The Crescent City Beacon Community program in New Orleans is working to improve healthcare quality, coordination of care, and consumer engagement through health information technology. The program aims to reduce chronic disease burden and healthcare costs by improving clinical care for patients, strengthening care coordination between providers through a health information exchange, and engaging consumers using technologies like text messaging. It has connected many primary care practices and hospitals, implemented population health management strategies, and seen reductions in emergency department and hospital use for participating patients. The program is also collaborating with the BioDistrict initiative to further innovation in research, education, and translational medicine.
The document provides suggestions for developing outcome measurements for assisted living programs, including:
1. An outcome sequence chart that identifies key outcomes and indicators to track client progress over time.
2. A list of candidate outcome indicators for common assisted living program outcomes, such as residents' physical, social, and mental needs being met. Suggested data sources are provided.
3. Tips for selecting a manageable number of outcomes and indicators to start, and obtaining input from various stakeholders in the process. Outcome data should be used to identify what's working well and opportunities for improvement.
Dallas Protitution Diversion Program Hanpbohannon88
The Dallas Police Department's Prostitution Diversion Program, also known as New Life Opportunities, provides legal, medical, substance abuse/mental health, and ancillary support services to individuals engaged in prostitution through collaboration with various organizations. Services include assessment, treatment, case management, and faith-based support. The program aims to address the issues driving prostitution and reduce recidivism through a holistic approach.
The document is a newsletter from Habitat for Humanity of Utah County celebrating their 21 years of success in providing affordable housing to families in need. Some of the key details include:
- Habitat for Humanity of Utah County has built or renovated 51 homes providing housing to 81 adults and 158 children since 1991.
- In addition to building homes, the organization operates a ReStore, tool lending library, and provides classes to help homeowners with maintenance.
- Upcoming events are announced like finishing work on a sponsored home, a ribbon cutting for a newly completed home, and a charity Christmas tree.
- The newsletter highlights the organization's continued efforts to build homes and empower families while engaging the community
This document contains summaries of cost studies from various US cities that analyzed public costs associated with homelessness. The studies found that a small number of chronically homeless individuals incurred disproportionately high costs for emergency services like healthcare, police, jails and shelters. Housing these individuals led to significant cost savings - in some cases over 50% reductions - that could help fund homeless housing and services programs. The cost studies provide evidence that a Housing First approach can both help the homeless and save taxpayer money compared to leaving them on the streets.
Use of the Oncology Beacon Module and Virtual Data Warehouse Data to Identify...HMO Research Network
This document summarizes a study examining variations in treatment and costs for patients diagnosed with stage III/IV colorectal cancer using data from the Oncology Beacon module and VDW. The study found significant variations in treatment intent, protocols, regimens, and reasons for discontinuation between stage III and IV patients. First line treatments often included oxaliplatin, fluorouracil and leucovorin. Missing data was common for some variables. Costs varied based on regimen and dosage. The study concludes that the VDW chemotherapy data provides a rich source for comparative effectiveness research in colorectal cancer patients.
JavaScript and Internet Controlled Hardware PrototypingJonathan LeBlanc
The electronics maker movement has led a massive shift in how people are re-engineering the world around them through rapid hardware prototyping. With the rise of inexpensive, wifi and bluetooth low energy enabled electronics, this hardware revolution is internet and mobile controlled, all through simple bridges to build the electronics intelligence in familiar web languages.
In this session, we will play with Arduino microcontrollers and JavaScript to take a first dive into the world of internet controlled electronics, exploring topics such as:
- Setting up an Arduino to be controlled through web APIs
- Using JavaScript language bridges on the Arduino
- The future of web controlled hardware prototyping
In the Summer of 2011, Beacon Partners conducted this original research study to assess healthcare organizations
understanding of, and preparation for, Accountable Care Organization (ACO) development.
The document provides suggestions for developing outcome measurements for assisted living programs, including:
1. An outcome sequence chart that identifies key outcomes and indicators to track client progress over time.
2. A list of candidate outcome indicators for common assisted living program outcomes, such as residents' physical, social, and mental needs being met. Suggested data sources are provided.
3. Tips for selecting a manageable number of outcomes and indicators to start, and obtaining input from various stakeholders in the process. Outcome data should be used to identify what's working well and opportunities for improvement.
Dallas Protitution Diversion Program Hanpbohannon88
The Dallas Police Department's Prostitution Diversion Program, also known as New Life Opportunities, provides legal, medical, substance abuse/mental health, and ancillary support services to individuals engaged in prostitution through collaboration with various organizations. Services include assessment, treatment, case management, and faith-based support. The program aims to address the issues driving prostitution and reduce recidivism through a holistic approach.
The document is a newsletter from Habitat for Humanity of Utah County celebrating their 21 years of success in providing affordable housing to families in need. Some of the key details include:
- Habitat for Humanity of Utah County has built or renovated 51 homes providing housing to 81 adults and 158 children since 1991.
- In addition to building homes, the organization operates a ReStore, tool lending library, and provides classes to help homeowners with maintenance.
- Upcoming events are announced like finishing work on a sponsored home, a ribbon cutting for a newly completed home, and a charity Christmas tree.
- The newsletter highlights the organization's continued efforts to build homes and empower families while engaging the community
This document contains summaries of cost studies from various US cities that analyzed public costs associated with homelessness. The studies found that a small number of chronically homeless individuals incurred disproportionately high costs for emergency services like healthcare, police, jails and shelters. Housing these individuals led to significant cost savings - in some cases over 50% reductions - that could help fund homeless housing and services programs. The cost studies provide evidence that a Housing First approach can both help the homeless and save taxpayer money compared to leaving them on the streets.
Use of the Oncology Beacon Module and Virtual Data Warehouse Data to Identify...HMO Research Network
This document summarizes a study examining variations in treatment and costs for patients diagnosed with stage III/IV colorectal cancer using data from the Oncology Beacon module and VDW. The study found significant variations in treatment intent, protocols, regimens, and reasons for discontinuation between stage III and IV patients. First line treatments often included oxaliplatin, fluorouracil and leucovorin. Missing data was common for some variables. Costs varied based on regimen and dosage. The study concludes that the VDW chemotherapy data provides a rich source for comparative effectiveness research in colorectal cancer patients.
JavaScript and Internet Controlled Hardware PrototypingJonathan LeBlanc
The electronics maker movement has led a massive shift in how people are re-engineering the world around them through rapid hardware prototyping. With the rise of inexpensive, wifi and bluetooth low energy enabled electronics, this hardware revolution is internet and mobile controlled, all through simple bridges to build the electronics intelligence in familiar web languages.
In this session, we will play with Arduino microcontrollers and JavaScript to take a first dive into the world of internet controlled electronics, exploring topics such as:
- Setting up an Arduino to be controlled through web APIs
- Using JavaScript language bridges on the Arduino
- The future of web controlled hardware prototyping
In the Summer of 2011, Beacon Partners conducted this original research study to assess healthcare organizations
understanding of, and preparation for, Accountable Care Organization (ACO) development.
Smart companies know that business intelligence surfaces insights. With complex analytics, data mining and everything in between, it takes many moving parts to serve up the big picture. The key is to provide full-stack visibility into the entire BI environment, ensuring solid service and system performance.
