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From BIG Data to Lives Saved
                                                         Hadoop & HBase in Healthcare




                                                               Copyright 2010-2011, Explorys, Inc., All Rights Reserved
page 1 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Charlie Lougheed                       Doug Meil
                             Cofounder, President & CTO             Cofounder, Chief Software Architect
                             Email: charlie@explorys.com            HBase Committer
                                                                    Email: doug@explorys.com




page 2 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
How does BIG Data save a life?




page 3 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
page 4 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Population Intelligence
                           Seeing the patterns and acting upon them


page 5 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
The State of Healthcare in the U.S.




page 6 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Things could be                                                  17.6% of GDP ($8,086) per person in ’09
    better…
                                                                     19.3% of GDP expected by 2019

                                                                     Approximately 5% or $700B per year
                                                                      goes to tests and procedures that do
                                                                      not improve health outcomes --
                                                                      Congressional Budget Office


                                                                     Medicare spending grew 7.9% to
                                                                      $502.3 billion in 2009

                                                                     United States life expectancy is 42nd in
                                                                      the world.
Source: CMS NHE Fact Sheet 2009

page 7 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
page 8 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Data Source [1] (OECD Health Data 2009). Health care cost rise based on total expenditure on health as % of GDP.



page 9 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
“…that kind of a cost, compared with
                                                              the rest of the world, is like a
                                                              tapeworm eating at our economic
                                                              body.” – Warren Buffett, March 2010




page 10 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Data Overload
page 11 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
The Data Curve
                   Healthcare is not on a path
                   to keep up.




page 12 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Lessons from the Outside




page 13 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
page 14 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
page 15 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Size Matters
                  Statistical Relevance in Healthcare Is Everything




page 16 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Type II diabetics
        &
        occurrence of MI
         &
         Treatment X…




page 17 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
We need a little revolution
                                  to get some evolution.



page 18 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Private Cloud Computing
                                        That meets the unique demand of Healthcare




                                                                     30,000,000,000+
                                        clinical, operational, and financial
                                                                     BIG DATA
                                        data facts, across 10 million patients
                                               and 10+ years of data




      aggregated | encrypted | curated | HIPAA compliant | efficient
page 19 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
About Explorys
      Formed in 2009
      Developed in conjunction with Cleveland Clinic
      Formed by leaders in BIG DATA, security, and healthcare




page 20 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Private Cloud Computing
                                        That meets the unique demand of Healthcare




                                                                     30,000,000,000+
                                        clinical, operational, and financial
                                        data facts, across 10 million patients
                                               and 10+ years of data




      aggregated | encrypted | curated | HIPAA compliant | efficient
page 21 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Private Cloud Computing
                                         7 Integrated Delivery Networks, 70+ Hospitals




      aggregated | encrypted | curated | HIPAA compliant | efficient
page 22 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Enterprise
                                                                               Performance Management
                                       Explore
                                                                               For Healthcare
                                                                               Index
                                                                               Collect, aggregate, curate, and map all pertinent
                                                                               clinical, operational, resources, financial, and
                                                                               contractual data.


                                        Index
                                                                               Explore
                                                                               Population, providers, treatments, and outcomes in
                                                                               real-time.


          Engage                                                     Measure
                                                                               Measure
                                                                               Processes, treatments, outcomes, and financial results
                                                                               between providers, departments, and locations.

                                                                               Engage
                                                                               On holistic information to direct care and in a value-
                                                                               based model.

page 23 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
How?



page 24 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
“In pioneer days they used oxen for heavy pulling,
                         and when one ox couldn't budge a log,
                                                             X
                            they didn't try to grow a larger ox. elephant




                  “We shouldn't be trying for bigger computers, but for
                            more systems of computers.”

                                    Rear Admiral Grace Hopper, Inventor of COBOL Compiler

page 25 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
The Explorys Platform
        Specialized cloud computing platform for healthcare and life sciences

                  A                                                    B                          C




                                         Apps                              Databases           Indexes
                                         Explorys &                        On-demand data      High speed access to
                                         3rd Party                         marts, cubes, and   standardized data
                                                                           registries



                                                                     Explorys DataGrid
                            Always On | Curated | Privacy Protected | Open Support for 3rd Party Apps & Marts
page 26 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
So How Did We Get Here?
                                                                     In 2009, we knew we were going to need to
                                                                     collect a lot of data
                                                                     We needed to address both the storage and
                                                                     the processing challenges.




page 27 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
A few stumbles along the
                                                                     way
                                                                     GC of Death
                                                                     Lack of documented best practices when
                                                                     we started (in 2009)




page 28 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Works for us




page 29 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
BIG Data in Action…




page 30 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Questions?




page 31 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
Thank You!

                             Charlie Lougheed                            Doug Meil
                             Cofounder, President & CTO                  Cofounder, Chief Software Architect
                             Email: charlie@explorys.com                 HBase Committer
                                                                         Email: doug@explorys.com




                                                                     and we’re hiring!

page 32 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved

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Hadoop World 2011: From Big Data to Lives Saved: HBase in HeathCare - Doug Meil & Charlie Lougheed - Explorys

