Discharge Follow-Up Appointment Challenge

Submission Deadline

Submissions are Closed

Contact

Challenge Team

Prizes

  • First Place Partnership consideration with a pilot test bed community candidate and up to $5,000 to support a 3-day site visit to the pilot community involving 2-3 people
  • Second Place Showcase and learning session with innovative communities and Federal payment pilot programs focused on improved care transitions and care coordination at the community level
  • Third Place Showcase and learning session with innovative communities and Federal payment pilot programs focused on improved care transitions and care coordination at the community level
First Place

MyHealthDIRECT

MyHealthDIRECT logo

Team Members

Jay Mason, Zac Fritz, Scott Papador, Frank Stellato, Ken Mikesh

MyHealthDIRECT is a web-based solution that effectively matches the demand for health care appointments with a supply of actual appointment slots. The solution subsequently enables discharge planners to search through their provider networks for appointments on behalf of their patients and actually book and confirm those appointments. Appointment reminders come in the form of e-mail and text and the system is highly scalable, available, configurable and modifiable.

Second Place

HePak

HePak logo

Team Members

Luis Figueroa, Ramon Paulino

Health Pass Key (HePak) brings access to its information through three secure portals, all of which are designed to offer entity-specific features. The three designated entities are hospitals, providers and patients. The system, which contains HIE functionality, tracks appointments, admissions, transfers and discharges. Portal functionality provides structured support to self-care by managing appointments, managing demographic/clinical information, learning about clinical procedures and receiving appointment reminders and updates via e-mail and text messages.

Third Place

mHealthCoach

mHealthCoach logo

Team Members

Aamer Ghaffar

The mHealthCoach Care Transition Kit seeks to reduce hospital readmission rates for congestive heart failure patients using a patient centric approach. The key modules include a hospital discharge tablet, real-time updates with secure messaging, multiple calendar syncing, educational content and medication literacy. The machine learning system attempts to keep all stake holders in sync. The tool’s intuitive search incorporates twelve HHS data feeds making relevant information retrievable when necessary.

Background

Update:

Discharge Follow-Up Appointment Webinar Video:

The Office of the National Coordinator for Health Information Technology (ONC), in collaboration with the Partnership for Patients, supports the spread and adoption of promising IT-enabled solutions targeting improved care transitions in the “Discharge Follow-Up Appointment Challenge.” Nearly one in five patients from a hospital is readmitted within 30 days. A large proportion of readmissions can be prevented by improving communications and coordinating care before and after discharge from the hospital.

This competition is the second in a series of challenges calling attention to care transitions, particularly the time a patient is discharged from a hospital; these challenges seek the development and spread of IT-enabled tools that help achieve better care and better health at lower cost. The first challenge, “Ensuring Safe Transitions from Hospital to Home,” called upon developers to create a web-based application that could empower patients and caregivers to better navigate and manage a transition from a hospital. Information about the Challenge and the winners can be found HERE.

Scheduling Post-Discharge Follow-Up Appointments – Critical, But Not Easy for Patients or Providers: Research has shown that scheduling follow-up appointments and post-discharge testing before a patient is discharged, with input and engagement from patients and caregivers, is one of the most critical elements to a safe and effective transition. While an increasing number of organizations have adopted this as best practice, most patients across the country continue to leave hospitals without confirmed appointments and many providers remain frustrated by a highly manual and unreliable system. Communities struggling with the process of scheduling and securing these appointments have articulated challenges faced by the following stakeholders.

  • Patients and caregivers: May not be empowered to be part of transition process leading to lack of understanding of appointment necessity, scheduling conflicts, transportation difficulties and high risk of cancelation and/or no-shows
  • Discharging hospital provider: Inability to see appointment availability to assist patient and caregiver with scheduling (resulting in the need for multiple phone calls), resistance from downstream providers while trying to secure appointment for harder to place/high risk patients, lack of feedback if a no-show or cancellation occurs, burden of multiple post-discharge needs, e.g., social work, physician appointments, etc
  • Downstream provider High no-show rates or cancelations, lack of predictability of appointment requests from discharging hospital provider, and lack of information regarding high-risk or harder to place patients

Tremendous opportunity for broad-scale adoption of IT-enabled processes: Hospitals with IT-enabled scheduling processes for follow-up appointments often benefit from being in a delivery system where a single scheduling system is shared across many care settings and providers. A growing number of innovative consumer-facing tools are becoming available for patients and care givers to schedule appointments and rate providers. However these tools have not yet reached high levels of adoption within communities, and haven’t to date targeted the appointment scheduling needs of patients, caregivers and providers at the point of discharge from a hospital.

