Expo is the most significant annual health and social care event in the calendar, uniting more NHS and care leaders, commissioners, clinicians, voluntary sector partners, innovators and media than any other health and care event. Expo 15 returned to Manchester and was hosted once again by NHS England. Around 5000 people a day from health and care, the voluntary sector, local government, and industry joined together at Manchester Central Convention Centre for two packed days of speakers, workshops, exhibitions and professional development. This year, Expo was more relevant and engaging than ever before, happening within the first 100 days of the new Government, and almost 12 months after the publication of the NHS Five Year Forward View. It was also a great opportunity to check on and learn from the progress of Greater Manchester as the area prepares to take over a £6 billion devolved health and social care budget, pledging to integrate hospital, community, primary and social care and vastly improve health and well-being. More information is available online: www.expo.nhs.uk

1. Harnessing modern communicationsand data sharing channels and exploringthe
potential of predictive analytics
Laurence McNamara Dr. Ian Wiles Claire Medd RGN
Oracle GPC Intel
1

2. Health challenges & the potential of data
Management cost of chronic diseases
is out of control
Increase in real-world data, both
structured and unstructured
Aggregation and analysis of big data
Shift to value-based medicine from
volume-based medicine
Patient stratification to identify
population subsets most likely to
respond to a therapy
Cloud technologies are enhancing
R&D collaboration
70% 61%
54%
Will you use secondary
health data within the
next 2 years?
Provider Pharma Payer
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Medical image archives are increasing by
20-40% annually.3
X-RAY 30MB
Mammograms
120MB
3D CT Scan 1GB
425K
Telehealth.2
Health care analytics:
80%
unstructured data :images,
video and email.4
3D MRI 150MB
PACS
Opportunity for personal empowerment
Sources:1. http://www.netapp.com/us/media/wp-7169.pdf; 2. BCC Research Global Markets for Telemedicine Technologies (HLC014E). March 2012 3.
http://datascienceseries.com/assets/blog/The_Age_of_Data-Driven_Medicine.pdf (page 9);
4. http://www.zdnet.com/news/unstructured-data-challenge-or-asset/6356681
3
It is estimated that the
average hospital generates
Hospital, pharmacy and clinic records
665TBofdata
annually1

4. Targeted
Medication
Patient
selfhelp
Realtime
Diagnosis
PREDICTIVE
ANALYTICS
Operational
analytics
Clinical
Analytics
Scans
Images
Sensor
data
Clinical
Data
Home
monitoring
Ingestible
Devices
Wearable
Devices
Our Joint Strategy for Data-Intensive Care
Data
Servers Storage Network
Applications
AnalyticToolsandutilities
BigDataPlatform
4
PATIENT-CENTERED
OUTCOMES
 Access to care for
the underserved
 Enabling early
intervention and
prevention
 Encouraging
patient
empowerment
 Better quality of
care and health
outcomes from
care designed for
the individual

5. Basque Country (Spain) – Project O-sarean
5
Citizen access topersonal health data – enabling
informed choice and empowering the citizen
 Regional public healthcare systemcovering 2.1 M
inhabitants with 20 hospitals and more than 23K
healthcare professionals.
 80% of patient interactions with the public health
systemare related to chronic diseases driving
77% of the total health expenditure.
 Health expenditure on current trends if nothing is
done differentlywill need to double by 2020!
 Oracle HealthManagement Platformis being
implementedto support a call centre-based
approach to citizen engagementand patient
empowerment.
Background / Needs Results with Oracle and Intel
Active monitoring of healthstatus for people with
long term conditions
The “expertpatient” – providing the individual with
the necessaryknowledge and decision-making
authority to take control of their life
Healthand drug advisory service – providing
citizens with impartial and evidence-basedadvice
Healthylifestyles promotion – advice, guidance and
active support for individuals who wish to improve
their health

6. The Basque Country Multi-Channel Health Service
Centre – Delivering Active Patient Management
CRM
IVR
BI
Patient-
professional
collaboration
New
appointment
model
Health
counseling
Active patient
Personal
information
access
Patients remote
monitoring
Customer
services
administrative
procedures
Prevention
campaigns
Health advice over the phone, internet
and smart phones by Osakidetza nurses
Personal Health Record
Professional and technical support for
non-face-to-face consultations
Administrative procedures
online, citizens and users
surveys
Telemedicine solution for chronic patients
through mobile platforms
Public health campaigns.
Alerts and Vigilance
Patient empowerment: customized
health advice, patient forums,
assisted health promotion
Appointments and demand management to GP,
pediatricians, nurses and midwives, through
telephone, internet and smart phones
Virtual referrals, tele-consults
6

