Antonius Pentaho Webinar


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Data analysis in the hands of doctors – Self-service BI is delivered throughout the hospital via the analysis and reporting capabilities of Pentaho.

Antonius Pentaho Webinar

  1. 1. <ul>HEALTHCARE DATA CHALLENGES </ul><ul>Jos van Dongen, Aly Hollander, Gert Jan Terpstra | 01-12-2011 </ul>
  2. 2. St. Antonius Ziekenhuis Nieuwegein / Utrecht <ul><li>3 locations
  3. 3. 5.000 employees
  4. 4. 1.100 beds </li></ul><ul><li>33 specialties
  5. 5. 250 specialists
  6. 6. 150 junior doctors </li></ul>
  7. 7. <ul>ICT-policy Antonius Ziekenhuis </ul><ul>Open Standards..... Unless! </ul>
  8. 8. <ul><li>EPR (Electronic Patient Record) system for Sint Antonius Ziekenhuis
  9. 9. Maintains and improves the quality of care
  10. 10. Developed and maintained by ICT department
  11. 11. Based on web technology, open standards and open source software
  12. 12. Supports primary health care process
  13. 13. Modulair system, can be tuned for various user profiles: doctors, nurses or other health professionals
  14. 14. More info: </li></ul>
  15. 15. IntraZis screenshots
  16. 16. <ul>More applications with data collections </ul><ul><li>ZIS = Ziekenhuis Informatie Systeem (Hospital Information System) </li></ul><ul><ul><ul><li>Contains name, adress details and e.g. Insurance information or the name of the general practioner
  17. 17. Financial accounting and production records </li></ul></ul></ul><ul><li>Metavision </li></ul><ul><ul><ul><li>Collects all measures and medical records on the Intensive Care Units </li></ul></ul></ul><ul><li>Research and Development Databases </li></ul><ul><ul><ul><li>Cardiology
  18. 18. Pulmonary Diseases </li></ul></ul></ul><ul><ul><li>Plus many more seperate data collections in MS Excel, Access etc </li></ul></ul>>300 db's
  19. 19. <ul>Changing user requirements: </ul><ul>Growing demand for reporting on data stored in IntraZis EPR <li>Operational data such as occupancy and turnaround
  20. 20. Accountability for the quality of care for internal needs and external organizations
  21. 21. Growing demand for reporting on data stored in ZIS
  22. 22. Financial and production data for Board and Care Managers
  23. 23. Operational data stored in ZIS for OR management
  24. 24. Growing demand for data serving Research and Development
  25. 25. Lung transplantation and ILD (Interstitial Lung Diseases)
  26. 26. Cardiology
  27. 27. Medicine usage
  28. 28. Etc. </li></ul>
  29. 29. External requirements <ul>Benchmarking </ul><ul><ul><li>General </li><ul><li>Dutch Hospital Data
  30. 30. Trag-Pi
  31. 31. Casemix </li></ul><li>Specialties </li><ul><li>Psychiatry
  32. 32. Cardiology
  33. 33. Oncology
  34. 34. etc </li></ul></ul></ul><ul>Accountability and compliance <ul><li>Materials </li><ul><li>Cardiology
  35. 35. Orthopedy
  36. 36. etc </li></ul><li>Quality of Care </li><ul><li>KPI of care for government reporting
  37. 37. ICU: NICE
  38. 38. Oncology </li><ul><li>NKI
  39. 39. DICAM </li></ul></ul></ul></ul>
  40. 40. <ul>2010: Start of Antonius Intelligence BI, MI, SI </ul><ul><li>Business Intelligence </li><ul><ul><li>Control of business
  41. 41. Sales of a department, most referring physicians, etc </li></ul></ul></ul>Medical Intelligence <ul><ul><ul><li>Control of care processes
  42. 42. VAS, Must, survival curve, complication registration, etc. </li></ul></ul></ul>Scientific Intelligence <ul><ul><ul><li>Education and research
  43. 43. Effectiveness of medication </li></ul></ul></ul>
  44. 44. <ul><li>subscription, no license </li><ul><li>Support
  45. 45. Additional software
  46. 46. Server based
  47. 47. Antonius: EE contract, 3yr </li></ul><li>Platform independent </li><ul><li>Windows, Mac, Linux </li></ul><li>Expandable </li><ul><li>HL7 plug-in