Description

In order to support broader adoption and uptake of promising IT-enabled interventions that address care transitions, ONC is challenging software developers to create an easy-to-use web-based tool that will make post-discharge follow-up appointment scheduling a more effective and shared process for care providers, patients and caregivers. In addition, developers will need to articulate a plan for broader adoption at the community level. Submissions can be existing applications, or applications developed specifically for this challenge. The technology developed will remain proprietary to the developer and will not become open source.

Part 1:  Tool development 

The ideal application for will include the following components:

  1. Easy to navigate user interface
    • Rapid search and match capability
    • Usability needs for patients, caregivers or upstream hospital care providers
    • Option to interact with patients via in-person appointment, e-mail or phone
  2. Easy to navigate process for downstream accepting providers
    • Real-time updates on appointment access
    • Inclusion of diverse care providers, e.g., physicians, social services, home health, etc.
  3. Information for patient and caregiver convenience and preference
    • Timing and appointment location
    • Transportation or other social service needs
    • Rating information on providers
    • Flexibility to include other follow-up interactions, e.g., e-mails and phone calls
  4. Critical background information for downstream provider:
    • Patient and caregiver risk and engagement
    • Patient characteristics that may be instructive for accepting physicians
  5. Messaging capabilities to minimize no-shows and cancellations:
    • Appointment reminders to patient, caregivers and scheduling providers
    • No-show and completed appointment alerts to providers and patients
  6. EHR interface capabilities where applicable
    • Auto-population of patient demographics and results of appointment

Part 2: Plan for scale and adoption

  1. To assist with pilot plan development, applicants are advised to consider the following examples as potential audiences for the challenge:
    • Hospital(s) with a selection of owned or affiliated physician practices
    • Community collaboratives or payment pilots focused on care transitions improvement, which could include hospitals, physician practices, community-based organizations, skilled nursing homes, etc
    • Local payers focused on improving transitions at the community level
    • Partnership for Patients Hospital Engagement Networks
  2. To anticipate the needs of a test bed organization or community, successful applicants will also need to submit a brief pilot implementation proposal (250-500 words) that addresses factors including timeline, description of pilot environment needs (e.g., types of technical capabilities, types and number of patients and providers included), and additional resource needs (e.g., staffing and technical resource needs).

Timeline

  • Submission Period Begins: 1:00 PM ET, Thursday, January 26, 2012
  • Information sessions with innovative care transitions communities: January 30, 2012 through Monday, April 30, 2012.
  • Submission Period for Entries Ends: 11:59 PM ET, Monday, April 30, 2012
  • Evaluation Process Begins: Friday, May 4, 2012
  • Evaluation Process Ends: Friday, May 18, 2012
  • Winner notified: Wednesday, May 23, 2012
  • Winners Announced: May 24 or 25 (National Patient Safety Congress)
  • Site visits / Presentations to communities: June 2012.

Review Panel

    • Amy Berman
    • The John A. Hartford Foundation
    • Janhavi Kirtane
    • HHS
    • Korey Capozza
    • HealthInsight
    • Marisa Scala-Foley
    • HHS Administration on Aging
    • Kory Mertz
    • HHS
    • Marybeth Sharpe
    • Gordon and Betty Moore Foundation

Evaluation Criteria

  1. Effectively integrate inpatient data and provide structured support for self-care
  2. Integrate design and usability concepts to drive patient and provider adoption and engagement
  3. Demonstrate creative and innovative uses of mobile technologies
  4. Demonstrate potential to improve health status for individuals and the community
  5. Leverage NwHIN standards including transport, content, and vocabularies
  6. Demonstrate ability to implement the intervention in a pilot setting, and ultimately to scale in a community. Pilot implementation plan

Submission Requirements

  • A registration button and related link for the challenge can be found at the top of the right hand column of this page. Teams are asked to register to help Health 2.0 and the challenge sponsor anticipate resources needed to manage the project.
  • Registered teams may receive updates from Health 2.0 and the Sponsor during the submission period that provide useful information with regards to the competition.
  • There are no additional forms or steps required after submission of the registration form. Instructions on how to submit an entry will be sent prior to the close of the submission deadline. Teams are not bound or limited by the proposal description submitted in the registration form and may update or modify their projects as needed prior to final submission.

