The Million Hearts Risk Check Challenge

Submission Deadline

Submissions are Closed

Prizes

  • First Place: $100,000 + opportunity to be featured in the Million Hearts Campaign
  • Five Finalists: $5,000 each

First Place

The Heart Health Mobile app by Marshfield Clinic

Team Members

Bryan Weichelt, Simon Lin, Marsha Barwick, & Bob Moritz

Marshfield Clinic's Heart Health Mobile App is designed to:
1. Reach individuals nationwide, especially those who may be at risk for developing heart disease.
2. Provide a quick heart health check and motivate users to obtain a more accurate assessment including blood pressure and cholesterol values.
3. Direct users to nearby locations offering affordable, convenient blood pressure and cholesterol screenings.

Finalist

FLORNCE Healthy Heart Coach, by mHealthCoach

Team Members

Aamer Ghaffar

mHealthCoach solutions strive for higher Patient adherence in an outpatient setting using readily available technology. The platform connects Patients, providers, pharmacies, and other stake holders for easy collaboration and care transition. Through the integration of Web-based tools, the mobile Internet, rich media, and powerful database technology, mHealthCoach™ is dedicated to improving efficiency, productivity and possibilities for the healthcare community, in order to bring about greater overall patient care. Its comprehensive mobile health platform offers two-way communication between providers and patients about treatment adherence and care and uses a virtual system coach to work with patients on adherence to treatment, Flornce™.
FLORNCE™, our digital coach increases unsuspecting patients awareness to hypertension and its risk. Tracks symptoms, educates the patient, encourages physical activities, monitor sleep patterns, emotional triggers, and daily medication schedule to organize information into a daily diary of well-being. The portal gives a snapshot of health entries over time that can be shared with a physician or other healthcare professional. The platform can be accessed through Web and mobile portals and includes the ability to model action plans for cardiovascular diseases such as heart failure, hypertension, high cholesterol and others based on standard guidelines for treatment. Social networking components and virtual support groups are also part of the treatment support system.
Submission is available on mobile web, smartphone app, Facebook and text messaging.

Finalist

Know Your Heart, by XLBao Lab

Team Members

Albert Chi, Peter Tseng, Joyce Pang, Benjamin Galen, MD

"Know Your Heart is an easy to use tool that will guide you through a series of ten questions to calculate your risk of developing cardiovascular disease (CVD) using a modeling tool built by Archimedes. After calculating your absolute risk and relative risk to people your age, it will share ways to lower your risk. The app will also recommend nearby clinics if you do not have your blood pressure or cholesterol values."

Finalist

HeartSpotter

Team Members

Alexander Blair

Heart Spotters is a web-based tool (optimized for desktop and mobile use) that aims to help patients characterize and reduce their heart attack and stroke risk. The tool motivates individuals to reduce their risk through coordinating resources in a health ecosystem: 1) My Risk, 2) My Plan, and 3) My Network.

My Risk
-Heart attack/stroke risk scoring
-Ability to see nearby screening location (with discount)

My Plan
-Interventions to reduce risk (e.g. smoking cessation, weight loss, etc)
-Customizing intervention plan
-Tracking risk, physical activity, and healthy behavior

My Network:
-Nearby PMCH/HSRP physicians
-Sponsored health/fitness events
-Social networking communities

Finalist

PharmaSmart

Team Members

Lisa Goodwin

PharmaSmart is presenting an extensible suite of health risk assessment tools that will exceed the Million Hearts Challenge parameters when combined with PharmaSmart’s proven integration solutions in pharmacy, worksites, clinics and physician offices.
We have created multi-lingual (English, Spanish, French) web based solutions that are mobile aware and optimized for phones and tablets including a two way SMS texting interface.
We offer a simple, easy to understand yet comprehensive interface that is accessible to users and the health care provider population. By combining the health risk assessment with our integration platforms, including our database of over 14 million biometric data entries including blood pressure, blood glucose, cholesterol, and weight/BMI; we extend tools to the patient for measuring and monitoring their biomarkers with automatic risk assessment updates that can be shared with their health care providers.
We intend to build the risk assessment and follow-up care pieces throughout our entire existing Health IT infrastructure extending to health providers across the nation. This will expose an estimated 48 million patient biometric interactions in 2013, extending to hundreds of millions by 2015. Currently, the risk assessment recommends seeing a health professional, but coupled with our IT solutions, we provide immediate access to patient data and display alerting features within the MTM/EMR software if patient biomarkers fall into risk zones. This enables immediate provider consultations and interventions. This is critical to patient interventions and education; enabling them to modify behaviors, better manage their disease states and change their health outcomes.

