the path forward and partnership of VA, Apple and the 5 Centers. The call would include you, Marc, from VA myself and (b) (6) and our Apple points of contact. >>> >>> In preparation for that call, I would like to have a call with you and Marc so that I can get you up to speed on the past initial discussions VA has had with Apple. We had discussed three broad health IT areas to explore and a process to do it. >>> >>> Please let know when you and Marc are available for a call. >>> >>> Best regards >>> >>> Darin >>> >>> Darin Selnick >>> Senior Advisor to the Secretary >>> Cell 202-390-(b) (6) >>> >>> >>> -----Original Message---->>> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >>> Sent: Tuesday, May 02, 2017 7:37 AM >>> To: Poonam Alaigh >>> Cc: (b) (6) aol.com; Selnick, Darin; IP; (b) (6) (b) (6) gmail.com >>> Subject: [EXTERNAL] Apple >>> >>> I think the number one priority with Apple will be to have what they are already working on, portable health records available to Veterans. If they choose the choice program then we need to know in realtime what the evaluation and treatment is, not was or the cost can be prohibitive. Also the health provider needs important data from the VA records The 5 CEO's have committed resources also to get this done. >>> >>> We will need their assistance to have a patient centric program for preventive medicine that can also tract progress >>> >>> Tracking mechanism for opioid prescriptions within and outside of the VA >>> >>> Organize mental health early detection and treatment strategies. Currently there are too many 0571 unorganized initiatives and no feed back on effectiveness. >>> >>> Approved Choice services geotagged to the Veterans location hospitals, providers walk in clinics etc. >>> >>> The CEO's want to have their teams work with Apple for strategies to reduce health care costs. This is very important and we need to take advantage of everyone's intellectual capital. >>> >>> I am available to discuss 24/7 and the academic team is ready to move now. >>> >>> >>> >>> >>> >>> >>> Sent from my iPad >>> Bruce Moskowitz M.D. 0572 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) gmail.com> Selnick, Darin Marc Sherman [EXTERNAL] Apple Agenda Tue May 09 2017 05:42:07 CDT The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0573 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) Marc Sherman RE: [EXTERNAL] Apple Agenda Tue May 09 2017 05:44:56 CDT Great, thanks Darin Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) gmail.com] Sent: Tuesday, May 09, 2017 06:42 AM Eastern Standard Time To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. 0574 Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0575 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) Marc Sherman RE: [EXTERNAL] Apple Agenda Thu May 11 2017 10:04:56 CDT Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. 0576 We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0577 From: Bruce Moskowitz <(b) (6) gmail.com> Selnick, Darin ; (b) (6) <(b) (6) To: Cc: Bcc: Subject: Date: Attachments: Ok (b) (6) Marc Sherman gmail.com> Re: [EXTERNAL] Apple Agenda Thu May 11 2017 10:16:21 CDT will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] 0578 The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0579 Marc Sherman <(b) (6) gmail.com> Bruce Moskowitz <(b) (6) gmail.com> Selnick, Darin From: To: Cc: Bcc: Subject: Date: Attachments: Re: [EXTERNAL] Apple Agenda Thu May 11 2017 10:20:11 CDT I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) Ok (b) (6) gmail.com> wrote: will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) 0580 From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0581 From: Selnick, Darin ; Bruce Moskowitz <(b) (6) gmail.com> (b) (6) To: Cc: Bcc: Subject: Date: Attachments: RE: [EXTERNAL] Apple Agenda Thu May 11 2017 10:34:05 CDT 4pm on 5/19 works for VA. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Marc Sherman [mailto:(b) (6) gmail.com] Sent: Thursday, May 11, 2017 11:20 AM To: Bruce Moskowitz (b) (6) Cc: Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) Ok (b) (6) gmail.com> wrote: will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: 0582 Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the 0583 medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0584 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) gmail.com> Selnick, Darin ; (b) (6) Re: [EXTERNAL] Apple Agenda Thu May 11 2017 10:50:16 CDT That won't work I have a call with Mayo and Poonam at that time Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:34 AM, Selnick, Darin wrote: 4pm on 5/19 works for VA. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Marc Sherman [mailto:(b) (6) gmail.com] Sent: Thursday, May 11, 2017 11:20 AM To: Bruce Moskowitz (b) (6) Cc: Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) gmail.com> wrote: 0585 Ok (b) (6) will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. 0586 We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0587 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin Marc Sherman <(b) (6) gmail.com>; (b) (6) RE: [EXTERNAL] Apple Agenda Thu May 11 2017 10:57:00 CDT Bruce We are available anytime on 5/19. If that day does not work for you, please let us know a date and time that will. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Thursday, May 11, 2017 11:50 AM To: Selnick, Darin (b) (6) Cc: Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda gmail.com] That won't work I have a call with Mayo and Poonam at that time Sent from my iPad Bruce Moskowitz M.D. 0588 On May 11, 2017, at 11:34 AM, Selnick, Darin wrote: 4pm on 5/19 works for VA. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Marc Sherman [mailto:(b) (6) gmail.com] Sent: Thursday, May 11, 2017 11:20 AM To: Bruce Moskowitz (b) (6) Cc: Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) Ok (b) (6) gmail.com> wrote: will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin 0589 Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0590 From: To: Cc: Bruce Moskowitz <(b) (6) mac.com> (b) (6) David shulkin < aol.com> Selnick, Darin On May 11, 2017, at 6:26 PM, David shulkin <(b) (6) aol.com> wrote: > > Bruce- did Darin or (b) (6) reach out to you yet to set up > A call regarding Apple? > > Sent from my iPhone 0591 From: Selnick, Darin (b) (6) ; (b) (6) <(b) (6) To: Cc: Bcc: Subject: Date: Attachments: Marc Sherman gmail.com> RE: [EXTERNAL] Apple Agenda Thu May 11 2017 21:37:29 CDT Great, I think Thursday May 18 at 4pm could work as well. Best Darin Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) gmail.com] Sent: Thursday, May 11, 2017 10:34 PM Eastern Standard Time To: Selnick, Darin Cc: (b) (6) Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda Ok (b) (6) will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best 0592 Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. 0593 0594 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin ; IP <(b @frenchangel59.com>; ) (b) (6) aol.com <(b) (6) aol.com>; Poonam Alaigh (6 (b) (6) ) < hotmail.com> [EXTERNAL] Apple Fri May 12 2017 13:10:25 CDT (b) (6) There are 4 more experts to have on the apple call they are (b) (6) , (b) (6) and All with responsive health.org. I met with them today and they are experts on the tough part of the agenda. To make the call effective we plan to have two to Three from our side speak and the rest are available to answer technical questions. All of the group have different areas of expertise. (b) (6) Sent from my iPhone 0595 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) gmail.com <(b) (6) gmail.com>; IP <(b @frenchangel59.com>; ) (b) (6) aol.com <(b) (6) aol.com>; Poonam Alaigh (6 (b) (6) ) < hotmail.com> RE: [EXTERNAL] Apple Fri May 12 2017 13:26:10 CDT Bruce Sounds great. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: Bruce Moskowitz [mailto:(b) (6) Sent: Friday, May 12, 2017 2:10 PM To: Selnick, Darin Cc: (b) (6) gmail.com; IP; (b) (6) Subject: [EXTERNAL] Apple mac.com] aol.com; Poonam Alaigh (b) (6) There are 4 more experts to have on the apple call they are (b) (6) , (b) (6) and All with responsive health.org. I met with them today and they are experts on the tough part of the agenda. To make the call effective we plan to have two to Three from our side speak and the rest are available to answer technical questions. All of the group have different areas of expertise. (b) (6) Sent from my iPhone 0596 From: To: Cc: Bcc: Subject: Date: Attachments: bruce moskowitz <(b) (6) gmail.com> Selnick, Darin ; Marc Sherman <(b) (6) gmail.com>; (b) (6) wrote: Just to confirm, how long will the call be. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 3:11 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda gmail.com] Great! I will send out a calendar invite. 0597 On Fri, May 12, 2017 at 3:08 PM, Selnick, Darin wrote: Let’s go with Thursday, May 18 at 4pm. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 2:35 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: RE: [EXTERNAL] Apple Agenda gmail.com] Dr. Moskowitz is not available until 5:00 pm EDT on May 19. I had suggested Thursday, May 18 at 4 pm or Monday, May 22 at 4 pm, but Mr. Sherman is not available at those times, however he indicated that the date works for everyone else, you could proceed without him. Do you have a preference? On May 12, 2017 2:27 PM, "Selnick, Darin" wrote: Hi (b) (6) No there has not been a consensus at this point. The last email from Bruce was the possibility of checking on 4pm on 5/19. We are open all day on 5/19 and most of the day on 5/22. Best Darin 0598 Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 1:51 PM To: Marc Sherman Cc: Bruce Moskowitz; Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda gmail.com] Good afternoon everyone! I'm just checking in to see if there has been any consensus on a date for the conference call that is convenient for all of the participants? On May 11, 2017 11:40 PM, "Marc Sherman" <(b) (6) gmail.com> wrote: I am not available on Thursday May 18 or Monday May 22. Proceed without me if those are the only times available for everyone. Marc Sherman (202) 758-(b) (6) On May 11, 2017 12:06 PM, "(b) (6) Bruce Moskowitz,MD" <(b) (6) gmail.com> wrote: Dr, Moskowitz would be available at 5:00 on Friday, May 19 or he is available at 4:00 pm on Thursday, May 18 or 4:00 pm on Monday, May 22. On Thu, May 11, 2017 at 11:57 AM, Selnick, Darin wrote: Bruce We are available anytime on 5/19. If that day does not work for you, please let us know a date and time that will. 0599 Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Thursday, May 11, 2017 11:50 AM To: Selnick, Darin (b) (6) Cc: Marc Sherman; (b) (6) gmail.com] Subject: Re: [EXTERNAL] Apple Agenda That won't work I have a call with Mayo and Poonam at that time Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:34 AM, Selnick, Darin wrote: 4pm on 5/19 works for VA. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Marc Sherman [mailto:(b) (6) gmail.com] Sent: Thursday, May 11, 2017 11:20 AM To: Bruce Moskowitz (b) (6) Cc: Selnick, Darin; (b) (6) 0600 Subject: Re: [EXTERNAL] Apple Agenda I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) Ok (b) (6) gmail.com> wrote: will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma 0601 center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. -(b) (6) MPA Patient Care Coordinator Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) Fax: 561-833-(b) (6) -- 0602 (b) (6) MPA Patient Care Coordinator Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) Fax: 561-833-(b) (6) 0603 From: (b) (6) gmail.com gmail.com> (b) (6) gmail.com <(b) (6) gmail.com>; Selnick, Darin ; (b) (6) mac.com <(b) (6) mac.com> <(b) (6) To: Cc: Bcc: Subject: [EXTERNAL] Invitation: Conference call Selnick/(b) (6) 2017 4pm - 4:30pm (EDT) (darin.selnick@va.gov) Date: Fri May 12 2017 15:35:25 CDT Attachments: invite.ics Moskowitz @ Thu May 18, StartTime: Thu May 18 15:00:00 Central Daylight Time 2017 EndTime: Thu May 18 15:30:00 Central Daylight Time 2017 Location: Recurring: No ShowReminder: No Accepted: Yes AcceptedTime: Mon May 15 09:37:00 Central Daylight Time 2017 Manage all your calendars in one place. Download the Google Calendar app. more details » Conference call Selnick/(b) (6) Moskowitz (6), 888-204-(b) (b) (5) (6), (b) Access code: (b) (5) WhenThu May 18, 2017 4pm – 4:30pm Eastern Time Calendardarin.selnick@va.gov Who•(b) (6) gmail.com - organizer •darin.selnick@va.gov •(b) (6) baptisthealth.net •(b) (6) mac.com Going? Yes - Maybe - No more options » Invitation from Google Calendar You are receiving this courtesy email at the account darin.selnick@va.gov because you are an attendee of this event. To stop receiving future updates for this event, decline this event. Alternatively you can sign up for a Google account at https://www.google.com/calendar/ and control your notification settings for your entire calendar. Forwarding this invitation could allow any recipient to modify your RSVP response. Learn More. 0604 Owner: Filename: Last Modified: (b) (6) gmail.com <(b) (6) gmail.com> invite.ics Fri May 12 15:35:25 CDT 2017 0605 invite.ics for Printed Item: 26 ( Attachment 1 of 1) (b) (6) Conference call Selnick/ Moskowitz 20170518T200000Z CONFIRMED PRODID -//Google Inc//Google Calendar 70.9054//EN Version 2.0 CALSCALE GREGORIAN METHOD REQUEST Start Date/Time 20170518T200000Z End Date/Time 20170518T203000Z DTSTAMP 20170512T203525Z ORGANIZER ( CN=(b) (6) mailto:(b) (6) gmail.com ) gmail.com UID u28m6cbgnnr3ubeslgopjmfls8@google.com Attendee mailto:darin.selnick@va.gov Role REQ-PARTICIPANT RSVP TRUE Attendee mailto:(b) (6) Role REQ-PARTICIPANT RSVP TRUE Attendee mailto:(b) (6) baptisthealth.net Role REQ-PARTICIPANT RSVP TRUE Attendee mailto:(b) (6) Role REQ-PARTICIPANT RSVP TRUE gmail.com mac.com CREATED 20170512T203525Z Description 888-204-(b) (6), (b) (5) 0606 invite.ics for Printed Item: 26 ( Attachment 1 of 1) Access code: (b) (6), (b) (5)at View your event https://www.google.com/calendar/event?action=VIEW&eid=dTI4bTZjYmdubnIzdWJlc2xnb3BqbWZsczgg ZGFyaW4uc2Vsbmlja0B2YS5nb3Y&tok=MjIjY2Fyb2x5bnM5MzAwQGdtYWlsLmNvbTQ0ZGQ2ZDFhYm NkOWZkOGVhNmUzNzc3ZTA3NjU5MmY3OTkzNDQ5N2M&ctz=America/New_York&hl=en. Last Modified 20170512T203525Z Location Sequence Number 0 Status CONFIRMED Summary Conference call Selnick/(b) (6) Moskowitz Time Transparency OPAQUE 0607 From: To: (b) (6) gmail.com <(b) (6) gmail.com> Selnick, Darin ; (b) (6) mac.com <(b) (6) mac.com> Cc: Bcc: Subject: [EXTERNAL] Invitation: Conference call Selnick/(b) (6) 2017 4pm - 4:30pm (EDT) (darin.selnick@va.gov) Date: Fri May 12 2017 15:35:25 CDT Attachments: invite.ics Moskowitz @ Thu May 18, Manage all your calendars in one place. Download the Google Calendar app. more details » Conference call Selnick/(b) (6) Moskowitz (6), 888-204-(b) (b) (5) (6), (b) Access code: (b) (5) WhenThu May 18, 2017 4pm – 4:30pm Eastern Time Calendardarin.selnick@va.gov Who•(b) (6) gmail.com - organizer •darin.selnick@va.gov •(b) (6) baptisthealth.net •(b) (6) mac.com Going? Yes - Maybe - No more options » Invitation from Google Calendar You are receiving this courtesy email at the account darin.selnick@va.gov because you are an attendee of this event. To stop receiving future updates for this event, decline this event. Alternatively you can sign up for a Google account at https://www.google.com/calendar/ and control your notification settings for your entire calendar. Forwarding this invitation could allow any recipient to modify your RSVP response. Learn More. 0608 Owner: Filename: Last Modified: (b) (6) gmail.com <(b) (6) gmail.com> invite.ics Fri May 12 15:35:25 CDT 2017 0609 invite.ics for Printed Item: 28 ( Attachment 1 of 1) Conference call Selnic(b) (6) e/Moskowitz 20170518T200000Z CONFIRMED PRODID -//Google Inc//Google Calendar 70.9054//EN Version 2.0 CALSCALE GREGORIAN METHOD REQUEST Start Date/Time 20170518T200000Z End Date/Time 20170518T203000Z DTSTAMP 20170512T203525Z ORGANIZER ( CN=(b) (6) mailto:(b) (6) gmail.com ) gmail.com UID u28m6cbgnnr3ubeslgopjmfls8@google.com Attendee mailto:darin.selnick@va.gov Role REQ-PARTICIPANT RSVP TRUE Attendee mailto(b) (6) @gmail.com Role REQ-PARTICIPANT RSVP TRUE Attendee mailto(b) (6) baptisthealth.net Role REQ-PARTICIPANT RSVP TRUE Attendee mailto(b) (6) Role REQ-PARTICIPANT RSVP TRUE @mac.com CREATED 20170512T203525Z Description 888-204-(b) (6), (b) (5) 0610 invite.ics for Printed Item: 28 ( Attachment 1 of 1) Access code: (b) (6), (b) (5)at View your event https://www.google.com/calendar/event?action=VIEW&eid=dTI4bTZjYmdubnIzdWJlc2xnb3BqbWZsczgg ZGFyaW4uc2Vsbmlja0B2YS5nb3Y&tok=MjIjY2Fyb2x5bnM5MzAwQGdtYWlsLmNvbTQ0ZGQ2ZDFhYm NkOWZkOGVhNmUzNzc3ZTA3NjU5MmY3OTkzNDQ5N2M&ctz=America/New_York&hl=en. Last Modified 20170512T203525Z Location Sequence Number 0 Status CONFIRMED Summary Conference call Selnick/(b) (6) Moskowitz Time Transparency OPAQUE 0611 From: Bruce Moskowitz <(b) (6) mac.com> (b) (6) To: <(b) (6) baptisthealth.net> gmail.com <(b) (6) gmail.com>; Selnick, Darin wrote: Hello, Just confirming that this invitation was meant for Dr. Michael Zinner???? It may have been sent to me in error. Thanks. (b) (6) (b) (6) Executive Assistant to (b) (6) M.D., Chief Executive Officer and Executive Medical Director and Manager, Administrative Services, Miami Cancer Institute - Executive Office 8900 N. Kendall Drive, 3rd Floor Executive Office Miami, Florida 33176 Office Phone: 786.527.(b) (6) Mobile: 617.320.