Learn more at http://www.insideanalysis.com
Agile, Automated, Aware: How to Model for SuccessInside Analysis
The Briefing Room with David Loshin and Embarcadero
Live Webcast October 27, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=eea9877b71c653c499c809c5693eae8fe
Data management teams face some tough challenges these days. Organizations need business-driven visibility that enables understanding and awareness of enterprise data assets – without worrying about definitions and change management. But with information architectures evolving into a hybrid mix of data objects and data services built over relational databases as well as big data stores, serving up accurately defined, reusable data can become a complex issue.
Register for this episode of The Briefing Room to learn from veteran Analyst David Loshin as he explains the importance of agile, automated workflows in today’s enterprise. He’ll be briefed by Ron Huizenga of Embarcadero, who will discuss how his company’s ER/Studio suite approaches data modeling and management from a modern architecture standpoint. He will explain that unifying the way information is represented can not only eliminate the need for costly workarounds, but also foster collaboration between data architects, developers and business users.
Visit InsideAnalysis.com for more information.
First in Class: Optimizing the Data Lake for Tighter IntegrationInside Analysis
The Briefing Room with Dr. Robin Bloor and Teradata RainStor
Live Webcast October 13, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=012bb2c290097165911872b1f241531d
Hadoop data lakes are emerging as peers to corporate data warehouses. However, successful data management solutions require a fusion of all relevant data, new and old, which has proven challenging for many companies. With a data lake that’s been optimized for fast queries, solid governance and lifecycle management, users can take data management to a whole new level.
Register for this episode of The Briefing Room to learn from veteran Analyst Dr. Robin Bloor as he discusses the relevance of data lakes in today’s information landscape. He’ll be briefed by Mark Cusack of Teradata, who will explain how his company’s archiving solution has developed into a storage point for raw data. He’ll show how the proven compression, scalability and governance of Teradata RainStor combined with Hadoop can enable an optimized data lake that serves as both reservoir for historical data and as a "system of record” for the enterprise.
Visit InsideAnalysis.com for more information.
Fit For Purpose: Preventing a Big Data LetdownInside Analysis
The Briefing Room with Dr. Robin Bloor and RedPoint Global
Live Webcast October 6, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=9982ad3a2603345984895f279e849d35
Gartner recently placed Big Data in its “trough of disillusionment,” reflective of many leaders’ struggle to prove the value of Hadoop within their organization. While the promise of enhanced data integration and enrichment is obvious, measurable results have remained elusive. This episode of The Briefing Room will outline how to successfully tie Big Data to existing business applications, preventing your next Hadoop project from being another “Big Data letdown.”
Register today to learn from veteran Analyst Dr. Robin Bloor as he discusses the importance of converging enterprise data integration with intelligence and scalability. He’ll be briefed by George Corugedo of RedPoint Global, who will provide concrete examples of how the convergence of scalable cloud platforms, ever-expanding data sources and intelligent execution can turn the Big Data hype into demonstrable business value.
Visit InsideAnalysis.com for more information.
To Serve and Protect: Making Sense of Hadoop Security Inside Analysis
HP Security Voltage provides data-centric security solutions to protect sensitive data in Hadoop environments. Their solutions leverage tokenization and encryption to safeguard data at rest, in motion, and in use across the data lifecycle. They presented use cases where their technology helped secure financial, healthcare, and telecommunications customer data in Hadoop and other platforms. Questions from analysts focused on implementation experience, performance impacts, integration with authentication, costs, and supported environments and partnerships.
The Hadoop Guarantee: Keeping Analytics Running On TimeInside Analysis
The Briefing Room with Dr. Robin Bloor and Pepperdata
Live Webcast September 15, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=32f198185d9d0c4cf32c27bdd1498b2a
Industry researchers agree: the importance of Hadoop will continue to grow as more companies recognize the range of benefits they can reap, from lower-cost storage to better business insights. At the same time, advances in the Hadoop ecosystem are addressing many of the key concerns that have hampered adoption, including performance and reliability. As a result, Hadoop is fast becoming a first-class citizen in the world of enterprise computing.
Register for this episode of The Briefing Room to hear veteran Analyst Dr. Robin Bloor explain how the Hadoop ecosystem is evolving into a mature foundation for managing enterprise data. He’ll be briefed by Sean Suchter of Pepperdata, who will explain how his company’s software brings predictability and reliability to Hadoop through dynamic, policy-based controls and monitoring. He’ll show how to guarantee service-level agreements by slowing down low-priority tasks as needed. He’ll also discuss the holy grail of Hadoop: how to enable mixed workloads.
Visit InsideAnalysis.com for more information.
Special Edition with Dr. Robin Bloor
Live Webcast September 9, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=e8b9ac35d8e4ffa3452562c1d4286a975
Do the math: algebra will transform information management. Just as the relational database revolutionized the information landscape, so will a just-released, complete algebra of data overhaul the industry itself. So says Dr. Robin Bloor in his new book, the Algebra of Data, which he’ll outline in this special one-hour webcast.
Once organizations learn how to express their data sets algebraically, the benefits will be significant and far-reaching. Data quality problems will slowly subside; queries will run orders of magnitude faster; integration challenges will fade; and countless tedious jobs in the data management space will bid their farewell. But first, software companies must evolve, and that will take time.
Visit InsideAnalysis.com for more information.
The Role of Data Wrangling in Driving Hadoop AdoptionInside Analysis
The Briefing Room with Mark Madsen and Trifacta
Live Webcast September 1, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=eb655874d04ba7d560be87a9d906dd2fd
Like all enterprise software solutions, Hadoop must deliver business value in order to be a success. Much of the innovation around the big data industry these days therefore addresses usability. While there will always be a technical side to the Hadoop equation, the need for user-friendly tools to manage the data will continue to focus on business users. That’s why self-service data preparation or "data wrangling" is a serious and growing trend, one which promises to move Hadoop beyond the early adopter phase and more into the mainstream of business.
Register for this episode of The Briefing Room to hear veteran Analyst Mark Madsen of Third Nature explain why business users will play an increasingly important role in the evolution of big data. He’ll be briefed by Trifacta's Will Davis and Alon Bartur, who will demonstrate how Trifacta's solution empowers business users to “wrangle" data of all shapes and sizes faster and easier than ever before. They’ll discuss why a new approach to accessing and preparing diverse data is required and how it can accelerate and broaden the use of big data within organizations.
Visit InsideAnalysis.com for more information.
Ahead of the Stream: How to Future-Proof Real-Time AnalyticsInside Analysis
Business seems to move faster by the day, with the most cutting edge companies taking advantage of real-time data streams for heavy duty analytics. But with so much innovation happening in so many places, how can companies stay ahead of the game? One answer is to future-proof your analytics architecture by using an abstraction layer that can translate your business use-case or work-flow to one of many leading innovative technologies to address the growing number of use cases in this dynamic field.
Register for this episode of The Briefing Room to hear veteran Analyst Dr. Robin Bloor, as he explains how a data flow architecture can harness a wide range of streaming solutions. He'll be briefed by Anand Venugopal of Impetus Technologies, who will showcase his company's StreamAnalytix platform, which was designed from the ground up to leverage multiple major streaming engines available today, including Apache Spark, Apache Storm and others. He'll demonstrate how StreamAnalytix provides enterprise-class performance while incorporating best-of-breed open-source components.
