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Modern Data Management for Modern Healthcare
The document discusses trends and challenges in healthcare, emphasizing the need for a trusted data foundation to improve efficiency and outcomes. It highlights key issues such as rising cybersecurity threats, an aging population, and increasing patient expectations for data access. Additionally, it advocates for the adoption of emerging standards like FHIR to enhance interoperability and empower healthcare organizations.
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Modern Data Management for Modern Healthcare
- 1. 05_01_20 © 2020 ProfiseeGroup, Inc. 1 05_01_20 © 2020 Profisee Group, Inc. Hosted by: MODERN DATA MANAGEMENT For Modern Healthcare
- 2. 05_01_20 © 2020 ProfiseeGroup, Inc. 2 Trends and issues in healthcare Emerging standards (FHIR) AGENDA Building a trusted data foundation The most common uses for MDM in healthcare Practical uses of MDM Making MDM a way of life Fast reaction to accelerate COVID/Cancer research
- 3. 05_01_20 © 2020 ProfiseeGroup, Inc. 3 John Barto Healthcare Evangelist
- 4. Microsoft for Healthcare Empowerhealth organizations to achieve more Offering a flexible, scalable and compliant health cloud Cultivating health innovation with expert partners Uniting disparate systems across a common platform Reimagining Healthcare Better experiences. Better insights. Better care. ENABLE PERSONALIZED CARE EMPOWER CARE TEAMS IMPROVE OUTCOMES
- 5. Au Commitment to interoperability for healthdata August 2018 March 2020
- 6. 1 0 11 0 1 0 1 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 1 0 1 0 1 0 0 1 0 0 1 1 1 0 1 0 1 1 0 1 0 0 1 0 1 0 1 1 0 1 0 1 0 1 0 0 1 0 1 0 0 0 1 0 1 1 1 0 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 0 1 0 1 0 1 1 0 1 1 0 0 1 0 1 0 1 1 0 1 0 1 1 0 0 1 0 0 11 0 1 1 0 1 0 1 1 0 1 0 1 0 1 0 1 0 0 1 0 1 0 1 0 Growing cybersecurity threats $6.2 billion is lost due to data breaches to the health industry every year, leading to increased pressure in security and compliance.2 2 billion people in 2050 will be over 60 years old, representing an increase of 10% over today’s aging population.3 14 million healthcare worker positions will go unfilled in 2030 as the world experiences a global shortage of healthcare workers.5 1 GB By 2020, on average of 1GB of health-related data will be created daily per person.1 Increasing patient expectations 97% of patients have raised expectations around their healthcare, expecting every health institution to have access to their full medical history.4 5 Trends DRIVING INTELLIGENT HEALTH Aging populations Shortage of healthcare workers Rapidly emerging technologies 04 Consumerization
- 7. Microsoft confidential. Forinternal use only.
- 8. Systems of Engagement Evolution ofhealth systems Systems of Insight Systems of Record
- 9. Microsoft assets enablingEvolutionEvolution Transformation Collaborate Know Act Choice
- 10. Microsoft assets enablingEvolutionEvolution Transformation No Code / Low Code Platform Access
- 11. 05_01_20 © 2020 ProfiseeGroup, Inc. 11 Martin Boyd VP Product Marketing
- 12. 05_01_20 © 2020 ProfiseeGroup, Inc. 12 HEALTHCARE IN 2020 Requires authoritative, reliable TRUSTED data foundation Drive Business Efficiency Improve Healthcare Outcomes Facility/LocationProvider #1 Priority: Patient Care Supplies Reference DataTreatmentPatient Required Core Competence: Data Management
- 13. 05_01_20 © 2020 ProfiseeGroup, Inc. 13 Consolidated Single Trusted Source Of Truth PROVIDER HUB MDM EMR 1 EMR 2 Credential System 1 Credential System 2 EMR 3 Provider Listing EMR (Partner) Name: Deborah Smith Practice: Westside Family Care NPI: 655890321 EMR (Secondary) Name: Deborah Varchey Practice: Eastside Pediatrics Type: Designated Practitioner Provider Listing Name: Deborah A Varchie Practice: Eastside Pediatrics Privileges: Admit, Discharge NPI: 302840392 Credentialing Name: Debora Varchy NPI: 699890321 Degree: Pediatrics …… …… Composite Record NPI Primary: 655890321 Practice NPI 302840392 Gender: Female DOB: May 22, 1979 Degrees: Primary: Pediatrics Secondary1: Family Medicine Secondary2: Masters, Public Health eMail: dvarchy@ccc.com Phone: 232-803-8233 DEA#: xxxxxx3312 SPI#: xxxxxx4322 Staff Status: Admit, Discharge Staff Type: Managed Practitioner Practice Organizations: Eastside Pediatrics, Westside Pediatrics, Central Pediatric Clinic
- 14. 05_01_20 © 2020 ProfiseeGroup, Inc. 14 Provider Hub is core to many operational processes PROVIDER HUB MDM EMR 1 EMR 2 Credential System 1 Credential System 2 EMR 3 Provider Listing Utilization Web directory (and API) Specialty coverage Physician recruitment Referral management Patient Scheduling Identity/access management Regulatory Reporting
- 15. 05_01_20 © 2020 ProfiseeGroup, Inc. 15 Managed Care Organization • Golden master for provider records, including data stewardship, provider onboarding and cross-reference checking • 4 month implementation SAMPLE HEALTHCARE CUSTOMERS Strictly Confidential © 2018 Profisee Group, Inc.
