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By Komes Chandavimol
IMC Institute
July 2015
Big Data Analytics
Government HealthCare
2	
  
Agenda
•  Big Data in Government
•  Challenge for Government healthcare
•  The roles of government (include healthcare)
•  Case Study:
•  The Electronic Health Records Incentive Program
•  Meaningful Use of Data
•  Core Measure
•  The future: connecting health to care
2	
  
3	
  
Government Big Data
3	
  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract	
  
4	
  
Government Big Data
4	
  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract	
  
5	
  
Big Data in Government
5	
  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract	
  
6	
  
EHR Incentive Program
6	
  
h"p://medicaleconomics.modernmedicine.com/medical-­‐economics/content/tags/ehr-­‐incen?ve-­‐
program/financial-­‐penal?es-­‐nearing-­‐physician-­‐incen?ve?page=full	
  
The	
  Medicare	
  and	
  Medicaid	
  Electronic	
  Health	
  Records	
  (EHR)	
  Incen;ve	
  Programs	
  will	
  
provide	
  incen;ve	
  payments	
  to	
  eligible	
  professionals	
  and	
  eligible	
  hospitals	
  as	
  they	
  
demonstrate	
  adop;on,	
  implementa;on,	
  upgrading,	
  or	
  meaningful	
  use	
  of	
  cer;fied	
  
EHR	
  technology.	
  These	
  incen;ve	
  programs	
  are	
  designed	
  to	
  support	
  providers	
  in	
  this	
  
period	
  of	
  Health	
  IT	
  transi;on	
  and	
  ins;ll	
  the	
  use	
  of	
  EHRs	
  in	
  meaningful	
  ways	
  to	
  help	
  
our	
  na;on	
  to	
  improve	
  the	
  quality,	
  safety,	
  and	
  efficiency	
  of	
  pa;ent	
  health	
  care.	
  
7	
  7	
  
h"p://www.physiciansprac?ce.com/	
  
Medicare Incentive Program
8	
  8	
  
h"p://medicaleconomics.modernmedicine.com/medical-­‐economics/content/tags/ehr-­‐incen?ve-­‐
program/financial-­‐penal?es-­‐nearing-­‐physician-­‐incen?ve?page=full	
  
9	
  9	
  
Meaningful Use of Data
Meaningful	
  Use	
  is	
  a	
  Medicare	
  and	
  Medicaid	
  program	
  that	
  awards	
  incen;ves	
  
for	
  using	
  cer;fied	
  electronic	
  health	
  records	
  (EHRs)	
  to	
  improve	
  pa;ent	
  care.	
  To	
  
achieve	
  Meaningful	
  Use	
  and	
  avoid	
  penal;es,	
  providers	
  must	
  follow	
  a	
  set	
  of	
  
criteria	
  that	
  serve	
  as	
  a	
  roadmap	
  for	
  effec;vely	
  using	
  an	
  EHR.	
  
hPp://www.sfms.org/NewsPublica;on/SFMSBlog/TabId/467/PostId/1179/mu-­‐audit-­‐ca.aspx	
  
10	
  10	
  
Core Measure for MU
Core	
  Measures	
  
The	
  goal	
  of	
  "core	
  measures,"	
  is	
  not	
  to	
  measure.	
  Rather,	
  it's	
  to	
  drive	
  improved	
  
performance	
  across	
  health	
  care	
  organiza;ons	
  and	
  depending	
  on	
  whom	
  you	
  ask,	
  
it's	
  to	
  police	
  hospitals	
  to	
  ensure	
  certain	
  pa;ents	
  are	
  treated	
  in	
  line	
  with	
  what	
  
has	
  been	
  determined	
  to	
  be	
  standard	
  and	
  necessary	
  based	
  on	
  their	
  diagnosis.	
  
•  Acute	
  Myocardial	
  Infarc;on	
  (AMI)	
  –	
  Heart	
  APack	
  
•  Heart	
  Failure	
  	
  
•  Pneumonia	
  	
  
•  Surgical	
  Care	
  Improvement	
  Project	
  (SCIP)	
  	
  
•  Computerized	
  Provider	
  Order	
  Entry	
  (CPOE)	
  
h"p://www.huffingtonpost.com/janet-­‐dillione/easing-­‐core-­‐measure-­‐pain-­‐_b_1573695.html	
  
11	
  11	
  
Meaningful Use of Data
CPOE	
  
12	
  12	
  
Core Measure Top-Tier Performer
hPp://www.wehealny.org/pa;ents/BI_pa;entqty/measures.html	
  
hPp://hospitals.jefferson.edu/quality-­‐and-­‐safety/reports/pneumonia-­‐care-­‐measures/	
  