View the archive at: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=925d1e9b639b78c6cf76a1bbbf485b2b
All Together Now: Connected Analytics for the Internet of EverythingInside Analysis
The Briefing Room with Mark Madsen and Cisco
Live Webcast August 18, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=0eff120f8b2879b582b77f4ff207ee54
Today's digital enterprises are seeing an explosion of data at the edge. The Internet of Everything is fast approaching a critical mass that will demand a sea change in how companies process data. This new world of information is widely distributed, streaming, and overall becoming too big to move. Experts predict that within two to three years, the bulk of analytic processing will take place on the fringes of information architectures. As a result, forward-thinking companies are dramatically shifting their analytic strategies.
Register for this episode of The Briefing Room to hear veteran Analyst Mark Madsen of Third Nature explain how a new era of information architectures is now unfolding, paving the way to much more responsive and agile business models. He'll be briefed by Kim Macpherson of the Cisco Data and Analytics Business Unit, who will explain how her company's platform is uniquely suited for this new, federated analytic paradigm. She'll demonstrate how edge analytics can help companies address opportunities quickly and effectively.
Visit InsideAnalysis.com for more information.
Goodbye, Bottlenecks: How Scale-Out and In-Memory Solve ETLInside Analysis
The Briefing Room with Dr. Robin Bloor and Splice Machine
Live Webcast August 11, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=e1b33c9d45b178e13784b4a971a4c1349
The ETL process was born out of necessity, and for decades it has been the glue between data sources and target applications. But as data
growth soars and increased competition demands real-time data, standard ETL has become brittle and often unmanageable. Scaling up resources can do the trick, but it’s very costly and only a matter of time before the processes hit another bottleneck. When outmoded ETL stands in the way of real-time analytics, it might be time to consider a completely new approach.
Register for this episode of The Briefing Room to learn from veteran Analyst Dr. Robin Bloor as he explains how modern, data-driven architectures must adopt an equally capable data integration strategy. He’ll be briefed by Rich Reimer of Splice Machine, who will discuss how his company solves ETL performance issues and enables real-time analytics and reports on big data. He will show that by leveraging the scale-out power of Hadoop and the in-memory speed of Spark, users can bring both analytical and operational systems together, eventually performing transformations only when needed.
Visit InsideAnalysis.com for more information.
The Biggest Picture: Situational Awareness on a Global LevelInside Analysis
The Briefing Room with Dr. Robin Bloor and Modus Operandi
Live Webcast July 28, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=efc4082d9b0b0adfcd753a7435d2d6a1b
The analytic bottlenecks of yesterday need not apply today. The boundaries are also falling thanks in large part to the abundance of third-party data. The most data-driven companies these days are finding creative ways to dynamically incorporate data from within and beyond the firewall, thus building highly accurate, multidimensional views of their business, customer, competition or other subject areas.
Register for this episode of The Briefing Room to hear veteran Analyst Dr. Robin Bloor as he explains the magnitude of change that's occurring in the world of data, why it's happening now, and how you can take advantage. He'll be briefed by Mike Gilger and Boris Pelakh, who will showcase their company's enterprise analytics platform, which combines a range of battle-tested functionality to deliver dynamic situational awareness that can leverage a comprehensive array of data sets. They'll explain how the platform's reasoner benefits from a highly scalable rules engine, and a flexible modeling capability that can optimize data storage virtually on the fly.
Visit InsideAnalysis.com for more information.
Structurally Sound: How to Tame Your ArchitectureInside Analysis
The Briefing Room with Krish Krishnan and Teradata
Live Webcast July 21, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=602b2a8413e8719d39465f4d6291d505
Technology changes all the time, but the basic needs of the business are the same: BI and analytics. With new types of data, various analytics engines and multiple systems, giving business users seamless access to enterprise data can be a rather daunting process. One solution is to provide a complete fabric that spans the organization, touching all data points and masking the complexity behind disparate sources.
Register for this episode of The Briefing Room to learn from veteran Analyst Krish Krishnan as he explores how and why architectures have changed over the years. He’ll be briefed by Imad Birouty of Teradata, who will discuss his company’s QueryGrid, an analytics solution designed to provide access to data across all systems. He will show how QueryGrid essentially creates a logical data warehouse and enables users to leverage SQL over multiple data types.
Visit InsideAnalysis.com for more information.
SQL In Hadoop: Big Data Innovation Without the RiskInside Analysis
The Briefing Room with Dr. Robin Bloor and Actian
Live Webcast July 14, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=bbd4395ea2f8c60a03cfefc68c7aa823
Innovation often implies risk, which is why businesses have many issues to weigh when considering change. Yet the remarkable growth of data is driving many traditional systems into the ground, forcing information workers to take a critical look at their existing tools. Technologies like Hadoop offer economical solutions to big data management, but to truly take advantage of its capabilities, organizations must modernize their infrastructure.
Register for this episode of The Briefing Room to learn from veteran Analyst Dr. Robin Bloor as he explains how and why organizations should improve legacy systems. He’ll be briefed by Todd Untrecht of Actian, who will tout his company’s Actian Vortex, a SQL-in-Hadoop solution. He will show how integrating a SQL engine directly in the Hadoop cluster can lead to faster analytics and greater control, while still maintaining existing investments.
Visit InsideAnalysis.com for more information.
The document discusses SYSTAP and their graph database product Blazegraph. It provides an overview of SYSTAP and Blazegraph, highlighting that Blazegraph can scale to handle large graph datasets with billions or trillions of edges through various deployment options including embedded, high availability, scale-out, and GPU acceleration configurations. The document also discusses how Blazegraph is being used by organizations for applications like knowledge graphs, genomics, and defense/intelligence.
A Revolutionary Approach to Modernizing the Data WarehouseInside Analysis
The document discusses an upcoming panel discussion on hot technologies for 2015. It introduces the host and three analysts who will be participating: Rick Sherman from Athena IT Solutions, Dr. Robin Bloor from The Bloor Group, and Bob Muglia from Snowflake Computing. The panel will discuss modernizing the data warehouse and new database technologies.
The Maturity Model: Taking the Growing Pains Out of HadoopInside Analysis
The Briefing Room with Rick van der Lans and Think Big, a Teradata Company
Live Webcast on June 16, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=197f8106531874cc5c14081ca214eaff
Hadoop is arguably one of the most disruptive technologies of the last decade. Once lauded solely for its ability to transform the speed of batch processing, it has marched steadily forward and promulgated an array of performance-enhancing accessories, notably Spark and YARN. Hadoop has evolved into much more than a file system and batch processor, and it now promises to stand as the data management and analytics backbone for enterprises.
Register for this episode of The Briefing Room to learn from veteran Analyst Rick van der Lans, as he discusses the emerging roles of Hadoop within the analytics ecosystem. He’ll be briefed by Ron Bodkin of Think Big, a Teradata Company, who will explore Hadoop’s maturity spectrum, from typical entry use cases all the way up the value chain. He’ll show how enterprises that already use Hadoop in production are finding new ways to exploit its power and build creative, dynamic analytics environments.
Visit InsideAnalysis.com for more information.
Rethinking Data Availability and Governance in a Mobile WorldInside Analysis
The Briefing Room with Malcolm Chisholm and Druva
Live Webcast on June 9, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=baf82d3835c5dfa63202dcbe322a3ad7
The emergence of the mobile workforce has left an indelible mark on the enterprise; every employee is now mobile, and business data continues to be dispatched to the far reaches of the enterprise. While this has added enormous opportunity for increased productivity, it has also muddied the waters when it comes to controlling and protecting valuable data assets. As companies quickly evolve to address the new set of challenges posed by this shift in data usage, IT must ensure that all data, no matter where it’s generated or stored, is available and governed just as if it were still safely behind the corporate firewall.