- 16. 05_01_20 © 2020 ProfiseeGroup, Inc. 16 Mark Wozny Manager, Data Governance
- 17. 05_01_20 © 2020 ProfiseeGroup, Inc. 17 BUSINESS – MULTIPLE DOMAINS/USE CASES 17 • Event management • Fire monitoring • Call management, etc. • Access management • Employee directory • Emergency notification, etc. • Study inclusion • Address verification • Clinical contact only flags • Charity donor list • Do not contact suppression • Supply reconciliation • Price benchmarking • Standard codes • Definitions • Medical vocabularies • Crosswalking/mappings Facility/ Location Patient Supplies Reference Data Management Employee Donor
- 18. 05_01_20 © 2020 ProfiseeGroup, Inc. 18 HEALTHCARE – COVID-19 AND CANCER Disease Treatment Outcome Electronic Medical Record Standardized, Searchable Data • Easy to search for researchers • Foundation for AI/ML analysis Profisee: Domain dictionaries, disease lexicons Patient Medical Ontologists Disease Treatment Outcome ‘Raw’ Clinical Data “Context Engine”
- 19. 05_01_20 © 2020 ProfiseeGroup, Inc. 19 MD ANDERSON ONTOLOGY TOOL SET Chronicles Clarity/ Caboodle FIRE Metadata (Web Services, HL7, SQL) Metadata Catalog Profisee Data Models, Master / Reference Data, Data Dictionary Health Language Vocabularies, Map Manager, Code Group Manager Ontologies, Lexicons Protégé/Allegrograph Data: Facts/Events Provenance Metadata Models, Terms, Definitions Lexicons, Mappings External Terminology Sources (E.g. NCIT, HL7) MDA Ontologies CCD19 Findings Standard Ontologies Palantir Medical Ontologists
- 20. 05_01_20 © 2020 ProfiseeGroup, Inc. 20 GOVERNANCE STANDARDS – FOR USEFUL AND SHAREABLE DATA Federated Health Information Model (FHIM) Oncology-specific extensions • Can be included in the standard • Enables effective data sharing • Modeled and managed in Profisee Medical Ontologists
- 21. 05_01_20 © 2020 ProfiseeGroup, Inc. 21 Healthcare is demanding: • Consumers are more demanding • Regulations are more demanding • Revolution, not evolution YOU HEARD: The new normal: • Standards such as FHIR will enable broad data sharing • Must trust your data before it can be shared • MDM becoming a required core competence Leading practitioners: • Build trusted data foundation across many domains • Drive business efficiency/eliminate redundancy • Standardize clinical data to improve healthcare insight and outcomes
- 22. 05_01_20 © 2020 ProfiseeGroup, Inc. 22 QUESTIONS?