  48. 48. R integration
  49. 49. Startup Tabs
  50. 50. CDE Dashboards </li></ul></ul>Pentaho Business Analytics Suite
  51. 51. Data Warehouse Architecture Antonius Intelligence ERP DBMS MySQL Staging Area CSV Files ETL Sources ETL Process Data Warehouse EUL Files ETL: Kettle Data Vault Frame work Central DWH & Data Marts MySQL Data Vault ETL
  52. 52. Tailor-made information delivery DWH Data Mart ODS End user Virtual Data Mart Type 1 Type 2 Type 4 Type 5 Type 6 Staging Data Mart MetaData Layer (ad hoc/standard reports) or cube (analysis) (Self service) Reporting, PDF's etc.. Type 3 Data Sources Antonius (Intrazis, iSoft, Metavision, ACRS, etc)
  53. 53. <ul>Sint Antonius Pentaho Spinoffs </ul><ul><li>CST: Community Startup Tabs (Pedro Alves)
  54. 54. Localization : PUC & WAQR in Dutch (Pentaho Support, Bart Maertens)
  55. 55. R-plugin: Integrate R analysis in BI platform (Doug Moran)
  56. 56. CDM: Community Dashboard Manager (Cees van Kemenade)
  57. 57. Kettle Data Vault Framework (Edwin Weber)
  58. 58. Value based PRD color coding (Slawomir Chodnicki)
  59. 59. HL7: Kettle plugin for real time healthcare data transformation, now in 4.2 </li></ul>Pentaho's secret weapon
  60. 60. HL7 Introduction Physicians Hospital Pharmacy Radiology Lab Payers Clearing Houses Patients Providers HMOs PPOs Billing Services Processing Centers Clinics Dentists Ambulance Services Registration <ul><li>HL7 is a standard syntax (common language) designed by the healthcare industry for exchanging patient information
  61. 61. Real cost of HL7 compliance is in the integration of back-end systems across heterogeneous platforms: </li></ul>
  62. 62. <ul>HL7 plugin </ul><ul><li>HL7 ( Health Level-7) is a standards organization accredited by the ANSI and adopted by the ISO organisation.
  63. 63. The HL7 organization focuses on application layer protocols for the health care domain
  64. 64. HL7 develops conceptual standards (e.g., HL7 RIM), document standards (e.g., HL7 CDA) and messaging standards (e.g., HL7 v2.x and v3.0).
  65. 65. We needed the HL7 v2.x messaging standards plugin because it is the main used way to communicate on administrative, logistical, financial as well as clinical processes. </li></ul>PDI Designer
  66. 66. <ul>HL7 plugin example </ul>PDI Designer Streaming Job
  67. 67. <ul>HL7 plugin example </ul>PDI Designer
  68. 68. <ul>Donation of the HL7 KETTLE plugin to the community </ul><ul>Gerrit Krediet, CTO at St Antonius Hospital: 'Pentaho's HL7 support gives us a fast and easy way to retrieve, exchange, and share information across all our internal and external data sources. Our contributions to Pentaho's open source project for HL7 will also enable other hospitals and healthcare organizations to use it for their data integration and compliance requirements.' </ul>
  69. 69. Antonius Intelligence Results <ul><li>Datawarehouse environment available </li></ul><ul><ul><ul><li>Datavault design by Kasper de Graaf
  70. 70. ETL and datavault automation by Edwin Weber
  71. 71. Deployment by Gert Jan Terpstra </li></ul></ul></ul><ul><ul><li>Reports and Pentaho Analysis </li></ul></ul><ul><ul><ul><li>Pentaho Analyzer enabling users to construct their own analysis reports
  72. 72. With reduction of turnaround times in the emergency room as a result
  73. 73. 20-30 standard reports
  74. 74. Ad Hoc reporting on IntraZis records e.g Cardiology and Pulmonary Diseases both clinical and R&D
  75. 75. XML-reports for external benchmarking with Cardiology and Psychiatry data </li></ul></ul></ul><ul><li>Dashboard </li></ul><ul><ul><ul><li>Balanced scorecard based
  76. 76. Financial and production reports
  77. 77. KPI reports
  78. 78. Tablet pc
  79. 79. Webdetails C** tools </li></ul></ul></ul>
  80. 80. <ul>Thank You </ul>