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The Changing Face of Therapeutics:
    The role of eHealth, Big Data and
          Business Intelligence
      Professor Steven C. Boyages
           Medical Director
             eHealth NSW
Top Trends in eHealth
•   Electronic Health Records
•   Business Intelligence
•   Big Data and Analytics
•   Apps for Health
•   Social Media and Social Business
•   Mobility
•   Virtualisation
Health work is a balanced matrix


                     High
      High Touch
                     Tech



       Team and
                   Technology
       Workflow
                    Platform
       Platform
Health ecosystem
E Health records
Maturity model
Benefits Estimate

Deloitte Consulting has estimated that an investment of $2.6
  billion over 10 years in EHealth in Australia will yield a
  benefit of $5.7 billion in net present value over 10 years

The main source of benefit is derived from time saved
  related to manual information handling and a
  reduction in avoidable hospital days related to adverse
  events.

Additional benefits are also seen in the areas of improved
  chronic disease management, reduced unnecessary
  repeat testing and reduction in travel.
Benefits estimate
Building on Foundations
Registries Big Data
Big Data
•   Big data describes the way we deal with the
    astonishing accumulation of digital information
    which is often stored in large unstructured data
    repositories.

•   New tools such as business intelligence (BI) have
    emerged to organise and interpret this vast array
    of information with benefits in public health,
    research, patient care and hospital operational
    systems.
6/8/2012                   14
New methods of scientific inquiry
•   While it is attractive to contemplate the way
    everything may become connected to everything
    else, it presents a number of large challenges.

•   The lab research model has been important for
    over a century in both scientific advancement and
    product development; soon it may also have to
    accommodate a search for truth based only on
    pattern-spotting.
6/8/2012                   15
Nearly every transaction or
interaction leaves a data signature
Someone somewhere is capturing and
            storing
Sheer scale has far exceeded human
     sense-making capabilities
At these scales patterns are often too subtle and relationships too
complex or multi dimensional to observe by simply looking at the data.
Data mining is a means of automating the
process to detect interpretable patterns.
It helps us see the forest without getting
                lost in the trees.




6/8/2012               21
USING DATA

   Google trends, Google analytics




6/8/2012                             22
Google Trends Michael Jackson




6/8/2012             23
Google flu trends




                               ©2011 Healthcare Information
6/8/2012           24             and Management Systems
                                                     Society
Facebook can predict your breakups




                             ©2011 Healthcare Information
6/8/2012           25           and Management Systems
                                                   Society
Your personality can be predicted




                           ©2011 Healthcare Information
6/8/2012          26          and Management Systems
                                                 Society
Eating Habits




                           ©2011 Healthcare Information
6/8/2012         27           and Management Systems
                                                 Society
Google Trends
We need to embrace social media
Health Intelligence:
Keeping Score in Health




           31
The Next Level:
                 Health Intelligence Systems
•   Definition                 Capability
                               Patient Care
       Responsive                 Safety
       Agile                      Decision support
       Available                  Outcomes Research
                                   Patient Logistics
       Flexible               Performance Management
       Timely                     State
           Real time              Area based
           Near Real time         Hospital/cluster/network
                                   Modality (scheduling)
                                   Bedside

                              32
Bed Board
   Web Based
   Delivered by legacy PAS
   Real Time
   Predictive
   ED performance
   Network performance eg
    cardiology
   Load Management
   Patient Placement
   Length of Stay Features




                              33
6/8/2012   34
©2011 Healthcare Information
6/8/2012   35      and Management Systems
                                      Society
Table 2: Annual benefit paid by Medicare for
           25-hydroxyvitamin D testing and percentage
           increase since 2000

           Year   Annual Benefit ($)   % Increase

           2000     1,021,784          100%
           2001     1,670,597          163%
           2002     2,318,770          227%
           2003     3,216,543          315%
           2004     5,269,951          516%
           2005     7,592,467          743%
           2006     12,149,112         1189%
           2007     22,621,733         2214%
           2008     42,358,509         4146%
           2009     67,643,016         6620%
           2010     96,746,203         9468%