Register for this episode of The Briefing Room to hear veteran Analyst Malcolm Chisholm as he explains the myriad challenges that mobile data introduces when addressing regulations and compliance needs, requiring new approaches to data governance. He’ll be briefed by Dave Packer of Druva, who will outline his company’s converged data protection strategy, which brings data center class capabilities to backup, availability and governance for the mobile workforce. He will share strategies to meet regional data residency, data recovery, legal hold and eDiscovery requirements and more.
Visit InsideAnalysis.com for more information.
The document discusses a new approach to application middleware called EnterpriseWeb that uses a unified object model, shared memory, and goal-oriented software agents to enable responsive and interconnected distributed processes. It aims to simplify application development and management by harmonizing different resource representations and providing common services. In contrast to traditional application stacks, EnterpriseWeb presents an application fabric that can dynamically compose and orchestrate processes and resources across diverse infrastructure. It has won several awards for its innovative semantic platform technology.
This document discusses the need for thought leadership and innovative thinking over a sole focus on technology and data. It argues that meta-ideas, rather than just metadata, are driving innovations today. Interdisciplinary thought across industries and non-traditional hires are needed to develop new perspectives and break from traditional views. As data grows exponentially, new approaches are required that combine different data techniques rather than relying on single technologies. Advanced data modeling is needed to capture human concepts and link data to real-world contexts and objectives.
Smart companies know that business intelligence surfaces insights. With complex analytics, data mining and everything in between, it takes many moving parts to serve up the big picture. The key is to provide full-stack visibility into the entire BI environment, ensuring solid service and system performance.
Learn more at http://www.insideanalysis.com
Agile, Automated, Aware: How to Model for SuccessInside Analysis
The Briefing Room with David Loshin and Embarcadero
Live Webcast October 27, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=eea9877b71c653c499c809c5693eae8fe
Data management teams face some tough challenges these days. Organizations need business-driven visibility that enables understanding and awareness of enterprise data assets – without worrying about definitions and change management. But with information architectures evolving into a hybrid mix of data objects and data services built over relational databases as well as big data stores, serving up accurately defined, reusable data can become a complex issue.
Register for this episode of The Briefing Room to learn from veteran Analyst David Loshin as he explains the importance of agile, automated workflows in today’s enterprise. He’ll be briefed by Ron Huizenga of Embarcadero, who will discuss how his company’s ER/Studio suite approaches data modeling and management from a modern architecture standpoint. He will explain that unifying the way information is represented can not only eliminate the need for costly workarounds, but also foster collaboration between data architects, developers and business users.
Visit InsideAnalysis.com for more information.
First in Class: Optimizing the Data Lake for Tighter IntegrationInside Analysis
The Briefing Room with Dr. Robin Bloor and Teradata RainStor
Live Webcast October 13, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=012bb2c290097165911872b1f241531d
Hadoop data lakes are emerging as peers to corporate data warehouses. However, successful data management solutions require a fusion of all relevant data, new and old, which has proven challenging for many companies. With a data lake that’s been optimized for fast queries, solid governance and lifecycle management, users can take data management to a whole new level.
Register for this episode of The Briefing Room to learn from veteran Analyst Dr. Robin Bloor as he discusses the relevance of data lakes in today’s information landscape. He’ll be briefed by Mark Cusack of Teradata, who will explain how his company’s archiving solution has developed into a storage point for raw data. He’ll show how the proven compression, scalability and governance of Teradata RainStor combined with Hadoop can enable an optimized data lake that serves as both reservoir for historical data and as a "system of record” for the enterprise.
Visit InsideAnalysis.com for more information.
Fit For Purpose: Preventing a Big Data LetdownInside Analysis
The Briefing Room with Dr. Robin Bloor and RedPoint Global
Live Webcast October 6, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=9982ad3a2603345984895f279e849d35
Gartner recently placed Big Data in its “trough of disillusionment,” reflective of many leaders’ struggle to prove the value of Hadoop within their organization. While the promise of enhanced data integration and enrichment is obvious, measurable results have remained elusive. This episode of The Briefing Room will outline how to successfully tie Big Data to existing business applications, preventing your next Hadoop project from being another “Big Data letdown.”
Register today to learn from veteran Analyst Dr. Robin Bloor as he discusses the importance of converging enterprise data integration with intelligence and scalability. He’ll be briefed by George Corugedo of RedPoint Global, who will provide concrete examples of how the convergence of scalable cloud platforms, ever-expanding data sources and intelligent execution can turn the Big Data hype into demonstrable business value.
Visit InsideAnalysis.com for more information.
To Serve and Protect: Making Sense of Hadoop Security Inside Analysis
HP Security Voltage provides data-centric security solutions to protect sensitive data in Hadoop environments. Their solutions leverage tokenization and encryption to safeguard data at rest, in motion, and in use across the data lifecycle. They presented use cases where their technology helped secure financial, healthcare, and telecommunications customer data in Hadoop and other platforms. Questions from analysts focused on implementation experience, performance impacts, integration with authentication, costs, and supported environments and partnerships.
The Hadoop Guarantee: Keeping Analytics Running On TimeInside Analysis
The Briefing Room with Dr. Robin Bloor and Pepperdata
Live Webcast September 15, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=32f198185d9d0c4cf32c27bdd1498b2a
Industry researchers agree: the importance of Hadoop will continue to grow as more companies recognize the range of benefits they can reap, from lower-cost storage to better business insights. At the same time, advances in the Hadoop ecosystem are addressing many of the key concerns that have hampered adoption, including performance and reliability. As a result, Hadoop is fast becoming a first-class citizen in the world of enterprise computing.
Register for this episode of The Briefing Room to hear veteran Analyst Dr. Robin Bloor explain how the Hadoop ecosystem is evolving into a mature foundation for managing enterprise data. He’ll be briefed by Sean Suchter of Pepperdata, who will explain how his company’s software brings predictability and reliability to Hadoop through dynamic, policy-based controls and monitoring. He’ll show how to guarantee service-level agreements by slowing down low-priority tasks as needed. He’ll also discuss the holy grail of Hadoop: how to enable mixed workloads.
Visit InsideAnalysis.com for more information.
Special Edition with Dr. Robin Bloor
Live Webcast September 9, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=e8b9ac35d8e4ffa3452562c1d4286a975
Do the math: algebra will transform information management. Just as the relational database revolutionized the information landscape, so will a just-released, complete algebra of data overhaul the industry itself. So says Dr. Robin Bloor in his new book, the Algebra of Data, which he’ll outline in this special one-hour webcast.
Once organizations learn how to express their data sets algebraically, the benefits will be significant and far-reaching. Data quality problems will slowly subside; queries will run orders of magnitude faster; integration challenges will fade; and countless tedious jobs in the data management space will bid their farewell. But first, software companies must evolve, and that will take time.
Visit InsideAnalysis.com for more information.
The Role of Data Wrangling in Driving Hadoop AdoptionInside Analysis
The Briefing Room with Mark Madsen and Trifacta
Live Webcast September 1, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=eb655874d04ba7d560be87a9d906dd2fd
Like all enterprise software solutions, Hadoop must deliver business value in order to be a success. Much of the innovation around the big data industry these days therefore addresses usability. While there will always be a technical side to the Hadoop equation, the need for user-friendly tools to manage the data will continue to focus on business users. That’s why self-service data preparation or "data wrangling" is a serious and growing trend, one which promises to move Hadoop beyond the early adopter phase and more into the mainstream of business.