Background

The slide deck and recording presentation below are from the August 13th press call hosted by Farzad Mostashari (National Coordinator for Health IT) and Janet Wright (Executive Director - Million Hearts).

Are you at risk for heart attack and stroke? Are your loved ones? If you are like many Americans, these thoughts have crossed your mind, only to be replaced by the demands of the day and often returning in quiet moments. In communities across America, there are thousands of convenient and inexpensive ways to know your risk for heart-related conditions. Often, all it takes is scheduling a screening with your doctor or at a pharmacy. However, nearly 15% of people at risk for cardiovascular disease (CVD) are undiagnosed and less likely to take preventive action.

Million HeartsTM and the Office of the National Coordinator for Health IT (ONC) are sponsoring a developer challenge and outreach initiative to inform millions of Americans who may be unaware they are at significant risk for CVD , encourage those who think they may be at risk to take action, and direct both to community pharmacies to receive blood pressure and cholesterol screenings. Million Hearts and ONC seek to replace ignorance, worry, and inaction with knowledge, empowerment, and a means for referral.

The outreach initiative and winning app will:

  1. Reach individuals across the country, taking special aim at those who may be at risk for CVD and don’t know it.
  2. Deploy an engaging user interface that provides consumers with a quick health risk assessment, motivate them to obtain a more accurate risk assessment by entering their blood pressure and cholesterol values, and
  3. Direct them to nearby community pharmacies offering affordable and convenient blood pressure and cholesterol screenings.

This initiative will be a part of the Million HeartsTM initiative, a public-private partnership led by CMS and CDC to prevent a million heart attacks and strokes by 2017, and will be executed by Million Hearts partner organizations and others aligned with its aims. Initially, four cities – Chicago, Baltimore, San Diego, and Tulsa – will aggressively promote consumer participation in the initiative, and it will subsequently be rolled out nationally.

The purpose of the campaigns (and the new consumer app developed through this challenge) is threefold. Developers should keep these purposes in mind throughout the development process:

  1. Encourage further testing (specifically blood pressure and cholesterol), especially for those with some risk,
  2. Encourage lifestyle changes for those at some risk, and
  3. Encourage seeing a health professional if they are at high risk.

Description

**NEW Challenge Fact Sheet. Click here.**

This challenge grant asks developers to create a new consumer app that informs consumers of their general heart risk, motivates them to obtain a more accurate risk assessment by entering their blood pressure and cholesterol values, and directs them to nearby community pharmacies (and other locations) offering affordable and convenient blood pressure and cholesterol screenings.

Participating developers will have access to two sources of content that should markedly shape the development of the app:

  1. A new Application Programming Interface (API) for conducting the quick health risk assessment over a consumer-facing interface, hosted by Archimedes and built using their Indigo product.
  2. Locations (and specific descriptors) of places where individuals can go for a lipid and blood pressure screening, made available through flat files from Million HeartsTM and a new API hosted by Surescripts.

Each of these source APIs are described in more detail below and in linked appendices. In order for the Department of Health and Human Services to formally “sponsor” the winning app in a Million HeartsTM campaign, it will be important for applicants to specifically follow the inputs and outputs of the two APIs. Conformity with these inputs and outputs is included in the judging criteria.

Aside from these API elements, creativity is strongly encouraged, particularly in platform design, consumer engagement, personalized risk communication, and ways to link the two APIs together. More information about the judging criteria appears below.

Eight Question Health Risk Assessment Content
The app should begin with an eight question health risk assessment, designed to engage individuals by asking them questions about their personal health. The health risk assessment should launch soon after the consumer launches the app itself. It also must be introduced with an assurance that responses to these questions will be kept private and confidential. Otherwise, it is up to the developers to make the transition into the risk assessment process, and to create a risk assessment process that is engaging.

