© Copyright 2012 Hewlett-Packard Development Company, L.P.
The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
© Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without n...
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Digitized health

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Digitized health

  1. 1. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice. Frank Wang WW Lead, Healthcare and Life Sciences HP Printing and Personal Systems Digitized Healthcare From Big Paper to Big Data
  2. 2. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.2 The Opportunity to Transform HealthcareEcosystemintegration Quality of care and outcomes Today’s healthcare Collaborative healthcare Transformative healthcare Low High LowHigh Integrated healthcare • Culture of best-practices • Stand-alone IT • Best of breed • Fragmented systems • Integrated EMR, EHR, PMS, CPOE • Real-time alerts • HIE/improved access to data • Tight linkage between physicians & hospitals in different provinces • Care collaboration • Regional, state and national RHIOS, NHIN • Patient access to data • Population Healthcare Management • Personalized/evidence- based clinical decision support • Patient engagement Different providers will be at different stages Data silos, many papers, miscoding, comorbidity
  3. 3. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.3 Impact to Costs/Security/Control/Quality of Care • Data/information outside the clinical system • Caregivers still overwhelmed by paper • Exposure to protected health information (PHI) violations • Patient discharge information confusing Coordinating Care Outside the Four Walls – EMR is Not Enough! Pharmacy Clinical Care Radiology Legal Health Information Management Physician Offices Home Care / Hospice Reference Lab Audits Human Resources Patient Accounting Billing / Payables Patient Registration Patient Discharge • Faxing • Paper forms • Handwritten • External documents • Legacy records
  4. 4. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.4 … 90% data is untapped for KPIs and analytics • Needle Stick Injury Rate • Reintubation Rate • Ventilator Associated Pneumonia (VAP) • Blood Stream Infection Due to Central Line • Urinary Catheter Related Infection • Overall Employee Satisfaction • Patient Satisfaction • Standardized mortality rate (SMR) • Iatrogenic Pneumothorax • Decubitus ulcer • Length of Stay • ICU readmission rate • Patients' Fall Rate • Medication error • Adverse Events/Error Rate Key Performance Indicators (KPIs) Transaction Records Qualitative Human Data Quantitative Machine Data Admission notes Discharge summaries Progress notes Imaging study results Consultant reports Financial & Operational Transactions Medication records Laboratory results Physiologic testing Biometric sensors RFID tags Partial Intelligence
  5. 5. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.5 Electronic Medical Records Need More To Deliver the True Benefits to Patients “Untamed Technologies Enhance EMR and Related Clinical Systems”
  6. 6. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.6 Search & Retrieve documents Manage Clinical and Revenue Cycle Processes Structured and Unstructured “Big Data” Analytics Automatically generate output (Discharge Notes) Create Personalized Patient Engagement Plan Manage Document Retention Requirements Capture “Big Paper” documents with your MFP’s
  7. 7. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.7 Autonomy ECM Suite At a Glance Windows – Outlook– Web – Tablet – Mobile – Cloud - MFP Uncover connections and insights Faster processes More accurate More responsive Improve operations, Reduce costs Enhance patient satisfaction Reduce storage costs Enhance compliance IDOL - Content Integration/Enterprise Search Admissions documents Test results EHR Billing AP / AR Call Centers Patient Surveys Grant Mgmt. Human Resources HP Process Automation - Workflow & BAM - E-Forms - Digitized paper forms Capture & Digitize Automate Processes Document & Email Mgmt. Enterprise Search Information Governance HP Intelligent Universal Search - Search across diverse repositories, formats - Meaning based analysis HP WorkSite - Integrate documents and e mails - Secure Collaboration - Mobility - capture HP Records Manager (TRIM & Control Point) - Policy based governance - Records Management: - Retention & Disposition HP Teleform - Digitize content - Identify forms/docs - OCR - Extract data
  8. 8. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.8 Let your MFP captures Big Paper Simplify your workflows NewCustomerApplication Finda Form Addto CustomerApplication Finda Brochure SubmitEmploymentApplicationExpenseRe-imbursement Scan a new customer application form Add a scan to an existing customer file Find and print a form Scan and submit expense re-imbursements Find and print a brochure Scan a new employment application Logged in: Kelly Thompson Admit new patient Find a form Scan and e mail Find a brochure Add to patient file Expense reimbursement Add a scan to an existing patient file Scan admissions documents Scan to patient file and e mail Find and print patient education notes Patient Management - New Patient Admissions - Patient Survey - Clinical Procedure workflows - Patient discharge workflows - Patient discharge instructions Information Management - Patient Forms - Unified Patient File - Physician Notes - Clinical Narrative - Disease and Wellness Care Collateral
  9. 9. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.9 Serviceability Improvements • Integrated IT support. • Network Management, and proactive alerting. • High Capacity Cartridges. • Field Service and support. • Ease of Hot-Swap device support. • Centralized configurations.Consolidated Footprint • Single device replaces fax, label printer, and wristband printer. • Also provides copy, print, and scan. • Multiple Paper Tray support. • Decreased desktop real-estate requirement. Improved Patient Experience • Color Photo Printing Support. • Addition of color Precautionary codes. • Simplified admission processing. HP Officejet Pro X – Healthcare Focus Lower Cost of Ownership • Lower Acquisition cost than multiple thermal devices. • Lower cost of wristband/label printing. • Lower Annual Service Cost. • Simplified Help desk troubleshooting.
