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Big Data & Engagement
Reid Oakes
Executive Director, Healthcare Technology
Healthcare Industry Business Unit
The Health Ecosystem is Expanding Globally
EMR
EMR
EMR
CARE
COORDINATION
TEAM
COLLABORATION
ANALYTICS
PUBLIC
REPORTING
HIE
PATIENT
PORTAL
ACO
DI
DW
WF
CORE
PHR
ACO
ADMINISTRATION
PAYOR
REPORTING
TELEHEALTH,
REMOTE MONITORING
DI = DATA INTEGRATION
DW = DATA “WAREHOUSE” OR REPOSITORY
WF = WORK FLOW
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Lots of data coming together …
Integrated
Analytics
Population
Monitoring
and
Surveillance
Electronic
Health
Records
Integrated
Healthcare
Health
Information
Exchange
Longitudinal
Integrated
Care
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Prospective
Health
Monitoring
From Many Devices and Services …
Consumer Engagement
Personalized Medicine
Social Interactions
Individualized Treatments
Accountable Care
Personalized Medicine
Patient Advocate
Accountable Care
Population Health
Accountable Care
Outcome Base Comp
Accountable Care
Personalized Medicine
Personalized Medicine
Accountable Care
Personal Preferences
Telehealth
Cancer Treatments
Care Patterns
Translational Research
Translational Research
Translational Research
Consumer Engagement
Accountable Care
Apply Research Findings
Data Management
Clinical protocols
Behavioral Modification
Prevention Plans
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Telemedicine
Lots of Data …
PCP / GP PATIENT RECORDS
HOSPITAL RECORDS
COMMUNITY RECORDS
TELE-MONITORING AND TELEMEDICINE DATA FLOWS
HEALTH INFORMATION EXCHANGE
DENTAL/OPHTHALMIC RECORDS
ALTERNATIVE SERVICE PROVIDER
RECORDS (E.G. CHIROPRACTOR)
NHS DIRECT/24 & CHOICES
PRIMARY AND SECONDARY WEB
PRESENCE
PAYROLL/HR
ASSET DATA – BUILDINGS,
EQUIPMENT, ETC
HL7/LOINC/SNOMED FLOWS FOR
INTEROPERABILITY
STATUTORY RETURNS (CLINICAL) –
HES / QOF RETURNS
ANNUAL REPORTS
PSYCHIATRIC RECORDS
(DISCURSIVE NOTES)
SOCIAL MEDIA
MASS MEDIA
STATUTORY RETURNS (ADMIN) –
OPERATIONAL SUMMARIES,
INCLUDING STAFFING AND FACILITY
USE (OCCUPIED BEDS)
SELF HELP GROUPS AND
ASSOCIATED WEBSITES
CLINICIAN COMMUNICATIONS –
REFERRAL LETTERS FOR EXAMPLE
HOSPITAL LETTERS TO PATIENTS
ENVIRONMENTAL DATA – POLLUTION
– WATER AND AIR QUALITY –
RADIOACTIVITY
BOARD LEVEL PAPERS
HEALTH AND SAFETY DATA
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SOCIAL SERVICES
WEATHER
Enabling new questions to be asked … and Answered
We focus on optimizing components – so you can focus on critical analysis!
“How is our nurse overtime policy
affecting our ICU quality measures?
Patient satisfaction?”
CLINICAL
“Do our cardiac care reimbursements
reflect our improved quality measures?”
Traditional Analytics
“What is the correlation between the
length of acute respiratory infection and
the administered doses of different
antibiotics?”
FINANCIAL
HR
SUPPLY CHAIN
Discovery
Analytics
“Find cancer patients whose EGFR
expression levels are 2 fold above
the threshold for normal
expression?”
BILLING
“How do specific Hospital system members
perform compared to their peers?”
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“How many patients had flu like
symptoms, even if not diagnosed,
on a weekly basis for 2006-2012?”