The app should ask the following eight questions to answer the required inputs of the Archimedes API (see Appendix A and Appendix B):

  • Age (18-85 allowed)
  • Gender (M,F)
  • Height (inches)
  • Weight (pounds)
  • “Do you currently smoke?” (yes, no)
    • Further explanatory text: “Answer yes if you have smoked any cigarettes in the past month”
  • “Has a doctor ever told you that you had a heart attack” (yes, no)
    • Explanatory text “a heart attack is sometimes called a myocardial infarction or MI”
  • “Has a doctor ever told you that you had a stroke” (yes, no)
  • “Has a doctor ever told you that you have diabetes” (yes, no)
    • Explanatory text “Answer yes if you have diabetes mellitus type I or type II”

The app should also ask whether the individual has recent data on their blood pressure and cholesterol measurements (biomarker data). If yes, individuals should be given the opportunity to enter the six values listed below to calculate a more exact risk score:

  1. Systolic blood pressure
  2. Diastolic blood pressure
  3. Total cholesterol
  4. HDL Cholesterol
  5. LDL Cholesterol
  6. HbA1c (IMPORTANT NOTE TO DEVELOPER: this question is asked only if patient says they have diabetes. HbA1c is typically communicated with one digit after the decimal point. For example 6.9 or 8.2)

There are then two scenarios:

  1. “Get Tested Phase”, if the user has not provided blood pressure and lipid data, or only entered some values: the Archimedes API will calculate rough risk estimate and the app should encourage them to obtain testing for the remaining values to enable an accurate estimate of their risk. This is described in more detail in the “Get Tested Phase” section below.
  2. “Risk Calculation Phase”, when the biomarker data has been entered: If the user enters these values, either on the first try or after obtaining testing, then the Archimedes API will calculate their risk and return additional information about options for reducing it. This is described in more detail in the “Risk Calculation Phase” section below.

“Get Tested Phase”
If the user has not provided blood pressure and lipid data, or only entered some values, the app should

    Give the individual a rough estimate of how high or low the individual’s risk could be, as obtained through the Archimedes API (See Appendix A and Appendix B).

  • Indicate that it will follow up with the individual later for the biomarker data.
  • Provide them with information on how to obtain their biomarker data (see “Screening Location Mapper” section below).
  • Prompt them periodically to complete their risk profile with blood pressure and lipid data.

After the app provides the individual with a rough estimate of his or her possible risk score, it should then transition immediately into convincing the user of the importance of completing the health risk assessment by getting a lipid and blood pressure screening. Apps will be evaluated for creativity and effectiveness in transitioning from communication about risk to communication aimed at persuading the individual to go to a nearby pharmacy for a lipid and blood pressure screening.

Screening Location Mapper
In the case that the user does not enter blood pressure and cholesterol values, after prompting individuals about the importance of a blood pressure and lipid screening, the app should then prompt them to enter their address (or use a device-enabled technology for getting their latitude and longitude such as the iPhone’s “current location” feature).

Based on the user’s latitude and longitude, the app should send individuals the closest locations where they can go for a risk screening (based on developers’ discretion of an appropriate distance and an appropriate number of locations from the user’s location) in a map-like output.

Screening locations will be provided from two sources:

  1. A directory of participating pharmacies will be provided by Surescripts. This directory will be accessible to developers via an API, and will remain available for free to the winning app throughout the campaign period. This directory will be updated frequently, and the developer should accommodate these updates by accessing the directory in real time or caching periodically. See Appendix C and Appendix D for specific detail on the API and how to access it.
  2. A directory of participating healthcare providers may be provided by HHS and/or participating “launch cities” (see below). This Community Healthcare Provider directory will be provided as a flat file, which the developers will receive from participating cities and/or HHS. These files may be updated periodically by HHS. HHS and Health 2.0 will follow-up with developers that register on the website about any updates or additions to this directory. Appendix C, Table 2.2.2.1 shows the format of the files that will be sent to the winner.

Both the flat file(s) and Surescript’s API will make available the same fields of information for each location, as follows (and as described in Appendix C):

  • Name
  • Address1
  • Address2
  • City
  • State
  • Zip
  • Cross Street
  • URL
  • URL Caption
  • Phone number
  • Description (Description of service offered + special offer. E.g., “Total Health Risk Assessment available for $10 if you use this app. Mention code GETSCREENED to receive this special offer.”)
  • Lat (when available)
  • Lon (when available)

Developers should create an app that uses locations from both sources, and which feeds the closest x number of locations (developers’ discretion) back to the individual in a map-like output.

