Future Solutions from Qualitative Big Data 
Healthcare Analytics Conference 2014 
Dr Avnesh Ratnanesan (Avi) 
CEO, Energesse 
Leading Innovation in Healthcare and Wellness
Agenda 
1. The Health ‘Ecosystem’ 
2. From ‘Patient-Centric’ to ‘Person-Centric’ Care 
3. Integrate VOC with Qualitative Big Data Technology 
4. Measuring and Benchmarking ‘Intangibles’ 
5. Deep Insights = Innovative Solutions
The Healthcare ‘Ecosystem’ is interdependent 
Federal Government 
State Government 
& 
Public Hospitals 
Patient/Consumer 
Not-for-profit 
Aged Care 
Research 
& 
Academia 
Private Sector – 
PC & Hospitals
Consumer Healthcare Experience is Integrated 
Federal Government 
State Government 
& 
Hospitals 
Aged Care 
Research 
& 
Academia 
Patient/Consumer 
Private Sector – 
PC & Hospitals
Thought Leaders across the Ecosystem
Future Solutions White Paper 
Free Download www.energesse.com/whitepaper
High Priority Reform by 2020 
Evolve how system is measured & incentivised: 
Healthcare Activities ≠ Patient Outcomes
Big Data Evolves Thinking on 
‘Consumer-Centric’ Healthcare System
Converging Data Paradigms in Healthcare 
Medical 
Problems 
1. Basis of scientific research 
and Evidence-Based Medicine 
2. Clear hierarchy 
3. High quality data can take 
years and expensive 
4. Translating into clinical 
practice takes skill, 
experience and customisation 
5. E.g. Treatment decisions
Converging Data Paradigms in Healthcare 
Quantitative Data Qualitative Data 
What are staff, patients, 
stakeholders doing? 
Who? How? When? Why? 
Why are they doing it? 
What? How? When? Who? 
Easier for large volumes of data 
Identify process pain points 
Predict behaviour patterns 
Less effective at the “why” 
Root causes of behaviour 
Why process pain points occur 
Large volumes challenging 
Subjective interpretation 
Management 
Problems
Emerging Complexity of Healthcare 
Data & Smarter Solution Decisions 
Management 
Problems 
Medical 
Problems 
Quantitative 
Big Data 
Key Insights and Decision-making require combination of Science + 
Data Analytics expertise + Tech 
Qualitative 
Big Data 
Scientific 
Studies/ 
Clinical 
Evidence
12 
Unlocking Qualitative Data in Healthcare 
1. Surveys, Feedback forms, 
Questionnaires, Narrative 
2.Workshops, Focus Groups, 
Meeting transcripts 
3. Complaints and e-mails 
4. CRM databases, Sales calls 
5. Social media – Twitter, 
Facebook, Blogs, online 
communities 
6. News, traditional media
Overcoming Limitations in Qual Analysis - 
PanSensic Technology 
1. ‘Next Gen’ free text algorithm 
software with metaphor analysis 
2. 14 years development to measure 
“INTANGIBLES” 
3. Analyses high volume of opinions, 
experiences and complaints 
4. Deeper meaning, early signals in 
engagement, productivity 
5. Understand hidden truth behind 
consumer behaviours and motivators 
- Close the ‘Say/Do’ Gap
Neurolinguistics of Metaphors 
Research by Zaltmann and Rapaille
Web and Social Media 
scanning of Patient 
Experience (UK)
Hospital Patient Pathway Analysis – Frustration pts 
47,000 patient experiences analysed 
6,110,000 words explaining patient experiences 
5136 frustrated patient experiences
PanSensic Live Dashboards – Real Time Monitoring 
Analyses 5757 Patient Experiences, = 750,000 words 
Configured to 14 narrative analytical lenses. 
Safeguarding lens - Potential risk of negligence claims or abuse 
Trigger alerts and e-mails
Hospital Benchmarking of Consumer Perception 
Benchmark analysis of 18 
UK Healthcare Trusts in 
“Special Measures” of Staff 
Attitudes 
e.g. Compassion 
5757 Patient Experiences - 
750,000 words
Case Study - ‘Did Not Attend’s in GP Appointments
Frustration Map – Emotion Analysis of Patients 
Patient 
Intangible 
Needs 
under-served 
over-served 
control 
competence 
privacy 
convenience efficiency 
caring 
cost flexibility 
risk 
advice 
over- served under- served 
Patient Tangible Needs 
respect 
thoroughness
Change Pathway at a Deep Psycho-emotional level 
“See how I’m in control?” 
“YOU take control” 
Result: 40% reduction in DNAs
National Health Service (UK) - Hospital Staff Survey 
“Tell us in your own words how you are feeling this week?” 
Staff morale survey November 2013
Emotions Word Cloud For Staff Experiences 
Staff morale survey November 2013 24
Deep Analysis Staff Anger & Frustration in the 
‘System’ – Solution prioritisation
‘Mental Gears’ (Thinking styles) of patient 
or staff narrative – tailor communications 
E.g. Reasons for seeking medication, consumer drop-off and barriers to adherence. 