  10. 10. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.10 Let your Healthcare Analytics search the “Big Data” Translate data into clinical insights HP IDOL + Patient Communications Clinical Narratives Transactional Data IT/OT WebSchedules 400+ Connectors EMR Lab Pharmacy ADT Payer RIS/PACS Billing Documents Knowledge Discovery HAI Detection Compliance Reporting Predictive Analytics Best Practices + Best Experiences Hypothesis Generation Search Medical Guidelines Provider Collaborations Industry Literature Healthcare Taxonomies Medical Codings Clinical Classifiers Healthcare Visualizations Medical Workflow UI
  11. 11. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.11 Structured and unstructured information <ICD9> <Code>413.9</Code> <Descr>NOS angina pectoris</Descr> </ICD9>
  12. 12. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.12 The nuances of clinical documentation – Institutional Memory • Context • Heart attack mentioned in History of Present Illness • Heart attack mentioned in Family History • Meaning (in ED triage notes) • DOB to indicate Date of Birth • DOB to indicate Difficulty of Breathing • Negation • The patient denied shortness of breath or chest pain
  13. 13. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.13 Approaches to unstructured information Text processing technologies: keyword, NLP, probabilistic Taxonomies, ontologies, lexicons: SNOMED, UMLS, ICD9/10, RxNorm, LOINC Clinical documentation: encounter / admission / progress / procedure notes, discharge summaries, test results Formal published medical knowledge: literature (PubMed), protocols, guidelines Unconventional sources: Social media, call center transcripts
  14. 14. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.14 Healthcare Analytics Use Cases Clinical chart review is necessary for: • Compliance Reporting: Clinical Quality Measures (CQM’s) , Core Measures Quarterly, PQRS, eRx reporting, Hospital Inpatient Quality Reporting Program, CHIPRA, (Children’s Health Insurance Program Reauthorization Act), ACO Programs • Public Health Data: Syndromic surveillance, CDC, cancer registries, immunization reports, adverse drug events • Research: Cohort identification, recruitment of eligible subjects Manual chart review is labor intensive, time consuming, and has human variation
  15. 15. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.15 Application scope and adoption factors Clinical Research and Population Health Compliance Reporting and Public Health Operational • Adverse medical event reporting • Syndromic surveillance • Hospital inpatient quality • Clinical Quality Measures (CQM) • Cancer registry, immunization reports) • Risk Adjustment • Fraud, Waste, & Abuse • Medical coding review • Auditing • Cohort identification • Personalized medicine • Clinical decision support • Disease management • Clinical trial subject recruitment Adoption considerations "Evidence" for change in clinical practice Demonstrable ROI Workflow modifications WRT target adopter Availability of input data Sponsor/champion for change Legislative drivers Privacy issues/worries
  16. 16. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.16 Application – Understanding hospital acquired conditions HAC’s include adverse drug events, hospital acquired infections, procedural complications and incidents related to falls • The incidences per 1,000 visits are: • 65 incidents due to adverse drug events • 60 events due to hospital acquired infections • 51 events due to procedural complications • 15 incidents related to falls HAI’s result in extra costs of $5-10M /year for average hospital ADE’s cost the average hospital about $5.6M/year ADE’s increase LOS by 4.6 days and increases costs by at least $5K/incident Consolidated in Patient Safety Primer and Fact Sheet, 10/2/2006, HIMSS Patient Safety and Quality Committee Tinoco A, Evans R, et al. J Am Med Inform Assoc 2011;18:491-497 "Computerized surveillance systems that can access both coded and free text data such as that found in unstructured narratives may improve surveillance without requiring the time and cost associated with manual chart review, alone.“
  17. 17. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.17 Application – Looking for depression 1 in 10 adults met criteria for current depression, 4.1% met the criteria for major depression 1 Median delay from onset of depression to the beginning of treatment was estimated to be eight years 2 Treatment prevalence rates of comorbid depression for some chronic conditions is significantly lower than the expected comorbidity rates (e.g., 16% treated vs. 45% expected) 3 Comorbid depression increases medical services costs by average of $505/member/mo. and has significantly elevated odds ratios with poorer self care (e.g., high fat intake > 6x/wk, smoking, exercise < 1x/wk) 3 1: MMWR 2010;59(38);1229-1235 2: Melek, S. Halford, M. Measuring the Cost of Undiagnosed Depression. Contingencies. Jul/Aug 2012. Pps. 64-70 3: Melek, S. Norris, D. Chronic conditions and comorbid physchological disorders. Milliman Research. 2008
  18. 18. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.18 Wide range of healthcare use cases including ... Reconciliation ID discrepancies between diagnostic code and clinical notes Monitor KPIs and Metrics Reporting Abstraction Rapid Chart Access Ultimate flexibility to scale
  19. 19. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.19 HP Healthcare Analytics platform unlocks full data value Built for unstructured and structured clinical data Core Capabilities: • Integrated modular platform for variety of use cases • 400+ data connectors and 150+ data types • Rapid identification of concepts, patterns and relationships • Conceptual search on all data • Advanced security for compliance Healthcare specific capabilities: • SNOMED CT taxonomy with 344K+ concepts and 2M terms • Integrated ICD codes • Intuitive workflow UI and visualization for healthcare applications Intelligent search and actionable Insights powered by HP IDOL (Intelligent Data Operating Layer)
  20. 20. © Copyright 2012 Hewlett-Packard Development Company, L.P. The information contained herein is subject to change without notice.20 Copyright © 2013 HP Autonomy. All rights reserved. Other trademarks are registered trademarks and the properties of their respective owners. Information transformed to enable success • Improve reimbursements and quality of KPIs with comprehensive and contextually relevant insights • Reduce costly and error prone manual overhead with intelligent search and automation • Lower financial, operational and compliance risks with effective reconciliation to proactively uncover errors

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