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Presentation from Colin McNamara and Paul Caracchio at Chapman University on Big Data in Healthcare.

Presentation from Colin McNamara and Paul Caracchio at Chapman University on Big Data in Healthcare.

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    Chapman university-big-data-healthcare-final Chapman university-big-data-healthcare-final Presentation Transcript

    • Applied Analytics in Health Care Colin McNamara – Chief Cloud Architect Nexus IS Paul Caracciolo – Chief Healthcare Officer Nexus IS 4/5/20131 www.Nexusis.com 877.286.3987
    • Goal Today – Moving past correlation to predictive analytics2 www.Nexusis.com 877.286.3987
    • Agenda – Trust me It’s exciting !  How Nexus is involved with High Tech and Health Care !  Data Science applied in enterprise compared to Health Care !  Big sexy data in healthcare !  Workflow integration – Making data count !  Perspectives from the Field !  Nexus Connected Healthcare !  Consumerization of Healthcare – Data Driven !  Call to Action - Opportunities3 www.Nexusis.com 877.286.3987
    • Nexus – Technology Integration and Clinical Integration4 www.Nexusis.com 877.286.3987
    • My Perspective on Applied Analytics !  Early employee at ID Analytics !  High Dimensional Analysis of Financial transactions !  Creators of the FICO score !  Scientific team from MSDW !  Backend fraud analytics for !  Best Buy !  Amex !  Visa !  United Healthcare5 www.Nexusis.com 877.286.3987
    • My Job – (And our biggest challenge)6 www.Nexusis.com 877.286.3987
    • Real world application of Science •  Science Applied to Business •  Analytics at Scale Under production loads •  Bridged the gap between research and business7 www.Nexusis.com 877.286.3987
    • Key Challenge we face now8 www.Nexusis.com 877.286.3987
    • Nexus – Applied Science in the technology side of our biz9 www.Nexusis.com 877.286.3987
    • Analytics toolsets in the Enterprise – Not so long ago •  Hand Crafted •  Artisan Work •  Housed in Data Islands •  Hidden deep for specialized tasks10 www.Nexusis.com 877.286.3987
    • Standard Analytics toolsets emerging11 www.Nexusis.com 877.286.3987
    • Connections to backend processing standardizing •  HDFS Connectors •  Project R Interfaces •  SQL interfaces into HDFS •  Overlays of Overlays (ElasiticSearch – Logstash)12 www.Nexusis.com 877.286.3987
    • Integrated Apps and Workflows •  Integrated applications •  Standard connections •  Batch and Real Time Standard Adapters13 www.Nexusis.com 877.286.3987
    • Results of standardization of connections – App Integration Aggregate Pull from biz Normalize Applications14 www.Nexusis.com 877.286.3987
    • Point to Highlight – Move from Batch to Real Time15 www.Nexusis.com 877.286.3987
    • Enabling real time feedback16 www.Nexusis.com 877.286.3987
    • Mapping this to Clinical Care17 www.Nexusis.com 877.286.3987
    • Three sides to healthcare18 www.Nexusis.com 877.286.3987
    • Health Care Information Technology19 www.Nexusis.com 877.286.3987
    • “Big Data” = Large Shelves20 www.Nexusis.com 877.286.3987
    • New “Big Data” at Hospitals21 www.Nexusis.com 877.286.3987
    • What is causing the change – Expand on Sources22 www.Nexusis.com 877.286.3987
    • EHR Adoption23 www.Nexusis.com 877.286.3987
    • Industry Adoption Lifecycle Strategy 2012 2013 2014 RTLS Ancillary Systems Telemedicine EMR Meaningful Use Stage 1 Stage 2 ACO24 www.Nexusis.com 877.286.3987
    • Lots of data25 www.Nexusis.com 877.286.3987
    • Growth of Connected Devices – Tracks to Healthcare Total 500 Million Total 35 Billion Total 50 Billion Total 500 Billion~ 1/10th of a Device per 5 Devices per 7 Devices per 70~ Devices per Person on Earth Person on Earth Person on Earth Person on Earth 2007 2010 2013 202026 www.Nexusis.com 877.286.3987
    • Clinicians and mobile •  Clinicians driving adoption •  Mobile devices input and output data •  Integration into sensor nets •  Integration into alerting and workflow27 www.Nexusis.com 877.286.3987
    • Me and Withings28 www.Nexusis.com 877.286.3987