6/8/2012                         36
Google trends for vitamin D




6/8/2012                37
Google Analytics-Google Trends




6/8/2012           38
Summary
•   Benefits of e Health
•   PCEHR
•   Benefits to clinical research
•   Big Data
•   Business Intelligence
•   Analytics

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Arcs conference

  • 1. The Changing Face of Therapeutics: The role of eHealth, Big Data and Business Intelligence Professor Steven C. Boyages Medical Director eHealth NSW
  • 2. Top Trends in eHealth • Electronic Health Records • Business Intelligence • Big Data and Analytics • Apps for Health • Social Media and Social Business • Mobility • Virtualisation
  • 3. Health work is a balanced matrix High High Touch Tech Team and Technology Workflow Platform Platform
  • 7. Benefits Estimate Deloitte Consulting has estimated that an investment of $2.6 billion over 10 years in EHealth in Australia will yield a benefit of $5.7 billion in net present value over 10 years The main source of benefit is derived from time saved related to manual information handling and a reduction in avoidable hospital days related to adverse events. Additional benefits are also seen in the areas of improved chronic disease management, reduced unnecessary repeat testing and reduction in travel.
  • 10.
  • 11.
  • 12.
  • 14. Big Data • Big data describes the way we deal with the astonishing accumulation of digital information which is often stored in large unstructured data repositories. • New tools such as business intelligence (BI) have emerged to organise and interpret this vast array of information with benefits in public health, research, patient care and hospital operational systems. 6/8/2012 14
  • 15. New methods of scientific inquiry • While it is attractive to contemplate the way everything may become connected to everything else, it presents a number of large challenges. • The lab research model has been important for over a century in both scientific advancement and product development; soon it may also have to accommodate a search for truth based only on pattern-spotting. 6/8/2012 15
  • 16. Nearly every transaction or interaction leaves a data signature
  • 17. Someone somewhere is capturing and storing
  • 18. Sheer scale has far exceeded human sense-making capabilities
  • 19. At these scales patterns are often too subtle and relationships too complex or multi dimensional to observe by simply looking at the data.
  • 20. Data mining is a means of automating the process to detect interpretable patterns.
  • 21. It helps us see the forest without getting lost in the trees. 6/8/2012 21
  • 22. USING DATA Google trends, Google analytics 6/8/2012 22
  • 23. Google Trends Michael Jackson 6/8/2012 23
  • 24. Google flu trends ©2011 Healthcare Information 6/8/2012 24 and Management Systems Society
  • 25. Facebook can predict your breakups ©2011 Healthcare Information 6/8/2012 25 and Management Systems Society
  • 26. Your personality can be predicted ©2011 Healthcare Information 6/8/2012 26 and Management Systems Society
  • 27. Eating Habits ©2011 Healthcare Information 6/8/2012 27 and Management Systems Society
  • 29.
  • 30. We need to embrace social media
  • 32. The Next Level: Health Intelligence Systems • Definition Capability Patient Care  Responsive  Safety  Agile  Decision support  Available  Outcomes Research  Patient Logistics  Flexible Performance Management  Timely  State  Real time  Area based  Near Real time  Hospital/cluster/network  Modality (scheduling)  Bedside 32
  • 33. Bed Board  Web Based  Delivered by legacy PAS  Real Time  Predictive  ED performance  Network performance eg cardiology  Load Management  Patient Placement  Length of Stay Features 33
  • 34. 6/8/2012 34
  • 35. ©2011 Healthcare Information 6/8/2012 35 and Management Systems Society
  • 36. Table 2: Annual benefit paid by Medicare for 25-hydroxyvitamin D testing and percentage increase since 2000 Year Annual Benefit ($) % Increase 2000 1,021,784 100% 2001 1,670,597 163% 2002 2,318,770 227% 2003 3,216,543 315% 2004 5,269,951 516% 2005 7,592,467 743% 2006 12,149,112 1189% 2007 22,621,733 2214% 2008 42,358,509 4146% 2009 67,643,016 6620% 2010 96,746,203 9468% 6/8/2012 36
  • 37. Google trends for vitamin D 6/8/2012 37
  • 39. Summary • Benefits of e Health • PCEHR • Benefits to clinical research • Big Data • Business Intelligence • Analytics