Editor's Notes
- #5 Microsoft for Healthcare is about delivering better experiences, insights and care in a trusted and secure way. We focus around 3 core pillars: Enable personalized care – Creating an experience that gives people control over their health data and provides insights that facilitates self-care and family support. Empower care teams – Helping care teams connect with patients, increase secure communication and collaborate more efficiently. Improve operational outcomes – harnessing data to accelerate diagnoses and reduce time to treatment, while improving care team efficiencies and patient outcomes. People (patients and their families, clinicians, payors, administrators, regulators,) are the heart of what we do. We are bringing world-class technology and a large partner ecosystem to help our customers reimagine healthcare—providing affordable access to remedies at scale that improves the health of society and ultimately saves more lives. Microsoft uniquely enables health organizations to deliver on key industry imperatives Offering a flexible, scalable and compliant health cloud: We deliver a highly secure cloud environment, backed by the most data centers in the world, with flexible hybrid deployment models that meet industry compliance standards including HIPAA, HITRUST, ISO 27018 and GxP Leading-edge health solutions developed by our community of partner experts: Our focus is on growing our rich ecosystem of ISV and SaaS partners to create disruptive partnerships in health. As part of this aim, our continued priority is to connect organizations with leading-edge health solutions capable of transforming the patient care experience. United systems across a common platform: Engineering investments must be made to enable interoperability and data sharing across disparate systems. We deliver solutions that are compatible with existing EHR investments, unifying patient data into a common platform. T: Together, we succeed in delivering on key industry imperatives through the adoption of powerful new technology <click> Talk track So why Microsoft? We can claim this space, and make this proposition, because of our unique blend of experience, innovation and true partnerships: Track Record: We are the protagonist of digital transformation. Much disruption in the market is because of Microsoft technology. We have an unparalleled investment in digital technology and innovation. We are the tech powerhouse with both innovation and deep enterprise experience. Our portfolio of assets and experience: Microsoft is on the bleeding edge of development in the cloud, IoT, advanced analytics, mixed reality, security technologies and artificial intelligence. Speed to Market: When first mover matters more than ever, our technology and experience can help customers innovate on top of their existing systems to speed up their transformations. Our innovation labs and envisioning experience help organizations reimagine their businesses and accelerate their digital transformation. Partner Ecosystem: Microsoft has hundreds of thousands of partners lighting up solutions that digital businesses need (a larger channel network than AWS, Google and Salesforce combined). Digital transformation is not a transaction for Microsoft, it’s a partnership. Omnipresence: We also serve almost every enterprise and government on earth, with greatly diverse uses of technology: From consumers apps, to complex enterprises, to the most complicated automation. That means we can sense and respond to trends and insights like no one else. Cloud with global scale and reach: Microsoft has the combination of global scale and reach, with 38 datacenter regions across the world, and a cloud that meets a broad set of international standards and compliance requirements. Responsible and Ethical At augmenting human ingenuity by providing fairness, transparency, inclusiveness, reliability, privacy and security, with shared accountability
- #6 In August 2018, Microsoft was a key catalyst to bring together the biggest tech companies in a pledge for health data interoperability. Notably Microsoft, Google, IBM, Oracle and Salesforce announced their intent to jointly commit “to removing barriers for the adoption of technologies for healthcare interoperability, particularly those that are enabled through the cloud and AI.” Each of these companies has leveraged the FHIR® specification in technology they provide, including Microsoft Teams Health Huddle, Dynamics 365 Healthcare Accelerator, and the Azure Security and Compliance Blueprint - HIPAA/HITRUST Health Data and AI from Microsoft. These companies made a commitment to supporting the FHIR specification to ensure health data interoperability across the clouds. https://www.microsoft.com/en-us/microsoft-365/blog/2018/02/28/empowering-clinicians-to-achieve-more-with-health-team-huddle-templates/ https://appsource.microsoft.com/en-us/product/dynamics-365/msemr.healthcarecommondatamodel https://docs.microsoft.com/en-us/azure/security/blueprints/azure-health
- #14 A talk though on this slide In reality, the way master data is captured and updated across most organizations is fragmented and discontinuous. It’s MDM’s job to listen for new and updated information, link the correct information together, and assemble the puzzle pieces incrementally. Complicating this process is the fact that information is often incomplete and inconsistent. It would be like trying to assemble a jig saw puzzle where the picture side of the pieces had been damaged, and only part of the picture were visible. First build: In this scenario, the first piece of information available might be from an external source, such as a marketing lead file or in this case, Dun & Bradstreet. Here we capture information about Debora Varchy with Crete Carrier Corporation Second build: The next interaction might be with the parts department, when Debora orders a replacement part. In this case, the parts representative captures her name as “Deb Varchie” and abbreviates the company name to “Crete Carrier Corp.” MDM figures out that this is the same person, with the same company, and aggregates the information together. Third build: The next interaction might be with the service department, when the new part doesn’t work properly. In this case, the service representative captures her name as “Debby Varchy” and abbreviates the company name to “CCC”. Again, MDM recognizes that this is the same person and the same company, and continues to aggregate the information we know about Debora and Create Carrier Corporation. Fourth build: The next interaction might be with the warranty division, as the replacement part is clearly defective.….same story. Fifth build: MDM has taken these fragments of master data, correctly reconciled them, and used them to assemble an aggregate composite record that is the most complete, most up to date information available on Debora Varchy and Crete Carrier Corporation. As part of this process, MDM captures each contributing system and the primary keys for the data from each contributing record. This cross reference information is a gold-mine for analytics, allowing transactions from multiple systems to be correctly aggregated, even when the information in those systems is inconsistent or incomplete. Furthermore, the best, most complete composite data set can be shared back to operating systems, ensuring that invoices are sent to the most current and accurate billing address, or orders shipped to the best, most current delivery address, etc. What MDM is doing, really, is collecting updates and changes to key master data as they are captured across multiple systems. The real magic is two-fold. MDM will link up information fragments to build out the complete, composite picture, even when the information is not 100% accurate and consistent, and MDM will apply rules to assemble the best, most complete composite record – e.i. identify the best address, the best email, the best company name, etc.