But a complete solution needs broad services offerings
Strategies for Improving Care Delivery
Solutions
Clinical R&D
Collaboration
Translational
Medicine
Enterprise
Healthcare
Analytics
Improve
R&D
Productivity
Drive
Translational
Medicine
Improve
Quality
& Safety
Discovery
Research
Drug
Development
Clinical
Research
Health
Information
Exchange
Care
Management
Deliver
Personalized
Care
Enable
Participatory
& Preventive
Care
Care
Delivery
Care
Management
Population/
Global Health
Leading to “value based” Healthcare
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… A connectivity and data standard …
Embedded
Device Model
Use Cases
Insulin
Pump
ECG
Personal
Health
Record
New Device Classes
Peak
Flow
Healthcare
Provider
Physical
Activity
Labs
Electronic
Health
Record
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… And a Documented Data Path to Complete Analysis
Accountable
Care
Pharmaceutical
Clinical Data
EMRs
Genomics
Proteomics
Matabolome
Activity Claims
Cost Data
Biometrics
Telemedicine
Patient Lifestyle Data
Sentiment Data
Stream
•
•
•
•
•
Personalized
Medicine
Acquire
Organize
Track outcomes
Track treatments, Dr. Notes
Track social media, payments
Correlate Omics with EMR data
Correlate BIO metrics data across
devices
Translational
Research
Patient
Engagement
Analyze & Visualize
• Model protocols
• Model outcomes
• Model normal behavior
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Execute
• Prediction
techniques easy to use & • Detection
• Metrics
highlight suspicious
• Data visualization
behavior
Health Data Must be Secured Differently …
But be available to support high value discovery …
Identified
De-identified
Enterprise Healthcare Analytics
(Hospitals, Clinics, IDNs, Payers)
•
•
•
•
•
Quality and Safety
Clinical analytics
Revenue Cycle
Clinician performance
Decision support
Translational Medicine
(AMC & Pharma)
• Patient Cohort Identification and
PHI
PHI
•ANALYTICS
Selection
• Statistical & Scientific Analysis
• Biomarker Research
+
•Health
Information
Exchange
Care Management
(Providers, Payers)
•
•
•
•
PHI
PHI
Clinical R&D
(Pharma, AMC, PBMs)
• Clinical Trial Optimization – Protocol Validation,
Care and Disease management
Utilization management
Performance measurement
Consumer engagement
Recruitment, Late Phase monitoring
• Safety & Pharmacovigilance
• Biomarker Discovery
• Comparative Effectiveness Research
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Note: Data Acquisition is Constant …
Patient / Doctor
Population Health Manager
Disease Manager
Personalized Medicine
Identify and spread awareness
manage chronic disease patients
Device Reading
Capture /
Measure
Discover
/Analyze
/ Monitor
Telemetric data
Reading
Transmission
Data Processing
/ Ingestion
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monitor, trend and plan
And MUST be integrated into applicable processes …
Health Management Platform
Health System
Engagement
Engage and
enhance the
relationship with
person/patient and
referring
physicians.
Improve
experience and
connectivity with
the community
Care
Transition
Management
Population
Health
Programs
Active
management and
care coordination
between Health
Organizations.
Discharge
management
coordination
Screening, risk
and campaign
management, for
a defined
population
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Active Longterm Care
Case
Management of
long term
conditions.
Disease
management and
telehealth.
Medical Home
Managed Across a Patients Journey to Incent Engagement
Enhance Brand
Demonstrate Excellence in Care
Improve Experience and Outcomes
Brand Management: Marketing, Community and Clinician Programs, Supporting Healthy Living, Fundraising
• Enabling easier Access via
multi-channel interaction
• Information Call Centers
• Simplify Referrals for
Providers and Patients
• Centralized scheduling
• Collect Patient information
pre-services
• Provider resource line and
continuing education
programs
•
•
•
•
Administrative Simplification
Referral processing
Registration/preadmission
Revenue cycle
management
• Discharge Planning
• Patient Education
• Provider and Family
Continuity
• Post discharge follow-up
for medications and
treatment plan
• Retail and revenue
generation
• Supports “Project RED”
(Re-Engineered
Discharge Process
• Monitoring and
Support
• Multi-channel
• Personalized and
participatory
• Compliance
monitoring
• Patient, family and
Provider ongoing
support
• Remote medical
device connectivity &
monitoring
Analytics to measure cost, quality and outcomes to improve care and drive efficiency
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Copyright ©2013, Oracle. All rights reserved.
Oracle Confidential