    • Larger data sources on the horizon EHR Applications Mobile Devices Data Center Sensors29 www.Nexusis.com 877.286.3987
    • Current Sensors – Just the start Time series data Similar to Smart Grids30 www.Nexusis.com 877.286.3987
    • Scientists Dream Insert Dream Picture31 www.Nexusis.com 877.286.3987
    • Challenges – Crossing the Gap32 www.Nexusis.com 877.286.3987
    • Challenge - Understanding where data is being generating33 www.Nexusis.com 877.286.3987
    • Challenge - Breaking the transcription barrier34 www.Nexusis.com 877.286.3987
    • Challenge – Understand Clinical Workflow35 www.Nexusis.com 877.286.3987
    • Challenge - Using data to impact clinical outcomes36 www.Nexusis.com 877.286.3987
    • Results of standardization of connections – App Integration Aggregate Pull from biz Normalize Applications37 www.Nexusis.com 877.286.3987
    • Call to action !  Understand the plethora of new data sources !  Partner with Clinicians and Health Care Chief Tech Officers !  Partner with Nexus to help make those connections !  Lets improve clinical outcomes together !  Come on up afterwards, Drop your card and location and let’s get you connected to relevant HealthCare CTO’s38 www.Nexusis.com 877.286.3987
    • Nexus Healthcare Services Paul Caracciolo Chief Healthcare Officer Paul.caracciolo@nexusis.com (303) 748-4402 Donn Wurts Director, Connected Healthcare Practice donn.wurts@nexusis.com 925-324-0359 Connecting People, Process and Technology39 www.Nexusis.com 877.286.3987 to Improve Patient Care
    • Agenda !  My Perspective, Where I’m Coming From !  Nexus Connected Healthcare !  Consumerization of Healthcare – Data Driven !  State of healthcare, analytics readiness – Reality Check !  Patient data is expanding with technology !  Call to Action - Opportunities40 www.Nexusis.com 877.286.3987
    • My Perspective Spent the last 14 years as an interim CTO in hospitals across the U.S. !  Stanford (adult hospital and Children’s hospital) !  Duke Medicine (CISO) !  Catholic Healthcare (Dignity Health’s 41 hospitals) !  City of Hope Hospital/Beckman Research Institute41 www.Nexusis.com 877.286.3987
    • My Charge – Nexus Connected Healthcare !  Responsible for Nexus U.S. Healthcare Practice !  Strategic advisory and consulting services !  EMR selection, architecture, implementation, devices, app delivery !  Core services !  Managed services, data center, security, voice !  Introduction of new technologies into healthcare !  Cloud, Analytics, MDM !  Pilots, operational plans, value add42 www.Nexusis.com 877.286.3987
    • Current Healthcare Projects at a Glance !  Managing the integration of acquired clinics and physician practices, into regional hospitals !  Technology diligence, connectivity, standardization, ambulatory EMR !  Integrating devices with EMR’s !  Patient monitoring and alerting (vitals, BP, lab results) !  Connecting 1,000’s of iPads/tablets/handhelds to EMR’s !  Architecting and implementing connectivity, servers and storage for hospital analytics !  Deploying Cloud applications securely43 www.Nexusis.com 877.286.3987
    • Has Healthcare Been Customer Focused? !  Hospitals need customers, so the customer is #1 !  WRONG ! !  But that is changing !  Why? !  Availability of data to consumers coupled with the proliferation of mobile devices44 www.Nexusis.com 877.286.3987
    • Consumerization of Healthcare !  For the first time, people are shopping around for their healthcare !  Hospital scores are available, physician scores, quality metrics for facilities, specialties, clinicians !  Recent survey, metropolitan area showed 40%+ of one children’s hospital patients/demographic do not use computers. Smartphones are the device of choice, and they are shopping healthcare via specialty health info sites, Yelp, hospital websites, search, etc.45 www.Nexusis.com 877.286.3987
    • Healthcare Data for the Public/Customers !  Healthcare is getting competitive and marketing is becoming increasingly important (website analytics show lack of consumer interest in outdated hospital sites, no click through, abandonment) !  Social media, and leading edge technologies are the trend for getting data, communicating, decision making healthcare choices !  Healthcare websites need to have social integration, and backend data access to data sets for consumer search- clinician scores, hospital scores, outcomes, comforts, for care areas46 www.Nexusis.com 877.286.3987