(b) (6) Ascom: (b) (6) -----Original Appointment----From: (b) (6) gmail.com [mailto:(b) (6) gmail.com] Sent: Friday, May 12, 2017 4:35 PM (b) (6) To: (b) (6) gmail.com; darin.selnick@va.gov; (b) (6) mac.com (b) (6) Subject: [External] Invitation: Conference call Selnick/ Moskowitz @ Thu May 18, 2017 4pm - 4: 30pm (EDT) ((b) (6) baptisthealth.net) When: Thursday, May 18, 2017 4:00 PM-4:30 PM (UTC-05:00) Eastern Time (US & Canada). Where: 0612 Manage all your calendars in one place. Download the Google Calendar app. more details » Conference call Selnick/(b) (6) Moskowitz (6), 888-204-(b) (b) (5) (6), (b) Access code: (b) (5) When Thu May 18, 2017 4pm – 4:30pm Eastern Time (b) (6) Calendar baptisthealth.net (b) (6) Who • gmail.com - organizer • darin.selnick@va.gov (b) (6) • baptisthealth.net (b) (6) • mac.com Going? Yes - Maybe - No more options » Invitation from Google Calendar You are receiving this courtesy email at the account (b) (6) baptisthealth.net because you are an attendee of this event. To stop receiving future updates for this event, decline this event. Alternatively you can sign up for a Google account at https://www.google.com/calendar/ and control your notification settings for your entire calendar. Forwarding this invitation could allow any recipient to modify your RSVP response. Learn More. << File: invite.ics >> _____ This message originates from Baptist Health South Florida (BHSF). It contains information that may be confidential or privileged and is intended only for the individuals or entity named above. It is prohibited for anyone else to disclose, copy, distribute or use the contents of this message. This message may not be copied or distributed without this disclaimer. All personal messages express views solely of the sender, which are not to be attributed to BHSF. If you received this message in error, please notify us immediately at postmaster@baptisthealth.net. BHSF scanned this email for viruses, vandals and malicious content 0613 From: To: Cc: Bcc: Subject: Date: Attachments: docx Selnick, Darin (b) (6) Bruce Moskowitz,MD <(b) (6) gmail.com>; Marc Sherman <(b) (6) gmail.com>; (b) (6) wrote: Just to confirm, how long will the call be. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) gmail.com] 0615 Sent: Friday, May 12, 2017 3:11 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda Great! I will send out a calendar invite. On Fri, May 12, 2017 at 3:08 PM, Selnick, Darin wrote: Let’s go with Thursday, May 18 at 4pm. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 2:35 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: RE: [EXTERNAL] Apple Agenda gmail.com] Dr. Moskowitz is not available until 5:00 pm EDT on May 19. I had suggested Thursday, May 18 at 4 pm or Monday, May 22 at 4 pm, but Mr. Sherman is not available at those times, however he indicated that the date works for everyone else, you could proceed without him. Do you have a preference? On May 12, 2017 2:27 PM, "Selnick, Darin" wrote: Hi (b) (6) No there has not been a consensus at this point. The last email from Bruce was the possibility of checking on 4pm on 5/19. We are open all day on 5/19 and most of the day on 5/22. 0616 Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 1:51 PM To: Marc Sherman Cc: Bruce Moskowitz; Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda gmail.com] Good afternoon everyone! I'm just checking in to see if there has been any consensus on a date for the conference call that is convenient for all of the participants? On May 11, 2017 11:40 PM, "Marc Sherman" <(b) (6) gmail.com> wrote: I am not available on Thursday May 18 or Monday May 22. Proceed without me if those are the only times available for everyone. Marc Sherman (202) 758-(b) (6) On May 11, 2017 12:06 PM, "(b) (6) Bruce Moskowitz,MD" <(b) (6) gmail.com> wrote: Dr, Moskowitz would be available at 5:00 on Friday, May 19 or he is available at 4:00 pm on Thursday, May 18 or 4:00 pm on Monday, May 22. 0617 On Thu, May 11, 2017 at 11:57 AM, Selnick, Darin wrote: Bruce We are available anytime on 5/19. If that day does not work for you, please let us know a date and time that will. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Thursday, May 11, 2017 11:50 AM To: Selnick, Darin (b) (6) Cc: Marc Sherman; (b) (6) gmail.com] Subject: Re: [EXTERNAL] Apple Agenda That won't work I have a call with Mayo and Poonam at that time Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:34 AM, Selnick, Darin wrote: 4pm on 5/19 works for VA. Darin Darin Selnick 0618 Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Marc Sherman [mailto:(b) (6) gmail.com] Sent: Thursday, May 11, 2017 11:20 AM To: Bruce Moskowitz (b) (6) Cc: Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) Ok (b) (6) gmail.com> wrote: will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM gmail.com] 0619 To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. -(b) (6) MPA Patient Care Coordinator Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) 0620 Fax: 561-833-(b) (6) -(b) (6) MPA Patient Care Coordinator Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) Fax: 561-833-(b) (6) 0621 Owner: Selnick, Darin Selnick, Darin ; Marc Sherman <(b) (6) gmail.com>; (b) (6) ; < gmail.com> ) (6 ) Re: [EXTERNAL] Apple Agenda Thu May 18 2017 06:08:34 CDT Before you consider the phrase you do not believe it is appropriate to do due diligence. We now have approximately 20 in our group that already have an available platform to solve the two issues you believe can not be solved. Also Apple technology is more than apps, platforms that get the job done are equally important. Sent from my iPad Bruce Moskowitz M.D. On May 16, 2017, at 1:45 PM, Selnick, Darin wrote: Hi Bruce For the Thursday call, here are the VA thoughts in blue based on the agenda items you had sent me. If I get additional questions I will send them: 1. The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. a. We suggest a modified use case: A telehealth provider wants to direct their patient to a nearby healthcare resource (e.g. urgent care center or call 911 for patient). The app should be able to send to the patient and the patient’s telehealth providers, the location of the patient and the healthcare resources that are nearby to the patient. For example, the closest VA location, closest pharmacy, closest urgent care center, and closest contact center phone number. 2. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. a. This is the FHIR Patient-Mediated data exchange concept. Please see attached FHIR concept paper. 0644 3. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. a. This is a problem but we do not believe that this is something that can be solved with an app. 4. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. a. This is a problem but we do not believe that this is something that can be solved with an app. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: bruce moskowitz [mailto:(b) (6) gmail.com] Sent: Friday, May 12, 2017 3:52 PM To: Selnick, Darin Cc: (b) (6) Bruce Moskowitz,MD; Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda Darin call my cell to discuss length 561346(b) (6) Sent from my iPhone On May 12, 2017, at 3:34 PM, Selnick, Darin wrote: Just to confirm, how long will the call be. Thanks Darin 0645 Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 3:11 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda gmail.com] Great! I will send out a calendar invite. On Fri, May 12, 2017 at 3:08 PM, Selnick, Darin wrote: Let’s go with Thursday, May 18 at 4pm. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 2:35 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: RE: [EXTERNAL] Apple Agenda gmail.com] Dr. Moskowitz is not available until 5:00 pm EDT on May 19. I had suggested Thursday, May 18 at 4 pm or Monday, May 22 at 4 pm, but Mr. Sherman is not available at those times, however he indicated that the date works for everyone else, you could proceed without him. Do you have a preference? 0646 On May 12, 2017 2:27 PM, "Selnick, Darin" wrote: Hi (b) (6) No there has not been a consensus at this point. The last email from Bruce was the possibility of checking on 4pm on 5/19. We are open all day on 5/19 and most of the day on 5/22. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 1:51 PM To: Marc Sherman Cc: Bruce Moskowitz; Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda gmail.com] Good afternoon everyone! I'm just checking in to see if there has been any consensus on a date for the conference call that is convenient for all of the participants? On May 11, 2017 11:40 PM, "Marc Sherman" <(b) (6) gmail.com> wrote: I am not available on Thursday May 18 or Monday May 22. Proceed without me if those are the only times available for everyone. 0647 Marc Sherman (202) 758-(b) (6) On May 11, 2017 12:06 PM, "(b) (6) Bruce Moskowitz,MD" <(b) (6) gmail.com> wrote: Dr, Moskowitz would be available at 5:00 on Friday, May 19 or he is available at 4:00 pm on Thursday, May 18 or 4:00 pm on Monday, May 22. On Thu, May 11, 2017 at 11:57 AM, Selnick, Darin wrote: Bruce We are available anytime on 5/19. If that day does not work for you, please let us know a date and time that will. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Thursday, May 11, 2017 11:50 AM To: Selnick, Darin (b) (6) Cc: Marc Sherman; (b) (6) gmail.com] Subject: Re: [EXTERNAL] Apple Agenda That won't work I have a call with Mayo and Poonam at that time Sent from my iPad Bruce Moskowitz M.D. 0648 On May 11, 2017, at 11:34 AM, Selnick, Darin wrote: 4pm on 5/19 works for VA. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Marc Sherman [mailto:(b) (6) gmail.com] Sent: Thursday, May 11, 2017 11:20 AM To: Bruce Moskowitz (b) (6) Cc: Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) Ok (b) (6) gmail.com> wrote: will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin 0649 Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. -(b) (6) MPA Patient Care Coordinator 0650 Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) Fax: 561-833-(b) (6) -(b) (6) MPA Patient Care Coordinator Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) Fax: 561-833-(b) (6) 0651 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) Bruce Moskowitz,MD <(b) (6) gmail.com>; Marc Sherman <(b) (6) gmail.com>; (b) (6) ; < gmail.com> ) (6 ) RE: [EXTERNAL] Apple Agenda Thu May 18 2017 06:19:00 CDT Hi Bruce I agree with your comments. The VA staff has limited knowledge and experience, which is why you and the Centers are so important to help the VA move forward. Looking forward to the discussion today. Best Darin Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) gmail.com] Sent: Thursday, May 18, 2017 07:08 AM Eastern Standard Time To: Selnick, Darin Cc: (b) (6) Bruce Moskowitz,MD; Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda IP; (b) (6) Before you consider the phrase you do not believe it is appropriate to do due diligence. We now have approximately 20 in our group that already have an available platform to solve the two issues you believe can not be solved. Also Apple technology is more than apps, platforms that get the job done are equally important. Sent from my iPad Bruce Moskowitz M.D. On May 16, 2017, at 1:45 PM, Selnick, Darin wrote: Hi Bruce 0652 For the Thursday call, here are the VA thoughts in blue based on the agenda items you had sent me. If I get additional questions I will send them: 1. The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. a. We suggest a modified use case: A telehealth provider wants to direct their patient to a nearby healthcare resource (e.g. urgent care center or call 911 for patient). The app should be able to send to the patient and the patient’s telehealth providers, the location of the patient and the healthcare resources that are nearby to the patient. For example, the closest VA location, closest pharmacy, closest urgent care center, and closest contact center phone number. 2. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. a. This is the FHIR Patient-Mediated data exchange concept. Please see attached FHIR concept paper. 3. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. a. This is a problem but we do not believe that this is something that can be solved with an app. 4. Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. a. This is a problem but we do not believe that this is something that can be solved with an app. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) 0653 From: bruce moskowitz [mailto:(b) (6) gmail.com] Sent: Friday, May 12, 2017 3:52 PM To: Selnick, Darin Cc: (b) (6) Bruce Moskowitz,MD; Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda Darin call my cell to discuss length 561346(b) (6) Sent from my iPhone On May 12, 2017, at 3:34 PM, Selnick, Darin wrote: Just to confirm, how long will the call be. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 3:11 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda gmail.com] Great! I will send out a calendar invite. On Fri, May 12, 2017 at 3:08 PM, Selnick, Darin wrote: Let’s go with Thursday, May 18 at 4pm. Thanks 0654 Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 2:35 PM To: Selnick, Darin Cc: Bruce Moskowitz; Marc Sherman; (b) (6) Subject: RE: [EXTERNAL] Apple Agenda gmail.com] Dr. Moskowitz is not available until 5:00 pm EDT on May 19. I had suggested Thursday, May 18 at 4 pm or Monday, May 22 at 4 pm, but Mr. Sherman is not available at those times, however he indicated that the date works for everyone else, you could proceed without him. Do you have a preference? On May 12, 2017 2:27 PM, "Selnick, Darin" wrote: Hi (b) (6) No there has not been a consensus at this point. The last email from Bruce was the possibility of checking on 4pm on 5/19. We are open all day on 5/19 and most of the day on 5/22. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: (b) (6) Bruce Moskowitz,MD [mailto:(b) (6) Sent: Friday, May 12, 2017 1:51 PM gmail.com] 0655 To: Marc Sherman Cc: Bruce Moskowitz; Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda Good afternoon everyone! I'm just checking in to see if there has been any consensus on a date for the conference call that is convenient for all of the participants? On May 11, 2017 11:40 PM, "Marc Sherman" <(b) (6) gmail.com> wrote: I am not available on Thursday May 18 or Monday May 22. Proceed without me if those are the only times available for everyone. Marc Sherman (202) 758-(b) (6) On May 11, 2017 12:06 PM, "(b) (6) Bruce Moskowitz,MD" <(b) (6) gmail.com> wrote: Dr, Moskowitz would be available at 5:00 on Friday, May 19 or he is available at 4:00 pm on Thursday, May 18 or 4:00 pm on Monday, May 22. On Thu, May 11, 2017 at 11:57 AM, Selnick, Darin wrote: Bruce We are available anytime on 5/19. If that day does not work for you, please let us know a date and time that will. Thanks Darin Darin Selnick 0656 Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Thursday, May 11, 2017 11:50 AM To: Selnick, Darin (b) (6) Cc: Marc Sherman; (b) (6) gmail.com] Subject: Re: [EXTERNAL] Apple Agenda That won't work I have a call with Mayo and Poonam at that time Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:34 AM, Selnick, Darin wrote: 4pm on 5/19 works for VA. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Marc Sherman [mailto:(b) (6) gmail.com] Sent: Thursday, May 11, 2017 11:20 AM To: Bruce Moskowitz (b) (6) Cc: Selnick, Darin; (b) (6) Subject: Re: [EXTERNAL] Apple Agenda I am good at 4pm on the 19th. On Thu, May 11, 2017 at 11:16 AM, Bruce Moskowitz <(b) (6) gmail.com> wrote: 0657 Ok (b) (6) will check possibly 4 Sent from my iPad Bruce Moskowitz M.D. On May 11, 2017, at 11:04 AM, Selnick, Darin wrote: Hi Bruce We have all the VA staff identified for the 2 hour conference call meeting we discussed. How does next week look, Friday May 19. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Tuesday, May 09, 2017 6:42 AM To: Selnick, Darin Cc: (b) (6) Marc Sherman Subject: [EXTERNAL] Apple Agenda gmail.com] The following is the correct agenda I accidentally sent an earlier version The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We will need the ability for Veterans to download the records from both the Veteran sector (Veterans have access to a portable record) and private sector on their portable device. It should have the feature that would prevent duplication of tests at the time of ordering at the point of contact and the ability to send information back to their primary doctor in real time. It should also have a feature to prevent unnecessary testing and over utilization. We need a technology solution for tracking medication compliance, prevention of over utilization of controlled substances and prevention of medication errors. 0658 Currently the medical discharge everywhere is antiquated. Patients are discharged by a floor nurse with a list of medication. We need a system that automatically checks that the patient picked up the medication and does not confuse it with medication at home. Second, track follow up appointments, health care services for home care and distributes all information to the health care team. Sent from my iPad Bruce Moskowitz M.D. -(b) (6) MPA Patient Care Coordinator Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) Fax: 561-833-(b) (6) -(b) (6) MPA Patient Care Coordinator Dr. Bruce Moskowitz, MD Victor Ferris Medical Building 1411 North Flagler Drive 0659 Suite 7100 West Palm Beach, FL 33401 Phone: 561-833-(b) (6) Fax: 561-833-(b) (6) 0660 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) gmail.com> Selnick, Darin ; IP <(b @frenchangel59.com>; (b) (6) ) (b) (6) < gmail.com> (6 ) [EXTERNAL] Agenda item 4 Thu May 18 2017 08:12:39 CDT Yes it can be solved with an app but those at the VA who felt it could not this article should be reviewed. Our group will make it better and more comprehensive. I thought you would be interested in the following story from The Wall Street Journal. Why Your Pharmacy May Be Texting You https://www.wsj.com/article_email/why-your-pharmacy-may-be-texting-you-1494986940lMyQjAxMTE3NDE0ODQxOTgzWj/ Download the Wall Street Journal app here: WSJ. Sent from my iPad Bruce Moskowitz M.D. 0661 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin ; (b) (6) ; IP <(b @frenchangel59.com>; (b) (6) ) <(b) (6) gmail.com> (6 ) RE: [EXTERNAL] Agenda item 4 Thu May 18 2017 08:35:44 CDT Bruce Thanks for the article, I will pass it to the VA staff. Best Darin Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) gmail.com] Sent: Thursday, May 18, 2017 09:13 AM Eastern Standard Time To: Selnick, Darin; (b) (6) Cc: (b) (6) gmail.com; IP; (b) (6) Subject: [EXTERNAL] Agenda item 4 Yes it can be solved with an app but those at the VA who felt it could not this article should be reviewed. Our group will make it better and more comprehensive. I thought you would be interested in the following story from The Wall Street Journal. Why Your Pharmacy May Be Texting You https://www.wsj.com/article_email/why-your-pharmacy-may-be-texting-you-1494986940lMyQjAxMTE3NDE0ODQxOTgzWj/ Download the Wall Street Journal app here: WSJ. 0662 Sent from my iPad Bruce Moskowitz MD. 0663 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin ; (b) (6) RE: [EXTERNAL] Agenda item 4 Thu May 18 2017 18:04:32 CDT Hi Bruce Great call today, here are the names of the VA staff on the call besides myself and (b) (6) (b) (6) Ricci Mulligan (b) (6) (b) (6) Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Thursday, May 18, 2017 9:13 AM To: Selnick, Darin; (b) (6) Cc: (b) (6) gmail.com; IP; (b) (6) Subject: [EXTERNAL] Agenda item 4 gmail.com] 0664 Yes it can be solved with an app but those at the VA who felt it could not this article should be reviewed. Our group will make it better and more comprehensive. I thought you would be interested in the following story from The Wall Street Journal. Why Your Pharmacy May Be Texting You https://www.wsj.com/article_email/why-your-pharmacy-may-be-texting-you-1494986940lMyQjAxMTE3NDE0ODQxOTgzWj/ Download the Wall Street Journal app here: WSJ. Sent from my iPad Bruce Moskowitz M.D. 0665 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin (6) [EXTERNAL] Attendees Fri May 19 2017 12:22:34 CDT Mr Perlmutter's assistant needs the list of Apple attendees and your attendees. Thank you Sent from my iPad Bruce Moskowitz M.D. 0666 From: To: Cc: Bcc: Subject: Date: Attachments: (b) (6) <(b) (6) frenchangel59.com> Bruce Moskowitz <(b) (6) mac.com>; Selnick, Darin (b) (6) (b) (6) < frenchangel59.com> Selnick, Darin On May 19, 2017, at 3:30 PM, (b) (6) <(b) (6) frenchangel59.com> wrote: > > Bruce - David gave me names for the VA and I am working with Apple directly > for their participants names. > > Is that OK? > > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Friday, May 19, 2017 1:23 PM > To: Darin Selnick > Cc: (b) (6) frenchangel59.com > Subject: Attendees > > Mr Perlmutter's assistant needs the list of Apple attendees and your > attendees. Thank you > > Sent from my iPad > Bruce Moskowitz M.D. > 0668 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin ; (b) (6) (b) (6) < frenchangel59.com> (b) (6) apple.com <(b) (6) apple.com> RE: [EXTERNAL] Re: Attendees Fri May 19 2017 14:58:38 CDT Hi Bruce My main Apple contacts are (b) (6) and (b) (6) I talked to (b) (6) and they would like to have a conference call with you and me next week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. That way they can ensure they have the right people on the call. To facilitate setting up the call I have cc: (b) (6) Can you let me know a couple of days/time you are available next week for a call. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: Bruce Moskowitz [mailto:(b) (6) Sent: Friday, May 19, 2017 3:34 PM To: (b) (6) Cc: Selnick, Darin Subject: [EXTERNAL] Re: Attendees mac.com] Good Sent from my iPad Bruce Moskowitz M.D. > On May 19, 2017, at 3:30 PM, (b) (6) <(b) (6) frenchangel59.com> wrote: > > Bruce - David gave me names for the VA and I am working with Apple > directly for their participants names. > > Is that OK? > > > > -----Original Message----- 0669 > From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Friday, May 19, 2017 1:23 PM > To: Darin Selnick > Cc: (b) (6) frenchangel59.com > Subject: Attendees > > Mr Perlmutter's assistant needs the list of Apple attendees and your > attendees. Thank you > > Sent from my iPad > Bruce Moskowitz M.D. > 0670 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin ; (b) (6) (b) (6) < frenchangel59.com> RE: [EXTERNAL] Re: Attendees Mon May 22 2017 13:22:22 CDT Centers and VA Partnership Call revised notes.docx Hi Bruce In preparation for the next partnership call I have attached the comments and requirements from the VA OIT, I expect the VHA clinician side to have theirs later this week. Also, my Apple contacts (b) (6) and (b) (6) would like to have a prep conference call with you and me this week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. Please let me know if you are available for that. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: Selnick, Darin Sent: Friday, May 19, 2017 3:59 PM To: 'Bruce Moskowitz'; (b) (6) Cc: '(b) (6) apple.com' Subject: RE: [EXTERNAL] Re: Attendees Hi Bruce My main Apple contacts are (b) (6) and (b) (6) I talked to (b) (6) and they would like to have a conference call with you and me next week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. That way they can ensure they have the right people on the call. To facilitate setting up the call I have cc: (b) (6) Can you let me know a couple of days/time you are available next week for a call. Thanks Darin 0671 Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: Bruce Moskowitz [mailto:(b) (6) Sent: Friday, May 19, 2017 3:34 PM To: (b) (6) Cc: Selnick, Darin Subject: [EXTERNAL] Re: Attendees mac.com] Good Sent from my iPad Bruce Moskowitz M.D. > On May 19, 2017, at 3:30 PM, (b) (6) <(b) (6) frenchangel59.com> wrote: > > Bruce - David gave me names for the VA and I am working with Apple > directly for their participants names. > > Is that OK? > > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Friday, May 19, 2017 1:23 PM > To: Darin Selnick > Cc: (b) (6) frenchangel59.com > Subject: Attendees > > Mr Perlmutter's assistant needs the list of Apple attendees and your > attendees. Thank you > > Sent from my iPad > Bruce Moskowitz M.D. > 0672 Owner: Selnick, Darin Selnick, Darin ; (b) (6) David Shulkin < aol.com> Re: [EXTERNAL] Re: Attendees Mon May 22 2017 15:07:33 CDT Both Ike and Secretary Shulkin want to proceed with a call with everyone on it instead of separate calls. If they need a further explanation of the agenda on the Apple side I and Marc Sherman will be available to speak with them since we have all the information from the academic centers and an understanding of their skill sets. Thank you. Sent from my iPad Bruce Moskowitz M.D. > On May 22, 2017, at 2:22 PM, Selnick, Darin wrote: > > Hi Bruce > > In preparation for the next partnership call I have attached the comments and requirements from the VA OIT, I expect the VHA clinician side to have theirs later this week. > > Also, my Apple contacts (b) (6) and (b) (6) would like to have a prep conference call with you and me this week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. > > Please let me know if you are available for that. > > Thanks > > Darin > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > -----Original Message----> From: Selnick, Darin > Sent: Friday, May 19, 2017 3:59 PM > To: 'Bruce Moskowitz'; (b) (6) > Cc: '(b) (6) apple.com' > Subject: RE: [EXTERNAL] Re: Attendees > > Hi Bruce > > My main Apple contacts are (b) (6) and (b) (6) I talked to (b) (6) and they would like to have a conference call with you and me next week so that they can get more clarity on the 0677 partnership and the skill sets needed for the upcoming VA/Centers/Apple call. That way they can ensure they have the right people on the call. To facilitate setting up the call I have cc: (b) (6) > > Can you let me know a couple of days/time you are available next week for a call. > > Thanks > > Darin > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Friday, May 19, 2017 3:34 PM > To: (b) (6) > Cc: Selnick, Darin > Subject: [EXTERNAL] Re: Attendees > > Good > > Sent from my iPad > Bruce Moskowitz M.D. > >> On May 19, 2017, at 3:30 PM, (b) (6) <(b) (6) frenchangel59.com> wrote: >> >> Bruce - David gave me names for the VA and I am working with Apple >> directly for their participants names. >> >> Is that OK? >> >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Friday, May 19, 2017 1:23 PM >> To: Darin Selnick >> Cc: (b) (6) frenchangel59.com >> Subject: Attendees >> >> Mr Perlmutter's assistant needs the list of Apple attendees and your >> attendees. Thank you >> >> Sent from my iPad >> Bruce Moskowitz M.D. >> > 0678 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) <(b) (6) frenchangel59.com>; David Shulkin <(b) (6) aol.com> RE: [EXTERNAL] Re: Attendees Mon May 22 2017 15:18:23 CDT Hi Bruce Yes, my Apple contacts wanted the further explanation of the agenda from you and Marc. When would you be available to do that? Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: Bruce Moskowitz [mailto:(b) (6) Sent: Monday, May 22, 2017 4:08 PM To: Selnick, Darin Cc: (b) (6) David Shulkin Subject: Re: [EXTERNAL] Re: Attendees mac.com] Both Ike and Secretary Shulkin want to proceed with a call with everyone on it instead of separate calls. If they need a further explanation of the agenda on the Apple side I and Marc Sherman will be available to speak with them since we have all the information from the academic centers and an understanding of their skill sets. Thank you. Sent from my iPad Bruce Moskowitz M.D. > On May 22, 2017, at 2:22 PM, Selnick, Darin wrote: > > Hi Bruce > > In preparation for the next partnership call I have attached the comments and requirements from the VA OIT, I expect the VHA clinician side to have theirs later this week. > > Also, my Apple contacts (b) (6) and (b) (6) would like to have a prep conference call with you and me this week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. > > Please let me know if you are available for that. 0679 > > Thanks > > Darin > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > -----Original Message----> From: Selnick, Darin > Sent: Friday, May 19, 2017 3:59 PM > To: 'Bruce Moskowitz'; (b) (6) > Cc: '(b) (6) apple.com' > Subject: RE: [EXTERNAL] Re: Attendees > > Hi Bruce > > My main Apple contacts are (b) (6) and (b) (6) I talked to (b) (6) and they would like to have a conference call with you and me next week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. That way they can ensure they have the right people on the call. To facilitate setting up the call I have cc: (b) (6) > > Can you let me know a couple of days/time you are available next week for a call. > > Thanks > > Darin > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Friday, May 19, 2017 3:34 PM > To: (b) (6) > Cc: Selnick, Darin > Subject: [EXTERNAL] Re: Attendees > > Good > > Sent from my iPad > Bruce Moskowitz M.D. > >> On May 19, 2017, at 3:30 PM, (b) (6) <(b) (6) frenchangel59.com> wrote: >> >> Bruce - David gave me names for the VA and I am working with Apple >> directly for their participants names. >> >> Is that OK? >> >> 0680 >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Friday, May 19, 2017 1:23 PM >> To: Darin Selnick >> Cc: (b) (6) frenchangel59.com >> Subject: Attendees >> >> Mr Perlmutter's assistant needs the list of Apple attendees and your >> attendees. Thank you >> >> Sent from my iPad >> Bruce Moskowitz M.D. >> > 0681 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin ; (b) (6) David Shulkin < aol.com> Re: [EXTERNAL] Re: Attendees Mon May 22 2017 15:20:25 CDT Yes give them my cell 561-(b) (6) and email anytime. Sent from my iPad Bruce Moskowitz M.D. > On May 22, 2017, at 4:18 PM, Selnick, Darin wrote: > > Hi Bruce > > Yes, my Apple contacts wanted the further explanation of the agenda from you and Marc. When would you be available to do that? > > Thanks > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Monday, May 22, 2017 4:08 PM > To: Selnick, Darin > Cc: (b) (6) David Shulkin > Subject: Re: [EXTERNAL] Re: Attendees > > Both Ike and Secretary Shulkin want to proceed with a call with everyone on it instead of separate calls. If they need a further explanation of the agenda on the Apple side I and Marc Sherman will be available to speak with them since we have all the information from the academic centers and an understanding of their skill sets. Thank you. > > Sent from my iPad > Bruce Moskowitz M.D. > >> On May 22, 2017, at 2:22 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> In preparation for the next partnership call I have attached the comments and requirements from the 0682 VA OIT, I expect the VHA clinician side to have theirs later this week. >> >> Also, my Apple contacts (b) (6) and (b) (6) would like to have a prep conference call with you and me this week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. >> >> Please let me know if you are available for that. >> >> Thanks >> >> Darin >> >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> -----Original Message---->> From: Selnick, Darin >> Sent: Friday, May 19, 2017 3:59 PM >> To: 'Bruce Moskowitz'; (b) (6) >> Cc: '(b) (6) apple.com' >> Subject: RE: [EXTERNAL] Re: Attendees >> >> Hi Bruce >> >> My main Apple contacts are (b) (6) and (b) (6) I talked to (b) (6) and they would like to have a conference call with you and me next week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. That way they can ensure they have the right people on the call. To facilitate setting up the call I have cc: (b) (6) >> >> Can you let me know a couple of days/time you are available next week for a call. >> >> Thanks >> >> Darin >> >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Friday, May 19, 2017 3:34 PM >> To: (b) (6) >> Cc: Selnick, Darin >> Subject: [EXTERNAL] Re: Attendees >> >> Good >> >> Sent from my iPad >> Bruce Moskowitz M.D. >> >>> On May 19, 2017, at 3:30 PM, (b) (6) <(b) (6) frenchangel59.com> wrote: 0683 >>> >>> Bruce - David gave me names for the VA and I am working with Apple >>> directly for their participants names. >>> >>> Is that OK? >>> >>> >>> >>> -----Original Message---->>> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >>> Sent: Friday, May 19, 2017 1:23 PM >>> To: Darin Selnick >>> Cc: (b) (6) frenchangel59.com >>> Subject: Attendees >>> >>> Mr Perlmutter's assistant needs the list of Apple attendees and your >>> attendees. Thank you >>> >>> Sent from my iPad >>> Bruce Moskowitz M.D. >>> >> 0684 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin RE: [EXTERNAL] Re: Attendees Mon May 22 2017 15:56:24 CDT I will send them an email with your information now. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: Bruce Moskowitz [mailto:(b) (6) Sent: Monday, May 22, 2017 4:20 PM To: Selnick, Darin Cc: (b) (6) David Shulkin Subject: Re: [EXTERNAL] Re: Attendees mac.com] Yes give them my cell 561-346(b) (6) and email anytime. Sent from my iPad Bruce Moskowitz M.D. > On May 22, 2017, at 4:18 PM, Selnick, Darin wrote: > > Hi Bruce > > Yes, my Apple contacts wanted the further explanation of the agenda from you and Marc. When would you be available to do that? > > Thanks > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) mac.com] > Sent: Monday, May 22, 2017 4:08 PM 0685 > To: Selnick, Darin > Cc: (b) (6) David Shulkin > Subject: Re: [EXTERNAL] Re: Attendees > > Both Ike and Secretary Shulkin want to proceed with a call with everyone on it instead of separate calls. If they need a further explanation of the agenda on the Apple side I and Marc Sherman will be available to speak with them since we have all the information from the academic centers and an understanding of their skill sets. Thank you. > > Sent from my iPad > Bruce Moskowitz M.D. > >> On May 22, 2017, at 2:22 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> In preparation for the next partnership call I have attached the comments and requirements from the VA OIT, I expect the VHA clinician side to have theirs later this week. >> >> Also, my Apple contacts (b) (6) and (b) (6) would like to have a prep conference call with you and me this week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. >> >> Please let me know if you are available for that. >> >> Thanks >> >> Darin >> >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> -----Original Message---->> From: Selnick, Darin >> Sent: Friday, May 19, 2017 3:59 PM >> To: 'Bruce Moskowitz'; (b) (6) >> Cc: '(b) (6) apple.com' >> Subject: RE: [EXTERNAL] Re: Attendees >> >> Hi Bruce >> >> My main Apple contacts are (b) (6) and (b) (6) I talked to (b) (6) and they would like to have a conference call with you and me next week so that they can get more clarity on the partnership and the skill sets needed for the upcoming VA/Centers/Apple call. That way they can ensure they have the right people on the call. To facilitate setting up the call I have cc: (b) (6) >> >> Can you let me know a couple of days/time you are available next week for a call. >> >> Thanks >> >> Darin >> >> >> Darin Selnick 0686 >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >> Sent: Friday, May 19, 2017 3:34 PM >> To: (b) (6) >> Cc: Selnick, Darin >> Subject: [EXTERNAL] Re: Attendees >> >> Good >> >> Sent from my iPad >> Bruce Moskowitz M.D. >> >>> On May 19, 2017, at 3:30 PM, (b) (6) <(b) (6) frenchangel59.com> wrote: >>> >>> Bruce - David gave me names for the VA and I am working with Apple >>> directly for their participants names. >>> >>> Is that OK? >>> >>> >>> >>> -----Original Message---->>> From: Bruce Moskowitz [mailto:(b) (6) mac.com] >>> Sent: Friday, May 19, 2017 1:23 PM >>> To: Darin Selnick >>> Cc: (b) (6) frenchangel59.com >>> Subject: Attendees >>> >>> Mr Perlmutter's assistant needs the list of Apple attendees and your >>> attendees. Thank you >>> >>> Sent from my iPad >>> Bruce Moskowitz M.D. >>> >> 0687 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin ; Marc Sherman <(b) (6) gmail.com> [EXTERNAL] Re: VA/Centers/Apple call Mon May 22 2017 16:59:06 CDT Thank you I am available anytime Sent from my iPhone On May 22, 2017, at 5:10 PM, Selnick, Darin wrote: Hi (b) (6) Bruce and Marc would be happy to provide further explanation of the agenda for the upcoming VA/Centers/Apple partnership call. Bruce can be reached at cell 561-346-(b) (6) I am happy to assist anyway I can. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) 0688 0689 From: To: Cc: Bcc: Subject: Date: Attachments: (b) (6) apple.com <(b) (6) apple.com> on behalf of (b) (6) <(b) (6) apple.com> Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin [EXTERNAL] Re: VA/Centers/Apple call Tue May 23 2017 12:45:39 CDT Dr. Moskowitz and Mr. Sherman, It’s a pleasure to meet you. (b) (6) next steps. and I look forward to connecting on a brief call to discuss Here are some times that work for us this week: Today - 3:30 - 4:30 PM ET Thursday - 9:30-11 AM ET, 12:15-1 PM ET, 4:30-5:30 PM ET Please let me know which works best for you, and we will send a dial-in number. Many thanks, (b) (6) Confidential Commercial Information – Exempt from Disclosure under FOIA § 552(b)(4) This submission contains trade secret and confidential commercial or financial information. This information is exempt from public disclosure under the Freedom of Information Act, 5 U.S.C. § 552(b) (4), and may not be disclosed without the prior written authorization of Apple Inc. Such disclosure is prohibited by the U.S. Criminal Code, 18 U.S.C. § 1905. If the Department of Veterans Affairs receives an FOIA request for this information, the Department must comply with 38 C.F.R. § 1.558(c) and (d), by providing Apple Inc. with timely advance notice at: 1 Infinite Loop, Cupertino, CA 95014, Attention: General Counsel, and a meaningful opportunity to object before making the disclosure. The Department should either specifically identify the business information requested or provide a copy of any specific records that have been requested. On May 22, 2017, at 2:59 PM, Bruce Moskowitz <(b) (6) mac.com> wrote: Thank you I am available anytime Sent from my iPhone On May 22, 2017, at 5:10 PM, Selnick, Darin wrote: 0690 Hi (b) (6) Bruce and Marc would be happy to provide further explanation of the agenda for the upcoming VA/Centers/Apple partnership call. Bruce can be reached at cell 561-346-(b) (6) I am happy to assist anyway I can. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) 0691 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> (b) (6) (b) (6) < apple.com> Selnick, Darin Marc Sherman [EXTERNAL] Re: VA/Centers/Apple call Tue May 23 2017 12:54:10 CDT Thank you can we do 345 today? If so would you like me to call you if not call my cell Sent from my iPad Bruce Moskowitz M.D. On May 23, 2017, at 1:45 PM, (b) (6) <(b) (6) apple.com> wrote: Dr. Moskowitz and Mr. Sherman, It’s a pleasure to meet you. (b) (6) next steps. and I look forward to connecting on a brief call to discuss Here are some times that work for us this week: Today - 3:30 - 4:30 PM ET Thursday - 9:30-11 AM ET, 12:15-1 PM ET, 4:30-5:30 PM ET Please let me know which works best for you, and we will send a dial-in number. Many thanks, (b) (6) Confidential Commercial Information – Exempt from Disclosure under FOIA § 552(b)(4) This submission contains trade secret and confidential commercial or financial information. This information is exempt from public disclosure under the Freedom of Information Act, 5 U.S.C. § 552(b) (4), and may not be disclosed without the prior written authorization of Apple Inc. Such disclosure is prohibited by the U.S. Criminal Code, 18 U.S.C. § 1905. If the Department of Veterans Affairs receives an FOIA request for this information, the Department must comply with 38 C.F.R. § 1.558(c) and (d), by providing Apple Inc. with timely advance notice at: 1 Infinite Loop, Cupertino, CA 95014, Attention: General Counsel, and a meaningful opportunity to object before making the disclosure. The Department should either specifically identify the business information requested or provide a copy of any specific records that have been requested. 0692 On May 22, 2017, at 2:59 PM, Bruce Moskowitz <(b) (6) mac.com> wrote: Thank you I am available anytime Sent from my iPhone On May 22, 2017, at 5:10 PM, Selnick, Darin wrote: Hi (b) (6) Bruce and Marc would be happy to provide further explanation of the agenda for the upcoming VA/Centers/Apple partnership call. Bruce can be reached at cell 561-346-(b) (6) I am happy to assist anyway I can. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) 0693 From: To: Cc: Bcc: Subject: Date: Attachments: (b) (6) apple.com <(b) (6) apple.com> on behalf of (b) (6) <(b) (6) apple.com> Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin [EXTERNAL] Re: VA/Centers/Apple call Tue May 23 2017 13:02:09 CDT Please use the following dial-in number. (4), Phone number: 1-866-639-(b) (b) (5) Passcode: (b) (4), (b) (5) Mr. Sherman and Darin, I hope you can join us. It would be most helpful to have everyone on one call. Speak with you soon! Many thanks, (b) (6) On May 23, 2017, at 10:54 AM, Bruce Moskowitz <(b) (6) mac.com> wrote: Thank you can we do 345 today? If so would you like me to call you if not call my cell Sent from my iPad Bruce Moskowitz M.D. On May 23, 2017, at 1:45 PM, (b) (6) <(b) (6) apple.com> wrote: Dr. Moskowitz and Mr. Sherman, It’s a pleasure to meet you. (b) (6) next steps. and I look forward to connecting on a brief call to discuss Here are some times that work for us this week: Today - 3:30 - 4:30 PM ET Thursday - 9:30-11 AM ET, 12:15-1 PM ET, 4:30-5:30 PM ET Please let me know which works best for you, and we will send a dial-in number. Many thanks, (b) (6) Confidential Commercial Information – Exempt from Disclosure under FOIA § 552(b)(4) 0694 This submission contains trade secret and confidential commercial or financial information. This information is exempt from public disclosure under the Freedom of Information Act, 5 U.S.C. § 552(b) (4), and may not be disclosed without the prior written authorization of Apple Inc. Such disclosure is prohibited by the U.S. Criminal Code, 18 U.S.C. § 1905. If the Department of Veterans Affairs receives an FOIA request for this information, the Department must comply with 38 C.F.R. § 1.558(c) and (d), by providing Apple Inc. with timely advance notice at: 1 Infinite Loop, Cupertino, CA 95014, Attention: General Counsel, and a meaningful opportunity to object before making the disclosure. The Department should either specifically identify the business information requested or provide a copy of any specific records that have been requested. On May 22, 2017, at 2:59 PM, Bruce Moskowitz <(b) (6) mac.com> wrote: Thank you I am available anytime Sent from my iPhone On May 22, 2017, at 5:10 PM, Selnick, Darin wrote: Hi (b) (6) Bruce and Marc would be happy to provide further explanation of the agenda for the upcoming VA/Centers/Apple partnership call. Bruce can be reached at cell 561-346-(b) (6) I am happy to assist anyway I can. Best Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) 0695 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin ; Bruce Moskowitz <(b) (6) mac.com> Marc Sherman <(b) (6) gmail.com> RE: [EXTERNAL] Re: VA/Centers/Apple call Tue May 23 2017 13:08:06 CDT (b) (6) I will be at the airport, should be able to make the call. Darin Sent with Good (www.good.com) -----Original Message----From: (b) (6) [(b) (6) apple.com] Sent: Tuesday, May 23, 2017 02:02 PM Eastern Standard Time To: Bruce Moskowitz Cc: Selnick, Darin; Marc Sherman Subject: [EXTERNAL] Re: VA/Centers/Apple call Please use the following dial-in number. (4), Phone number: 1-866-639-(b) (b) (5) (b) (4), (b) (5) Passcode: Mr. Sherman and Darin, I hope you can join us. It would be most helpful to have everyone on one call. Speak with you soon! Many thanks, (b) (6) On May 23, 2017, at 10:54 AM, Bruce Moskowitz <(b) (6) mac.com> wrote: Thank you can we do 345 today? If so would you like me to call you if not call my cell Sent from my iPad Bruce Moskowitz M.D. On May 23, 2017, at 1:45 PM, (b) (6) <(b) (6) apple.com> wrote: Dr. Moskowitz and Mr. Sherman, 0696 It’s a pleasure to meet you. (b) (6) next steps. and I look forward to connecting on a brief call to discuss Here are some times that work for us this week: Today - 3:30 - 4:30 PM ET Thursday - 9:30-11 AM ET, 12:15-1 PM ET, 4:30-5:30 PM ET Please let me know which works best for you, and we will send a dial-in number. Many thanks, (b) (6) Confidential Commercial Information – Exempt from Disclosure under FOIA § 552(b)(4) This submission contains trade secret and confidential commercial or financial information. This information is exempt from public disclosure under the Freedom of Information Act, 5 U.S.C. § 552(b) (4), and may not be disclosed without the prior written authorization of Apple Inc. Such disclosure is prohibited by the U.S. Criminal Code, 18 U.S.C. § 1905. If the Department of Veterans Affairs receives an FOIA request for this information, the Department must comply with 38 C.F.R. § 1.558(c) and (d), by providing Apple Inc. with timely advance notice at: 1 Infinite Loop, Cupertino, CA 95014, Attention: General Counsel, and a meaningful opportunity to object before making the disclosure. The Department should either specifically identify the business information requested or provide a copy of any specific records that have been requested. On May 22, 2017, at 2:59 PM, Bruce Moskowitz <(b) (6) mac.com> wrote: Thank you I am available anytime Sent from my iPhone On May 22, 2017, at 5:10 PM, Selnick, Darin wrote: Hi (b) (6) Bruce and Marc would be happy to provide further explanation of the agenda for the upcoming VA/Centers/Apple partnership call. Bruce can be reached at cell 561-346-(b) (6) I am happy to assist anyway I can. Best Darin Darin Selnick Senior Advisor to the Secretary 0697 Cell 202-390- 0698 From: To: Selnick, Darin FW: Apple Point of Contact Thu May 25 2017 09:02:00 CDT Hi Bruce I was informed today that you had a conversation with Dr. Shulkin and that it is ok for VA OIT to start working with the Apple tech on area number 1, in order to make as much progress in advance of the June 14 meeting. Is that correct? Also, are there other areas VA can start working with Apple on to make progress before the June 14 call. I would also like to give you a call to discuss some next steps. I like you are the implementer for VA, so I need better clarity and to be in the loop so can coordinate all the different VA staff for Dr Shulkin.. Thanks Darin Sent with Good (www.good.com) -----Original Message----From: (b) (6) Sent: Tuesday, May 23, 2017 12:08 PM Eastern Standard Time To: Selnick, Darin Cc: Mulligan, Ricci Subject: Apple Point of Contact Mr. Selnick Quick recap on our conversation. From an IT perspective we are utilizing the native iOS mobile app, Emergency Medical Center Tracker, that Dr. Moskowitz developed. It provides an excellent starting point to accomplish task #1: The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. 0699 We have our resources in place, and are ready to engage with the Apple team. The areas we would want to focus on are: 1) Usability of the current/future application. A design engineer would be very helpful to provide insight into current best practices and help wireframe the next version. 2) Speed is going to be critical. Looking at the initial app, some of the code needs to be refactored and even rebuilt. 3) How to host and scale the application. This app will need to be scaled very quickly once completed. Handling load balancing and scaling the use of external APIs will require a detailed plan. Be glad to answer any questions you or the Apple team have, and look forward to working them. (b) (6) — (b) (6) Cell: (208) 841-(b) (6) 0700 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin wrote: Hi Bruce I was informed today that you had a conversation with Dr. Shulkin and that it is ok for VA OIT to start working with the Apple tech on area number 1, in order to make as much progress in advance of the June 14 meeting. Is that correct? Also, are there other areas VA can start working with Apple on to make progress before the June 14 call. I would also like to give you a call to discuss some next steps. I like you are the implementer for VA, so I need better clarity and to be in the loop so can coordinate all the different VA staff for Dr Shulkin.. Thanks Darin Sent with Good (www.good.com) -----Original Message----From: (b) (6) Sent: Tuesday, May 23, 2017 12:08 PM Eastern Standard Time To: Selnick, Darin Cc: Mulligan, Ricci Subject: Apple Point of Contact Mr. Selnick Quick recap on our conversation. 0701 From an IT perspective we are utilizing the native iOS mobile app, Emergency Medical Center Tracker, that Dr. Moskowitz developed. It provides an excellent starting point to accomplish task #1: The Veterans will need an app that provides for the appropriate medical facility and or physician that is geotagged to their location. It should list the closest certified cardiac center, stroke center, trauma center and pediatric center. It should also list qualified urgent care centers. We have our resources in place, and are ready to engage with the Apple team. The areas we would want to focus on are: 1) Usability of the current/future application. A design engineer would be very helpful to provide insight into current best practices and help wireframe the next version. 2) Speed is going to be critical. Looking at the initial app, some of the code needs to be refactored and even rebuilt. 3) How to host and scale the application. This app will need to be scaled very quickly once completed. Handling load balancing and scaling the use of external APIs will require a detailed plan. Be glad to answer any questions you or the Apple team have, and look forward to working them. (b) (6) — (b) (6) Cell: (208) 841-(b) (6) 0702 From: Bruce Moskowitz <(b) (6) mac.com> (b) (6) To: <(b) (6) brefnet.org>; Selnick, Darin ; (b) (6) (b) (6) < brefnet.org> To: Cc: Bcc: Subject: Date: Attachments: RE: [EXTERNAL] EMCL APPLE VA Thu May 25 2017 11:27:09 CDT Thanks Darin Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) mac.com] Sent: Thursday, May 25, 2017 11:11 AM Eastern Standard Time To: (b) (6) Selnick, Darin Subject: [EXTERNAL] EMCL APPLE VA (b) (6) will work with the VA and Apple on agenda item one which is building on the EMCL platform. Sent from my iPad Bruce Moskowitz M.D. 0704 From: To: Cc: Bcc: Subject: Date: Attachments: (b) (6) <(b) (6) vamobile.us> Selnick, Darin [EXTERNAL] Contact Information for VHA 5Cs Team Thu May 25 2017 13:11:11 CDT Mr. (b) (6) vcf (b) (6) MD.vcf Sirs, Dr. (b) (6) and I wanted to provide you with a better level of contact information for us. Please see the attached digital business cards which have our extended information. The cards should open easily and store on any platform you use, including and especially mobile. -Very Respectively, (b) (6) Director, VA Mobile Health Provider Program VHA Technology Director / GS-15 VA Central Office Dept. of Veterans Affairs Ph: 703.594(b) (6) AppleID: (b) (6) me.com Time is Short, and the Water Rises 0705 Owner: Filename: Last Modified: (b) (6) <(b) (6) vamobile.us> (b) (6) Mr. vcf Thu May 25 13:11:11 CDT 2017 0706 Mr. (b) (6) vcf for Printed Item: 57 ( Attachment 1 of 2) Mr. (b) (6) Director VA Mobile Provider Program Dept. of Veterans Affairs Veterans Health Administration 810 Vermont Avenue NW Suite(b) (6) Washington, DC 20420 United States 703.594(b) (6) 703.505(b) (6) (b) (6) ( Work Preferred Voice ) ( Voice Cell ) vamobile.us ( Work Preferred Internet ) va.gov ( Work Internet ) (b) (6) https://www.linkedin.com/(b) (6) iuk Version 3.0 PRODID -//Apple Inc.//Mac OS X 10.12.5//EN Name Family: (b) (6) First: (b) (6) Middle: G. 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Best Darin Sent with Good (www.good.com) -----Original Message----From: (b) (6) [(b) (6) vamobile.us] Sent: Thursday, May 25, 2017 02:14 PM Eastern Standard Time To: Selnick, Darin; Bruce W Moskowitz MD Subject: [EXTERNAL] Contact Information for VHA 5Cs Team Sirs, Dr. (b) (6) and I wanted to provide you with a better level of contact information for us. Please see the attached digital business cards which have our extended information. The cards should open easily and store on any platform you use, including and especially mobile. -Very Respectively, (b) (6) Director, VA Mobile Health Provider Program VHA Technology Director / GS-15 VA Central Office Dept. of Veterans Affairs Ph: 703.594(b) (6) AppleID: (b) (6) me.com Time is Short, and the Water Rises 0714 0715 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin Re: [EXTERNAL] Contact Information for VHA 5Cs Team Thu May 25 2017 14:20:58 CDT Thank you I am available to answer any questions Sent from my iPad Bruce Moskowitz M.D. On May 25, 2017, at 3:19 PM, Selnick, Darin wrote: Thanks Bruce these two are the VHA staff that will be working on the 4 areas. Best Darin Sent with Good (www.good.com) -----Original Message----From: (b) (6) [(b) (6) vamobile.us] Sent: Thursday, May 25, 2017 02:14 PM Eastern Standard Time To: Selnick, Darin; Bruce W Moskowitz MD Subject: [EXTERNAL] Contact Information for VHA 5Cs Team Sirs, Dr. (b) (6) and I wanted to provide you with a better level of contact information for us. Please see the attached digital business cards which have our extended information. The cards should open easily and store on any platform you use, including and especially mobile. -Very Respectively, (b) (6) Director, VA Mobile Health Provider Program VHA Technology Director / GS-15 VA Central Office 0716 Dept. of Veterans Affairs Ph: 703.594(b) (6) AppleID: (b) (6) me.com Time is Short, and the Water Rises 0717 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin ; (b) (6) (b) (6) < brefnet.org> (b) (6) <(b) (6) apple.com> RE: [EXTERNAL] EMCL APPLE VA Thu May 25 2017 14:24:23 CDT Hi (b) (6) (b) (6) is our Apple contact who will connect with you on next steps from their end on going forward with agenda item 1. Best Darin Selnick Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) mac.com] Sent: Thursday, May 25, 2017 11:11 AM Eastern Standard Time To: (b) (6) Selnick, Darin Subject: [EXTERNAL] EMCL APPLE VA (b) (6) will work with the VA and Apple on agenda item one which is building on the EMCL platform. Sent from my iPad Bruce Moskowitz M.D. 0718 To: Cc: apple.com <(b) (6) apple.com> on behalf of (b) (6) <(b) (6) apple.com> (b) (6) (b) (6) < brefnet.org> Selnick, Darin Bcc: Subject: Date: Attachments: Re: [EXTERNAL] EMCL APPLE VA Thu May 25 2017 17:51:41 CDT From: (b) (6) (b) (6) It’s very nice to meet you. We look forward to touching base after NDAs are signed with all organizations involved. In the interim, we plan to listen in on a conference call tomorrow that Dr. Moskowitz has invited us to with the medical centers and VA. We will be sure to add your name to the list of signatories. Thanks for your patience and I hope to be in touch again soon! Best regards, (b) (6) Confidential Commercial Information – Exempt from Disclosure under FOIA § 552(b)(4) This submission contains trade secret and confidential commercial or financial information. This information is exempt from public disclosure under the Freedom of Information Act, 5 U.S.C. § 552(b) (4), and may not be disclosed without the prior written authorization of Apple Inc. Such disclosure is prohibited by the U.S. Criminal Code, 18 U.S.C. § 1905. If the Department of Veterans Affairs receives an FOIA request for this information, the Department must comply with 38 C.F.R. § 1.558(c) and (d), by providing Apple Inc. with timely advance notice at: 1 Infinite Loop, Cupertino, CA 95014, Attention: General Counsel, and a meaningful opportunity to object before making the disclosure. The Department should either specifically identify the business information requested or provide a copy of any specific records that