  • 1. From BIG Data to Lives Saved Hadoop & HBase in Healthcare Copyright 2010-2011, Explorys, Inc., All Rights Reserved page 1 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 2. Charlie Lougheed Doug Meil Cofounder, President & CTO Cofounder, Chief Software Architect Email: charlie@explorys.com HBase Committer Email: doug@explorys.com page 2 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 3. How does BIG Data save a life? page 3 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 4. page 4 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 5. Population Intelligence Seeing the patterns and acting upon them page 5 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 6. The State of Healthcare in the U.S. page 6 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 7. Things could be  17.6% of GDP ($8,086) per person in ’09 better…  19.3% of GDP expected by 2019  Approximately 5% or $700B per year goes to tests and procedures that do not improve health outcomes -- Congressional Budget Office  Medicare spending grew 7.9% to $502.3 billion in 2009  United States life expectancy is 42nd in the world. Source: CMS NHE Fact Sheet 2009 page 7 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 8. page 8 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 9. Data Source [1] (OECD Health Data 2009). Health care cost rise based on total expenditure on health as % of GDP. page 9 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 10. “…that kind of a cost, compared with the rest of the world, is like a tapeworm eating at our economic body.” – Warren Buffett, March 2010 page 10 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 11. Data Overload page 11 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 12. The Data Curve Healthcare is not on a path to keep up. page 12 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 13. Lessons from the Outside page 13 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 14. page 14 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 15. page 15 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 16. Size Matters Statistical Relevance in Healthcare Is Everything page 16 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 17. Type II diabetics & occurrence of MI & Treatment X… page 17 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 18. We need a little revolution to get some evolution. page 18 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 19. Private Cloud Computing That meets the unique demand of Healthcare 30,000,000,000+ clinical, operational, and financial BIG DATA data facts, across 10 million patients and 10+ years of data aggregated | encrypted | curated | HIPAA compliant | efficient page 19 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 20. About Explorys Formed in 2009 Developed in conjunction with Cleveland Clinic Formed by leaders in BIG DATA, security, and healthcare page 20 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 21. Private Cloud Computing That meets the unique demand of Healthcare 30,000,000,000+ clinical, operational, and financial data facts, across 10 million patients and 10+ years of data aggregated | encrypted | curated | HIPAA compliant | efficient page 21 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 22. Private Cloud Computing 7 Integrated Delivery Networks, 70+ Hospitals aggregated | encrypted | curated | HIPAA compliant | efficient page 22 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 23. Enterprise Performance Management Explore For Healthcare Index Collect, aggregate, curate, and map all pertinent clinical, operational, resources, financial, and contractual data. Index Explore Population, providers, treatments, and outcomes in real-time. Engage Measure Measure Processes, treatments, outcomes, and financial results between providers, departments, and locations. Engage On holistic information to direct care and in a value- based model. page 23 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 24. How? page 24 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 25. “In pioneer days they used oxen for heavy pulling, and when one ox couldn't budge a log, X they didn't try to grow a larger ox. elephant “We shouldn't be trying for bigger computers, but for more systems of computers.” Rear Admiral Grace Hopper, Inventor of COBOL Compiler page 25 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 26. The Explorys Platform Specialized cloud computing platform for healthcare and life sciences A B C Apps Databases Indexes Explorys & On-demand data High speed access to 3rd Party marts, cubes, and standardized data registries Explorys DataGrid Always On | Curated | Privacy Protected | Open Support for 3rd Party Apps & Marts page 26 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 27. So How Did We Get Here? In 2009, we knew we were going to need to collect a lot of data We needed to address both the storage and the processing challenges. page 27 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 28. A few stumbles along the way GC of Death Lack of documented best practices when we started (in 2009) page 28 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 29. Works for us page 29 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 30. BIG Data in Action… page 30 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 31. Questions? page 31 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved
  • 32. Thank You! Charlie Lougheed Doug Meil Cofounder, President & CTO Cofounder, Chief Software Architect Email: charlie@explorys.com HBase Committer Email: doug@explorys.com and we’re hiring! page 32 | Copyright 2010-2011, Explorys, Inc., All Rights Reserved

Editor's Notes

  1. STEVE and CHARLIE Both do quick intro ourselves (if not introduced by the moderator)
  2. STEVE
  3. STEVE
  4. STEVE
  5. STEVE
  6. STEVELet’s talk about the challenges in healthcare…The path we are on is unsustainable
  7. STEVEAnd our problems are just getting supersized, I mean literallyOur aging population combined with the growing epidemic of obesity in the US it just going to make our challenges greaterWith all but one state in the US having a 20% or more of it’s population obese, this is a problem that not only local and federal governments need to address, it also has a major impact our ability to control our deficit.This is a real problem that can be partially addressed more effective weigh management being driven by healthcare professionals.
  8. STEVECompetitively, we’re practically off the charts; in a bad way. At nearly double the comparative GDP spend of our global competitors, it’s little wonder why our industries struggle to compete on cost.
  9. STEVE- Case in point, Warren Buffett’s recent statements about our healthcare expense deficit…
  10. STEVEAn it just keeps getting bigger. We need to get our ass back on the ground.
  11. STEVEWe’ve gone from from simple fields, to unstructured notes, to videos, and soon genomicsIt’s a proliferation of data beyond what most IT vendors has planned for or enterprise IT groups are capable of responding to on their own.
  12. CHARLIE
  13. CHARLIEIf you’ve spent anytime in store lately, you know the length retailers have gone to understand customer behaviors, product positioning, and performance across venue of service, service line, and consumer profile.
  14. CHARLIEAnd some would say that the healthcare industry could learn from how aviation leverages data-driven processes. Describe the paper by Lewis, et al…
  15. STEVE (although ironic coming from him)
  16. STEVE
  17. CHARLIE
  18. STEVE (although ironic coming from him)
  19. CHARLIE
  20. CHARLIE
  21. CHARLIE
  22. STEVE and CHARLIE Both do quick intro ourselves (if not introduced by the moderator)