Clinical Analytics for Improving Health Outcomes

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This is the presentation of Dr. Nipit Piravej at the 2012 Healthcare IT summit in Singapore.

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Clinical Analytics for Improving Health Outcomes

  1. 1. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12EMR Data Usage for Improving Health Outcomes Dr.Nipit Piravej Chief Corporate Officer, Bangkok Chain Hospital, Thailand Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  2. 2. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12OUTLINEClinical Analytics…Tech is Ready, Are We Ready ???Effective Management + Meaningful Use of Clinical BIG DATARequires…Right System-Process-Platform…Make It a Key Part of Healthcare Reform Agenda…1. Game Changing Factors2. Current Gaps3. The New Model4. Key Enablers… Informatics + Analytics5. Driving Development Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  3. 3. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12GAME CHANGING FACTORSHealthcare Sector under Enormous Pressure…1. Rising Consumer Power…Serving Gen “ME” Customization, Customerization, Personalization Across Health-Care & Life-Workstyle Continuum…2. Rising Policy Demand…Delivering Ultimate Health Outcomes Accountable, Affordable, Value-based Model Keep People Healthy-Happy, Reduce Acute Care & Hospitalization…3. Rising Quality Expectation…Zero Defect Care & Servicing Ultra-micro Standards, High Reliability Model Real Time, Ubiquitous Data-Info-Knowledge-Based Care & Processing Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  4. 4. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHealthcare Sector under Great Constraints…Mainstream Healthcare Trapped in Traditional Model…1. Physician Directed (Labor Intensive) Specialty-based Fragmented Assessment-Decision-Care-Interaction2. Institution Centric Complex-Departmentalized, Limited Access, Hi-costs3. Acute Care Focused + Case-based Passive-Reactive, Resource Intensive, Short-term OrientedProne to be Hi-costs BUT Lo-outcomes + Poor Satisfactions Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  5. 5. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHi-costs BUT Lo-outcomes…Case-1 : Male 26 Yr…Right Wrist Pain 5 MoDx : De QuervainTreatment CourseMulti-course NSAID (Cox-2 Inhibitor),Steroid Injection, PT…Not ImprovedAfter 15 OP Visits over 4 MoFinal Advice…Surgery/Change JobNon-Medical Factors…Become Key Determinants Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  6. 6. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHi-costs BUT Lo-outcomes…Case-2 : Girl 3 Yr…Cough, Dyspnea, Fever 2 DAcute BronchitisAdmitted for IP TreatmentsPast HistoryLast 6 Mo, 4 OP + 3 IP Similar DxProgressNext 3 Mo, 2 OP + 1 IP for Same DxNon-Medical Factors…Become Key Determinants Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  7. 7. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CURRENT GAPSHi-costs BUT Lo-outcomes…Case-3 : Health Ins Claims ExperienceInsured with > 12 OP Visits/Yr= 12 % of Insured Population,Consumed > 45 % of Total OP Claims…Almost All…Diagnosed as “URI”Main Treatments…Analgesics, Antibiotics, Anti-histamineCase-based + Population-based Mgt… Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  8. 8. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12THE NEW MODELCoping with New Health Challenges Require Paradigm Shift...“The 3rd Pillar” Access Good Health Affordable Cost Bridging the Gap Primary Prevention Public Health Population-based Paradigm Acute Curative Paradigm Med-Health Case-based Medical Management Health & Care Continuum Case-Population Bridging the Gap Bio-Medical-Health-Behavioral-Social-Econ Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  9. 9. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12THE NEW MODELNew Model…New Player : Health “Manager” or “Integrator”New Approach…Systematic Management…Info-Evidence-Knowledge-Based Decisions & Actions Mainstream Delivery System Personal Care Primary Care Secondary Care Tertiary Care Multi-Modality Multi-Disciplinary Promotive Preventive Curative RehabilitativeOthers Others Med-Health Management Case Mgr, Dz Mgr, Health Mgr Integrate, Manage, Engage, Coordinate, Facilitate, Interoperate Patient & Population Healthy Risky ACUTE Chronic Complicated End-of-Life Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  10. 10. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12THE NEW MODELMedical & Health Management Value Model… Comprehensive Profiling…Med-Fin-Personal-Social FactorsASSESS Multi-disciplinary PE, Lab, Imaging… Retro-Concurrent-Prospective AnalyticsPREDICT Hindsight, Insight, Foresight… Primary-Secondary-Tertiary PreventionPREVENT From Passive-Reactive to Proactive-Pre-emptive… Info-Evidence-Knowledge-based Decisions-ActionsINTERVENE Comprehensive…Med-Fin-Personal-Social Outcomes Continuing Profiling; Engagement & Supports…ENHANCE Joint Actions to Improve Health & Well-being Target Individual (personalized care) vs. Target Population (health mgt) From Acute-Chronic to Wellness Care Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  11. 11. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12KEY ENABLERS1. EMR-EHR… Relevant Providers + Stakeholders (Payers-Employers) Multidisciplinary Standardized & Structured Clinical Data Transaction + Interaction Data (Cumulative, Medical + Non-medical)2. PHR… Individual Self-reported Data Portal & Connectivity (Life-Workstyle Info)3. Real-time Health-Med Risk Analytics… Info-Evidence-Knowledge-based Hindsight, Insight, Foresight Support Day-to-Day Preventive-Acute-Long-term Care Actions Strategic Service Planning of Target Individual-Group-Population4. Health ICT Platform… Integrate, Communicate, Engage, Interoperate Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  12. 12. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12KEY ENABLERSAnalytic Techniques…Std ReportsAd hoc ReportsOLAPAlerts-RemindersStatistical AnalysisForecast-PredictOptimization Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  13. 13. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12DRIVING DEVELOPMENTEstablish System-Team-Process…CEOBusiness Op Hospitality Op Medical Op CNO CMO Med-Affairs Med-Mgt Med-Services Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  14. 14. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12CONCLUSION1. Healthcare Systems are Under Increasing Pressure to Improve Performance & be More Accountable2. With Rapid Adoption of EMR-EHR in Recent Years, Hospitals Start to Capture Increasingly Large Amount Electronic Clinical Data…3. Big Clinical Data Provide Both Opportunity & Liability…4. Effective Management & Meaningful Use of Big Clinical Data Requires a Proper System-Process-Platform for Knowledge Deployment, NOT Just Analytic Tools…5. Medical & Health Management Based on Info-Knowledge-Rich Value Model of “Assess-Predict-Prevent-Intervene-Enhance” to Improve Health Outcomes at Both Individual & Population Levels is an Good Framework to Unleash the Potential of the Coming Big Clinical Data Environment Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com
  15. 15. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12EMR Data Usage for Improving Health Outcomes THANK YOU Dr.Nipit Piravej Chief Corporate Officer, Bangkok Chain Hospital, Thailand Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

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