have been requested. On May 25, 2017, at 12:25 PM, (b) (6) <(b) (6) brefnet.org> wrote: Thank you Darin, I look forward to speaking with (b) (6) Sincerely, (b) (6) Executive Director Biomedical Research& Education Foundation www.brefnet.org (c)561-512-(b) (6) 1010 N. Hancock St c/o WeWork Philadelphia, PA 19123 0719 On May 25, 2017, at 3:24 PM, Selnick, Darin wrote: Hi (b) (6) (b) (6) is our Apple contact who will connect with you on next steps from their end on going forward with agenda item 1. Best Darin Selnick Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) mac.com] Sent: Thursday, May 25, 2017 11:11 AM Eastern Standard Time To: (b) (6) Selnick, Darin Subject: [EXTERNAL] EMCL APPLE VA (b) (6) will work with the VA and Apple on agenda item one which is building on the EMCL platform. Sent from my iPad Bruce Moskowitz M.D. 0720 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin Selnick, Darin 0723 ATT00001.txt for Printed Item: 65 ( Attachment 1 of 2) Sent from my iPad Bruce Moskowitz M.D. 0724 Owner: Filename: Last Modified: Bruce Moskowitz <(b) (6) mac.com> Beyond Medication Reconciliation-The Correct Medication List.pdf Fri May 26 09:23:50 CDT 2017 0725 Beyond Medication Reconciliation-The Correct Medication List.pdf for Printed Item: 65 ( Attachment 2 of 2) 0726 Beyond Medication Reconciliation-The Correct Medication List.pdf for Printed Item: 65 ( Attachment 2 of 2) 0727 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin RE: [EXTERNAL] Apple call Fri May 26 2017 09:27:57 CDT Yes, will get that to you today Darin Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) mac.com] Sent: Friday, May 26, 2017 10:20 AM Eastern Standard Time To: Selnick, Darin Subject: [EXTERNAL] Apple call I need the email of everyone who will be on the call June 14 for today if possible. Enjoy the holiday. Sent from my iPad Bruce Moskowitz M.D. 0728 Darin Selnick (b) (6) @gmail.com> Selnick, Darin Re: FW: [EXTERNAL] Apple call Fri May 26 2017 10:56:36 CDT Hi Bruce Here is the email list for all the VA staff for the June 14 call. How much time Dr. Shulkin will be able to stay on the call will depend on the hearings that day. Dr. Shulkin - vacodjs1@va.gov Darin Selnick - darin.selnick@va.gov (b) (6) - (b) (6) va.gov Rob Thomas - rob.thomas2@va.gov Jennifer Lee - jennifer.s.lee@va.gov Ricci Mulligan - ricci.mulligan@va.gov (b) (6) - (b) (6) (b) (6) (b) (b) (6) (6) va.gov - (b) (6) - (b) (6) va.gov va.gov Best regards Darin On Fri, May 26, 2017 at 7:34 AM, Selnick, Darin wrote: Sent with Good (www.good.com) -----Original Message----From: Bruce Moskowitz [(b) (6) mac.com] Sent: Friday, May 26, 2017 10:20 AM Eastern Standard Time To: Selnick, Darin 0729 Subject: [EXTERNAL] Apple call I need the email of everyone who will be on the call June 14 for today if possible. Enjoy the holiday. Sent from my iPad Bruce Moskowitz M.D. 0730 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Thomas, Rob C. II Selnick, Darin ; Thomas, Rob C. II ; Thomas, Rob C. II Selnick, Darin Re: [EXTERNAL] June 14 call Wed May 31 2017 20:05:06 CDT Thank you 5 to 7 minutes. Sent from my iPhone > On May 31, 2017, at 7:00 PM, Selnick, Darin wrote: > > Hi Bruce > > Speaking for VA on item number one will be the following: > > Lead: Rob Thomas and (b) (6) OIT > Support: (b) (6) - Clinical and Ricci Mulligan OIT > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) gmail.com] > Sent: Wednesday, May 31, 2017 12:08 PM > To: Selnick, Darin; Thomas, Rob C. II > Subject: [EXTERNAL] June 14 call > > I I need to review who is speaking on item one for the VA prior to the call. Thank you > > Sent from my iPad 0737 Bruce Moskowitz M.D. 0738 From: To: (b) (6) <(b) (6) frenchangel59.com> <(b) (6) frenchangel59.com>; (b) (6) ((b) (6) apple.com) <(b) (6) apple.com>; Bruce Moskowitz <(b) (6) mac.com>; (b) (6) gmail.com (b) (6) < gmail.com>; (b @frenchangel59.com ) <(b @frenchangel59.com>; vacodjs1@va.com ; (6 ) ) Alaigh, Poonam, M.D. ; (b) (6) mayo.edu (b) (6) < mayo.edu>; (b) (6) mayo.edu <(b) (6) mayo.edu>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) jhu.edu <(b) (6) jhu.edu>; (b) (6) kp.org <(b) (6) kp.org>; (b) (b) @responsivehealth.org < @responsivehealth.org>; (6) (6) (6) (b) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) (MSSM) ((b) (6) mssm.edu) <(b) (6) mssm.edu>; (b) (6) brefnet.org <(b) (6) brefnet.org>; (b) (6) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) BWH.HARVARD.EDU <(b) (6) bwh.harvard.edu>; (b) (6) (b) (6) (b) (6) ( mayo.edu) mayo.edu>; (b) (6) ; (b) (6) (b) (6) Cc: Bcc: Subject: [EXTERNAL] Conference Call with (b) (6) June 14th / 11:00 AM – 12:30 PM EST Date: Tue Jun 06 2017 15:50:08 CDT Attachments: and his Team (APPLE) - Wednesday, StartTime: Wed Jun 14 10:00:00 Central Daylight Time 2017 EndTime: Wed Jun 14 11:30:00 Central Daylight Time 2017 Location: Conference Call - Doctor Bruce Moskowitz is The Host Recurring: No ShowReminder: No Accepted: Yes AcceptedTime: Tue Jun 06 16:03:00 Central Daylight Time 2017 Wednesday, June 14th 11:00 AM – 12:30 PM EST (8:00 AM – 9:30 AM PST) 0739 Dial-in Information: (4), US: 1-866-244-(b) (b) (5) (4), International: 719-457-(b) (b) (5) (4), (b) Passcode: (b) (5) Participants: Dr. Bruce Moskowitz Marc Sherman - CPA, Esq Ike Perlmutter APPLE (b) (6) (b) (6) (b) (6) (b) (6) – Apple, Chief Executive Officer – Apple, Chief Operating Officer – Apple, Director of Global Government – Apple, Vice President for Public Policy and Government Affairs Office of Veterans Affairs Doctor David Shulkin - Secretary of Veterans Affairs Dr. Poonam Alaigh - Acting Under Secretary for Health Darin Selnick - Senior Advisor to the Secretary Rob C. Thomas II - Acting Assistant Secretary & Chief Information Officer Department of Veterans Affairs (b) (6) (b) (6) - Senior Advisor, Acting Under Secretary for Health, Department of Veterans Affairs, Veterans Health Administration Medical Institutions: (b) (6) – Chair Mayo Clinic Department of Public Affairs - Chief Information Officer, Mayo Clinic (b) (6) M.D. - Associate Dean, Center for Connected Care Professor of Medicine, Mayo Clinic College of Medicine (b) (6) (b) (6) Dr. (b) (6) – Interim Chief Information Officer, Cleveland Clinic - Associate Chief Information Officer, Cleveland Clinic (b) (6) - Senior Vice President and CIO, Johns Hopkins Health System, Johns Hopkins Medicine, Vice Provost and CIO, Johns Hopkins University (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) Dr. (b) (6) Health - Senior Vice President, Care Delivery Technology Services, Kaiser Permanente - Cofounder, CEO - Responsive Health MD - Cofounder Responsive Health; Mount Sinai Health System - Payer Advisor, Responsive Health - Development Head - Responsive Health - SME for Public Sector - Responsive Health - Biomedical Research & Education Foundation, Executive Director M.D. - Vice President, Connected Health Partners HealthCare - Chief Information Officer and Vice President, Information Systems, Brigham 0740 0741 From: To: (b) (6) <(b) (6) frenchangel59.com> (b) (6) ((b) (6) apple.com) <(b) (6) apple.com>; Bruce Moskowitz <(b) (6) mac.com>; (b) (6) gmail.com <(b) (6) gmail.com>; (b @frenchangel59.com ) <(b @frenchangel59.com>; vacodjs1@va.com ; (6 ) ) Alaigh, Poonam, M.D. ; mayo.edu (b) (6) (b) (6) < mayo.edu>; mayo.edu <(b) (6) mayo.edu>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) jhu.edu <(b) (6) jhu.edu>; (b) (6) kp.org <(b) (6) kp.org>; (b) (b) @responsivehealth.org < @responsivehealth.org>; (6) (6) (6) (b) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) (b) (6) (b) (6) (MSSM) ( mssm.edu) < mssm.edu>; (b) (6) brefnet.org <(b) (6) brefnet.org>; (b) (6) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) BWH.HARVARD.EDU <(b) (6) bwh.harvard.edu>; (b) (6) (b) (6) (b) (6) ( mayo.edu) mayo.edu>; (b) (6) ; (b) (6) Cc: Bcc: Subject: [EXTERNAL] Conference Call with (b) (6) June 14th / 11:00 AM – 12:30 PM EST Date: Tue Jun 06 2017 15:50:08 CDT Attachments: and his Team (APPLE) - Wednesday, Wednesday, June 14th 11:00 AM – 12:30 PM EST (8:00 AM – 9:30 AM PST) Dial-in Information: (4), US: 1-866-244-(b) (b) (5) (4), International: 719-457-(b) (b) (5) (4), (b) Passcode: (b) (5) Participants: Dr. Bruce Moskowitz 0742 Marc Sherman - CPA, Esq Ike Perlmutter APPLE (b) (6) (b) (6) (b) (6) (b) (6) – Apple, Chief Executive Officer – Apple, Chief Operating Officer – Apple, Director of Global Government – Apple, Vice President for Public Policy and Government Affairs Office of Veterans Affairs Doctor David Shulkin - Secretary of Veterans Affairs Dr. Poonam Alaigh - Acting Under Secretary for Health Darin Selnick - Senior Advisor to the Secretary Rob C. Thomas II - Acting Assistant Secretary & Chief Information Officer Department of Veterans Affairs (b) (6) (b) (6) - Senior Advisor, Acting Under Secretary for Health, Department of Veterans Affairs, Veterans Health Administration Medical Institutions: (b) (6) – Chair Mayo Clinic Department of Public Affairs - Chief Information Officer, Mayo Clinic (b) (6) M.D. - Associate Dean, Center for Connected Care Professor of Medicine, Mayo Clinic College of Medicine (b) (6) (b) (6) – Interim Chief Information Officer, Cleveland Clinic - Associate Chief Information Officer, Cleveland Clinic Dr. (b) (6) (b) (6) - Senior Vice President and CIO, Johns Hopkins Health System, Johns Hopkins Medicine, Vice Provost and CIO, Johns Hopkins University (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) - Senior Vice President, Care Delivery Technology Services, Kaiser Permanente - Cofounder, CEO - Responsive Health MD - Cofounder Responsive Health; Mount Sinai Health System - Payer Advisor, Responsive Health - Development Head - Responsive Health - SME for Public Sector - Responsive Health (b) (6) (b) (6) Dr. (b) (6) Health - Biomedical Research & Education Foundation, Executive Director M.D. - Vice President, Connected Health Partners HealthCare - Chief Information Officer and Vice President, Information Systems, Brigham Thank you, (b) (6) (646) 201-(b) (6) (Cell) (b) (6) frenchangel59.com 0743 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin RE: [EXTERNAL] June 14 call Fri Jun 09 2017 15:03:38 CDT Hi Bruce Do you have some time on Monday for a call to discuss the June 14th agenda, and do you have an updated agenda with the topics and who is presenting on them. I know the last week that there has been a lot of work and preparation for the call, and I want to make sure I have the right people on the call and ready. I also want to discuss with you where VA is with its work on the 4 topics. For the meeting itself the VA team would like to be clear on the following" - Is there an update full agenda - Purpose - What do we want to accomplish/outcomes of the meeting - Role going forward of Responsive Health - Clarity on the direction of topic 1 - Participation and role of top principles in the meeting, Ike, (b) (6) Dr. Shulkin Thanks so much. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: bruce moskowitz [mailto:(b) (6) Sent: Wednesday, May 31, 2017 9:05 PM To: Selnick, Darin (b) (6) Cc: Thomas, Rob C. II; (b) (6) gmail.com] Mulligan, Ricci; (b) (6) (b) (6) (b) (6) Subject: Re: [EXTERNAL] June 14 call Thank you 5 to 7 minutes. Sent from my iPhone > On May 31, 2017, at 7:00 PM, Selnick, Darin wrote: 0744 > > Hi Bruce > > Speaking for VA on item number one will be the following: > > Lead: Rob Thomas and (b) (6) OIT (b) (6) > Support: - Clinical and Ricci Mulligan OIT > > Best > > Darin > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: Bruce Moskowitz [mailto:(b) (6) gmail.com] > Sent: Wednesday, May 31, 2017 12:08 PM > To: Selnick, Darin; Thomas, Rob C. II > Subject: [EXTERNAL] June 14 call > > I I need to review who is speaking on item one for the VA prior to the call. Thank you > > Sent from my iPad > Bruce Moskowitz M.D. 0745 From: To: Cc: Bcc: Subject: Date: Attachments: bruce moskowitz <(b) (6) gmail.com> Selnick, Darin On Jun 9, 2017, at 1:03 PM, Selnick, Darin wrote: > > Hi Bruce > > Do you have some time on Monday for a call to discuss the June 14th agenda, and do you have an updated agenda with the topics and who is presenting on them. > > I know the last week that there has been a lot of work and preparation for the call, and I want to make sure I have the right people on the call and ready. > > I also want to discuss with you where VA is with its work on the 4 topics. > > For the meeting itself the VA team would like to be clear on the following" > - Is there an update full agenda > - Purpose > - What do we want to accomplish/outcomes of the meeting > - Role going forward of Responsive Health > - Clarity on the direction of topic 1 > - Participation and role of top principles in the meeting, Ike, (b) (6) Dr. Shulkin > > Thanks so much. > > Darin > > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: bruce moskowitz [mailto:(b) (6) gmail.com] > Sent: Wednesday, May 31, 2017 9:05 PM > To: Selnick, Darin (b) (6) (b) (6) > Cc: Thomas, Rob C. II; (b) (6) Mulligan, Ricci; (b) (6) (b) (6) 0746 > Subject: Re: [EXTERNAL] June 14 call > > > Thank you 5 to 7 minutes. > Sent from my iPhone > >> On May 31, 2017, at 7:00 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> Speaking for VA on item number one will be the following: >> >> Lead: Rob Thomas and (b) (6) OIT >> Support: (b) (6) - Clinical and Ricci Mulligan OIT >> >> Best >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) gmail.com] >> Sent: Wednesday, May 31, 2017 12:08 PM >> To: Selnick, Darin; Thomas, Rob C. II >> Subject: [EXTERNAL] June 14 call >> >> I I need to review who is speaking on item one for the VA prior to the call. Thank you >> >> Sent from my iPad >> Bruce Moskowitz M.D. 0747 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin RE: [EXTERNAL] June 14 call Fri Jun 09 2017 15:40:33 CDT Great, talk to you at 5pm on Monday. Stay safe and have a great weekend. Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) -----Original Message----From: bruce moskowitz [mailto:(b) (6) Sent: Friday, June 09, 2017 4:37 PM To: Selnick, Darin Subject: Re: [EXTERNAL] June 14 call gmail.com] Yes currently climbing in New Mexico 15 stories up in air will be back Monday 5 works. Typing and hanging by one hand challenging! Sent from my iPhone > On Jun 9, 2017, at 1:03 PM, Selnick, Darin wrote: > > Hi Bruce > > Do you have some time on Monday for a call to discuss the June 14th agenda, and do you have an updated agenda with the topics and who is presenting on them. > > I know the last week that there has been a lot of work and preparation for the call, and I want to make sure I have the right people on the call and ready. > > I also want to discuss with you where VA is with its work on the 4 topics. > > For the meeting itself the VA team would like to be clear on the following" > - Is there an update full agenda > - Purpose > - What do we want to accomplish/outcomes of the meeting > - Role going forward of Responsive Health > - Clarity on the direction of topic 1 > - Participation and role of top principles in the meeting, Ike, (b) (6) Dr. Shulkin > > Thanks so much. > > Darin 0748 > > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: bruce moskowitz [mailto:(b) (6) > Sent: Wednesday, May 31, 2017 9:05 PM > To: Selnick, Darin (b) (6) > Cc: Thomas, Rob C. II; (b) (6) gmail.com] Mulligan, Ricci; (b) (6) (b) (6) (b) (6) > Subject: Re: [EXTERNAL] June 14 call > > > Thank you 5 to 7 minutes. > Sent from my iPhone > >> On May 31, 2017, at 7:00 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> Speaking for VA on item number one will be the following: >> >> Lead: Rob Thomas and (b) (6) OIT >> Support: (b) (6) - Clinical and Ricci Mulligan OIT >> >> Best >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) gmail.com] >> Sent: Wednesday, May 31, 2017 12:08 PM >> To: Selnick, Darin; Thomas, Rob C. II >> Subject: [EXTERNAL] June 14 call >> >> I I need to review who is speaking on item one for the VA prior to the call. Thank you >> >> Sent from my iPad >> Bruce Moskowitz M.D. 0749 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin RE: [EXTERNAL] June 14 call Mon Jun 12 2017 14:25:01 CDT Hi Bruce I hear you are talking to (b) (6) from Mayo at 5:15pm, do you want to call me afterwards. Darin Sent with Good (www.good.com) -----Original Message----From: bruce moskowitz [(b) (6) gmail.com] Sent: Friday, June 09, 2017 04:37 PM Eastern Standard Time To: Selnick, Darin Subject: Re: [EXTERNAL] June 14 call Yes currently climbing in New Mexico 15 stories up in air will be back Monday 5 works. Typing and hanging by one hand challenging! Sent from my iPhone > On Jun 9, 2017, at 1:03 PM, Selnick, Darin wrote: > > Hi Bruce > > Do you have some time on Monday for a call to discuss the June 14th agenda, and do you have an updated agenda with the topics and who is presenting on them. > > I know the last week that there has been a lot of work and preparation for the call, and I want to make sure I have the right people on the call and ready. > > I also want to discuss with you where VA is with its work on the 4 topics. > > For the meeting itself the VA team would like to be clear on the following" > - Is there an update full agenda > - Purpose > - What do we want to accomplish/outcomes of the meeting > - Role going forward of Responsive Health > - Clarity on the direction of topic 1 0750 > - Participation and role of top principles in the meeting, Ike, (b) (6) Dr. Shulkin > > Thanks so much. > > Darin > > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: bruce moskowitz [mailto:(b) (6) gmail.com] > Sent: Wednesday, May 31, 2017 9:05 PM > To: Selnick, Darin (b) (6) > Cc: Thomas, Rob C. II; (b) (6) Mulligan, Ricci; (b) (6) (b) (6) (b) (6) > Subject: Re: [EXTERNAL] June 14 call > > > Thank you 5 to 7 minutes. > Sent from my iPhone > >> On May 31, 2017, at 7:00 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> Speaking for VA on item number one will be the following: >> >> Lead: Rob Thomas and (b) (6) OIT >> Support: (b) (6) - Clinical and Ricci Mulligan OIT >> >> Best >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) gmail.com] >> Sent: Wednesday, May 31, 2017 12:08 PM >> To: Selnick, Darin; Thomas, Rob C. II >> Subject: [EXTERNAL] June 14 call >> >> I I need to review who is speaking on item one for the VA prior to the call. Thank you >> >> Sent from my iPad >> Bruce Moskowitz M.D. 0751 0752 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) gmail.com> Selnick, Darin wrote: Hi Bruce I hear you are talking to (b) (6) from Mayo at 5:15pm, do you want to call me afterwards. Darin Sent with Good (www.good.com) -----Original Message----From: bruce moskowitz [(b) (6) gmail.com] Sent: Friday, June 09, 2017 04:37 PM Eastern Standard Time To: Selnick, Darin Subject: Re: [EXTERNAL] June 14 call Yes currently climbing in New Mexico 15 stories up in air will be back Monday 5 works. Typing and hanging by one hand challenging! Sent from my iPhone > On Jun 9, 2017, at 1:03 PM, Selnick, Darin wrote: > > Hi Bruce > > Do you have some time on Monday for a call to discuss the June 14th agenda, and do you have an updated agenda with the topics and who is presenting on them. > > I know the last week that there has been a lot of work and preparation for the call, and I want to make sure I have the right people on the call and ready. 