13	
  
The	
  future:	
  connec4ng	
  health	
  to	
  care	
  	
  
13	
  
h"p://healthit.gov/sites/default/files/na?onwide-­‐c-­‐roadmap-­‐draM-­‐version-­‐1.0.pdf	
  
Na4onwide	
  Interoperability	
  Roadmap	
  
14	
  
The	
  future:	
  connec4ng	
  health	
  to	
  care	
  	
  
14	
  
h"p://healthit.gov/sites/default/files/na?onwide-­‐interoperability-­‐roadmap-­‐draM-­‐
version-­‐1.0.pdf	
  
Na4onwide	
  Interoperability	
  Roadmap	
  
15	
  
Questions?
15	
  

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Big Data Analytics government healthcare

  • 1. By Komes Chandavimol IMC Institute July 2015 Big Data Analytics Government HealthCare
  • 2. 2   Agenda •  Big Data in Government •  Challenge for Government healthcare •  The roles of government (include healthcare) •  Case Study: •  The Electronic Health Records Incentive Program •  Meaningful Use of Data •  Core Measure •  The future: connecting health to care 2  
  • 3. 3   Government Big Data 3  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract  
  • 4. 4   Government Big Data 4  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract  
  • 5. 5   Big Data in Government 5  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract  
  • 6. 6   EHR Incentive Program 6   h"p://medicaleconomics.modernmedicine.com/medical-­‐economics/content/tags/ehr-­‐incen?ve-­‐ program/financial-­‐penal?es-­‐nearing-­‐physician-­‐incen?ve?page=full   The  Medicare  and  Medicaid  Electronic  Health  Records  (EHR)  Incen;ve  Programs  will   provide  incen;ve  payments  to  eligible  professionals  and  eligible  hospitals  as  they   demonstrate  adop;on,  implementa;on,  upgrading,  or  meaningful  use  of  cer;fied   EHR  technology.  These  incen;ve  programs  are  designed  to  support  providers  in  this   period  of  Health  IT  transi;on  and  ins;ll  the  use  of  EHRs  in  meaningful  ways  to  help   our  na;on  to  improve  the  quality,  safety,  and  efficiency  of  pa;ent  health  care.  
  • 7. 7  7   h"p://www.physiciansprac?ce.com/   Medicare Incentive Program
  • 9. 9  9   Meaningful Use of Data Meaningful  Use  is  a  Medicare  and  Medicaid  program  that  awards  incen;ves   for  using  cer;fied  electronic  health  records  (EHRs)  to  improve  pa;ent  care.  To   achieve  Meaningful  Use  and  avoid  penal;es,  providers  must  follow  a  set  of   criteria  that  serve  as  a  roadmap  for  effec;vely  using  an  EHR.   hPp://www.sfms.org/NewsPublica;on/SFMSBlog/TabId/467/PostId/1179/mu-­‐audit-­‐ca.aspx  
  • 10. 10  10   Core Measure for MU Core  Measures   The  goal  of  "core  measures,"  is  not  to  measure.  Rather,  it's  to  drive  improved   performance  across  health  care  organiza;ons  and  depending  on  whom  you  ask,   it's  to  police  hospitals  to  ensure  certain  pa;ents  are  treated  in  line  with  what   has  been  determined  to  be  standard  and  necessary  based  on  their  diagnosis.   •  Acute  Myocardial  Infarc;on  (AMI)  –  Heart  APack   •  Heart  Failure     •  Pneumonia     •  Surgical  Care  Improvement  Project  (SCIP)     •  Computerized  Provider  Order  Entry  (CPOE)   h"p://www.huffingtonpost.com/janet-­‐dillione/easing-­‐core-­‐measure-­‐pain-­‐_b_1573695.html  
  • 11. 11  11   Meaningful Use of Data CPOE  
  • 12. 12  12   Core Measure Top-Tier Performer hPp://www.wehealny.org/pa;ents/BI_pa;entqty/measures.html   hPp://hospitals.jefferson.edu/quality-­‐and-­‐safety/reports/pneumonia-­‐care-­‐measures/  
  • 13. 13   The  future:  connec4ng  health  to  care     13   h"p://healthit.gov/sites/default/files/na?onwide-­‐c-­‐roadmap-­‐draM-­‐version-­‐1.0.pdf   Na4onwide  Interoperability  Roadmap  
  • 14. 14   The  future:  connec4ng  health  to  care     14   h"p://healthit.gov/sites/default/files/na?onwide-­‐interoperability-­‐roadmap-­‐draM-­‐ version-­‐1.0.pdf   Na4onwide  Interoperability  Roadmap