    • 47 www.Nexusis.com 877.286.3987
    • A Plea !  Be patient with us (healthcare), as an industry we’re typically 5+ years behind !  A large % of hospitals are just getting electronic medical records, some won’t for years still !  Most hospitals do not have an analytics program !  Most are understaffed/lean operations !  Shortage of physicians and nursing !  Not used to staffing for other than bare bones operations, patient handling !  Analytics is new and a new skill set, new way of thinking48 www.Nexusis.com 877.286.3987
    • Healthcare Industry Challenges to Adoption !  “Keeping the lights on” is still priority #1 in hospitals across the U.S. !  EMR adoption is great, but we’re not there yet !  Analytics programs can be very expensive, and hospitals are struggling financially for years !  Not a core hospital competency, analytics represents a completely new skill set needed !  It’s complicated- even with a consolidated EMR, hospitals run 100’s of applications essential to the business-Analytics is competing with these49 www.Nexusis.com 877.286.3987
    • Analytics Adoption in Hospitals !  Over 40% of hospitals in California responding to a recent survey, that are greater than 200+ beds, have either installed or plan to install clinical and/or financial decision support systems over the next couple of years (HIMSS) !  They’ll need help !50 www.Nexusis.com 877.286.3987
    • Healthcare Data is Growing !  Note: data used in the care/diagnosis/decision making on a patient, will need to be included in the Electronic Medical Record !  Increase in devices being employed for care that are generating data, and will need to be included !  Patient monitoring, real time, alerting, WiFi/cellular to any device !  Telemedicine !  Home health monitoring, glucose, vitals, etc. !  RFID tracking (equipment, patients, staff) – meets FDA requirement !  Trend of consolidation of clinics and Physician practices with regional hospitals (regional data) !  Imaging with phone’s, iPads, video cams, etc.51 www.Nexusis.com 877.286.3987
    • Some New Rules for Data !  Data used in the care/diagnosis/decision making on a patient, needs to be included in the Electronic Medical Record !  Very shortly, regulations will change so that, if a patient is readmitted for the same condition within 30 days, it is not a reimbursable event New models are needed here, new protocols for managing patients that are data driven, home monitoring, patient education, discharge instruction reinforcement52 www.Nexusis.com 877.286.3987
    • Technology is Enabling Consolidation-More Data Central !  Trend for hospitals to acquire clinics and physician practices regionally !  Extension of ambulatory EMR via Citrix, VDI !  Historical data being incorporated into central EMR’s !  Referrals on a regional basis, more concentrated care of diseases Bottom line- more data in one place for a region53 www.Nexusis.com 877.286.3987
    • Real Time Communications – Alerting with Extension54 www.Nexusis.com 877.286.3987
    • Opportunities/Call to Action !  Analytics in healthcare is still a “green field” opportunity - wide open !  Consumers are demanding access to healthcare data, what? How? Where? When? And email is too slow and cumbersome ! !  There are new and evolving technologies such as Vertica, HANA and others, and the industry is willing to pilot/test !  Management and processing of new data sources on the horizon- clinical video, higher def imaging, home health monitoring, personalized medicine data, telemedicine consults !  Methodologies for standardizing and operationalizing analytics in healthcare are needed !  Systems (hardware, software, storage) !  Clinical operationalization !  Partnership needed with business, clinical, IT, research, consumer55 www.Nexusis.com 877.286.3987
    • Nexus Collaboration56 www.Nexusis.com 877.286.3987
    • ! Thank You57 www.Nexusis.com 877.286.3987