Participating Teams

Aidin
HePak
mHealthCoach
MyHealthDIRECT
Mar'age
AfterTrack
Avanade
The CURE
Flexis
iHealth Ventures
Electronic Referral Manager
iGetBetter
Reflection Care
Benfitter
New Dorp HS
Integrated Archetype Solutions
CaptureProof
Mynder
BON HealthWatch
ZocDoc Discharge
Careticker
Ankota
WebWidgets
Passport to TRUST
HAL
Project CLASS
vCare

Terms & Conditions

OFFICIAL RULES

NO PURCHASE OR PAYMENT NECESSARY TO ENTER OR TO WIN.  A PURCHASE WILL NOT IMPROVE YOUR CHANCES OF WINNING.  VOID WHERE PROHIBITED.

SPONSOR:  The sponsor of this Challenge is the Office of the National Coordinator for Health Information Technology ("Sponsor").

ADMINISTRATOR:  The administrator of the Challenge is Health 2.0, LLC, 650 Delancey St, #221, San Francisco, CA 94107 ("Administrator")

CHALLENGE DESCRIPTION:  The Challenge begins at 1:00 PM Eastern Time on Thursday, January 26, 2012 and ends at 11:59 PM Eastern Time on Monday, April 30, 2012 ("Challenge Period"). The Discharge Follow-Up Appointment Challenge tasks developers with creating easy-to-use web-based tools that make post-discharge follow-up appointment scheduling a more effective and shared process for care providers, patients and caregivers. In addition, developers will need to articulate a plan for broader adoption at the community level. Three winning applications will be selected based on the evaluation criteria set forth below.  The teams that submit the winning applications will win: 1.) First Place - partnership consideration with a pilot test bed community candidate and up to $5,000 to support a 3-day site visit to the pilot community involving 2-3 people, 2.) Second Place - showcase and learning session with innovative communities and Federal payment pilot programs focused on improved care transitions and care coordination at the community level, 3.) Third place - showcase and learning session with innovative communities and Federal payment pilot programs focused on improved care transitions and care coordination at the community level.  Entry into the Challenge does not constitute entry into any other challenge or promotion, including, without limitation, other similar challenges or promotions offered by Sponsor and/or Administrator.  By participating in the Challenge, each entrant unconditionally accepts and agrees to comply with and abide by these Official Rules and the decisions of Sponsor, Administrator, and/or the individual advisors, which shall be final and binding in all respects.

ELIGIBILITY:  To be eligible to win a prize under this challenge, an individual or entity: (a) Shall have registered to participate in the competition under the rules promulgated by Office of the National Coordinator for Health Information Technology; (b) Shall have complied with all the requirements under this section; (c)  In the case of a private entity, shall be incorporated in and maintain a primary place of business in the United States, and in the case of an individual, participating in a group, shall be a citizen or permanent resident of the United States and 18 years old or older as of the time of entry; and (d) May not be a Federal entity or Federal employee acting within the scope of their employment.  An individual or entity shall not be deemed ineligible because the individual or entity used Federal facilities or consulted with Federal employees during a competition if the facilities and employees are made available to all individuals and entities participating in the competition on an equitable basis.  Employees of Sponsor, Administrator, each of their affiliates, and/or any other individual or entity associated with the development, evaluation, or administration of the Challenge as well as members of such persons' immediate families (spouses, children, siblings, parents), and persons living in the same household as such persons, whether or not related, are not eligible to participate in the Challenge.