Only locations that offer BOTH a blood pressure reading and lipid screening will be included in the Surescripts API and the flat files.

Follow Up
After connecting individuals with the screening locations, the app should do everything it can to get them to complete the screening. Apps will be judged for their effectiveness in prompting individuals to take this action.

Periodically after connecting individuals to the screening locations, the app should follow-up on whether they have completed their lipid and blood pressure screening.

Once the individuals indicate that they have completed their screening, the app should prompt them to enter the values from the blood pressure and lipid screening. Once the biomarker data has been entered the User is now in the “Risk Calculation Phase.”

“Risk Calculation Phase”
Once an individual has entered blood pressure and cholesterol measurements, the app may (at app developer’s discretion) ask an additional set of risk questions listed in Appendix A.

The app should then generate and communicate the individual’s risk. The Archimedes API offers a few different options for how to communicate risk (see Appendix A and Appendix B). It is up to the app developer to decide which of these methods to use. Developers should exercise a high degree of flexibility and creativity in figuring out how best to communicate the results of the risk assessment. Whichever method is chosen, it is key that risk information be conveyed, following the outputs offered by the Archimedes API. Apps will be evaluated for their effectiveness in communicating relative risk to the individual; i.e. how clear and actionable the information is to the end user.

After communicating the risk, the app should provide information about possible approaches to reducing that risk relevant to that individual. The Archimedes API will provide a series of possible interventions associated and associated risk reduction values, (e.g. “A doctor may be able to lower your risk of cardiovascular disease by x% by reducing your blood pressure” or “adding three hours of moderate exercise to your weekly schedule could reduce your risk by y%”). A more complete list of follow-up intervention messages can be found in Appendix A and Appendix B.

Platform Agnostic
We are not specifying what platform the app should be designed for. However, apps will be evaluated on their ability to:

  • Be readily available to a large number of individuals and incorporate diversity (e.g., age, race, income levels, language / cultural sensitivity, disabilities and special needs, etc.)
  • Be engaging and easily fit with a large and wide range of individuals’ daily lives.
  • Be interactive (e.g., easily allow individuals to have a back-and-forth “conversation” with the app)
  • Be easily incorporated into the marketing campaign (e.g., have a clear ‘action’ that could be advertised on a billboard, promoted by community leaders, etc.)

Platforms that could work along these criteria could include – but are not limited to – Facebook, Google+, smartphones, and text messaging.

Timeline

  • Submission Period Begins: July 27, 2012
  • Submission Period Ends: November 2, 2012 (Extended due to weather conditions)
  • Five Finalists Notified: November 30, 2012
  • Testing Period for Finalists: December 9 - December 31, 2012
  • Winner Announced: Early January

Review Panel

    • Faraz Ahmad
    • University of Pittsburgh School of Medicine
    • Lee Goldberg
    • University of Pittsburgh School of Medicine
    • Jason Mitchell
    • American Academy of Family Physicians
    • Denise Simmons-Morton
    • National Heart, Lung, and Blood Institute
    • Joseph Ternullo
    • Center for Connected Health
    • Janet Wright
    • HHS Million Hearts Initiative

Evaluation Criteria

  1. How well the apps follow the specific input and output requirements of the two APIs and exchange data with the data sources (Surescripts and the Community Healthcare Provider lists), as well as the Archimedes API
  2. Effectiveness in getting individuals to answer all the questions for the initial risk assessment
  3. Effectiveness in communicating initial risk to individuals, based on guidelines provided by Archimedes API
  4. Effectiveness in encouraging further testing (specifically lipids and BP), especially for those with some risk
  5. Effectiveness in communicating final risk to individuals, based on guidelines provided by Archimedes API
  6. Effectiveness in encouraging lifestyle changes for those at some risk
  7. Effectiveness in encouraging seeing a health professional if they are at high risk
  8. How easy and intuitive is the app to use, and how well does it engage consumers from diverse backgrounds. Which app is the most likely to get the most people to know their full cardiovascular risk?
  9. Submissions will be judged on their operating plans for the year, and the sustainability of the app over the life of the initiative. Has the entrant provided a viable plan for initial and ongoing technical capacity to meet projected usage as well as for support, maintenance and enhancement of the application?
  10. Demonstration of submitter’s current or prior ability to engage consumers.
  11. Demonstration of a business plan and likelihood of the app being sustainable beyond the campaign period.