0753 > > I also want to discuss with you where VA is with its work on the 4 topics. > > For the meeting itself the VA team would like to be clear on the following" > - Is there an update full agenda > - Purpose > - What do we want to accomplish/outcomes of the meeting > - Role going forward of Responsive Health > - Clarity on the direction of topic 1 > - Participation and role of top principles in the meeting, Ike, (b) (6) Dr. Shulkin > > Thanks so much. > > Darin > > > > Darin Selnick > Senior Advisor to the Secretary > Cell 202-390-(b) (6) > > > -----Original Message----> From: bruce moskowitz [mailto:(b) (6) gmail.com] > Sent: Wednesday, May 31, 2017 9:05 PM > To: Selnick, Darin (b) (6) > Cc: Thomas, Rob C. II; (b) (6) Mulligan, Ricci; (b) (6) (b) (6) (b) (6) > Subject: Re: [EXTERNAL] June 14 call > > > Thank you 5 to 7 minutes. > Sent from my iPhone > >> On May 31, 2017, at 7:00 PM, Selnick, Darin wrote: >> >> Hi Bruce >> >> Speaking for VA on item number one will be the following: >> >> Lead: Rob Thomas and (b) (6) OIT >> Support: (b) (6) - Clinical and Ricci Mulligan OIT >> >> Best >> >> Darin >> >> Darin Selnick >> Senior Advisor to the Secretary >> Cell 202-390-(b) (6) >> >> >> -----Original Message---->> From: Bruce Moskowitz [mailto:(b) (6) gmail.com] >> Sent: Wednesday, May 31, 2017 12:08 PM >> To: Selnick, Darin; Thomas, Rob C. II 0754 >> Subject: [EXTERNAL] June 14 call >> >> I I need to review who is speaking on item one for the VA prior to the call. Thank you >> >> Sent from my iPad >> Bruce Moskowitz M.D. 0755 From: To: Cc: Bcc: Subject: Date: Attachments: Mulligan, Ricci ; (b) (6) mayo.edy <(b) (6) mayo.edy>; Selnick, Darin ; Selnick, Darin (b) (6) <(b) (6) apple.com>; Bruce Moskowitz <(b) (6) mac.com>; (b) (6) gmail.com (b) (6) < gmail.com>; (b @frenchangel59.com ) <(b @frenchangel59.com>; vacodjs1@va.com ; (6 ) ) Alaigh, Poonam, M.D. ; mayo.edu (b) (6) (b) (6) < mayo.edu>; mayo.edu <(b) (6) mayo.edu>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) jhu.edu <(b) (6) jhu.edu>; (b) (6) kp.org <(b) (6) kp.org>; (b) (b) @responsivehealth.org < @responsivehealth.org>; (6) (6) (6) (b) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) (b) (6) (b) (6) (MSSM) < mssm.edu>; brefnet.org <(b) (6) brefnet.org>; (b) (6) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) BWH.HARVARD.EDU (b) (6) < bwh.harvard.edu>; (b) (6) (b) (6) mayo.edu>; (b) (6) ; (b) (6) ; cloverhealth.com <(b) (6) cloverhealth.com>; (b) (6) cognizant.com (b) (6) (b) (6) < cognizant.com>; cognizant.com <(b) (6) cognizant.com> Cc: Bcc: Subject: [EXTERNAL] Agenda: Conference Call VA, Apple & Medical/Digital Experts Wednesday, June 14th / 11:00 AM - 12:30 PM EST (8:00 AM - 9:30 AM PST) Date: Tue Jun 13 2017 11:33:28 CDT Attachments: confcallagenda.pdf Wednesday, June 14th 11:00 AM – 12:30 PM EST (8:00 AM – 9:30 AM PST) Dial-in Information: (4), US: 1-866-244-(b) (b) (5) 0770 (4), International: 719-457-(b) (b) (5) (4), (b) Passcode: (b) (5) *6 – Mute or un-mute your line Thank you, (b) (6) 212-576-(b) (6) (Office) (646) 201-(b) (6) (Cell) (b) (6) frenchangel59.com 0771 Owner: Filename: Last Modified: (b) (6) <(b) (6) frenchangel59.com> confcallagenda.pdf Tue Jun 13 11:33:28 CDT 2017 0772 confcallagenda.pdf for Printed Item: 86 ( Attachment 1 of 1) Conference Call VA, Apple & Medical/Digital Experts Date: Wednesday June 14, 2017 Time: 11 a.m. – 12:30 p.m. ET/10 – 11:30 a.m. CT/8 – 9:30 a.m. PT Dial-in Information: (4), United States: 1.866.244.(b) (b) (5) (4), International: 719.457(b) (b) (5) Passcode: (b) (4), (b) (5) Participants: Bruce Moskowitz, M.D. Marc Sherman Ike Perlmutter Apple: (b) (6) (b) (6) (b) (6) (b) (6) – Apple, Chief Executive Officer – Apple, Chief Operating Officer – Apple, Director of Global Government – Apple, Vice President for Public Policy and Government Affairs Office of Veterans Affairs: David Shulkin, M.D. – Secretary of Veterans Affairs Poonam Alaigh, M.D. – Acting Under-Secretary for Health Darin Selnick – Senior Advisor to the Secretary Rob C. Thomas II – Acting Assistant Secretary & Chief Information Officer Department of Veterans Affairs (b) (6) (b) (6) – Senior Advisor, Acting Under-Secretary for Health, Department of Veterans Affairs, Veterans Health Administration Medical Institutions: – Chief Information Officer, Mayo Clinic (b) (6) M.D. – Associate Dean/Center for Connected Care, Mayo Clinic (b) (6) – Interim Chief Information Officer, Cleveland Clinic (b) (6) M.D. – Associate Chief Information Officer, Cleveland Clinic (b) (6) – Senior Vice President and CIO, Johns Hopkins Health System, Johns Hopkins Medicine, Vice Provost and CIO, Johns Hopkins University (b) (6) – Senior Vice President, Care Delivery Technology Services, Kaiser Permanente (b) (6) - Cofounder, CEO - Responsive Health (b) (6) M.D. – Co-founder, Responsive Health/ Mount Sinai Health System (b) (6) – Payer Advisor, Responsive Health (b) (6) – Development Head, Responsive Health (b) (6) - SME for Public Sector, Responsive Health (b) (6) – Biomedical Research & Education Foundation, Executive Director (b) (6) M.D. – Vice President, Connected Health Partners HealthCare (b) (6) M.D. – Chief Information Officer and Vice President, Information Systems, Brigham Health (b) (6) Moderator: – Chair, Department of Public Affairs/Mayo Clinic (b) (6) 0773 confcallagenda.pdf for Printed Item: 86 ( Attachment 1 of 1) Agenda: 1) Introductions – (b) (6) Moderator 2) Review/Discussion of Purpose of Call – All Draft Meeting Objectives: • Consensus/endorsement of goals • Define roadmap and next steps • Determine core working team moving forward/ARCIV 3) Project Objectives/Status Veteran’s Administration Perspective – David Shulkin, M.D. 4) Perspective of the Medical Experts – What Works/What Doesn’t – Medical Experts • Status of portable medical record for the private sector • What will it take to get to “state of the art?” o Preventive health/early detection of disease o How does the medical record pick up that which may threaten health • What are medical centers working on that has been well received by patients? 5) Discussion of Digital/Veteran Platform Project Road Map – (b) (6) Digital Veteran Platform Experience.d The attachment that reflects shared perspective of medical providers/Apple team. 6) Review/Discussion of Potential Project Requirements – All • Clinical needs re: obtaining information from the patient’s EMR o Quick reference screen  Patient problem list  Medications  Allergies  Laboratory results  Diagnostic tests by specialty  Clinical notes by specialty • Dynamic vs. static EMR • Early disease detection • Chart medication adherence • Laboratory results depicted by in graph form to permit lifestyle modification conversations • Alerts for follow-up appointments/tests • Integration of clinical notes, lab and diagnostic text into integrated platform 7) Next steps Discussion: • Defining the core working team – ARCIV • Timeline 0774 confcallagenda.pdf for Printed Item: 86 ( Attachment 1 of 1) Digital Veteran Platform: Veteran-Mediated Data Exchange Background Improving the Veterans’ experience and enhancing strategic partnerships are two of the key focus areas for the 2015 myVA Transformational Plan. Recognizing that technology will be the foundation on which this transformation will occur, the VA has proposed a “Digital Veteran Platform.” The objective of this platform is to “build an ecosystem enabling external integration and innovation enabling transparency with Veterans and their care providers while expanding use of data with real-time analytics to support automated recommendations for care.” As a complement to this platform, the VA and the White House have proposed a collaboration with innovative health systems and Apple to work on four initiatives: 1. Care Finder: a mechanism for Veterans to discover an appropriate medical facility and/or physician based on available services and location. 2. Veteran Health Data Exchange (VHDE): the ability for Veterans to download and view health records from both the Veteran sector and private sector on a portable device. 3. Improve Medication Tracking: a technology solution for Veterans to view medications and be able to track medication compliance, preventing over-utilization of controlled substances, and preventing medication errors. 4. Transitions of Care: a system that facilitates Veteran compliance with discharge recommendations (e.g., prescription pick-up, medication compliance, follow-up appointments, home health services) and communicates status to the care team. This digital platform is being proposed at a time when the national health expenditure is rapidly increasing, representing 17.8% of GDP in 2015, or $3.2 trillion ($9,990 per person), a 5.8% rise compared to the previous year.i Despite these costs, the US remains well behind its peers in how efficiently that expenditure results in improved health and longevity. ii There is growing recognition that the fundamental changes required to reduce costs and improve outcomes in our healthcare system must begin with empowering the patient to take a greater role in her/his care. Initiatives such as Open Notes - which the VA helped to pioneer have shown that giving a patient full and transparent access to her/his health records improves safety as well as trust in the clinical relationship.iii Furthermore, evidence is mounting that empowering patients to care for themselves results in decreased costs and improved outcomes. iv However, patients today lack the ability to get an integrated view of their health data across a myriad of electronic health record (EHR) systems in the marketplace. Fortunately, private sector initiatives such as the Argonaut Projectv have proven that EHR vendors can align with the interests of patients and health systems to agree on a path forward involving standard application programming interfaces (APIs) for health. Additionally, bipartisan legislation such as the 21st-Century Cures Act has required health IT products to expose health data via APIs. These advances, when taken together, pave the way for a true 21st-Century Health IT System designed with the patient at the center.vi The National eHealth Exchange has also supported 0775 confcallagenda.pdf for Printed Item: 86 ( Attachment 1 of 1) health information exchange for clinicians, but this information is generally not directly available for patient viewing. It is within this rich milieu of health IT advancement that the VA and the White House have proposed this collaboration to identify solutions to problems for which the feasibility of a solution is only just becoming a reality. The VA has long been a pioneer in health IT innovation, which has been a necessity given their large and geographically diverse patient population. This is yet another opportunity for the VA to set an example for the rest of the country to follow, and it couldn’t come at a more critical time for our nation. Proposal In order to achieve the greatest benefit for our Veterans in the shortest amount of time, we propose that this set of initiatives should begin by leveraging the work of the standards community to enable Veteran health data exchange (initiative #2 above). Only after this is in place will we be able to explore the feasibility of improved medication tracking and seamless transitions of care. The ‘Care Finder’ functionality (initiative #1 above) represents an extension of the current VA tool found at vets.gov, however, a more patient-centric approach would likely improve Veteran engagement. The lack of a national health system, universal patient identifier, and common provider directory presents several challenges with respect to ensuring this resource is accurate and up to date. This concept and implementation will continue to be explored. Five health systems have agreed to participate in support of these initiatives: • • • • • Cleveland Clinic Johns Hopkins Medicine Kaiser Permanente Mayo Clinic Partners HealthCare The 5 selected health systems will implement APIs based on the Fast Healthcare Interoperability Resources (FHIR) standard, as outlined in the Argonaut Data Query Implementation Guide 1.0.0:vii All major EHR vendors, including Epic and Cerner, have implemented or are working on the implementation of this standard within their software. This is of critical importance given the recent announcement by U.S. Secretary of Veterans Affairs Dr. David J. Shulkin that the VA will adopt the Cerner EHR to replace their current VistA health records system.viii Once this is in place, Apple will enable the Veteran to access the following items from her/his health record: problems, medications, allergies, laboratory test results, and procedures. The health records of multiple institutions may be aggregated and harmonized into one ‘virtual’ master copy, available for viewing. This data will continue to reside within each organization, but be accessible to Veterans via APIs to present the information when requested. 0776 confcallagenda.pdf for Printed Item: 86 ( Attachment 1 of 1) Given the reality that many Veterans receive a portion of their care at non-VA health systems (a fact accelerated by the 2014 Choice Act ix), this newfound data portability - with the patient at the center - will ensure that VA providers always have the most up-to-date information about a patient so that they can provide the most effective care. This work will begin as a limited pilot among patients who receive care at both the VA and one of the 5 health systems listed above. It will then be implemented across the VA and to any interested health system in the U.S. who has an EHR platform compatible with this open standard. Guiding Principles Healthcare is complex, and the challenges will be difficult to address. In order to succeed, all participants must be aligned according to a set of guiding principles. We propose to adhere to the following: 1. 2. 3. 4. We will act in the best interests of the Veteran. We will support the ability of the Veteran’s care team to provide the best care. We will identify and implement standards-based solutions, where possible. We will deploy solutions that can be leveraged and adopted by the healthcare industry more broadly. Next Steps Implementing the Veteran health data exchange functionality will require coordination across the health systems, the VA, and Apple. We propose that each entity select appropriate technical and business representatives to serve on an exploratory workgroup in order to define milestones, timelines, and priorities, and to have this workgroup in place by August 31, 2017. Additional members may be included as needed. This group should also identify any barriers, impediments or concerns that need to be addressed in order to further the work. The workgroup will be led by a designated representative from the VA. While this scope of this initiative will initially be constrained in order to provide something of value to Veterans in a relatively short period of time, we recognize that there are many problems in health care worth solving, and see this as a stepping stone to work more closely with the VA to identify and find sustainable solutions to their most pressing needs. It is hard to overstate the potential impact of this initiative; the nationwide implementation of a standards-based approach to patient-mediated data access and exchange across the VA and partner institutions will serve as a model for the future of healthcare, not only in the US, but around the world. It will set a standard by which all other health systems will be judged, and patients, once they realize the freedom and power it affords, will not settle for anything less. i https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-andreports/nationalhealthexpenddata/nationalhealthaccountshistorical.html ii https://www.bloomberg.com/news/articles/2016-09-29/u-s-health-care-system-ranks-as-one-of-the-least-efficient iii http://www.nejm.org/doi/full/10.1056/NEJMp1310132 iv https://hbr.org/2017/06/the-value-of-teaching-patients-to-administer-their-own-care 0777 confcallagenda.pdf for Printed Item: 86 ( Attachment 1 of 1) v http://argonautwiki.hl7.org/index.php?title=Main_Page http://www.nejm.org/doi/full/10.1056/NEJMp1700235 vii http://www.fhir.org/guides/argonaut/r2/ viii https://www.va.gov/opa/pressrel/pressrelease.cfm?id=2914 ix https://www.va.gov/opa/choiceact/documents/choice-act-summary.pdf vi 0778 From: To: (b) (6) <(b) (6) frenchangel59.com> (b) (6) <(b) (6) apple.com>; Bruce Moskowitz <(b) (6) mac.com>; (b) (6) gmail.com (b) (6) < gmail.com>; (b @frenchangel59.com ) <(b @frenchangel59.com>; vacodjs1@va.com ; (6 ) ) Alaigh, Poonam, M.D. ; mayo.edu (b) (6) (b) (6) < mayo.edu>; mayo.edu <(b) (6) mayo.edu>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) jhu.edu <(b) (6) jhu.edu>; (b) (6) kp.org <(b) (6) kp.org>; (b) (b) @responsivehealth.org < @responsivehealth.org>; (6) (6) (6) (b) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) (b) (6) (b) (6) (MSSM) < mssm.edu>; brefnet.org <(b) (6) brefnet.org>; (b) (6) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) BWH.HARVARD.EDU (b) (6) < bwh.harvard.edu>; (b) (6) (b) (6) mayo.edu>; (b) (6) ; (b) (6) ; cloverhealth.com <(b) (6) cloverhealth.com>; (b) (6) cognizant.com (b) (6) (b) (6) < cognizant.com>; cognizant.com <(b) (6) cognizant.com> Cc: Bcc: Subject: [EXTERNAL] UPDATED ATTACHMENT: Agenda: Conference Call VA, Apple & Medical/Digital Experts - Wednesday, June 14th / 11:00 AM - 12:30 PM EST (8:00 AM - 9:30 AM PST) Date: Tue Jun 13 2017 11:46:39 CDT Attachments: confcallagenda.pdf This content should not be distributed outside of the participants of this call nor should it be published publicly. Date: Wednesday June 14, 2017 0779 Time: 11 a.m. – 12:30 p.m. ET/10 – 11:30 a.m. CT/8 – 9:30 a.m. PT Dial-in Information: (4), United States: 1.866.244.