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Rapid Response to Hospital
Operations using Data and AI during
COVID-19
Rohan D’Souza
Head of Product, KenSci
Tony Pastorino
VP, IS, Indiana University Health
Agenda
Leveraging Data & AI investments
How IU health leveraged the cloud and data to build self-
service offerings for COVID-19 response
Improving Patient Flow with ML
Operationalizing Machine Learning at IU Health to
improve hospital operations
KenSci Realtime Command Center
Learning and experience with deployment of the
Realtime COVID-19 Command Center at multiple large
health systems
Indiana University Health is
a non-profit Health System,
and the largest healthcare
provider in the state of
Indiana.
PATIENT ADMISSIONS
AVAILABLE BEDS
TEAM MEMBERS
INDIANA RESIDENTS SERVED
~120,000
~3,000
30,000+
1M+
Our Journey with Data & AI
ZettabytesGigabytes
2000’s 2020’s
Azure Data Platform
Social
Graph IoT
Image
LOB
CRM
ERP
SQL Server
LOB
ERM
ERP
2010’s
Analytics Platform System APS
Terabytes Petabytes
Our Investments in Data & AI
Self-Service analytics
for COVID-19
Advanced analytics & ML
for improving hospital ops
SQL
Modern data
warehousing
“We require self-service
dashboards to uncover
insights and take action”
“We’re trying to
predict when our
patients churn LOS ”
“We want to integrate all our
data—including Big Data—
with our data warehouse”
1
/
2/ 3/
Leveraging Data & AI Investments for
COVID-19 Response
Our Ecosystem & Process
Azure Data
Lake Storage
STORE
Power BI
VISUALIZE
Azure SQL
Data Warehouse
MODEL & SERVE
Informatica
Cloud
Azure
Databricks
INGEST & PREP
Data Layers
REPORTING LAYER
Team Workspaces
Intra-departmental, Securable Reporting Layer
Supporting 27 different IUH Analytics Teams
INTEGRATED LAYER
Harmonized Layer
Rebuilt every 24 hours
3+ Years currently
SOURCEMART LAYER
31 Sources
1403 Tables
Loaded every 24 hours
10+ Years of Raw Data
2 Types
Secured By Datatype
Secured by Business
Owner
CUBES
Built from Integrated Layer
Rebuilt every 24 hours
3+ Years currently
ML ANALYTICS *
Built from Integrated Layer
Deidentified
Empowering Self-service analytics during COVID-19
• Over 250 BI Analysts and Citizen
Data Scientists across the system
• Strong Self Service Motivation
• Centralized and Decentralized
Analytics
• Data Gathering vs. Data Insight /
Analysis
• Valuable time gathering,
massaging, reconciling, and
validating data
• More time for data insights
EMPOWER INSIGHT DECISION MAKING
Improving Patient Flow with AI/ML
Understanding Healthcare as a complex system
Interdependent
Cascading effect of bottlenecks
leading to downstream patient
leakage/loss & crowding
Volatile
Difficult to forecast variables across
patient volumes, acuity, census, and
staffing requirements
Noisy
Finding meaning and opportunities
within the vast data ecosystem is a
massive undertaking
ED
Elective
Surgery
Admit
Transfer/
Direct Admit
Inpatient
OR
Outpatients
Discharge
ARRIVALS INTERHOSPITAL TRANSPORT CAPACITY LENGTH OF STAY STAFFING READMISSION
DischargeAdmi
t Inpatients
Length of Stay
Risk of Readmission
Risk of Obs. Failure
Discharge Disposition
Inpatient Predictions
Enable clinicians to prioritize the neediest patients first, and identify opportunity areas for
systematic improvement.
Optimize availability of
inpatient beds
Improve readmission
rates & penalties
Correct patient status
assignment
Outcomes
Length of Stay
Risk of Readmission
Risk of Obs. Failure
Discharge Disposition
Inpatient Predictions
Enable clinicians to prioritize the neediest patients first, and identify opportunity areas for
systematic improvement.
Optimize availability of
inpatient beds
Improve readmission
rates & penalties
Correct patient status
assignment
Outcomes
© 2019 KENSCI CONFIDENTIAL
Solution
generating scores
in minutes from
data delivery
85% of encounters predicted
within 1.65 days of actual LOS
at the time of admission –
establishing one of the best
documented AI solution in a
production setting
Summary: Solution Performance
KenSci Realtime Command Center
Bringing Together Data & AI for COVID-19 Response
Risk Stratification Realtime Hospital CensusSurge Planning
IDENTIFYING PATIENTS AT HIGH-RISK PLANNING FOR PATIENT VOLUMES TRACKING PATIENT CAPACITY
KENSCI SMART ON FHIR BASED DATA & AI ACCELERATOR
Data Ingestion Pipeline Real-time data feed & InsightsRapid Secure Deployment Built for the Future
Unified Data Analytics Architecture with Azure Databricks and KenS
Data Ingestion Agent
Runtime ML engine
Data Preparation Model Development Model Production
ML OpsPipeline
Monitoring
Key VaultActive Directory RelationalBlob
Data Ingress
Integration
EMR Claims IOMT Streaming
Data
?
Azure Cloud
Services
Model
Experimentation
Model
Explainability
Single
Sign-on
Role-based
Security
Visualization &
Analytics
Variation
Analysis
Feature
Bank
KenSci Analytics Portal
Learnings & Takeaways
For other health
systems
For other Data &
AI Teams
Feedback
Your feedback is important to us.