26 
Confidential
Benchmarking the ‘Intangibles’ – 
Comparing Drugs using Social Media 
Emotion lens for all drugs collectively 
League table of 
positive – negative sentiment
Applications for Qualitative Data Solutions 
Intelligent 
Scraping & 
Opportunity 
Scanning 
Consumer 
Journey 
Mapping 
Analyse Staff 
Values & 
Culture 
Personalise 
solutions and 
Improve 
Products & 
Services 
Active Journey 
Monitoring , 
Dashboards, 
Benchmarking
PanSensic 
Meaningful Insights, 
Meaningful 
Solutions 
Multi-Industry 
Validation
Summary 
Health ‘Ecosystem’ is 
interdependent 
Evolve ‘Patient-Centric’ to ‘Person-Centric’ 
Integrate VOC with Qualitative Big Data 
Technology 
Measure and Benchmark the ‘Intangibles’ 
Innovative Solutions from Deep Consumer Insights
For Complimentary Data Testing & 
Distribution Partnerships 
Contact 
avnesh@energesse.com 
Or call + 61 2 8091 0918 
Sydney, Australia Head Office 
15/17 Newland Street, 
Bondi Junction 
NSW 2022 
+61 2 8091 0918 
Los Angeles, USA Office 
Oppenheimer Tower 
10880 Wilshire Blvd. 
Suite #1101 
Los Angeles, CA 90024 
+ 1 213 814 4194

Future Solutions from Qualitative Big Data

  • 1.
    Future Solutions fromQualitative Big Data Healthcare Analytics Conference 2014 Dr Avnesh Ratnanesan (Avi) CEO, Energesse Leading Innovation in Healthcare and Wellness
  • 2.
    Agenda 1. TheHealth ‘Ecosystem’ 2. From ‘Patient-Centric’ to ‘Person-Centric’ Care 3. Integrate VOC with Qualitative Big Data Technology 4. Measuring and Benchmarking ‘Intangibles’ 5. Deep Insights = Innovative Solutions
  • 3.
    The Healthcare ‘Ecosystem’is interdependent Federal Government State Government & Public Hospitals Patient/Consumer Not-for-profit Aged Care Research & Academia Private Sector – PC & Hospitals
  • 4.
    Consumer Healthcare Experienceis Integrated Federal Government State Government & Hospitals Aged Care Research & Academia Patient/Consumer Private Sector – PC & Hospitals
  • 5.
  • 6.
    Future Solutions WhitePaper Free Download www.energesse.com/whitepaper
  • 7.
    High Priority Reformby 2020 Evolve how system is measured & incentivised: Healthcare Activities ≠ Patient Outcomes
  • 8.
    Big Data EvolvesThinking on ‘Consumer-Centric’ Healthcare System
  • 9.
    Converging Data Paradigmsin Healthcare Medical Problems 1. Basis of scientific research and Evidence-Based Medicine 2. Clear hierarchy 3. High quality data can take years and expensive 4. Translating into clinical practice takes skill, experience and customisation 5. E.g. Treatment decisions
  • 10.
    Converging Data Paradigmsin Healthcare Quantitative Data Qualitative Data What are staff, patients, stakeholders doing? Who? How? When? Why? Why are they doing it? What? How? When? Who? Easier for large volumes of data Identify process pain points Predict behaviour patterns Less effective at the “why” Root causes of behaviour Why process pain points occur Large volumes challenging Subjective interpretation Management Problems
  • 11.
    Emerging Complexity ofHealthcare Data & Smarter Solution Decisions Management Problems Medical Problems Quantitative Big Data Key Insights and Decision-making require combination of Science + Data Analytics expertise + Tech Qualitative Big Data Scientific Studies/ Clinical Evidence
  • 12.
    12 Unlocking QualitativeData in Healthcare 1. Surveys, Feedback forms, Questionnaires, Narrative 2.Workshops, Focus Groups, Meeting transcripts 3. Complaints and e-mails 4. CRM databases, Sales calls 5. Social media – Twitter, Facebook, Blogs, online communities 6. News, traditional media
  • 14.
    Overcoming Limitations inQual Analysis - PanSensic Technology 1. ‘Next Gen’ free text algorithm software with metaphor analysis 2. 14 years development to measure “INTANGIBLES” 3. Analyses high volume of opinions, experiences and complaints 4. Deeper meaning, early signals in engagement, productivity 5. Understand hidden truth behind consumer behaviours and motivators - Close the ‘Say/Do’ Gap
  • 15.
    Neurolinguistics of Metaphors Research by Zaltmann and Rapaille
  • 16.
    Web and SocialMedia scanning of Patient Experience (UK)
  • 17.
    Hospital Patient PathwayAnalysis – Frustration pts 47,000 patient experiences analysed 6,110,000 words explaining patient experiences 5136 frustrated patient experiences
  • 18.