Register for this episode of The Briefing Room to hear veteran Analyst Mark Madsen of Third Nature explain why business users will play an increasingly important role in the evolution of big data. He’ll be briefed by Trifacta's Will Davis and Alon Bartur, who will demonstrate how Trifacta's solution empowers business users to “wrangle" data of all shapes and sizes faster and easier than ever before. They’ll discuss why a new approach to accessing and preparing diverse data is required and how it can accelerate and broaden the use of big data within organizations.
Visit InsideAnalysis.com for more information.
Ahead of the Stream: How to Future-Proof Real-Time AnalyticsInside Analysis
Business seems to move faster by the day, with the most cutting edge companies taking advantage of real-time data streams for heavy duty analytics. But with so much innovation happening in so many places, how can companies stay ahead of the game? One answer is to future-proof your analytics architecture by using an abstraction layer that can translate your business use-case or work-flow to one of many leading innovative technologies to address the growing number of use cases in this dynamic field.
Register for this episode of The Briefing Room to hear veteran Analyst Dr. Robin Bloor, as he explains how a data flow architecture can harness a wide range of streaming solutions. He'll be briefed by Anand Venugopal of Impetus Technologies, who will showcase his company's StreamAnalytix platform, which was designed from the ground up to leverage multiple major streaming engines available today, including Apache Spark, Apache Storm and others. He'll demonstrate how StreamAnalytix provides enterprise-class performance while incorporating best-of-breed open-source components.
View the archive at: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=925d1e9b639b78c6cf76a1bbbf485b2b
All Together Now: Connected Analytics for the Internet of EverythingInside Analysis
The Briefing Room with Mark Madsen and Cisco
Live Webcast August 18, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=0eff120f8b2879b582b77f4ff207ee54
Today's digital enterprises are seeing an explosion of data at the edge. The Internet of Everything is fast approaching a critical mass that will demand a sea change in how companies process data. This new world of information is widely distributed, streaming, and overall becoming too big to move. Experts predict that within two to three years, the bulk of analytic processing will take place on the fringes of information architectures. As a result, forward-thinking companies are dramatically shifting their analytic strategies.
Register for this episode of The Briefing Room to hear veteran Analyst Mark Madsen of Third Nature explain how a new era of information architectures is now unfolding, paving the way to much more responsive and agile business models. He'll be briefed by Kim Macpherson of the Cisco Data and Analytics Business Unit, who will explain how her company's platform is uniquely suited for this new, federated analytic paradigm. She'll demonstrate how edge analytics can help companies address opportunities quickly and effectively.
Visit InsideAnalysis.com for more information.
Goodbye, Bottlenecks: How Scale-Out and In-Memory Solve ETLInside Analysis
The Briefing Room with Dr. Robin Bloor and Splice Machine
Live Webcast August 11, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=e1b33c9d45b178e13784b4a971a4c1349
The ETL process was born out of necessity, and for decades it has been the glue between data sources and target applications. But as data
growth soars and increased competition demands real-time data, standard ETL has become brittle and often unmanageable. Scaling up resources can do the trick, but it’s very costly and only a matter of time before the processes hit another bottleneck. When outmoded ETL stands in the way of real-time analytics, it might be time to consider a completely new approach.
Register for this episode of The Briefing Room to learn from veteran Analyst Dr. Robin Bloor as he explains how modern, data-driven architectures must adopt an equally capable data integration strategy. He’ll be briefed by Rich Reimer of Splice Machine, who will discuss how his company solves ETL performance issues and enables real-time analytics and reports on big data. He will show that by leveraging the scale-out power of Hadoop and the in-memory speed of Spark, users can bring both analytical and operational systems together, eventually performing transformations only when needed.
Visit InsideAnalysis.com for more information.
The Biggest Picture: Situational Awareness on a Global LevelInside Analysis
The Briefing Room with Dr. Robin Bloor and Modus Operandi
Live Webcast July 28, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/onstage/g.php?MTID=efc4082d9b0b0adfcd753a7435d2d6a1b
The analytic bottlenecks of yesterday need not apply today. The boundaries are also falling thanks in large part to the abundance of third-party data. The most data-driven companies these days are finding creative ways to dynamically incorporate data from within and beyond the firewall, thus building highly accurate, multidimensional views of their business, customer, competition or other subject areas.
Register for this episode of The Briefing Room to hear veteran Analyst Dr. Robin Bloor as he explains the magnitude of change that's occurring in the world of data, why it's happening now, and how you can take advantage. He'll be briefed by Mike Gilger and Boris Pelakh, who will showcase their company's enterprise analytics platform, which combines a range of battle-tested functionality to deliver dynamic situational awareness that can leverage a comprehensive array of data sets. They'll explain how the platform's reasoner benefits from a highly scalable rules engine, and a flexible modeling capability that can optimize data storage virtually on the fly.
Visit InsideAnalysis.com for more information.
Structurally Sound: How to Tame Your ArchitectureInside Analysis
The Briefing Room with Krish Krishnan and Teradata
Live Webcast July 21, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=602b2a8413e8719d39465f4d6291d505
Technology changes all the time, but the basic needs of the business are the same: BI and analytics. With new types of data, various analytics engines and multiple systems, giving business users seamless access to enterprise data can be a rather daunting process. One solution is to provide a complete fabric that spans the organization, touching all data points and masking the complexity behind disparate sources.
Register for this episode of The Briefing Room to learn from veteran Analyst Krish Krishnan as he explores how and why architectures have changed over the years. He’ll be briefed by Imad Birouty of Teradata, who will discuss his company’s QueryGrid, an analytics solution designed to provide access to data across all systems. He will show how QueryGrid essentially creates a logical data warehouse and enables users to leverage SQL over multiple data types.
Visit InsideAnalysis.com for more information.
SQL In Hadoop: Big Data Innovation Without the RiskInside Analysis
The Briefing Room with Dr. Robin Bloor and Actian
Live Webcast July 14, 2015
Watch the Archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=bbd4395ea2f8c60a03cfefc68c7aa823
Innovation often implies risk, which is why businesses have many issues to weigh when considering change. Yet the remarkable growth of data is driving many traditional systems into the ground, forcing information workers to take a critical look at their existing tools. Technologies like Hadoop offer economical solutions to big data management, but to truly take advantage of its capabilities, organizations must modernize their infrastructure.
Register for this episode of The Briefing Room to learn from veteran Analyst Dr. Robin Bloor as he explains how and why organizations should improve legacy systems. He’ll be briefed by Todd Untrecht of Actian, who will tout his company’s Actian Vortex, a SQL-in-Hadoop solution. He will show how integrating a SQL engine directly in the Hadoop cluster can lead to faster analytics and greater control, while still maintaining existing investments.
Visit InsideAnalysis.com for more information.
The document discusses SYSTAP and their graph database product Blazegraph. It provides an overview of SYSTAP and Blazegraph, highlighting that Blazegraph can scale to handle large graph datasets with billions or trillions of edges through various deployment options including embedded, high availability, scale-out, and GPU acceleration configurations. The document also discusses how Blazegraph is being used by organizations for applications like knowledge graphs, genomics, and defense/intelligence.