7. From A SolutionPerspective, the Multi-Channel
Health ServiceContainsSeveral OracleComponents
Facts
The multi-channel health service connects 11 acute hospitals, 4 chronic hospitals, 4 mental health hospitals, 1.850GPs
and 820 pharmacies. 15 FTE nurses staff the nurse call center and approx. 330 FTE administrative staff work
collaboratively from health centres.
Hospitals GPs Pharmacy Other...
Information
exchange
Analytical DW
EHR
Information
Source systems
Integration,Storage& ControlLayer
HealthManagement
Platform
Health
Services Interoperability services
Oracle
Patient’s “Smart” PHR
EHR access for professionals
7

8. Maternity Assist
8
The Proposition
 Moretime to spend with those whohavegreater needs
 Automatedroutine care pathwaytasks
 Knowledgesharingwiththe extended midwifery community
 Users stay informed at everystage oftheir pregnancy
 Userscan keep in touch with your teamofdedicatedmidwives
The Value
 Services accessed at a time that suitsthe patient
 Knowledgebase ofinformationprovided by experiencedmidwives
 Encouragingselfcare withsupport offamily and friends
 Educate, inform, engageeveryone involved
 Patient empowerment to engage withthe mostsuitablecare
Maternity
AssistThe Communication
Channel
Close
friends
Close
Family
Woman
Close
Friends
Close
Family
Woman
Midwife

9. Reducing Hospital Readmissions and Length of Stay:
Big Data AnalyticsSolution Based on Cloudera CDH*
Data is spread acrossnumerousdatasilos;
need to tie it together with aunified
platform to enable high-value analytics
Challenge Solution
0%
20%
40%
60%
AMI PNM CHF
Readmission Rate of Highest Risk Group vs.
Random Sample
Predictive Model Random Sample
Benefits
 Successful PoC based on Cloudera CDH; pulled data
from multiple sources
 Intel Big Data Professional Services team provided
data science expertise to develop analytics
 Identified patients at risk of hospital readmission and
patients at risk of extended hospital stay

10. Early Intervention Using Predictive Analytics:
Data siloed acrossdifferent care providers
and disciplines; value of unstructured data
currently untapped. Lackof care
coordination resultsin increased hospital
re-admissionsand increased cost
Challenge Solution
Benefits
Big Data AnalyticsSolution Based on Cloudera & Santana
 Cloudera pulls together siloed unstructured data from
disparate systems
 Santana’s “NLP Engine” (Natural Language Processing)
helps to identify patterns for risk stratification and
prioritise interventions
 Timely collaborative care decisions
 Capacity building to better serve 800K dementia
patients through service transformation

11. MimoCare: Improving Support for Independent
Living with the Intel® Intelligent Gateway™
MimoCare is the trading name of QVisual Limited.
QVisual Limited is a registered company in New Zealand Company No: 1452276 UK Office: Wesley Hall,Calcutt Street, Cricklade, Swindon, Wiltshire SN6 6BA. All rights reserved by
their respective owners, Copyright ©2015
Use analytics to identify normal
patternsof behavior and predict
events
Trigger alerts wheneventsare
outside normal range or predefined
schedule
Consolidation of aggregated data
will allowwider research and medical
application while ensuring complete
privacy
 Capture sensor datato monitoractivity
levels, ambient temperature, cooker
status and sleeping patterns
 As eldersage, extend their
independence aslong aspossible while
ensuring their safety
 Provide better insights for preventive
action
Background / Needs Results with Intel & Oracle
11

12. Pressure Ulcers and
3D images from GPC
Ian Wiles, Medical Director,
Ian.Wiles@gpcsl.co.uk

13. Wound care is costly
 The cost of treating a pressure ulcervaries from £1,214
(category 1) to £40,000 (category IV).
 £3 billion in the UK
 Disruptive to the patients lifestyle
Wound managementis changing
 Closer to the patient
 Fewer specialist nurses
 More pressureulcers
Outcomes are difficult to monitor
 Measurements (staging) are subjective and stepped
 Population management difficult

14. Consistent wound measurement
1.Length, width and depth
2.That can be reviewed and managed online

15. Consistent Wound Images
1.At the same distance
2.To monitor changes over time

16. Capture and playback in 3D
1.To better visualise wounds and location
2.Supporting online specialist review

17. Track and manage healing over time
1. For an individual and for a population
2. Repeatable, standard and accurate severity measure*
* The ULNIT ™ is the
max height X max
width X max depth
as a number

18. GPC Pressure Ulcer Applications
Dimensions monitored and managed by
exception. Specialist Nurses and
Physicians review 3d, video and image
including change over time and
intervene if required
3
Web Applications
Integration with other systems to send and
receive worklists and medical records and
to link to depth, measurement and 3D
images.
4
Integration Services
Secure send and store with
intelligent image processing
2
Cloud Store & Applications
Capture of image and depth data by
clinicians and patients
1
Mobile Applications

19. Enabling community and patient centred care
TO LEARN MORE: Speak with your local Oracle and Intel Healthcare
representative during NHS Expo (Stand106) or go to URLs….
http://www.oracleconnectinghealthcare.com
http://www.intel.com/healthcare
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Harnessingmodern communication and data sharingchannels and exploring
the potential of predictive analytics

20. 20

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