Using Health Information
   Exchange Technology to Create
      Computable Clinical Data
                                 ...
A Complete Solution
                                     Complete Solution
                     Conversion of Electronic M...
Table of Contents


       Computable Clinical Data

       Building an Electronic Medical Data Repository

       Build v...
Computable clinical data has
    numerous high value applications
                            Computable                  ...
Table of Contents


       Computable Clinical Data

       Building an Electronic Medical Data Repository

       Build v...
Building an electronic medical data
    repository




   Questions                                               Develop ...
Research involves speaking with
    people and reviewing literature
   Graphic                            Details
        ...
Creating computable clinical data
    faces three key challenges

                                                        ...
Upcoming technologies offer
         significant value proposition…




Runyon, Barry et al. "Hype Cycle for Healthcare Pr...
…and can be leveraged to create
         computable clinical data
                                                        ...
Natural language processing
    generates structured data
                                  Natural Language Processing
  ...
A complete solution involves a
    number of technologies
                                     Complete Solution
         ...
Table of Contents


       Computable Clinical Data

       Building an Electronic Medical Data Repository

       Build v...
Consider both internal and external
    factors in a build vs. buy decision...
                           Key Factors in a...
…and use lessons learned from
    others to formulate strategy
                                                           ...
Table of Contents


       Computable Clinical Data

       Building an Electronic Medical Data Repository

       Build v...
Takeaways cover challenges,
    build/buy, and technology trends
            #           Summary
                        C...
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Creating Value Through Computable Clinical Data

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Computable clinical data has numerous high value applications including comparative effectiveness research, personalized medicine, and claims adjudication. I discuss some of the technologies involved in making patient data computable

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Creating Value Through Computable Clinical Data

  1. 1. Using Health Information Exchange Technology to Create Computable Clinical Data Robert Bond Sr. Consultant Health Information Technology Excella Consulting Robert.Bond@excella.com Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  2. 2. A Complete Solution Complete Solution Conversion of Electronic Medical Data into Information Semantic Extraction, Interoperability Transformation, & Loading Health Computable Clinical Data Information Exchange Database Technology NLP Ontology Natural Language Engineering Processing Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  3. 3. Table of Contents Computable Clinical Data Building an Electronic Medical Data Repository Build vs. Buy Key Takeaways Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  4. 4. Computable clinical data has numerous high value applications Computable Key Properties Data Structured Unambiguous Clean/Validated Graphic Example Application ? Comparative Effectiveness Personalized Medicine Claims Adjudication Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  5. 5. Table of Contents Computable Clinical Data Building an Electronic Medical Data Repository Build vs. Buy Key Takeaways Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  6. 6. Building an electronic medical data repository Questions Develop Strategy What are the key Scan environment for challenges? technologies, products Relevant technology and companies trends? Research technology Build vs buy? trends Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  7. 7. Research involves speaking with people and reviewing literature Graphic Details Primary Research via Interviews Government Officials Subject Matter Experts Vendors Employees Secondary Research via Literature Review Analysts Reports Journal Articles Websites Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  8. 8. Creating computable clinical data faces three key challenges Semantic Interoperability 20% Messaging Standards Data Liquidity 80% Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  9. 9. Upcoming technologies offer significant value proposition… Runyon, Barry et al. "Hype Cycle for Healthcare Provider Technologies and Standards, 2009." Gartner. (2009): Print. Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  10. 10. …and can be leveraged to create computable clinical data Benefit and Years to Mainstream Adoption for Selected Healthcare Provider Technologies & Standards Less than 2 Years 2 to 5 Years 6 Natural Language Processing (Text to Facts) High 3 Level of Benefit SNOMED-CT 2 5 HL7 CDA R2 CCR/CCD 1 7 Natural Language ICD-10 CM (U.S.) Moderate Processing (Clinical 4 Service-Oriented Architecture Concepts) Years to mainstream adoption Runyon, Barry et al. "Hype Cycle for Healthcare Provider Technologies and Standards, 2009." Gartner. (2009): Print. Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  11. 11. Natural language processing generates structured data Natural Language Processing Convert Free Text into Structured Data Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  12. 12. A complete solution involves a number of technologies Complete Solution Conversion of Electronic Medical Data into Information Semantic Extraction, Interoperability Transformation, & Loading Health Computable Clinical Data Information Exchange Database Technology NLP Ontology Natural Language Engineering Processing Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  13. 13. Table of Contents Computable Clinical Data Building an Electronic Medical Data Repository Build vs. Buy Key Takeaways Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  14. 14. Consider both internal and external factors in a build vs. buy decision... Key Factors in a Build vs. Buy Decision Internal and External Factors Technolology Business Infrastructure Need Build vs. Buy Decision Risk Organizational Capability Governance / Funding Market Readiness Governance / Funding Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  15. 15. …and use lessons learned from others to formulate strategy Takeaway Pay particular attention to data quality Consider market maturity when looking for an “off the shelf” product Evaluate products for potential “technology/product lock” Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  16. 16. Table of Contents Computable Clinical Data Building an Electronic Medical Data Repository Build vs. Buy Key Takeaways Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com
  17. 17. Takeaways cover challenges, build/buy, and technology trends # Summary Consider key challenges: 1 Data Liquidity Semantic Interoperability Messaging Standards 2 Assess internal and external factors in any build vs. buy decision 3 Evaluate technology trends for new technologies and state of the industry Health Information Exchange and Computable Clinical Data Robert.Bond@excella.com

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