    PanSensic Live Dashboards– Real Time Monitoring Analyses 5757 Patient Experiences, = 750,000 words Configured to 14 narrative analytical lenses. Safeguarding lens - Potential risk of negligence claims or abuse Trigger alerts and e-mails
  • 19.
    Hospital Benchmarking ofConsumer Perception Benchmark analysis of 18 UK Healthcare Trusts in “Special Measures” of Staff Attitudes e.g. Compassion 5757 Patient Experiences - 750,000 words
  • 20.
    Case Study -‘Did Not Attend’s in GP Appointments
  • 21.
    Frustration Map –Emotion Analysis of Patients Patient Intangible Needs under-served over-served control competence privacy convenience efficiency caring cost flexibility risk advice over- served under- served Patient Tangible Needs respect thoroughness
  • 22.
    Change Pathway ata Deep Psycho-emotional level “See how I’m in control?” “YOU take control” Result: 40% reduction in DNAs
  • 23.
    National Health Service(UK) - Hospital Staff Survey “Tell us in your own words how you are feeling this week?” Staff morale survey November 2013
  • 24.
    Emotions Word CloudFor Staff Experiences Staff morale survey November 2013 24
  • 25.
    Deep Analysis StaffAnger & Frustration in the ‘System’ – Solution prioritisation
  • 26.
    ‘Mental Gears’ (Thinkingstyles) of patient or staff narrative – tailor communications E.g. Reasons for seeking medication, consumer drop-off and barriers to adherence. 26 Confidential
  • 27.
    Benchmarking the ‘Intangibles’– Comparing Drugs using Social Media Emotion lens for all drugs collectively League table of positive – negative sentiment
  • 28.
    Applications for QualitativeData Solutions Intelligent Scraping & Opportunity Scanning Consumer Journey Mapping Analyse Staff Values & Culture Personalise solutions and Improve Products & Services Active Journey Monitoring , Dashboards, Benchmarking
  • 29.
    PanSensic Meaningful Insights, Meaningful Solutions Multi-Industry Validation
  • 30.
    Summary Health ‘Ecosystem’is interdependent Evolve ‘Patient-Centric’ to ‘Person-Centric’ Integrate VOC with Qualitative Big Data Technology Measure and Benchmark the ‘Intangibles’ Innovative Solutions from Deep Consumer Insights
  • 31.
    For Complimentary DataTesting & Distribution Partnerships Contact avnesh@energesse.com Or call + 61 2 8091 0918 Sydney, Australia Head Office 15/17 Newland Street, Bondi Junction NSW 2022 +61 2 8091 0918 Los Angeles, USA Office Oppenheimer Tower 10880 Wilshire Blvd. Suite #1101 Los Angeles, CA 90024 + 1 213 814 4194

Editor's Notes

  • #2 Thank you for the invitation to speak on this topic, its great to be here and see a few familiar faces, so please do come up and say hello at the end, I should be here for most of the day Energesse is a specialist advisory firm that is focussed on consulting firm for the healthcare and wellness sector, we work with firms in the US, UK and Australia on special projects, or provide executive coaching to the healthcare executives. Before I begin, there is content here that some may be regard provocative, however, I ask that you keep an open mind as innovation often requires different ways of thinking to create solutions in our Health industry, but also the Australian Healthcare system as a whole. However, they are opinions based on evidence in modern economies, some the latest trends and discussions with leading healthcare experts. Paper was developed 4 other consulting firms
  • #4 And so who is that individual? Well it is me, you, the 23 million Australians that we call patients, consumers or the general public. It is a system, that is interdependent on each other. How making one change, affects another. Give example of how much spend occurs in each part of the eco-system. Australia spends over $140 bil on health 40-something% comes from Fed Govt 20-something% comes from State Govt, across 760 public hospitals 550 private hospitals $4 bil in Alternative Health Also give figures of no. of professionals in each sector. 70,000 doctors 6,000 pharmacies 120,000 Allied Health workers The patient has choices, and is ultimately responsible for their own healthcare. In fact, consumers spend approx. 20% on health, which is higher than the OECD average.
  • #5 To understand the implications of any changes to healthcare, we need to clearly understand how the healthcare system is actually an eco-system. It is a system, that is interdependent on each other. How making one change, affects another. The consumer journey is integrated in the mind of the consumer, filled with complex sets of daily options, within the formal health system, and outside of it.
  • #6 Explain who the interviews are with
  • #7 Meet me at the back of the room after this.
  • #9 Before we change actions or activities within the healthcare, the first point is to understand how staff and consumers think about the system we are in now.
  • #10 Evidence-based Medicine is the mantra for Medical Problems
  • #11 Evidence-based Medicine is the mantra for Medical Problems Give example of Coke vs Pepsi
  • #15 PanSensic helps you understand the substance of your consumers narrative in large volumes, locating insights and digging deep to uncover what they truly mean and a deeper understanding of consumer or employee needs and frustrations Mixture of Primary and Secondary Abundance of Qualitative Data Give the Restaurant example