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Clinical Analytics for Improving Health Outcomes

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This is the presentation of Dr. Nipit Piravej at the 2012 Healthcare IT summit in Singapore.

This is the presentation of Dr. Nipit Piravej at the 2012 Healthcare IT summit in Singapore.


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  • 1. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12EMR Data Usage for Improving Health Outcomes Dr.Nipit Piravej Chief Corporate Officer, Bangkok Chain Hospital, Thailand Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 2. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12OUTLINEClinical Analytics…Tech is Ready, Are We Ready ???Effective Management + Meaningful Use of Clinical BIG DATARequires…Right System-Process-Platform…Make It a Key Part of Healthcare Reform Agenda…1. Game Changing Factors2. Current Gaps3. The New Model4. Key Enablers… Informatics + Analytics5. Driving Development Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 3. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12GAME CHANGING FACTORSHealthcare Sector under Enormous Pressure…1. Rising Consumer Power…Serving Gen “ME” Customization, Customerization, Personalization Across Health-Care & Life-Workstyle Continuum…2. Rising Policy Demand…Delivering Ultimate Health Outcomes Accountable, Affordable, Value-based Model Keep People Healthy-Happy, Reduce Acute Care & Hospitalization…3. Rising Quality Expectation…Zero Defect Care & Servicing Ultra-micro Standards, High Reliability Model Real Time, Ubiquitous Data-Info-Knowledge-Based Care & Processing Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 4. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHealthcare Sector under Great Constraints…Mainstream Healthcare Trapped in Traditional Model…1. Physician Directed (Labor Intensive) Specialty-based Fragmented Assessment-Decision-Care-Interaction2. Institution Centric Complex-Departmentalized, Limited Access, Hi-costs3. Acute Care Focused + Case-based Passive-Reactive, Resource Intensive, Short-term OrientedProne to be Hi-costs BUT Lo-outcomes + Poor Satisfactions Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 5. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHi-costs BUT Lo-outcomes…Case-1 : Male 26 Yr…Right Wrist Pain 5 MoDx : De QuervainTreatment CourseMulti-course NSAID (Cox-2 Inhibitor),Steroid Injection, PT…Not ImprovedAfter 15 OP Visits over 4 MoFinal Advice…Surgery/Change JobNon-Medical Factors…Become Key Determinants Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 6. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHi-costs BUT Lo-outcomes…Case-2 : Girl 3 Yr…Cough, Dyspnea, Fever 2 DAcute BronchitisAdmitted for IP TreatmentsPast HistoryLast 6 Mo, 4 OP + 3 IP Similar DxProgressNext 3 Mo, 2 OP + 1 IP for Same DxNon-Medical Factors…Become Key Determinants Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 7. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHi-costs BUT Lo-outcomes…Case-3 : Health Ins Claims ExperienceInsured with > 12 OP Visits/Yr= 12 % of Insured Population,Consumed > 45 % of Total OP Claims…Almost All…Diagnosed as “URI”Main Treatments…Analgesics, Antibiotics, Anti-histamineCase-based + Population-based Mgt… Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 8. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12THE NEW MODELCoping with New Health Challenges Require Paradigm Shift...“The 3rd Pillar” Access Good Health Affordable Cost Bridging the Gap Primary Prevention Public Health Population-based Paradigm Acute Curative Paradigm Med-Health Case-based Medical Management Health & Care Continuum Case-Population Bridging the Gap Bio-Medical-Health-Behavioral-Social-Econ Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 9. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12THE NEW MODELNew Model…New Player : Health “Manager” or “Integrator”New Approach…Systematic Management…Info-Evidence-Knowledge-Based Decisions & Actions Mainstream Delivery System Personal Care Primary Care Secondary Care Tertiary Care Multi-Modality Multi-Disciplinary Promotive Preventive Curative RehabilitativeOthers Others Med-Health Management Case Mgr, Dz Mgr, Health Mgr Integrate, Manage, Engage, Coordinate, Facilitate, Interoperate Patient & Population Healthy Risky ACUTE Chronic Complicated End-of-Life Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 10. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12THE NEW MODELMedical & Health Management Value Model… Comprehensive Profiling…Med-Fin-Personal-Social FactorsASSESS Multi-disciplinary PE, Lab, Imaging… Retro-Concurrent-Prospective AnalyticsPREDICT Hindsight, Insight, Foresight… Primary-Secondary-Tertiary PreventionPREVENT From Passive-Reactive to Proactive-Pre-emptive… Info-Evidence-Knowledge-based Decisions-ActionsINTERVENE Comprehensive…Med-Fin-Personal-Social Outcomes Continuing Profiling; Engagement & Supports…ENHANCE Joint Actions to Improve Health & Well-being Target Individual (personalized care) vs. Target Population (health mgt) From Acute-Chronic to Wellness Care Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 11. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12KEY ENABLERS1. EMR-EHR… Relevant Providers + Stakeholders (Payers-Employers) Multidisciplinary Standardized & Structured Clinical Data Transaction + Interaction Data (Cumulative, Medical + Non-medical)2. PHR… Individual Self-reported Data Portal & Connectivity (Life-Workstyle Info)3. Real-time Health-Med Risk Analytics… Info-Evidence-Knowledge-based Hindsight, Insight, Foresight Support Day-to-Day Preventive-Acute-Long-term Care Actions Strategic Service Planning of Target Individual-Group-Population4. Health ICT Platform… Integrate, Communicate, Engage, Interoperate Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 12. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12KEY ENABLERSAnalytic Techniques…Std ReportsAd hoc ReportsOLAPAlerts-RemindersStatistical AnalysisForecast-PredictOptimization Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 13. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12DRIVING DEVELOPMENTEstablish System-Team-Process…CEOBusiness Op Hospitality Op Medical Op CNO CMO Med-Affairs Med-Mgt Med-Services Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 14. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CONCLUSION1. Healthcare Systems are Under Increasing Pressure to Improve Performance & be More Accountable2. With Rapid Adoption of EMR-EHR in Recent Years, Hospitals Start to Capture Increasingly Large Amount Electronic Clinical Data…3. Big Clinical Data Provide Both Opportunity & Liability…4. Effective Management & Meaningful Use of Big Clinical Data Requires a Proper System-Process-Platform for Knowledge Deployment, NOT Just Analytic Tools…5. Medical & Health Management Based on Info-Knowledge-Rich Value Model of “Assess-Predict-Prevent-Intervene-Enhance” to Improve Health Outcomes at Both Individual & Population Levels is an Good Framework to Unleash the Potential of the Coming Big Clinical Data Environment Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  • 15. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12EMR Data Usage for Improving Health Outcomes THANK YOU Dr.Nipit Piravej Chief Corporate Officer, Bangkok Chain Hospital, Thailand Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

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