HOW TO ENTER:  To enter:  (a)  Shall have registered to participate in the competition under the rules promulgated by the Office of the National Coordinator for Health Information Technology ("Submission"); (b) go to the website located at www.health2challenge.org (the "Challenge Website"), complete the Official Application Form to officially register for the competition; (c) once registered you will receive additional instructions to submit your entry, a video demonstrating the Submission's capabilities and functionality, and an electronic slide presentation describing the submission according to the instructions posted on the Challenge Website.  You may only enter as part of a team.  Teams must include no less than two (2) people and each team member must be clearly identified on the team's Official Entry Form to be eligible.  All participants are required to provide written consent to the rules upon or before submitting an entry.  Submissions must be received during the Challenge Period to be eligible.  Administrator is the official timekeeper for the Challenge.  No substitutions of new versions of Submissions will be accepted under any circumstances once the original Submission is submitted for consideration.  In the event of a dispute regarding the identity of the individual or team who actually submitted the entry cannot be resolved to Sponsor's and/or Administrator's satisfaction, the affected entry will be deemed ineligible.  Except as otherwise stated in these Official Rules, personal information collected in connection with the Challenge will be used by Sponsor in accordance with Sponsor's privacy policy and by Administrator in accordance with Administrator's privacy policy available on the Website and with any additional consent given by an entrant at the time of entry.  All entry information and materials, including any copy of the Submission submitted to Sponsor, become the property of Sponsor and will not be acknowledged or returned.  Proof of submission is not considered proof of delivery to or receipt of such entry.  Furthermore, Sponsor and Administrator shall have no liability for any Submission that is lost, intercepted, or not received by Sponsor and/or Administrator.  Sponsor and Administrator assume no liability or responsibility for any error, omission, interruption, deletion, theft, or destruction or unauthorized access to, or alteration of, Submissions.

REPRESENTATIONS AND WARRANTIES/INDEMNIFICATION:  By participating in the Challenge, each entrant represents, warrants, and covenants as follows: (a) entrant is the sole author, creator, and owner of the Submission; (b) the Submission is not the subject of any actual or threatened litigation or claim; (c) the Submission does not and will not violate or infringe upon the intellectual property rights, privacy rights, publicity rights, or other legal rights of any third party; (d) the Submission does not and will not contain any harmful computer code (sometimes referred to as "malware," "viruses" or "worms"); and (e) the Submission, and entrants use of the Submission, does not and will not violate any applicable laws or regulations, including, without limitation, applicable export control laws and regulations of the U.S. and other jurisdictions.  If the Submission includes any third party works (such as third party content or open source code), entrant must be able to provide, upon Sponsor and/or Administrator's request, all appropriate licenses and releases for such third party works.  In the event entrant cannot provide all required licenses and releases, Sponsor reserves the right, in Sponsor's sole discretion, to disqualify the applicable Submission, or seek to secure the licenses and releases for Sponsor's benefit and allow the applicable Submission to remain in the Challenge.  Entrants will indemnify, defend, and hold harmless Sponsor and Administrator from and against all third party claims, actions, or proceedings of any kind and from any and all damages, liabilities, costs, and expenses relating to or arising from entrant's Submission or any breach or alleged breach of any of the representations, warranties, and covenants of entrant hereunder.  Sponsor and/or Administrator reserves the right to disqualify any Submission that Sponsor and/or Administrator, in its sole discretion, deems to violate these Official Rules.

SUBMISSION LICENSE:  Each entrant retains title and full ownership in and to their Submission.  Entrant expressly reserves all intellectual property rights not expressly granted under this Agreement.  By participating in the challenge, each entrant hereby irrevocably grants to Sponsor and Administrator a limited, non-exclusive, royalty free, worldwide, license and right to reproduce, publicly perform, publicly display, and use the Submission to the extent necessary to administer the challenge, and to publically perform and publicly display the Submission, including, without limitation, for advertising and promotional purposes relating to the challenge.

PUBLICITY RELEASE:  By participating in the Challenge, in addition to any other grants granted herein or which may be granted in any other agreement entered into between Sponsor and/or Administrator, on the one hand, and any entrant in the Challenge, on the other hand, each entrant hereby irrevocably (a) grants to Sponsor and Administrator the right to use such entrant's name, likeness, image, and biographical information in any and all media for any purpose, including, without limitation, advertising and promotional purposes relating to the Challenge and (b) releases Sponsor and Administrator from any liability with respect thereto.