Submission Requirements

Along with their app submission, entrants must submit a plan for how they will operationalize and sustain their product, and how many users they are capable of supporting throughout the length of a 12-month promotional campaign associated with this product (as described further below).

Although apps are not likely to collect personally identifiable health information, submissions should consider relevant privacy and security issues, laws, and policies, and ensure apps include appropriate privacy and security protections where necessary.

Personal health information will never be shared with HHS or ONC as part of this challenge.

Campaign

The winning app(s) may be heavily promoted by the Department of Health and Human Services, the Million HeartsTM initiative, and their partners. The initiative will unfold in two stages:

  1. Initially, promotional efforts will be focused in four launch cities: Tulsa, Chicago, San Diego, and Baltimore (and others may join). The campaigns will be executed by city leadership, with the support of private partners and the federal government, and are planned to include outdoor, radio, and print advertising; grassroots, community-based promotion; highlighting at major events; and highlighting by city and national leaders.
  2. The campaign will subsequently launch nationwide, as a focus of both Million HeartsTM communications and those of Million Hearts national corporate partners.

The Million HeartsTM website will promote the challenge and direct consumers to a landing page that can reroute them to the winning app(s).

Conditions of Participation

By participating in the Developer Challenge and/or entering a submission, all entrants agree to make the grand prize winning app available for free, to all users, until December 31, 2013, including hosting and maintaining the web service in a scalable format, providing updated releases to app stores, responding to requests for technical support, bug fixes, and other reasonable requests from the Department of Health and Human Services, Million Hearts, and its partners.

Submissions must include operating plans for the year, and submissions will be judged for the likelihood of the submitter successfully maintaining the app to support the campaign. Has the entrant provided a viable plan for initial and ongoing technical capacity to meet projected usage as well as for support, maintenance and enhancement of the application? Winning app(s) will be required to report usage statistics to HHS on a regular basis. Developers are encouraged to include plans for the reports they would create.

Submissions must also include business plans that extend beyond the first year, including commercial uses of the application. This could include investor statements. Apps will be judged on the submitter’s demonstration of this business plan and likelihood of the app being sustainable beyond the campaign period.

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 9:00 AM Eastern Time on July 27, 2012 and ends at 11:59 PM Eastern Time on October 31, 2012 ("Challenge Period"). The Million Hearts Risk Check Challenge asks innovators and software developers to create new consumer applications that inform consumers of their general heart risk, motivate them to obtain a more accurate risk assessment by entering their blood pressure and cholesterol values and direct them to nearby community pharmacies (and other locations) offering affordable and convenient blood pressure and cholesterol screenings. Six 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 - $100,000 plus the opportunity to be featured in the Million Hearts Campaign, 2.) Five Finalists - $5,000 each. 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:

  • How well the apps follow the specific input and output requirements of the two APIs and exchange data with the data sources (Surescripts and the Community Healthcare Provider lists), as well as the Archimedes API
  • Effectiveness in getting individuals to answer all the questions for the initial risk assessment
  • Effectiveness in communicating initial risk to individuals, based on guidelines provided by Archimedes API
  • Effectiveness in encouraging further testing (specifically lipids and BP), especially for those with some risk
  • Effectiveness in communicating final risk to individuals, based on guidelines provided by Archimedes API
  • Effectiveness in encouraging lifestyle changes for those at some risk
  • Effectiveness in encouraging seeing a health professional if they are at high risk
  • How easy and intuitive is the app to use, and how well does it engage consumers from diverse backgrounds. Which app is the most likely to get the most people to know their full cardiovascular risk?
  • Submissions will be judged on their operating plans for the year, and the sustainability of the app over the life of the initiative. Has the entrant provided a viable plan for initial and ongoing technical capacity to meet projected usage as well as for support, maintenance and enhancement of the application?
  • Demonstration of submitter’s current or prior ability to engage consumers
  • Demonstration of a business plan and likelihood of the app being sustainable beyond the campaign period

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 - $100,000 plus the opportunity to participate in the Million Hearts Campaign, 2.) Five Finalists - $5,000 each.

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.

© 2011 Health 2.0, LLC. All rights reserved.