Don’t forget to rate and
review the sessions.
Rapid Response to Hospital Operations using Data and AI during COVID-19

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Rapid Response to Hospital Operations using Data and AI during COVID-19

  • 1.
  • 2. Rapid Response to Hospital Operations using Data and AI during COVID-19 Rohan D’Souza Head of Product, KenSci Tony Pastorino VP, IS, Indiana University Health
  • 3. Agenda Leveraging Data & AI investments How IU health leveraged the cloud and data to build self- service offerings for COVID-19 response Improving Patient Flow with ML Operationalizing Machine Learning at IU Health to improve hospital operations KenSci Realtime Command Center Learning and experience with deployment of the Realtime COVID-19 Command Center at multiple large health systems
  • 4. Indiana University Health is a non-profit Health System, and the largest healthcare provider in the state of Indiana. PATIENT ADMISSIONS AVAILABLE BEDS TEAM MEMBERS INDIANA RESIDENTS SERVED ~120,000 ~3,000 30,000+ 1M+
  • 5. Our Journey with Data & AI ZettabytesGigabytes 2000’s 2020’s Azure Data Platform Social Graph IoT Image LOB CRM ERP SQL Server LOB ERM ERP 2010’s Analytics Platform System APS Terabytes Petabytes
  • 6. Our Investments in Data & AI Self-Service analytics for COVID-19 Advanced analytics & ML for improving hospital ops SQL Modern data warehousing “We require self-service dashboards to uncover insights and take action” “We’re trying to predict when our patients churn LOS ” “We want to integrate all our data—including Big Data— with our data warehouse” 1 / 2/ 3/
  • 7. Leveraging Data & AI Investments for COVID-19 Response
  • 8. Our Ecosystem & Process Azure Data Lake Storage STORE Power BI VISUALIZE Azure SQL Data Warehouse MODEL & SERVE Informatica Cloud Azure Databricks INGEST & PREP
  • 9. Data Layers REPORTING LAYER Team Workspaces Intra-departmental, Securable Reporting Layer Supporting 27 different IUH Analytics Teams INTEGRATED LAYER Harmonized Layer Rebuilt every 24 hours 3+ Years currently SOURCEMART LAYER 31 Sources 1403 Tables Loaded every 24 hours 10+ Years of Raw Data 2 Types Secured By Datatype Secured by Business Owner CUBES Built from Integrated Layer Rebuilt every 24 hours 3+ Years currently ML ANALYTICS * Built from Integrated Layer Deidentified
  • 10. Empowering Self-service analytics during COVID-19 • Over 250 BI Analysts and Citizen Data Scientists across the system • Strong Self Service Motivation • Centralized and Decentralized Analytics • Data Gathering vs. Data Insight / Analysis • Valuable time gathering, massaging, reconciling, and validating data • More time for data insights EMPOWER INSIGHT DECISION MAKING
  • 12. Understanding Healthcare as a complex system Interdependent Cascading effect of bottlenecks leading to downstream patient leakage/loss & crowding Volatile Difficult to forecast variables across patient volumes, acuity, census, and staffing requirements Noisy Finding meaning and opportunities within the vast data ecosystem is a massive undertaking ED Elective Surgery Admit Transfer/ Direct Admit Inpatient OR Outpatients Discharge ARRIVALS INTERHOSPITAL TRANSPORT CAPACITY LENGTH OF STAY STAFFING READMISSION
  • 13. DischargeAdmi t Inpatients Length of Stay Risk of Readmission Risk of Obs. Failure Discharge Disposition Inpatient Predictions Enable clinicians to prioritize the neediest patients first, and identify opportunity areas for systematic improvement. Optimize availability of inpatient beds Improve readmission rates & penalties Correct patient status assignment Outcomes
  • 14. Length of Stay Risk of Readmission Risk of Obs. Failure Discharge Disposition Inpatient Predictions Enable clinicians to prioritize the neediest patients first, and identify opportunity areas for systematic improvement. Optimize availability of inpatient beds Improve readmission rates & penalties Correct patient status assignment Outcomes
  • 15. © 2019 KENSCI CONFIDENTIAL Solution generating scores in minutes from data delivery 85% of encounters predicted within 1.65 days of actual LOS at the time of admission – establishing one of the best documented AI solution in a production setting Summary: Solution Performance
  • 17. Bringing Together Data & AI for COVID-19 Response Risk Stratification Realtime Hospital CensusSurge Planning IDENTIFYING PATIENTS AT HIGH-RISK PLANNING FOR PATIENT VOLUMES TRACKING PATIENT CAPACITY KENSCI SMART ON FHIR BASED DATA & AI ACCELERATOR Data Ingestion Pipeline Real-time data feed & InsightsRapid Secure Deployment Built for the Future
  • 18. Unified Data Analytics Architecture with Azure Databricks and KenS Data Ingestion Agent Runtime ML engine Data Preparation Model Development Model Production ML OpsPipeline Monitoring Key VaultActive Directory RelationalBlob Data Ingress Integration EMR Claims IOMT Streaming Data ? Azure Cloud Services Model Experimentation Model Explainability Single Sign-on Role-based Security Visualization & Analytics Variation Analysis Feature Bank KenSci Analytics Portal
  • 19. Learnings & Takeaways For other health systems For other Data & AI Teams
  • 20. Feedback Your feedback is important to us. Don’t forget to rate and review the sessions.