U.S. GOVERNMENT SUPPORT, RIGHTS, AND WAIVER:   Sponsor and Administrator are administering the Challenge with the support of the U.S. Department of Health & Human Services pursuant to the American COMPETES Reauthorization Act (the "Act").  Subsection (j) of section 24 of the Act establishes that the Government is prohibited from acquiring an interest in intellectual property developed by a participant in a prize competition, such as the Challenge, without the written consent of the participant.  Registered participants shall be required to agree to assume any and all risks and waive claims against the Federal Government and its related entities, except in the case of willful misconduct, for any injury, death, damage, or loss of property, revenue, or profits, whether direct, indirect, or consequential, arising from their participation in a competition, whether the injury, death, damage, or loss arises through negligence or otherwise. Participants shall be required to obtain liability insurance or demonstrate financial responsibility, in amounts determined by the head of the Office of the National Coordinator for Health Information Technology, for claims by (a) a third party for death, bodily injury, or property damage, or loss resulting from an activity carried out in connection with participation in a competition, with the Federal Government named as an additional insured under the registered participant's insurance policy and registered participants agreeing to indemnify the Federal Government against third party claims for damages arising from or related to competition activities; and (b)    the Federal Government for damage or loss to Government property resulting from such an activity.

WINNER SELECTION/EVALUATION CRITERIA:  A panel of advisors will select a winning Submission from among all eligible entries based on the following evaluation criteria:

  • Effectively integrate inpatient data and provide structured support for self-care
  • Integrate design and usability concepts to drive patient and provider adoption and engagement
  • Demonstrate creative and innovative uses of mobile technologies
  • Demonstrate potential to improve health status for individuals and the community
  • Leverage NwHIN standards including transport, content, and vocabularies
  • Demonstrate ability to implement the intervention in a pilot setting, and ultimately to scale in a community.

The evaluation criteria are to be applied in the sole discretion of Sponsor and the individual advisors.  By participating in the Challenge, each entrant into the Challenge acknowledges and agrees that such evaluations may differ from person to person and agrees to be bound by and not challenge the final decisions of Sponsor and the individual advisors.

NOTICE TO WINNERS:  Attempts to notify potential winners will be made using the contact information provided on the winner's Official Entry Form.  Sponsor and Administrator are not responsible for e-mail or other communication problems of any kind.  If, despite reasonable efforts, a potential winner does not respond within five (5) days of the first notification attempt (or a shorter time as exigencies may require), or if the prize or prize notification is returned as unclaimed or undeliverable to such potential winner, such potential winner will forfeit his or her prize and an alternate winner may be selected.  If any potential prize winner is found to be ineligible, or if he or she has not complied with these Official Rules or declines the applicable prize for any reason prior to award, such potential prize winner will be disqualified and an alternate winner may be selected.  Sponsor may successively attempt to contact up to two (2) potential prize winners in accordance with such procedure, and if there is still no confirmed prize winner after such attempts have been made, if any, the applicable prize may go unawarded.

ANTICIPATED NUMBER OF ENTRANTS:  Many will enter, three winning submissions will be selected.  Actual odds of winning depend on the number of eligible entries received.  Sponsor and Administrator cannot accurately predict the number of entrants who will participate in the Challenge. 

PRIZES:  The winning teams will receive: 1.) First Place - Partnership consideration with a pilot test bed community candidate and up to $5,000 to support a 3-day site visit to the pilot community involving 2-3 people, 2.) Second Place - Showcase and learning session with innovative communities and Federal payment pilot programs focused on improved care transitions and care coordination at the community level and 3.) Third Place - Showcase and learning session with innovative communities and Federal payment pilot programs focused on improved care transitions and care coordination at the community level.

GENERAL PRIZE CONDITIONS:  The potential winner may be required to execute an Affidavit of Eligibility, a Liability Release and (where imposing such condition is legal) a Publicity Release (collectively "Prize Claim Documents).  If a winner fails or refuses to sign and return all Prize Claim Documents within five (5) days of Sponsor's and/or Administrator's request (or a shorter time as exigencies may require), the winner may be disqualified and an alternate winner may be selected.  No more than the advertised number of prizes will be awarded.  Prizes will be delivered only to an address in the U.S.  No cash alternative or substitution or transfer of prizes will be allowed, except Sponsor reserves the right in its sole discretion to substitute prizes of comparable value, in whole or in part, for any reason.  THE WINNER IS RESPONSIBLE FOR REPORTING AND PAYING ANY INCOME TAXES OR OTHER TAXES THAT MAY APPLY TO ACCEPTING A PRIZE; SPONSOR AND ADMINISTRATOR ARE NOT RESPONSIBLE FOR AND WILL NOT PAY ANY SUCH TAXES.

DATES/DEADLINES:  Because of the unique nature and scope of the Challenge, Sponsor and Administrator reserve the right, in addition to those other rights reserved herein, to modify any dates or deadlines set forth in these Official Rules or otherwise governing the Challenge.

