Adam Chee - The Role of Big Data, BCM & Cloud in Healthcare


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BCM Conference 2013

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Adam Chee - The Role of Big Data, BCM & Cloud in Healthcare

  1. 1. The role of Big Data, BCM & Cloud in Healthcare Dr. Adam CHEE Chief Advocacy Officer 25 Oct 2013 1
  2. 2. Conflict of Interest Disclosure Dr. Adam CHEE, Dr.IndTech, FACHI, MSc, MPH (WIP), MBA (WIP), PgD MedInfo, SpD InfoSec, BCom IT, CPHIMS, CITPM, CSSGB, CSP, MCSE,MCSA,MCDBA etc etc… does it really matter? Faculty (Health Informatics) with IHLs (Practice-Based Researcher) SME / Consultant / Advisor / Trainer with Health and Solution Providers, Consulting Firms Chief Advocacy Officer of binaryHealthCare Note: List of conferences presented & media mentions can be found at 2
  3. 3. Agenda • My topic for today is “The role of Big Data, BCM & Cloud in Healthcare” and we will be examining; • How the healthcare industry can leverage Big Data, Cloud and sound BCM practices to revolutionize healthcare, from increased efficiencies to better outcomes and more personalized care 3
  4. 4. Demystifying Healthcare • In order to ensure an effective implementation (of any technology), it is important to understand the nature of the industry (the nuances and contextual background) • Ever wonder why healthcare is called a ‘Practice’? • Ever wonder why a patient is called a ‘Patient’? • Warning : The following explanation will expose the hard truth about the origins of healthcare 4
  5. 5. Demystifying Healthcare (cont.) • Trial-and-Error medicine • The cholera epidemics in England during the 1800s, which resulted in more than 76,000 deaths, subside and stopped because John Snow (a physician) identified the problem source (via some detective work) • The organism that causes cholera (Vibrio Cholera) was discovered 25 years after John Snow’s death by Robert Koch • Trial-and-Error medicine is still being practice although it gets better and better • (ever heard of Clinical Trials and Evidence-Based medicine?) • The good news is, healthcare is moving towards a patientcentered paradigm - personalized medicine 5
  6. 6. Predictive Analytics in Healthcare • Predictive Analytics • Encompasses a variety of techniques from statistics, modeling, machine learning, and data mining that analyze current and historical facts to make predictions about future, or otherwise unknown, events • Powered by Big Data • Ongoing reforms in healthcare is slowly shifting from pay-forservice to pay-for-performance, as such, healthcare providers are being more data-driven, gleaming insights from predictive analytics • Healthcare NEEDS Analytics & Big Data 6
  7. 7. Data in Healthcare Does Where is the healthcare data? have data? Everywhere! Absolutely! 7
  8. 8. Everywhere? - Continuum of Care • Continuum of Care • A concept involving an integrated system of care that guides and tracks patient over time through a comprehensive array of health services across all levels health care. Healthcare System (Simplistic) PHR EMR Primary Care Prevention & Wellness EMR EMR EMR Community / Extended Care Acute Care EMR EMR Palliative Care Assisted Living / Home Care Ambulatory Care Health Information Exchange How about Interoperability? 8
  9. 9. Interoperability Basics • To put it briefly, there are three categories of Interoperability • Physical Interoperability • Medium of connectivity or the physical connections • E.g. Wireless network or Mobile Phone network (e.g. 3G, GSM, CDMA) • Usually take for granted • Functional Interoperability • Functional interoperability is syntactic in nature • Syntax refers to the structure of a communication • Similar to spelling and grammar rules • Semantic Interoperability • Semantics refers to the meaning of a communication • The vocabulary, dictionary or thesaurus 9
  10. 10. Interoperability (cont.) • To quote Charles Mead; • “syntactic interoperability guarantees the exchange of the structure of the data, but carries no assurance that the meaning will be interpreted identically by all parties” • Semantic Data across the Continuum of Care will enable; • Big Data, Analytics • Utilize these data to run Clinical Trials (using predictive analytics) • Retrospective cohort, case-control studies • Now back to answering the question of “where is the data” 10
  11. 11. Continuum of Care vs. Silos of Data PHR EMR Primary Care EMR Prevention & Wellness EMR Ambulatory Care Acute Care EMR Community / Extended Care EMR Assisted Living / Home Care EMR Palliative Care With Cloud, Physical Interoperability is resolved With Standards (e.g. HL7), Syntactic Interoperability is resolved 11
  12. 12. Business Continuity • Business continuity is the activity performed by an organization to ensure that critical business functions will be available to customers, suppliers, regulators, and other entities that must have access to those functions. • These activities include many daily chores such as project management, system backups, change control, and help desk. • Business continuity is not something implemented at the time of a disaster; Business Continuity refers to those activities performed daily to maintain service, consistency, and recoverability. 12
  13. 13. Business Continuity in Healthcare • Hospitals are going digital; • Not just filmless but also paperless • Heavy reliance on technology • Technology is expected to be robust like our electricity grid • As healthcare moves towards being data-driven, availability has taken on a new dimension of importance Source: HIMSS Analytics Asia Pacific 13
  14. 14. Business Continuity in Healthcare (Cont.) • Disruption of critical business functions in healthcare is a NO-NO • While technology cannot replace healthcare providers, the absence of technology can seriously hinder (if not cripple) the delivery of care • Imagine a surgeon operating on a patient and the electricity went out • Or you are examining a patient when the Electronic Medical Records is down • Do you still prescribe tests and medication? How about the priors? 14
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  18. 18. Business Continuity in Healthcare (Cont.) • High Availability requirements of acute hospital • 99.999 by the month (not year) for both planned and unplanned downtime • As a rule of thumb, if a physician has to wait for more than 3 seconds to load an image or report, than that is considered slow 18
  19. 19. The role of big data, BCM & cloud in Healthcare Enables Maximize Big Data & Analytics Cloud Enables Asset Business Continuity Foundation 19
  20. 20. The role of big data, BCM & cloud in Healthcare • You folks have an important role in transforming healthcare • Thank you and keep up the good work 20
  21. 21. binaryHealthCare Bridging the eHealth Divide binaryHealthCare, a ‘purpose-driven’ (social enterprise) boutique consulting firm offering training, technical and marketing strategy solutions / advisory, specifically addressing the eHealth domains within (but not limited to) the ASEAN region while serving to “Bridge the eHealth Divide” by empowering stakeholders in both developed & LAMI counties on effective, sustainable adoption of Health IT as an enabler for “better patient care at lower cost” Thought Leadership Education Consultancy Collaboration Content, Conferences, Awareness Raising & Media Engagements Online, Onsite & Collaboration towards courses in eHealth Consultancy as a Service, SME as a Service, Consulting Workshops Optimization by eliminating replication. Striving for a win-win resolution for all For further information, please contact; Name Dr. Adam CHEE Email