A Revolutionary Approach to Modernizing the Data WarehouseInside Analysis
The document discusses an upcoming panel discussion on hot technologies for 2015. It introduces the host and three analysts who will be participating: Rick Sherman from Athena IT Solutions, Dr. Robin Bloor from The Bloor Group, and Bob Muglia from Snowflake Computing. The panel will discuss modernizing the data warehouse and new database technologies.
The Maturity Model: Taking the Growing Pains Out of HadoopInside Analysis
The Briefing Room with Rick van der Lans and Think Big, a Teradata Company
Live Webcast on June 16, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=197f8106531874cc5c14081ca214eaff
Hadoop is arguably one of the most disruptive technologies of the last decade. Once lauded solely for its ability to transform the speed of batch processing, it has marched steadily forward and promulgated an array of performance-enhancing accessories, notably Spark and YARN. Hadoop has evolved into much more than a file system and batch processor, and it now promises to stand as the data management and analytics backbone for enterprises.
Register for this episode of The Briefing Room to learn from veteran Analyst Rick van der Lans, as he discusses the emerging roles of Hadoop within the analytics ecosystem. He’ll be briefed by Ron Bodkin of Think Big, a Teradata Company, who will explore Hadoop’s maturity spectrum, from typical entry use cases all the way up the value chain. He’ll show how enterprises that already use Hadoop in production are finding new ways to exploit its power and build creative, dynamic analytics environments.
Visit InsideAnalysis.com for more information.
Rethinking Data Availability and Governance in a Mobile WorldInside Analysis
The Briefing Room with Malcolm Chisholm and Druva
Live Webcast on June 9, 2015
Watch the archive: https://bloorgroup.webex.com/bloorgroup/lsr.php?RCID=baf82d3835c5dfa63202dcbe322a3ad7
The emergence of the mobile workforce has left an indelible mark on the enterprise; every employee is now mobile, and business data continues to be dispatched to the far reaches of the enterprise. While this has added enormous opportunity for increased productivity, it has also muddied the waters when it comes to controlling and protecting valuable data assets. As companies quickly evolve to address the new set of challenges posed by this shift in data usage, IT must ensure that all data, no matter where it’s generated or stored, is available and governed just as if it were still safely behind the corporate firewall.
Register for this episode of The Briefing Room to hear veteran Analyst Malcolm Chisholm as he explains the myriad challenges that mobile data introduces when addressing regulations and compliance needs, requiring new approaches to data governance. He’ll be briefed by Dave Packer of Druva, who will outline his company’s converged data protection strategy, which brings data center class capabilities to backup, availability and governance for the mobile workforce. He will share strategies to meet regional data residency, data recovery, legal hold and eDiscovery requirements and more.
Visit InsideAnalysis.com for more information.
The document discusses a new approach to application middleware called EnterpriseWeb that uses a unified object model, shared memory, and goal-oriented software agents to enable responsive and interconnected distributed processes. It aims to simplify application development and management by harmonizing different resource representations and providing common services. In contrast to traditional application stacks, EnterpriseWeb presents an application fabric that can dynamically compose and orchestrate processes and resources across diverse infrastructure. It has won several awards for its innovative semantic platform technology.
This document discusses the need for thought leadership and innovative thinking over a sole focus on technology and data. It argues that meta-ideas, rather than just metadata, are driving innovations today. Interdisciplinary thought across industries and non-traditional hires are needed to develop new perspectives and break from traditional views. As data grows exponentially, new approaches are required that combine different data techniques rather than relying on single technologies. Advanced data modeling is needed to capture human concepts and link data to real-world contexts and objectives.
These lecture slides, by Dr Sidra Arshad, offer a simplified look into the mechanisms involved in the regulation of respiration:
Learning objectives:
1. Describe the organisation of respiratory center
2. Describe the nervous control of inspiration and respiratory rhythm
3. Describe the functions of the dorsal and respiratory groups of neurons
4. Describe the influences of the Pneumotaxic and Apneustic centers
5. Explain the role of Hering-Breur inflation reflex in regulation of inspiration
6. Explain the role of central chemoreceptors in regulation of respiration
7. Explain the role of peripheral chemoreceptors in regulation of respiration
8. Explain the regulation of respiration during exercise
9. Integrate the respiratory regulatory mechanisms
10. Describe the Cheyne-Stokes breathing
Study Resources:
1. Chapter 42, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 36, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 13, Human Physiology by Lauralee Sherwood, 9th edition
Mercurius is named after the roman god mercurius, the god of trade and science. The planet mercurius is named after the same god. Mercurius is sometimes called hydrargyrum, means ‘watery silver’. Its shine and colour are very similar to silver, but mercury is a fluid at room temperatures. The name quick silver is a translation of hydrargyrum, where the word quick describes its tendency to scatter away in all directions.
The droplets have a tendency to conglomerate to one big mass, but on being shaken they fall apart into countless little droplets again. It is used to ignite explosives, like mercury fulminate, the explosive character is one of its general themes.
Does Over-Masturbation Contribute to Chronic Prostatitis.pptxwalterHu5
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Adhd Medication Shortage Uk - trinexpharmacy.comreignlana06
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Cell Therapy Expansion and Challenges in Autoimmune DiseaseHealth Advances
There is increasing confidence that cell therapies will soon play a role in the treatment of autoimmune disorders, but the extent of this impact remains to be seen. Early readouts on autologous CAR-Ts in lupus are encouraging, but manufacturing and cost limitations are likely to restrict access to highly refractory patients. Allogeneic CAR-Ts have the potential to broaden access to earlier lines of treatment due to their inherent cost benefits, however they will need to demonstrate comparable or improved efficacy to established modalities.
In addition to infrastructure and capacity constraints, CAR-Ts face a very different risk-benefit dynamic in autoimmune compared to oncology, highlighting the need for tolerable therapies with low adverse event risk. CAR-NK and Treg-based therapies are also being developed in certain autoimmune disorders and may demonstrate favorable safety profiles. Several novel non-cell therapies such as bispecific antibodies, nanobodies, and RNAi drugs, may also offer future alternative competitive solutions with variable value propositions.
Widespread adoption of cell therapies will not only require strong efficacy and safety data, but also adapted pricing and access strategies. At oncology-based price points, CAR-Ts are unlikely to achieve broad market access in autoimmune disorders, with eligible patient populations that are potentially orders of magnitude greater than the number of currently addressable cancer patients. Developers have made strides towards reducing cell therapy COGS while improving manufacturing efficiency, but payors will inevitably restrict access until more sustainable pricing is achieved.
Despite these headwinds, industry leaders and investors remain confident that cell therapies are poised to address significant unmet need in patients suffering from autoimmune disorders. However, the extent of this impact on the treatment landscape remains to be seen, as the industry rapidly approaches an inflection point.
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5-hydroxytryptamine or 5-HT or Serotonin is a neurotransmitter that serves a range of roles in the human body. It is sometimes referred to as the happy chemical since it promotes overall well-being and happiness.
It is mostly found in the brain, intestines, and blood platelets.
5-HT is utilised to transport messages between nerve cells, is known to be involved in smooth muscle contraction, and adds to overall well-being and pleasure, among other benefits. 5-HT regulates the body's sleep-wake cycles and internal clock by acting as a precursor to melatonin.
It is hypothesised to regulate hunger, emotions, motor, cognitive, and autonomic processes.
Demystifying Fallopian Tube Blockage- Grading the Differences and Implication...