GENERAL LIABILITY RELEASE/FORCE MAJEURE:  Each entrant agrees that Sponsor and Administrator (a) shall not be responsible or liable for any losses, damages, or injuries of any kind (including death) resulting from participation in the Challenge or any Challenge-related activity, or from entrants' acceptance, receipt, possession, use, or misuse of any prize, and (b) have not made any warranty, representation, or guarantee, express or implied, in fact or in law, with respect to any prize, including, without limitation, regarding such prize's merchantability or fitness for a particular purpose.  Entrants will indemnify, defend, and hold harmless Sponsor and Administrator from and against all third party claims, actions, or proceedings of any kind and from any and all damages, liabilities, costs, and expenses relating to or arising from entrant's participation in the Challenge.  Sponsor and Administrator assumes no responsibility for any damage to an entrant's computer system which is occasioned by accessing the Website or other Challenge-related websites or participating in the Challenge, or for any computer system, phone line, hardware, software, or program malfunctions, or other errors, failures, delayed computer transmissions, or network connections that are human or technical in nature.  Without limiting the generality of the foregoing, Sponsor and Administrator are not responsible for incomplete, illegible, misdirected, misprinted, late, lost, postage-due, damaged, or stolen entries or prize notifications; or for lost, interrupted, inaccessible, or unavailable networks, servers, satellites, Internet Service Providers, websites, or other connections; or for miscommunications, failed, jumbled, scrambled, delayed, or misdirected computer, telephone, cable transmissions or other communications; or for any technical malfunctions, failures, difficulties, or other errors of any kind or nature; or for the incorrect or inaccurate capture of information, or the failure to capture any information.  Sponsor and Administrator each reserve the right in their sole discretion to disqualify any individual who is found to be tampering with the entry process or the operation of the Challenge or Website or other Challenge-related websites, to be acting in violation of these Official Rules, or to be acting in an unsportsmanlike or disruptive manner, or with the intent to disrupt or undermine the legitimate operation of the Challenge, or to annoy, abuse, threaten, or harass any other person, and Sponsor and Administrator each reserve the right to seek damages and other remedies from any such person to the fullest extent permitted by law.  In the event an insufficient number of eligible entries are received or Sponsor and/or Administrator is prevented from awarding the prize or continuing with the Challenge as contemplated herein by any event beyond its control, including, without limitation, fire, flood, natural or man-made epidemic, earthquake, explosion, labor dispute or strike, act of God or public enemy, satellite or equipment failure, riot or civil disturbance, terrorist threat or activity, war (declared or undeclared) or any federal state or local government law, order, or regulation, public health crisis, order of any court or jurisdiction, or other cause not reasonably within Sponsor's control ("Force Majeure"), Sponsor and/or Administrator shall have the right to modify, suspend, or terminate the Challenge.  If the Challenge is terminated for Force Majeure before expiration of the Challenge Period, Sponsor and/or Administrator will (if reasonably possible) select a winner from all eligible, non-suspect entries received as of the date of the event giving rise to the termination.  These Official Rules cannot be modified or amended in any way except in a written document issued in accordance with the law by a duly authorized representative of both Sponsor and Administrator.  The invalidity or unenforceability of any provision of these Official Rules shall not affect the validity or enforceability of any other provision.  In the event that any provision is determined to be invalid or otherwise unenforceable or illegal, these Official Rules shall otherwise remain in effect and shall be construed in accordance with their terms as if the invalid or illegal provision were not contained herein.

GOVERNING LAW/JURISDICTION:  All issues and questions concerning the construction, validity, interpretation, and enforceability of these Official Rules or the rights and obligations of entrants, Sponsor and/or Administrator in connection with the Challenge shall be governed by and construed in accordance with the laws of the State of California without giving effect to any choice of law or conflict of laws rules or provisions.  Any legal claims arising from or relating to the Challenge or these Official Rules must be brought in the federal or state courts located in San Francisco, California.

WINNERS LIST/OFFICIAL RULES:  To obtain any legally-required winners list (after the conclusion of the Challenge) or a copy of these Official Rules, send a self-addressed envelope with the proper postage affixed to:  Health 2.0, LLC, Attn: Health 2.0 Developer Challenges, 650 Delancey Street #221, San Francisco, CA 94107.  Please specify "winners list" or "Official Rules" and the name of the specific Challenge in your request.

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