Techincal Deep Dive and Demonstration

1. © 2014 IBM Corporation 1© 2015 IBM Corporation
Technical Deep Dive
and Demonstration
Kabilan Nagarajan

2. © 2014 IBM Corporation 2© 2015 IBM Corporation
#ibmiod
A Patient Centered Solution Perspective
Wellness
 Ability to access and interact with family, care givers, care team and
care plan
 Ability to engage with nursing, coaches across the medical
neighborhood on goals and activities
 Ability to monitor and visualize progress
Diagnosis
 A more natural language interface, less structured input requirements
 Outcomes & knowledge based clinical decision support at the point of care
 Enable care delivery beyond the “four walls”
 Use of workflow automation to increase time for population management,
and chronic and complex care
Monitoring
 Enable self management, maximum behavioral impact potential
 Device and Sensor enabled data streams offer excellent predictive
potential for compliance and adherence
 Enable stakeholders to access medical device data and share knowledge
and insights generated
Development
 Enrich the patient longitudinal record with insights from across mission
critical systems using content analytics and natural language processing
 Integrate, analyze and surface information in context of the EMR
 Offer secure, easy to manage protocols for connecting out of network
care team members

3. © 2014 IBM Corporation 3© 2015 IBM Corporation
IBM’s Smarter Care portfolio offers industry-leading Care Management:
identification, planning, collaboration, outcome evaluation
Care identification
Coordination
Care planning Care collaboration Outcome evaluation
Analytics and Cognitive Computing
Foundation
Data warehouse
and data models
“Single view”
customer EMPI
(MDM)
Portals, mobile
and
collaboration
Remote
monitoring and
medical device
connectivity
Paper and Fax
capture,
conversion and
extraction
Population analytics Diagnostic support Care pathways Operational
reporting
Cognitive computing
BI, reports and
dashboards
Comprehensive global consulting, technology, infrastructure and managed services

4. © 2014 IBM Corporation 4© 2015 IBM Corporation
IBM Care Management – a total view
Analyzed
Unstructured Data
Patient 360 View
Comprehensive Care
Plan
Other Data
Sources
Enterprise
Services
Unstructured
data
Claims
EMR /
EHR
Analysts
Multi-disciplinary
Care Team
Doctor’s notes
Case worker’s
notes
Social
Workers
Medical
Professionals
Mental Health
Professionals
Care Workers
Ingest and
Unify Data
Generate
Individualized Care
Plan for Mary
Generate
Individualized Care
Plan for Mary

5. © 2014 IBM Corporation 5© 2015 IBM Corporation
Patient Centered, Team Based
Care
Standards Driven Integration Support
Healthcare Facts Identification in
Unstructured Data
IBM Care
Management
IBM Care Management defined – How to help Mary and clients like her

6. © 2014 IBM Corporation 6© 2015 IBM Corporation
IBM Care Management Demo - Personas
81 year old
Pioneer
Generation
Suffers from
Hypertension
Has a low
BMI
Living
Alone,
Kids study
in AUS
Identified by
PHM at risk
of Frailty
The Care Team
Care Team
Supervisor
Care
Manager
Ann’s
Daughter
Social
Worker
Physician /
Analyst
Population
Health

7. © 2014 IBM Corporation 7© 2015 IBM Corporation
IBM Care Management Demo - Overview
Jenny picks up Ann’s referral and assign it to Susan
Susan processes the referral and creates a care plan
Susan Assess Ann’s needs to provision services
Susan forms the multi disciplinary care team for Ann
Betty uses the Care team portal to update Ann’s Activities
Kathy uses Patient portal to view and feedback Ann’s care plan
IBM Watson explorer generate insights about Ann from Clinical notes
Susan reviews Ann’s care plan and updates Activity progress
Jenny monitors her team and patients they serve
Dr. James analyze population health and refer Ann for coordinated care