Raising the Bar: Innovative Healthcare Program Fosters Collaboration, Education
1. RAISING THE BAR
Innovative Healthcare Program Fosters
Collaboration & Education
2. Big Data, Big Discoveries
HOST: GUEST: GUEST:
Eric Kavanagh Dr. Anjum Khurshid Jim McNamara
Sponsored by:
3. It’s a Complex Situation
Regulations in the Affordable Care Act (ACA)
Uninsured Americans
Legal challenges to the ACA
4. Emerging Solutions
Health Information Exchanges (HIEs)
Collaboration among health care institutions
Social Media for analysis, outreach and
education
6. Anjum Khurshid, PhD, MD, MPAff
Director, Health Systems Division
Director, Crescent City Beacon Community
Louisiana Public Health Institute
February 27, 2013
7. Outline
• Crescent City Beacon Community (CCBC)
Goals
– Clinical Quality Improvement
– Transitions of Care through Greater New
Orleans Health Information Exchange
(GNOHIE)
– Consumer Engagement and txt4health
• CCBC-BioDistrict Collaboration and Future
Opportunities
8. 17 Beacon Communities Bangor Beacon
Community
Western New York Brewer, ME
Beacon Community
Buffalo, NY
Southeastern
Beacon Community of Rhode Island Beacon
Minnesota Beacon
Inland Northwest Southeast Michigan Community
Community
Spokane, WA Beacon Community Providence, RI
Rochester, MN
Detroit, MI
Central Indiana Keystone Beacon
Beacon Community
Community Danville, PA
Utah Beacon
Indianapolis, IN Greater Cincinnati
Community
Beacon
Salt Lake City, UT Colorado Beacon
Community
Community
Cincinnati, OH
Grand Junction, CO
Southern Piedmont
Great Tulsa Health Beacon Community
Access Network Beacon Concord, NC
San Diego Beacon
Community
Community
Tulsa, OK
San Diego, CA Delta BLUES Beacon
Community
Hawaii County
Crescent City Beacon Stoneville, MS
Beacon Community
Hilo, HI Community
New Orleans, LA
9. Crescent City Beacon Community Goals
Reduce the burden of chronic diseases, mainly diabetes and
cardiovascular disease by :
o Improving the quality of care for chronic disease
patients in patient-centered medical homes, enabled by
HIT
o Reducing healthcare costs by decreasing preventable
emergency department and inpatient visits through better
coordination of care
o Engaging consumers in the healthcare process by
using innovative technologies and strategies
10. 3 Cs of CCBC
Clinical Care Consumer
Transformation Coordination Engagement
Build &
Improve Quality Innovate
Strengthen HIT
11. Dynamic Framework for a Coordinated System of Care
Population
Patient Education/ Patient Engagement/
Risk Reduction Disease Management
At-risk -- Low risk -- High risk -- Chronic -- Complex
Specialty/
ED Visits
Preventable
Admissions
Preventable
Diagnostics
Patient-Centered
Medical Home Emergency
(Primary Care System)
Inpatient
12. Dynamic Framework for a Coordinated System of Care
Population
Innovations/Consumer
Patient Education/ Patient Engagement/
Engagement Management
Risk Reduction Disease
At-risk -- Low risk -- High risk -- Chronic -- Complex
Specialty/
ED Visits
Preventable
Admissions
Preventable
Chronic Care Diagnostics
Management
Transitions
Patient-Centered
Medical Home
of Care
Emergency
(Primary Care System)
Inpatient
13. Clinical Transformation
Improved quality of clinical care for chronic disease patients
through improved workflow and health IT
population-based disease registries, risk stratification, care
management/care team strategies, clinical decision support
Clinical
Practice Learning EMR QI
Seminar
Coaching Collaborative Optimization Innovations
Series
14. Positive Trends on Adoption & Outcomes
Number of Sites Using Care Management Processes - 2012
Total ED/IP Encounters at ILH
5000
14 14 14 4311 7/2/12 - 1/31/13
January July
12 4000 Sum of ED
11 Sum of IP
10 2842 2826
9 9 9 3000
7 7
2000 1593
1384
4
998
1000 789 720 619 645 575
581
238 295 304 243 148
110 45 67
0
Clinic Clinic Clinic Clinic Clinic Clinic F Clinic Clinic Clinic I Clinic J
Care Management Individual Care Registries Stratify DM Care Management Care Management A B C D E G H
Staff Plans Patients for DM Patients for CVD Patients
Number of Unduplicated Lives in CDR Across the Community Q6 to Q7
Data as of 2/11/2013 Quality Outcomes (October
200,000
2012)
184,796
177,790 179,693
172,733 173,651 Diabetes: A1C testing
180,000 171,293
177,790 181,306
176,118
160,000 171,950 173,073
Diabetes: A1C control (<8.0%)
140,000 126,808
125,887
130,597
Diabetes: Lipid testing
120,000
127,008
# of Lives
124,509 126,341
100,000 Diabetes: Lipid control (<100mg/dL)
80,000
Diabetes: Blood Pressure Control (<130/80)
60,000
40,000 Ischemic Vascular Disease: Blood Pressure Control (<140/90)
20,000
Ischemic Vascular Disease: Complete Lipid Profile
0
Coronary Artery Disease: Drug Therapy for Lowering LDL-C
* All data from QI Outcome Measure Reports
15. Care Coordination
GNOHIE
Mirth Mirth Mirth Mail Mirth Care Mirth
Results Match (Secure (Care Analytics
(CDR) (EMPI) Mail) Mgmt.) (EDW)
Electronic Behavioral
ED/IP Birth
Specialty Health Analytics
Notification Outcomes
Care Referral Integration
17. Data Security
• Encrypted data
• HIPAA compliant
protocols
• Role-based access
Central security
Data
Repository
• Restricted administrative
access
• Patient consent needed
• Extensive Auditing
capabilities
18. Transitions of Care
o Emergency Department/Inpatient Notification: Alerts
and clinical information are sent to primary care
providers about patient visits to emergency departments
and hospital admissions.
o Electronic Specialty Care Referral: Referral requests
and supporting documentation of the referring primary
care provider are sent electronically to the specialist.
Specialist’s consult summaries are, in turn, provided
electronically to the primary care provider.
