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Patient Generated Data
North Carolina Healthcare Information & Communications Alliance, Inc.
May 2015
Matt Keating
Chief Technologist
Booz Allen Hamilton
1
THE MOST
UNDERUTILIZED
RESOURCE IN
HEALTHCARE
IS THE PATIENT.
- Dr. Charles Safran
3
Several major movements are converging to transform how care is
sought and delivered
Better educated and more health conscience society
Better information and increased usage of online health resources and communities
Legislation
Affordable Care Act has changed laws governing coverage, costs, and care
Availability of consumer health technology
Major investments and rising adoption personal health monitoring devices
Advances in cloud computing and data processing
Availability of low-cost storage and processing
4
Developed an analytics solution to persist and analyze patient
generated data (PGD) to improve outcomes and healthcare delivery
+ Our client is increasing use of
mobile and telehealth
solutions to provide additional
opportunities for patients to
actively participate in their health
and healthcare
+ The client engaged Booz Allen
to define and implement a
strategy for managing the
growing volume of patient
data generated outside the
clinical setting
+ Patient and clinician focused
analytics and visualizations
distill and present relevant
information
5
Challenge: Patient Adoption
+ Learning Curve
+ Value Proposition
+ Sustained Use
6
Challenge: IT Integration
Systems with limited
extensibility
Database solutions with
rigid data models
Traditional compute infrastructure limits the universe of data we can use and
constrains our ability to ask questions
Capacity forces culling or
rejection of information
7
Challenge: Data Quality & Limitations
+ Sporadic Measurement
+ Bias
+ No Baseline
8
Challenge: Clinician Adoption
+ Utility
+ Understanding
+ Guidelines
+ Workflow
+ Liability
Demonstration
10
PGD provides deeper insight
Hospitalization
CHF/MI
6 week
cardiac rehab
program
Care episodes
VisitVisit Visit
8,760 hours / year
Care Between the Care
11
PGD is an enabler for new forms of access
Asynchronous
Communication
 Sensor
 Secure message
 Text/Tweet
Communication Modality Intensity
Provider Intensity
Physicians
(Specialist, General
Practitioner)
Licensed Health
Care Providers
(Physician Assistant
Nurse Practitioner,
Pharmacist
Social Worker, Nurse,
Physical Therapist)
Non-Licensed
Providers
(Alternative Medical
Provider, Health Coach,
Caregiver)
Healthcare Delivery Value Chain
Synchronous
Remote
 Phone
 Chat
 Telehealth
Synchronous
Face-to-Face
 Outpatient
 Inpatient
THE ONLY ACTOR IN OUR
HEALTH SYSTEM NOT
ACCOUNTABLE FOR THE
HEALTH OF THE PATIENT
IS THE PATIENT
THEMSELVES.
- Unknown
13
The opportunities for PGD to improve our health system span the entire
continuum of care
Cultural
• Patient Accountability
• Increased Patient
Engagement
• Routine monitoring
Institutional
• Patient Utilization
• Episodic care vs.
Continuous care
• Care delivery (right dose
at the right time)
Clinical
• Tailored care
• Humanization of the
patient

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NCHICA Presentation vF

  • 1. Patient Generated Data North Carolina Healthcare Information & Communications Alliance, Inc. May 2015 Matt Keating Chief Technologist Booz Allen Hamilton
  • 2. 1
  • 3. THE MOST UNDERUTILIZED RESOURCE IN HEALTHCARE IS THE PATIENT. - Dr. Charles Safran
  • 4. 3 Several major movements are converging to transform how care is sought and delivered Better educated and more health conscience society Better information and increased usage of online health resources and communities Legislation Affordable Care Act has changed laws governing coverage, costs, and care Availability of consumer health technology Major investments and rising adoption personal health monitoring devices Advances in cloud computing and data processing Availability of low-cost storage and processing
  • 5. 4 Developed an analytics solution to persist and analyze patient generated data (PGD) to improve outcomes and healthcare delivery + Our client is increasing use of mobile and telehealth solutions to provide additional opportunities for patients to actively participate in their health and healthcare + The client engaged Booz Allen to define and implement a strategy for managing the growing volume of patient data generated outside the clinical setting + Patient and clinician focused analytics and visualizations distill and present relevant information
  • 6. 5 Challenge: Patient Adoption + Learning Curve + Value Proposition + Sustained Use
  • 7. 6 Challenge: IT Integration Systems with limited extensibility Database solutions with rigid data models Traditional compute infrastructure limits the universe of data we can use and constrains our ability to ask questions Capacity forces culling or rejection of information
  • 8. 7 Challenge: Data Quality & Limitations + Sporadic Measurement + Bias + No Baseline
  • 9. 8 Challenge: Clinician Adoption + Utility + Understanding + Guidelines + Workflow + Liability
  • 11. 10 PGD provides deeper insight Hospitalization CHF/MI 6 week cardiac rehab program Care episodes VisitVisit Visit 8,760 hours / year Care Between the Care
  • 12. 11 PGD is an enabler for new forms of access Asynchronous Communication  Sensor  Secure message  Text/Tweet Communication Modality Intensity Provider Intensity Physicians (Specialist, General Practitioner) Licensed Health Care Providers (Physician Assistant Nurse Practitioner, Pharmacist Social Worker, Nurse, Physical Therapist) Non-Licensed Providers (Alternative Medical Provider, Health Coach, Caregiver) Healthcare Delivery Value Chain Synchronous Remote  Phone  Chat  Telehealth Synchronous Face-to-Face  Outpatient  Inpatient
  • 13. THE ONLY ACTOR IN OUR HEALTH SYSTEM NOT ACCOUNTABLE FOR THE HEALTH OF THE PATIENT IS THE PATIENT THEMSELVES. - Unknown
  • 14. 13 The opportunities for PGD to improve our health system span the entire continuum of care Cultural • Patient Accountability • Increased Patient Engagement • Routine monitoring Institutional • Patient Utilization • Episodic care vs. Continuous care • Care delivery (right dose at the right time) Clinical • Tailored care • Humanization of the patient

Editor's Notes

  1. Image source: http://latestnewslink.com/2012/01/doctors-say-no-to-pension-reforms/