(b) (b) (5) (4), International: 719.457.(b) (b) (5) (4), (b) Passcode: (b) (5) *6 – Mute or un-mute your line Participants: Bruce Moskowitz, M.D. Marc Sherman Ike Perlmutter Apple: (b) (6) (b) (6) (b) (6) (b) (6) – Apple, Chief Executive Officer – Apple, Chief Operating Officer – Apple, Director of Global Government – Apple, Vice President for Public Policy and Government Affairs Office of Veterans Affairs: David Shulkin, M.D. – Secretary of Veterans Affairs Poonam Alaigh, M.D. – Acting Under-Secretary for Health Darin Selnick – Senior Advisor to the Secretary Rob C. Thomas II – Acting Assistant Secretary & Chief Information Officer Department of Veterans Affairs (b) (6) – Senior Advisor, Acting Under-Secretary for Health, Department of Veterans Affairs, Veterans Health Administration (b) (6) Medical Institutions: (b) (6) (b) (6) (b) (6) – Chief Information Officer, Mayo Clinic M.D. – Associate Dean/Center for Connected Care, Mayo Clinic – Interim Chief Information Officer, Cleveland Clinic 0780 (b) (6) M.D. – Associate Chief Information Officer, Cleveland Clinic (b) (6) – Senior Vice President and CIO, Johns Hopkins Health System, Johns Hopkins Medicine, Vice Provost and CIO, Johns Hopkins University (b) (6) – Senior Vice President, Care Delivery Technology Services, Kaiser Permanente (b) (6) - Cofounder, CEO - Responsive Health (b) (6) M.D. – Co-founder, Responsive Health/ Mount Sinai Health System (b) (6) – Payer Advisor, Responsive Health (b) (6) – Development Head, Responsive Health (b) (6) - SME for Public Sector, Responsive Health (b) (6) – Biomedical Research & Education Foundation, Executive Director (b) (6) M.D. – Vice President, Connected Health Partners HealthCare (b) (6) M.D. – Chief Information Officer and Vice President, Information Systems, Brigham Health Moderator: (b) (6) – Chair, Department of Public Affairs/Mayo Clinic Agenda: 1) Introductions – (b) (6) 2) Review/Discussion of Purpose of Call – All Moderator Draft Meeting Objectives: ****** Consensus/endorsement of goals ****** Define roadmap and next steps ****** Determine core working team moving forward/ARCIV 3) Project Objectives/Status Veteran’s Administration Perspective – David Shulkin, M.D. 4) Perspective of the Medical Experts – What Works/What Doesn’t – Medical Experts 0781 ****** Status of portable medical record for the private sector ****** What will it take to get to “state of the art?” o Preventive health/early detection of disease o How does the medical record pick up that which may threaten health ****** What are medical centers working on that has been well received by patients? 5) Discussion of Digital/Veteran Platform Project Road Map – (b) (6) 6) Review/Discussion of Potential Project Requirements – All ********* Clinical needs re: obtaining information from the patient’s EMR o Quick reference screen ** Patient problem list ** Medications ** Allergies ** Laboratory results ** Diagnostic tests by specialty ** Clinical notes by specialty ********* Dynamic vs. static EMR ********* Early disease detection ********* Chart medication adherence ********* Laboratory results depicted by in graph form to permit lifestyle modification conversations ********* Alerts for follow-up appointments/tests ********* Integration of clinical notes, lab and diagnostic text into integrated platform 7) Next steps Discussion: ********* Defining the core working team – ARCIV ********* Timeline 0782 Thank you, (b) (6) 212-576-(b) (6) (Office) (646) 201-(b) (6) (Cell) (b) (6) frenchangel59.com 0783 Owner: Filename: Last Modified: (b) (6) <(b) (6) frenchangel59.com> confcallagenda.pdf Tue Jun 13 11:46:39 CDT 2017 0784 confcallagenda.pdf for Printed Item: 88 ( Attachment 1 of 1) Conference Call VA, Apple & Medical/Digital Experts Date: Wednesday June 14, 2017 Time: 11 a.m. – 12:30 p.m. ET/10 – 11:30 a.m. CT/8 – 9:30 a.m. PT Dial-in Information: (4), (b) United States: 1.866.24(b) (5) International: 719.45(b) (4), (b) (5) Passcode: (b) (4), (b) (5) Participants: Bruce Moskowitz, M.D. Marc Sherman Ike Perlmutter Apple: (b) (6) (b) (6) (b) (6) (b) (6) – Apple, Chief Executive Officer – Apple, Chief Operating Officer – Apple, Director of Global Government – Apple, Vice President for Public Policy and Government Affairs Office of Veterans Affairs: David Shulkin, M.D. – Secretary of Veterans Affairs Poonam Alaigh, M.D. – Acting Under-Secretary for Health Darin Selnick – Senior Advisor to the Secretary Rob C. Thomas II – Acting Assistant Secretary & Chief Information Officer Department of Veterans Affairs (b) (6) (b) (6) – Senior Advisor, Acting Under-Secretary for Health, Department of Veterans Affairs, Veterans Health Administration Medical Institutions: – Chief Information Officer, Mayo Clinic (b) (6) M.D. – Associate Dean/Center for Connected Care, Mayo Clinic (b) (6) – Interim Chief Information Officer, Cleveland Clinic (b) (6) M.D. – Associate Chief Information Officer, Cleveland Clinic (b) (6) – Senior Vice President and CIO, Johns Hopkins Health System, Johns Hopkins Medicine, Vice Provost and CIO, Johns Hopkins University (b) (6) – Senior Vice President, Care Delivery Technology Services, Kaiser Permanente (b) (6) - Cofounder, CEO - Responsive Health (b) (6) M.D. – Co-founder, Responsive Health/ Mount Sinai Health System (b) (6) – Payer Advisor, Responsive Health (b) (6) – Development Head, Responsive Health (b) (6) - SME for Public Sector, Responsive Health (b) (6) – Biomedical Research & Education Foundation, Executive Director (b) (6) M.D. – Vice President, Connected Health Partners HealthCare (b) (6) M.D. – Chief Information Officer and Vice President, Information Systems, Brigham Health (b) (6) Moderator: – Chair, Department of Public Affairs/Mayo Clinic (b) (6) 0785 confcallagenda.pdf for Printed Item: 88 ( Attachment 1 of 1) Agenda: 1) Introductions – (b) (6) Moderator 2) Review/Discussion of Purpose of Call – All Draft Meeting Objectives:  Consensus/endorsement of goals  Define roadmap and next steps  Determine core working team moving forward/ARCIV 3) Project Objectives/Status Veteran’s Administration Perspective – David Shulkin, M.D. 4) Perspective of the Medical Experts – What Works/What Doesn’t – Medical Experts  Status of portable medical record for the private sector  What will it take to get to “state of the art?” o Preventive health/early detection of disease o How does the medical record pick up that which may threaten health  What are medical centers working on that has been well received by patients? 5) Discussion of Digital/Veteran Platform Project Road Map – (b) (6) Digital Veteran Platform Experience.docx The attachment that reflects shared perspective of medical providers/Apple team. 6) Review/Discussion of Potential Project Requirements – All  Clinical needs re: obtaining information from the patient’s EMR o Quick reference screen  Patient problem list  Medications  Allergies  Laboratory results  Diagnostic tests by specialty  Clinical notes by specialty  Dynamic vs. static EMR  Early disease detection  Chart medication adherence  Laboratory results depicted by in graph form to permit lifestyle modification conversations  Alerts for follow-up appointments/tests  Integration of clinical notes, lab and diagnostic text into integrated platform 7) Next steps Discussion:  Defining the core working team – ARCIV  Timeline 0786 confcallagenda.pdf for Printed Item: 88 ( Attachment 1 of 1) This content should not be distributed outside of the participants of this call nor should it be published publicly. Digital Veteran Platform: Veteran-Mediated Data Exchange Background Improving the Veterans’ experience and enhancing strategic partnerships are two of the key focus areas for the 2015 myVA Transformational Plan. Recognizing that technology will be the foundation on which this transformation will occur, the VA has proposed a “Digital Veteran Platform.” The objective of this platform is to “build an ecosystem enabling external integration and innovation enabling transparency with Veterans and their care providers while expanding use of data with real-time analytics to support automated recommendations for care.” As a complement to this platform, the VA and the White House have proposed a collaboration with innovative health systems and Apple to work on four initiatives: 1. Care Finder: a mechanism for Veterans to discover an appropriate medical facility and/or physician based on available services and location. 2. Veteran Health Data Exchange (VHDE): the ability for Veterans to download and view health records from both the Veteran sector and private sector on a portable device. 3. Improve Medication Tracking: a technology solution for Veterans to view medications and be able to track medication compliance, preventing over-utilization of controlled substances, and preventing medication errors. 4. Transitions of Care: a system that facilitates Veteran compliance with discharge recommendations (e.g., prescription pick-up, medication compliance, follow-up appointments, home health services) and communicates status to the care team. This digital platform is being proposed at a time when the national health expenditure is rapidly increasing, representing 17.8% of GDP in 2015, or $3.2 trillion ($9,990 per person), a 5.8% rise compared to the previous year.i Despite these costs, the US remains well behind its peers in how efficiently that expenditure results in improved health and longevity.ii There is growing recognition that the fundamental changes required to reduce costs and improve outcomes in our healthcare system must begin with empowering the patient to take a greater role in her/his care. Initiatives such as Open Notes - which the VA helped to pioneer have shown that giving a patient full and transparent access to her/his health records improves safety as well as trust in the clinical relationship.iii Furthermore, evidence is mounting that empowering patients to care for themselves results in decreased costs and improved outcomes.iv However, patients today lack the ability to get an integrated view of their health data across a myriad of electronic health record (EHR) systems in the marketplace. Fortunately, private sector initiatives such as the Argonaut Projectv have proven that EHR vendors can align with the interests of patients and health systems to agree on a path forward involving standard application programming interfaces (APIs) for health. Additionally, bipartisan legislation such as the 21st-Century Cures Act has required health IT products to expose health data via APIs. These advances, when taken together, pave the way for a true 21st-Century Health IT System designed with the patient at the center.vi The National eHealth Exchange has also supported 0787 confcallagenda.pdf for Printed Item: 88 ( Attachment 1 of 1) health information exchange for clinicians, but this information is generally not directly available for patient viewing. It is within this rich milieu of health IT advancement that the VA and the White House have proposed this collaboration to identify solutions to problems for which the feasibility of a solution is only just becoming a reality. The VA has long been a pioneer in health IT innovation, which has been a necessity given their large and geographically diverse patient population. This is yet another opportunity for the VA to set an example for the rest of the country to follow, and it couldn’t come at a more critical time for our nation. Proposal In order to achieve the greatest benefit for our Veterans in the shortest amount of time, we propose that this set of initiatives should begin by leveraging the work of the standards community to enable Veteran health data exchange (initiative #2 above). Only after this is in place will we be able to explore the feasibility of improved medication tracking and seamless transitions of care. The ‘Care Finder’ functionality (initiative #1 above) represents an extension of the current VA tool found at vets.gov, however, a more patient-centric approach would likely improve Veteran engagement. The lack of a national health system, universal patient identifier, and common provider directory presents several challenges with respect to ensuring this resource is accurate and up to date. This concept and implementation will continue to be explored. Five health systems have agreed to participate in support of these initiatives: • • • • • Cleveland Clinic Johns Hopkins Medicine Kaiser Permanente Mayo Clinic Partners HealthCare The 5 selected health systems will implement APIs based on the Fast Healthcare Interoperability Resources (FHIR) standard, as outlined in the Argonaut Data Query Implementation Guide 1.0.0:vii All major EHR vendors, including Epic and Cerner, have implemented or are working on the implementation of this standard within their software. This is of critical importance given the recent announcement by U.S. Secretary of Veterans Affairs Dr. David J. Shulkin that the VA will adopt the Cerner EHR to replace their current VistA health records system.viii Once this is in place, Apple will enable the Veteran to access the following items from her/his health record: problems, medications, allergies, laboratory test results, immunizations, vital signs, and procedures. The health records of multiple institutions may be aggregated and harmonized into one ‘virtual’ master copy, available for viewing. This data will continue to reside within each organization, but be accessible to Veterans via APIs to present the information when requested. 0788 confcallagenda.pdf for Printed Item: 88 ( Attachment 1 of 1) Given the reality that many Veterans receive a portion of their care at non-VA health systems (a fact accelerated by the 2014 Choice Actix), this newfound data portability - with the patient at the center - will ensure that VA providers always have the most up-to-date information about a patient so that they can provide the most effective care. This work will begin as a limited pilot among patients who receive care at both the VA and one of the 5 health systems listed above. It will then be implemented across the VA and to any interested health system in the U.S. who has an EHR platform compatible with this open standard. Guiding Principles Healthcare is complex, and the challenges will be difficult to address. In order to succeed, all participants must be aligned according to a set of guiding principles. We propose to adhere to the following: 1. 2. 3. 4. We will act in the best interests of the Veteran. We will support the ability of the Veteran’s care team to provide the best care. We will identify and implement standards-based solutions, where possible. We will deploy solutions that can be leveraged and adopted by the healthcare industry more broadly. Next Steps Implementing the Veteran health data exchange functionality will require coordination across the health systems, the VA, and Apple. We propose that each entity select appropriate technical and business representatives to serve on an exploratory workgroup in order to define milestones, timelines, and priorities, and to have this workgroup in place by August 31, 2017. Additional members may be included as needed. This group should also identify any barriers, impediments or concerns that need to be addressed in order to further the work. The workgroup will be led by a designated representative from the VA. While the scope of this initiative will initially be constrained in order to provide something of value to Veterans in a relatively short period of time, we recognize that there are many problems in health care worth solving, and see this as a stepping stone to work more closely with the VA to identify and find sustainable solutions to their most pressing needs. It is hard to overstate the potential impact of this initiative; the nationwide implementation of a standards-based approach to patient-mediated data access and exchange across the VA and partner institutions will serve as a model for the future of healthcare, not only in the US, but around the world. It will set a standard by which all other health systems will be judged, and patients, once they realize the freedom and power it affords, will not settle for anything less. i https://www.cms.gov/research-statistics-data-and-systems/statistics-trends-andreports/nationalhealthexpenddata/nationalhealthaccountshistorical.html ii https://www.bloomberg.com/news/articles/2016-09-29/u-s-health-care-system-ranks-as-one-of-the-least-efficient iii http://www.nejm.org/doi/full/10.1056/NEJMp1310132 iv https://hbr.org/2017/06/the-value-of-teaching-patients-to-administer-their-own-care 0789 confcallagenda.pdf for Printed Item: 88 ( Attachment 1 of 1) v http://argonautwiki.hl7.org/index.php?title=Main_Page http://www.nejm.org/doi/full/10.1056/NEJMp1700235 vii http://www.fhir.org/guides/argonaut/r2/ viii https://www.va.gov/opa/pressrel/pressrelease.cfm?id=2914 ix https://www.va.gov/opa/choiceact/documents/choice-act-summary.pdf vi This content should not be distributed outside of the participants of this call nor should it be published publicly. 