19. Pre-ED/IP Notification
9/15/12
Diabetic
Ketoacidosis HOSPITAL Discharged HOME
Debbie
Debbie
Type 2 Diabetes
Type 2 Diabetes
9/25/12
Hypoglycemia HOSPITAL Discharged HOME
Debbie
Debbie PRIMARY
Type 2 Diabetes
Type 2 Diabetes
CARE
10/2/12
PRACTICE
Foot infection HOSPITAL Discharged HOME
Debbie
Debbie
Type 2 Diabetes
Type 2 Diabetes
10/20/12
Kidney
Infection HOSPITAL Discharged HOME
Debbie
Debbie
Type 2 Diabetes
Type 2 Diabetes
20. ED/IP Notification System
9/15/12
Diabetic
Ketoacidosis HOSPITAL Discharged HOME
Debbie
Debbie
Type 2 Diabetes
Type 2 Diabetes
9/25/12
Hypoglycemia HOSPITAL Discharged HOME
GREATER NEW
Debbie
Debbie
Type 2 Diabetes
Type 2 Diabetes ORLEANS PRIMARY
10/2/12 HEALTH CARE
INFORMATION PRACTICE
Foot infection HOSPITAL Discharged HOME EXCHANGE
Debbie
Debbie
Type 2 Diabetes
Type 2 Diabetes
10/20/12
Kidney
Infection HOSPITAL Discharged HOME
Debbie
Debbie
Type 2 Diabetes
Type 2 Diabetes
21. Number of Unduplicated Patients in CDR
as of 2/11/2013
200,000 184,796
177,790 179,693
172,733 173,651
180,000 171,293
176,118 177,790 181,306
160,000 171,950 173,073
140,000 125,887
126,808
130,597
120,000
# of Lives
127,008
124,509 126,341
100,000
80,000
60,000
40,000
20,000
0
22. Total ED/IP Encounters at ILH Sum of ED Sum of IP
Since
5000 July ’12 7/2/12 - 1/31/13
– 3 sites
4500 4311
4000
Since Since
3500 Sept. ’12 July ’12
– 3 sites – 1 site
3000 2842 2826
2500 Since
Since
Sept. ’12
Nov. ’12
2000 – 2 sites
– 3 sites
1593
Since 1384 Since
1500 Dec. ’12 Since Sept. ’12 Since
– 1 site 998 Nov. ’12 – 1 site July ’12
1000 789 – 1 site Since – 1 site
720 645
581 Nov. ’12 619 575
500 304 – 1 site
238 295 243
110 148 67
45
0
Clinic A Clinic B Clinic C Clinic D Clinic E Clinic F Clinic G Clinic H Clinic I Clinic J
Total ED Encounters = 15,769 Total IP Encounters = 3,564
23. Telemedicine Specialty Care
Psychiatry Rheumatology Cardiology
Dermatology
Pulmonary 1 hospital – 11 General
telemedicine
Endocrinology
Physical
specialties with Diabetes
Medicine & designated
Rehab appointment slots Hepatitis C
Pain Management Neurology Nephrology
Total Specialty Consults in Q4, 2012 = 1,394
2
24. Patient Consent
OPT-IN MODEL
Exception = break the glass
1 consent form – applies across all GNOHIE
participants
PATIENT
ENGAGEMENT PROVIDER PROVIDER
AND ENGAGEMENT WORKFLOW
EDUCATION
26. Community Engagement
Consumer
Engagement Other CCBC
Model Interventions
Txt4health Campaign
Integration of
Other Settings
Community Targeted to Actualize
Provider “Health Home”
Advisory Community
Engagement Concept
Group Engagement
27. Building Blocks: Text4Health Modules
User sends
HEALTH
to 311 411
System collects: System categorizes:
HEIGHT HIGH RISK
WEIGHT (BMI) MEDIUM RISK
AGE LOW RISK
GENDER Enrollment -------------------------------
FAMILY HISTORY UNDERWEIGHT
DIABETES DIAGNOSIS AT WEIGHT
SMOKING STATUS OVERWEIGHT
Development of Profile OBESE
(Risk Categorization)
Goal Setting/Tracking Education/Motivation Local Connections
(Weight & Exercise) (According to Risk) (Care & Activities)
Enrolled participants in 12 months ~ 1,400
28. Solution Offering and Value Proposition
Care Management & Coordination System
Solution Offering Value Proposition
• Patient- • Chronic Care Improve Quality
Centered Management
Medical Home System •HEDIS measures for diabetes and cardiovascular
People Process
Improve Efficiency
•Reduce hospital readmissions
Data Analysis
•Reduce Emergency Room Visits
Technology & Information •Reduce Avoidable Hospital Admissions
(EMR/HIE) Management
•Reduce duplicate testing (e.g. imaging)
• Health •Medication management
•Engagement
Information (Consumer, Prov
Exchange ider,) Bend the Medical Cost
Bend the Medical Cost Trend
Trend
• Reduction in per member per month cost
29. Advanced Analytics
Use predictive modeling, propensity score matching,
and other statistical techniques to investigate:
• High use of Emergency Department
Prescriptive • Avoidable hospital readmissions
How can we achieve the best outcomes?
• Duplicate procedures and tests
Predictive modeling
What will or could happen?
• Preventable hospital admissions
• High-cost patients
• Variation in care
Descriptive
What happened?
• Root cause analysis
30. CCBC-BioDistrict Collaboration
• To promote research-community-industry
collaboration
• To develop a real-time, real-
world, intelligent, learning system that connects
researchers and clinicians
• To provide a laboratory for innovation, social
entrepreneurship, and translational medicine
• To measure and demonstrate impact on patient
outcomes and population health
31. Opportunities for Future
• Use state-of-the-art health IT infrastructure to
coordinate care and evaluate results
• Involve leading research institutions and medical
centers to use data to inform clinical practice
• Develop Public-private partnerships to test new
ideas, effective treatments, and innovative
technologies
• Promote economic development and job
creation through workforce training and new
business ventures
32. Strength of the System
Ownership &
Engagement
Accountability
Leveraging
Trust
Networks
Stakeholder-defined use cases and
provider-led design
34. CCBC Receives 2013 “Healthcare
Informatics Innovators Award”
“A massive effort to improve the health status of the
entire New Orleans metropolitan area”
“What makes this collaboration worthy of Innovator
Awards recognition is the combination of vision and
scope on the one hand, and the successful
leveraging of HIT to achieve those visionary
goals, on the other”
-- Mark Hagland
Editor-in-Chief, Healthcare Informatics
35. Contact:
Anjum Khurshid, PhD, MD, MPAff
Director Health Systems Division
Director Crescent City Beacon Community
Louisiana Public Health Institute
1515 Poydras St, 1200
New Orleans, LA 70112
Phone: 504-301-9800
Email: akhurshid@lphi.org
www.lphi.org www.crescentcitybeacon.org
39. Vision
BioDistrict New Orleans will become a thriving and
highly livable business, education, science and
healthcare destination, regarded throughout the City
and the nation as the premier revitalized urban district of
choice. The BioDistrict will be known for its walkable
scale, new and historic neighborhoods, excellent
schools and ecosystem support services, vibrant
retail, accessible open space and transit, as well as a
range of stable and well paying bioscience and
healthcare industry jobs. The BioDistrict will become a
national model for urban revitalization, job creation and
economic and industry development.
40. An Amazing Collaboration working TOGETHER!
Economic Development
Jobs and training
Sustainably Built Environment
10/12/12
Civic Leadership
41. Research with Industry value
Bioscience Centers of Excellence
Peptides
HIV/AIDS
Infectious Diseases
Cancer
Diabetes and Cardiovascular
Biodefense
Neuroprotection and
Rehabilitation
Nano-particle Drug Delivery
Health IT
Emerging Centers
Translational Medicine
BioBanking
43. • Economic Impacts
— Over 20 years, the BioDistrict will
generate:
• 34,000 direct and indirect jobs created
• 3600 annual construction jobs
• $4 Billion in Capital Activity
• $24 Billion in Economic Activity
• $2.45 Billion in years 1-5
• $26.185 Billion in Personal Earnings
• $2 Billion in increased Personal
Earnings
44. • Economic Impacts
— In 20 years, the BioDistrict will generate:
• $3.352 Bn in Sate and Local Tax
Generated, ($167 m per year)
• $1.91 Bn -- State tax - $95 Million
annually
• $1.44 Bn -- Local tax - $72 Million
annually
• 11.6 Million Square Feet of
New, Absorbed or Renovated Buildings
• 2,000+ Housing Units