Greater Nashville Healthcare Analytics (GNHA) Meetup Presentation https://www.meetup.com/Greater-Nashville-Healthcare-Analytics/

1. Greater Nashville Healthcare Analytics
Healthcare Data Scientist
Workshop Series #1
September 18, 2018
Christine Lai, Ph.D.
Principal Statistician & Health Economist
Vanderbilt University Medical Center
Acknowledgment:
Thank you to Nashville Technology Council for conference room
Thank you to axialHealthcare for food and drink and accessories

2. Healthcare Data Scientist
 Data scientist is a person employed to analyze and interpret complex
digital data, such as the usage statistics of a website, especially in order
to assist a business in its decision-making. (Google search)
 The data scientist role is critical for organizations looking to extract
insight from information assets for “big data” initiatives and requires a
broad combination of skills that may be fulfilled better as a team …
(Gartner IT)
 Data scientists are a new breed of analytical data expert who have the
technical skills to solve complex problems – and the curiosity to explore
what problems need to be solved. (SAS)
 A Data scientist is someone who creates programming code, and combines
it with statistical knowledge to create insights on business data.
(Wikipedia : https://hbr.org/2012/10/data-scientist-the-sexiest-job-of-
the-21st-century)
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3. Healthcare Arena
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4. Your Role as a Healthcare
Data Scientist
 Position
 Previous experience in which area: clinical, quality,
financial, micro (operations) vs macro (policy)
 Position
 Current role: reporter, analyst, modeler, strategist, …
 Position
 Future you want to be
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5. Basics
 Know your data
 Know your clients (internal and external)
 Know your patients
 Leverage your skills
 Equipped with your tools
 Capitalize your resources
 Seize opportunity
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6. Know Your Data: Sources
 Internal-Your own patient database
 External
 Government
 Department of Health & Human Services
 Center of Medicare Medicaid Services CMS
 Center for Disease Control CDC
 Agency for Healthcare Research and Quality AHRQ
 Health Resources and Services Administration HRSA
 Bureau of Economic Analysis
 Tennessee Department of Health
 Tennessee Hospital Association
 Government Agency
 QualityNet
 Yale School of Medicine, Center for Outcomes Research & Evaluation (CORE)
 Research Data Assistance Center ResDAC, University of Minnesota
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7. Know Your Data: Sources
 Academic/Interest Groups
 American Medical Association/American Heart Association/American College of
Cardiology
 Vizient (University HealthSystem Consortium)
 Kaiser Health News
 Health Care Incentives Improvement Institute HI3
 …
 Hospital Ranking Agency
 US News
 Consumer Reports
 Healthgrades
 Truven Health Analytics
 ...
 Insurance Company
 United Health
 Cigna
 BCBS
 …
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8. Know Your Data: Types
 Data
 Patient/encounter Level
 Summary/aggregative statistics
 Primary (first hand own data, survey, …)
 Secondary (benchmark, study data …)
 Chart books/Reports
 White Papers/Review/Research
 CMS /State government - rules, policy and data
 Data files released with the Federal Register IPPS and OPPS proposed and final
rule: (i.e. Readmission reduction)
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9. Tools
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10. Workshop #1:
Business Issue:
 Utilization of Inpatient Care by Condition (MS-DRG) in my Hospital
compared to other hospitals.
 Any relationship between our hospital’s volume and competitor’s?
 Any difference in charges, payments?
 Get the data
 Your own hospital internal data
 CMS inpatient FY2016 data
 Medicare_Provider_Charge_Inpatient_DRGALL_FY2016.csv
 Use your tool
 Excel/ SAS/R …
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11. Know your client
 What your client wants to know
 Reminder: Not what you can do
 For example:
 Simple report: How many discharges and total payments that our hospital had
discharged in FY2016 ?
 by MSDRG?
 : comparing to our competitors?
 …
Excel Pivot Report
SAS Report
R report
Alert! Did you check your data?
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12. First Round Results
Knowledge:
 Utilization of Inpatient Care by Condition (MS-DRG) in my Hospital
compared to other hospitals.
 Any relationship between our hospital’s volume and competitor’s?
 Any difference in charges, payments?
Interest:
 Heart failure (292, 291), included in CMS HRRP in Top 10.
New Business Issue:
 How was the readmission performance of heart failure patients?
 Get data: CMS FY2018-FR-Hospital-Readmissions
(FY 2018 IPPS Final Rule Readmissions Supplemental Data File.xlsx)
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13. Further Business Issue Interest
 How about our physician volume and payments?
 Get the data – internal database
 Let’s see what it would like, if Medicare patients
Medicare Provider Utilization and Payment Data: Physician
and Other Supplier
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14. US Dept Health & Health
Services
CMS
CDC
AHRQ
Tennessee Department of
Health
Bureau of Economic
Analysis – Health Care
US News & World Report Health
The Leapfrog Group
Consumer Reports
Healthgrades
Truven Health Analytics
American Medical Association
American Heart Association
American College of Cardiology
Know Your Data

15. CMS
US Department of Health and Human Services
CDC
AHRQ
HRSA
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16. Government Agency
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17. Tennessee
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18. Medical/Academia
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19. Hospital Ranking Agencies
1. US News and World Report
2. Leapfrog Group
3. Consumer Reports
4. Healthgrades
5. Truven Health Analytics
6. ...
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20. Interest Group
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21. Q & A
Any question, please send email to
Christine.lai@vumc.org
Thank you
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