0790 (b) (6) From: ; (b) (6) <(b) (6) apple.com>; Bruce Moskowitz (b) (6) < mac.com>; (b) (6) gmail.com <(b) (6) gmail.com>; (b @frenchangel59.com ) <(b @frenchangel59.com>; vacodjs1@va.com ; (6 ) ) Alaigh, Poonam, M.D. ; mayo.edu (b) (6) (b) (6) < mayo.edu>; mayo.edu <(b) (6) mayo.edu>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) ccf.org <(b) (6) ccf.org>; (b) (6) jhu.edu <(b) (6) jhu.edu>; (b) (6) kp.org <(b) (6) kp.org>; (b) (b) @responsivehealth.org < @responsivehealth.org>; (6) (6) (b) (6) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) (b) (6) (b) (6) (MSSM) < mssm.edu>; brefnet.org <(b) (6) brefnet.org>; (b) (6) PARTNERS.ORG <(b) (6) partners.org>; (b) (6) BWH.HARVARD.EDU (b) (6) < bwh.harvard.edu>; (b) (6) (b) (6) mayo.edu>; (b) (6) ; (b) (6) ; cloverhealth.com <(b) (6) cloverhealth.com>; (b) (6) cognizant.com <(b) (6) cognizant.com>; (b) (6) cognizant.com (b) (6) < cognizant.com> To: Cc: Bcc: Subject: Date: Attachments: Veterans Affairs, Apple, Academic Health System Collaboration Wed Jun 14 2017 13:45:43 CDT Good Afternoon, Thank you for your participation on the mid-day call to discuss the collaboration between the Veterans Affairs, Apple and the five academic medical centers. As we discussed, we will begin by identifying those individuals from each of the aforementioned organizations to serve on a governance committee as well as those individuals who will be part of the work group for this initiative. Please forward your recommendations and their contact information to me by Thursday June 22 ((b) (6) va.gov ). Thank you for your participation and enthusiasm! (b) (6) (b) (6) 0791 Senior Advisor, acting Under Secretary for Health Department of Veterans Affairs Veterans Health Administration 810 Vermont Avenue, NW Rm. (b) (6) Washington, DC 20420 iPhone: 202-407-(b) (6) (b) (6) va.gov 0792 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) Date: June 26, 2017 at 3:13:36 PM EDT To: (b) (6) <(b) (6) jhu.edu>, (b) (6) <(b) (6) ccf.org>, "(b) (6) <(b) (6) kp.org>, "(b) (6) <(b) (6) mayo.edu>, (b) (6) kp. (b) (6) (b) (6) (b) (6) (b) (6) org, < jhmi.edu>, " < mayo.edu>, "(b) (6) <(b) (6) mayo.edu>, (b) (6) ccf.org, (b) (6) ccf.org, (b) (6) partners.org, (b) (6) (b) (6) (b) (6) (b) (6) PARTNERS.ORG, " M.D." < ccf.org>, (b) (6) <(b) (6) (b) (6) (b) (6) (b) (6) (b) (6) @va.gov>, < apple.com>, < apple.com>, (b) (6) (b) (6) (b) (6) (b) (6) < apple.com>, < apple.com>, IP (b) (6) (b) (6), (b) (5) <(b @frenchangel59.com>, gmail.com, va.gov, Poonam Alaigh ) (6) <(b) hotmail.com>, (b) (6) aol.com, (b) (6) jhhc.com (6 ) Subject: VA-Apple EMR Project As we discussed on the conference call we have set up three committees to commence work (the academic centers may add to the working group). I want to take the opportunity to thank everyone for their commitment to this important project. We will have available to the group, the ability to tap the end user in different medical specialties with an emphasis on primary care and preventative medicine along with surgical sub specialists. If their is an omission or change in assignment please contact me. The executive committee: VA Representatives: Dr. David Shulkin Dr. Poonam Alaigh Apple representatives: (b) (6) 5 Academic Centers Johns Hopkins (b) (6) Partners (b) (6) Cleveland (b) (6) Mayo Clinic to assign Kaiser Permanente (b) (6) Mr. Marc Sherman Mr. IKe Perlmutter Dr. Bruce Moskowitz Mid level project Managers: VA: Rob Thomas, (b) (6)(b) (6) Apple: (b) (6) (b) (6) Academic Medical Centers (b) (6) Johns Hopkins (b) (6) (b) (6) Partners: M.D., (b) (6) (b) (6) (b) (6) Cleveland Clinic: (b) (6) Mayo Clinic: M.D., (b) (6) (b) (6) Kaiser Permanente, (b) (6) BREF Foundation (b) (6) M.D. M.D. 0794 Working Group (b) (6) VA: (b) (6) John Short, (b) (6) (6) (b) (6) Apple: (working Group Manager) (b) (6) (b) (6) Academic Centers: (b) (6) (b) (6) (b) (6) and from KP (b) (6) Dr. CC from Partners Sent from my iPad Bruce Moskowitz M.D. 0795 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin wrote: Hi Bruce Your email from earlier today was forwarded to me. There seems to be some misunderstanding as to my role as I was not on the email nor am I listed in it. As you know, I have had the VA responsibility to provide the overall responsibility to manage and provide oversight for the VA/Apple/Center partnership. I still do have that responsibility. Please add me to the Mid Level Project Manager list, as I coordinate with Rob and (b) (6) update Dr. Shulkin,I communicate on a regular basis with (b) (6) from Apple, and update (b) (6) at the WH. I would also appreciate you cc me in your communications on this project with VA staff, Rob and (b) (6) Thanks so much 0796 Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) : From: Bruce Moskowitz <(b) (6) mac.com> Date: June 26, 2017 at 3:13:36 PM EDT To: (b) (6) <(b) (6) jhu.edu>, (b) (6) <(b) (6) ccf.org>, "(b) (6) (b) (6) (b) (6) (b) (6) < kp.org>, " < mayo.edu>, (b) (6) kp. (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) org, < jhmi.edu>, " < mayo.edu>, " <(b) (6) mayo.edu>, (b) (6) ccf.org, (b) (6) ccf.org, (b) (6) partners.org, (b) (6) (b) (6) PARTNERS.ORG, "(b) (6) M.D." <(b) (6) ccf.org>, (b) (6) , < apple.com>, < apple.com>, (b) (6) <(b) (6) apple.com>, (b) (6) <(b) (6) apple.com>, IP (b (b) (6) (b) (6), (b) (5) <) @frenchangel59.com>, gmail.com, va.gov, Poonam Alaigh (b) (6) (b) (6) (b) (6) <(6 hotmail.com>, aol.com, jhhc.com ) Subject: VA-Apple EMR Project As we discussed on the conference call we have set up three committees to commence work (the academic centers may add to the working group). I want to take the opportunity to thank everyone for their commitment to this important project. We will have available to the group, the ability to tap the end user in different medical specialties with an emphasis on primary care and preventative medicine along with surgical sub specialists. If their is an omission or change in assignment please contact me. The executive committee: VA Representatives: Dr. David Shulkin Dr. Poonam Alaigh Apple representatives: (b) (6) 5 Academic Centers Johns Hopkins (b) (6) Partners (b) (6) Cleveland (b) (6) Mayo Clinic to assign Kaiser Permanente (b) (6) Mr. Marc Sherman Mr. IKe Perlmutter Dr. Bruce Moskowitz Mid level project Managers: VA: Rob Thomas, (b) (6)(b) (6) 0797 Apple: (b) (6) (b) (6) Academic Medical Centers (b) (6) Johns Hopkins (b) (6) (b) (6) Partners: M.D., (b) (6) (b) (6) (b) (6) Cleveland Clinic: Mayo Clinic: (b) (6) M.D., (b) (6) (b) (6) Kaiser Permanente, (b) (6) BREF Foundation (b) (6) M.D. M.D. Working Group (b) (6) VA: (b) (6) John Short, (b) (6) (6) Apple: (b) (6) (working Group Manager) (b) (6) (b) (6) Academic Centers: (b) (6) (b) (6) (b) (6) and from KP Dr. (b) (6) CC from Partners Sent from my iPad Bruce Moskowitz M.D. 0798 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) wrote: Hi Bruce Your email from earlier today was forwarded to me. There seems to be some misunderstanding as to my role as I was not on the email nor am I listed in it. 0799 As you know, I have had the VA responsibility to provide the overall responsibility to manage and provide oversight for the VA/Apple/Center partnership. I still do have that responsibility. Please add me to the Mid Level Project Manager list, as I coordinate with Rob and (b) (6) update Dr. Shulkin,I communicate on a regular basis with (b) (6) from Apple, and update (b) (6) at the WH. I would also appreciate you cc me in your communications on this project with VA staff, Rob and (b) (6) Thanks so much Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) : From: Bruce Moskowitz <(b) (6) mac.com> Date: June 26, 2017 at 3:13:36 PM EDT To: (b) (6) <(b) (6) jhu.edu>, (b) (6) <(b) (6) ccf.org>, "(b) (6) (b) (6) (b) (6) (b) (6) < kp.org>, " < mayo.edu>, (b) (6) kp. (b) (6) (b) (6) (b) (6) (b) (6) (b) (6) org, < jhmi.edu>, " < mayo.edu>, " <(b) (6) mayo.edu>, (b) (6) ccf.org, (b) (6) ccf.org, (b) (6) partners.org, (b) (6) (b) (6) PARTNERS.ORG, "(b) (6) M.D." <(b) (6) ccf.org>, (b) (6) , < apple.com>, < apple.com>, (b) (6) <(b) (6) apple.com>, (b) (6) <(b) (6) apple.com>, IP (b (b) (6) (b) (6), (b) (5) <) @frenchangel59.com>, gmail.com, va.gov, Poonam Alaigh (b) (6) (b) (6) (b) (6) <(6 hotmail.com>, aol.com, jhhc.com ) Subject: VA-Apple EMR Project As we discussed on the conference call we have set up three committees to commence work (the academic centers may add to the working group). I want to take the opportunity to thank everyone for their commitment to this important project. We will have available to the group, the ability to tap the end user in different medical specialties with an emphasis on primary care and preventative medicine along with surgical sub specialists. If their is an omission or change in assignment please contact me. The executive committee: VA Representatives: Dr. David Shulkin 0800 Dr. Poonam Alaigh Apple representatives: (b) (6) 5 Academic Centers Johns Hopkins (b) (6) Partners (b) (6) Cleveland (b) (6) Mayo Clinic to assign Kaiser Permanente (b) (6) Mr. Marc Sherman Mr. IKe Perlmutter Dr. Bruce Moskowitz Mid level project Managers: VA: Rob Thomas, (b) (6)(b) (6) Apple: (b) (6) (b) (6) Academic Medical Centers (b) (6) Johns Hopkins (b) (6) (b) (6) Partners: M.D., (b) (6) (b) (6) Cleveland Clinic: (b) (6) (b) (6) Mayo Clinic: M.D., (b) (6) (b) (6) Kaiser Permanente, (b) (6) BREF Foundation (b) (6) M.D. M.D. Working Group (b) (6) VA: (b) (6) John Short, (b) (6) (6) (b) (6) Apple: (working Group Manager) (b) (6) (b) (6) Academic Centers: (b) (6) (b) (6) (b) (6) and from KP Dr. (b) (6) CC from Partners Sent from my iPad Bruce Moskowitz M.D. 0801 From: To: Cc: Bcc: Subject: Date: Attachments: Selnick, Darin (b) (6) wrote: Hi Bruce Your email from earlier today was forwarded to me. There seems to be some misunderstanding as to my role as I was not on the email nor am I listed in it. As you know, I have had the VA responsibility to provide the overall responsibility to manage and provide oversight for the VA/Apple/Center partnership. I still do have that responsibility. Please add me to the Mid Level Project Manager list, as I coordinate with Rob and (b) (6) update Dr. Shulkin,I communicate on a regular basis with (b) (6) from Apple, and update (b) (6) at the WH. I would also appreciate you cc me in your communications on this project with VA staff, Rob and (b) (6) Thanks so much Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) : From: Bruce Moskowitz <(b) (6) mac.com> Date: June 26, 2017 at 3:13:36 PM EDT To: (b) (6) <(b) (6) jhu.edu>, (b) (6) <(b) (6) ccf.org>, "(b) (6) (b) (6) (b) (6) (b) (6) < kp.org>, " < mayo.edu>, (b) (6) kp. (b) (6) (b) (6) (b) (6) (b) (6) org, < jhmi.edu>, " < mayo.edu>, "(b) (6) <(b) (6) mayo.edu>, (b) (6) ccf.org, (b) (6) ccf.org, (b) (6) partners.org, (b) (6) (b) (6) (b) (6) (b) (6) PARTNERS.ORG, " M.D." < ccf.org>, (b) (6) , < apple.com>, < apple. 0803 com>, (b) (6) <(b) (6) <(b @frenchangel59.com>, (b) (6) )(b) (6) <(6 hotmail.com>, (b) (6) ) Subject: VA-Apple EMR Project apple.com>, (b) (6) gmail.com, (b) (6), (b) (5) aol.com, (b) (6) jhhc.com <(b) (6) apple.com>, IP va.gov, Poonam Alaigh As we discussed on the conference call we have set up three committees to commence work (the academic centers may add to the working group). I want to take the opportunity to thank everyone for their commitment to this important project. We will have available to the group, the ability to tap the end user in different medical specialties with an emphasis on primary care and preventative medicine along with surgical sub specialists. If their is an omission or change in assignment please contact me. The executive committee: VA Representatives: Dr. David Shulkin Dr. Poonam Alaigh Apple representatives: (b) (6) 5 Academic Centers Johns Hopkins (b) (6) Partners (b) (6) Cleveland (b) (6) Mayo Clinic to assign Kaiser Permanente (b) (6) Mr. Marc Sherman Mr. IKe Perlmutter Dr. Bruce Moskowitz Mid level project Managers: VA: Rob Thomas, (b) (6)(b) (6) Apple: (b) (6) (b) (6) Academic Medical Centers (b) (6) Johns Hopkins (b) (6) (b) (6) Partners: M.D., (b) (6) (b) (6) (b) (6) Cleveland Clinic: (b) (6) Mayo Clinic: M.D., (b) (6) (b) (6) Kaiser Permanente, (b) (6) BREF Foundation (b) (6) M.D. M.D. Working Group (b) (6) VA: (b) (6) John Short, (b) (6) (6) (b) (6) Apple: (working Group Manager) (b) (6) (b) (6) Academic Centers: (b) (6) (b) (6) (b) (6) and from KP Dr. (b) (6) CC from Partners Sent from my iPad Bruce Moskowitz M.D. 0804 0805 Page 421 of 428 From: To: Cc: Bcc: Subject: Date: Attachments: Bruce Moskowitz <(b) (6) mac.com> Selnick, Darin wrote: Hi Bruce One more addition. For the VA working group please add Ricci Mulligan as the VA working group lead. Thanks Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) From: Bruce Moskowitz [mailto:(b) (6) Sent: Monday, June 26, 2017 7:23 PM To: Selnick, Darin mac.com] 0806 Cc: (b) (6) Thomas, Rob C. II Subject: Re: [EXTERNAL] Fwd: VA-Apple EMR Project Thank you for the update please refer to the last sentence in my email each organization will add corrections to the list Sent from my iPad Bruce Moskowitz M.D. On Jun 26, 2017, at 6:14 PM, Selnick, Darin wrote: Hi Bruce Your email from earlier today was forwarded to me. There seems to be some misunderstanding as to my role as I was not on the email nor am I listed in it. As you know, I have had the VA responsibility to provide the overall responsibility to manage and provide oversight for the VA/Apple/Center partnership. I still do have that responsibility. Please add me to the Mid Level Project Manager list, as I coordinate with Rob and (b) (6) update Dr. Shulkin,I communicate on a regular basis with (b) (6) from Apple, and (b) (6) update at the WH. I would also appreciate you cc me in your communications on this project with VA staff, Rob and (b) (6) Thanks so much Darin Darin Selnick Senior Advisor to the Secretary Cell 202-390-(b) (6) : 0807 Page 423 of 428 From: Bruce Moskowitz <(b) (6) mac.com> Date: June 26, 2017 at 3:13:36 PM EDT To: (b) (6) <(b) (6) jhu.edu>, (b) (6) <(b) (6) ccf.org>, "(b) (6) (b) (6) (b) (6) (b) (6) < kp.org>, " < mayo.edu>, (b) (6) kp. (b) (6) (b) (6) (b) (6) (b) (6) org, < jhmi.edu>, " < mayo.edu>, "(b) (6) <(b) (6) mayo.edu>, (b) (6) ccf.org, (b) (6) ccf.org, (b) (6) partners.org, (b) (6) (b) (6) PARTNERS.ORG, "(b) (6) M.D." <(b) (6) ccf.org>, (b) (6) , < apple.com>, < apple.com>, (b) (6) <(b) (6) apple.com>, (b) (6) <(b) (6) apple.com>, IP (b (b) (6) (b) (6), (b) (5) <) @frenchangel59.com>, gmail.com, va.gov, Poonam Alaigh (6) (b) (6) (b) (6) <(b) hotmail.com>, aol.com, jhhc.com (6 ) Subject: VA-Apple EMR Project As we discussed on the conference call we have set up three committees to commence work (the academic centers may add to the working group). I want to take the opportunity to thank everyone for their commitment to this important project. We will have available to the group, the ability to tap the end user in different medical specialties with an emphasis on primary care and preventative medicine along with surgical sub specialists. If their is an omission or change in assignment please contact me. The executive committee: VA Representatives: Dr. David Shulkin Dr. Poonam Alaigh Apple representatives: (b) (6) 5 Academic Centers Johns Hopkins (b) (6) Partners (b) (6) Cleveland (b) (6) Mayo Clinic to assign Kaiser Permanente (b) (6) Mr. Marc Sherman Mr. IKe Perlmutter Dr. Bruce Moskowitz Mid level project Managers: VA: Rob Thomas, (b) (6)(b) (6) Apple: (b) (6) (b) (6) Academic Medical Centers (b) (6) Johns Hopkins (b) (6) (b) (6) Partners: M.D., (b) (6) (b) (6) (b) (6) Cleveland Clinic: Mayo Clinic: (b) (6) M.D., (b) (6) (b) (6) Kaiser Permanente, (b) (6) BREF Foundation Working Group VA: (b) (6) (b) (6) (6) (b) (6) M.D. M.D. John Short, (b) (6) 0808 Apple: (b) (6) (working Group Manager) (b) (6) (b) (6) Academic Centers: (b) (6) (b) (6) (b) (6) and from KP Dr. (b) (6) CC from Partners Sent from my iPad Bruce Moskowitz M.D. 0809 From: Cc: Bruce Moskowitz <(b) (6) mac.com> DJS ; Bowman, ) Thomas ; Marc Sherman <(b) (6) gmail.com> Bcc: Subject: Date: Attachments: Re: [EXTERNAL] Shulkin Interview on FoxNews - Friday, October 20, 2017 Sun Oct 22 2017 08:29:18 CDT To: Well done! Sent from my iPad Bruce Moskowitz M.D. > On Oct 22, 2017, at 8:50 AM, DJS wrote: > > Thank you Ike- the President saw it as well and called me- he had you exact sentiments and asked about how you and (b) (6) are and said to pass on his regards (that was on my list to do today) > > David > > > > Sent with Good (www.good.com) > > ________________________________ > From: IP > Sent: Sunday, October 22, 2017 3:11:05 AM > To: DJS > Cc: Bowman, Thomas; (b) (6) gmail.com; Marc Sherman; '(b) (6) mac.com' > Subject: [EXTERNAL] Shulkin Interview on FoxNews - Friday, October 20, 2017 > > David, > > I caught your interview Friday on Fox news and want to congratulate you. You were superb. Your responses that focused on the VA and the principal issue of veterans' care was right on point. That interview really did a great service to what you (and we) are doing to improve the quality of care for our veterans for the long term. > > Ike > > http://www.foxnews.com/transcript/2017/10/20/va-secretary-brave-soldiers-dont-deserve-to-bepoliticized.html > 0810 Page 426 of 428 From: To: Bowman, Thomas Captain (b) (6) USN Tue Jan 09 2018 09:28:53 CST Bruce: I have called the number in your email for (b) (6) but no answer on the phone. Please confirm that the below number is his number: 240.373(b) (6) Thanks. Tom 0811 From: To: Bruce Moskowitz <(b) (6) mac.com> Bowman, Thomas wrote: Bruce: I have called the number in your email for Peter but no answer on the phone. Please confirm that the below number is his number: 240.373.(b) (6) . Thanks. Tom 0812 Ha, Richard From: Sent: To: Subject: (b) (6) Friday, May 18, 2018 12:20 PM COS-PMO; Powers, Pamela; Ullyot, John; Tucker, Brooks; Hutton, James; (b) (6) FW: [EXTERNAL] time sensitive fact-check FYI below. We are referring all questions about the nomination to the White House, but I will keep everyone posted on  the inquiries we are getting.    Thanks,    (b) (6)   Department of Veterans Affairs  202‐461‐(b) (6)   (b) (6) @va.gov  @(b) (6)     From:(  [mailto(b) (6) @axios.com]   b Sent: Friday, May 18, 2018 12:16 PM  ) To: (b)((6) @va.gov>  Cc: (b) 6)(6) @axios.com>  Subject: [EXTERNAL] time sensitive fact‐check    Hi (b) (6)     We've been told two things that we'll be publishing in our story at 2pm:    That Robert Wilkie spoke to (b) (6)  before President Trump made his decision. ((b) (6)  recommended  him highly to Trump after the conversation.)  That Wilkie and Peter O'Rourke recently flew down to West Palm Beach to meet with Ike Perlmutter (one of the  most important blessings to get in Trumpworld for VA). Per a source familiar with their interaction: "Ike loved  him [Wilkie]. Ike was very very high on him."  Are we missing anything?    If there are any facts here you want to challenge or additional context to add, please let me know by 1:55pm.     Otherwise we plan to publish at 2pmET.    Best, (b) (6)  202.390.(b) (6)       To help protect y our priv acy , Microsoft Office prev ented automatic download of this picture from the Internet. A on White@1x.png (b) (6)   NATIONAL POLITICAL REPORTER (b) (6) @axios.com 202.390.(b) (6)       1 0813