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Dennis Kehoe - ECO 15: Digital connectivity in healthcare

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Presentation by Dennis Kehoe, Chief Executive Officer, AIMES at ECO 15, Haydock Park Racecourse

Published in: Health & Medicine
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Dennis Kehoe - ECO 15: Digital connectivity in healthcare

  1. 1. Data Lakes? – The role of Data Science in improving healthcare Ecosystem 15 – Digital Connectivity in Healthcare Dr Dennis Kehoe
  2. 2. Agenda • The development of “data lakes” within a HealthCLOUD environment. • Opportunities for the use of data science to transform Population Health. • Examples of how data science technologies can transform healthcare. February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 2
  3. 3. AIMES Background • University of Liverpool spin-out specialising in cloud technologies for healthcare • Large scale cloud infrastructure built at Kilby House, Liverpool with 1.5MVA and 200 racks of capacity • N3 Aggregator since 2015 and NHS IG Toolkit Certified (to Level 3) ISO27001:2013 compliant • Currently deploying the first HSCN/TN connections – with diverse providers • “HealthCLOUD” services built upon VMWare stack built upon Dell technology and Cisco networks February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 3
  4. 4. “Big Data” developments at AIMES • To date AIMES have deployed cloud technologies specifically for healthcare in; • Hosting of large-scale clinical systems (Allscripts EPR, The Renal Registry, Chelsea Westminster Service Desk…..) • Deployment of Trustworthy Research Environments (Cambridge, Durham, UCL….) • Cloud infrastructure for Interoperable Health Exchanges (London, Lancashire…..) • Drivers for this first phase have been resiliency, N3 connectivity, security, IG and recurrent costing February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 4
  5. 5. What the term “Data Lake” means at AIMES • AIMES has created a Trustworthy Research Environment (TRE), which is a data science/analytics environment that utilises strict standards of research, data security and privacy. The TRE is ideal for data scientists/analysts who are looking to access sensitive data and generate algorithms in an ISO27001 and IG Toolkit compliant cloud-based e-infrastructure. • The TRE comprises three zones, an IHE-based interoperability provisioning zone (IPZ), an NHS HSCN facing data-provisioning zone (DPZ) and an internet facing analytics provisioning zone (AZ). The DPZ provides extract transform and load (ETL) tools to produce data pipelines, which automate the transformation and loading of datasets into a data warehouse. The AZ, which is accessed via two-factor authentication and a client VPN provides analysts/data scientists a data science virtual machine, typically comprising 8 cores and 64GB RAM and access to common open source software such as R, R Studio and Spark for data mining. • Only duly authorised individuals are granted access to relevant data-sets in the TRE. To become duly authorised, an individual must attend specific training such as Research Data and Confidentiality e-learning course provided by the MRC (https://byglearning.com/mrcrsc-lms/course/view.php?id=2). The TRE also provides appropriate statistical, data mining and geospatial analytical software to enable them to analyse and visualise the data. • The TRE allows the data owner to grant access to duly authorised individuals in a ‘walled-garden’ which provides data scientists with all of the software tools required to wrangle data, develop algorithms and test models on behalf of the data owner in a cloud-based ISO27001 environment. February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 5
  6. 6. AIMES Approach • Recruitment of a team of data scientists at AIMES and investment in infrastructure • Focus upon 3 key technologies • Elastic Search • Machine Learning • Natural Language Processing • Developments in the application of data science to healthcare have led to the application of temporal analysis and the concept of “chronotyping” February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 6
  7. 7. AIMES Approach • Working as part of the Connected Health Cities programme AIMES have developed 3 distinct generations of Data Ark • Focus upon 3 care pathways impacting unplanned emergency care; • Epilepsy • COPD • Alcohol abuse • The aim of this programme is to create a Learning Healthcare System providing data visualisation, cohort creation and personalised interventions. February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 7
  8. 8. TRE – Phase 1 : NWC Ark - CSVs & Statistics SFTP Server VPN Institution Level Data Sharing Agreement Managed OS Antivirus Running Patched and Updated ISO 27001 Certified / IG Compliant (Level 3 100%) Analyst Mandatory Training - Data Protection Act - IG Training - MRC Safe Researcher Training RRAS / AD File Server VDI Broker Active Directory Analyst Nodes (VDI Pool) Analytics Zone Digital Airlock Data Provisioning Zone File Server Local Provider Data; • Acute • Ambulance • Community • Demand for Service • Other data • Diagnostic Services • Emergency Care • Mental Health Secondary Uses Service (SUS) Local Flows DSCRO NW Local Flows SUS LF Patient Identifiable data flow Pseudonymised data flow ETL Database Server Disclosure Control Policy DUO 2FA Quad Core 2.7Ghz 48GB Ram 1TB Storage February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 8
  9. 9. TRE Phase 2 – Durham Ark - SQL & Data Science SFTP Server VPN Institution Level Data Sharing Agreement Managed OS Antivirus Running Patched and Updated ISO 27001 Certified / IG Compliant (Level 3 100%) Analyst Mandatory Training - Data Protection Act - IG Training - MRC Safe Researcher Training Analyst Nodes (VDI Pool) Analytics Zone Digital Airlock Data Provisioning Zone File Server Pseudonymised data flow ETL Disclosure Control Policy DUO 2FA Auckland Medical Group February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 9
  10. 10. Phase 3 - IHE + Data Lakes + Big Data Tooling February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 10 Interoperability Provisioning Zone Data Provisioning Zone Analytics Provisioning Zone
  11. 11. AIMES Healthcare Applications February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 11 AF/Stroke Cancer Care Depression
  12. 12. Future Implications • The first stage of “HealthCLOUD” has led to the creation of regional and then national health information exchanges will make rich data sets available for service transformation and research • This transformation in the availability of linked health data at scale has the potential to transform clinical pathways in areas such as stroke prevention, crisis prevention in mental health and cancer care • The emergence of “Data-Science-as-a-Service” will require new collaborations and new skills, a new model of consent and patient engagement and new infrastructure technologies. February 2018 Ecosystem 15 – Digital Connectivity in Healthcare 12
  13. 13. Discussion Dr Dennis F Kehoe dennis.Kehoe@aimes.net March 18 13

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