Managing Big Data in
Healthcare
Jeff Lusby
Agenda
• Big Data
– Definition, size, drivers, scope
• Key Challenges for Big Data in Healthcare
• Big Data by Department
• Combining Enterprise Content Management with
Business Process Management to Meet the
Challenge
• Demonstration
• Why Now?
• Questions and Answers
2
Big Data – What is it?
Gartner defines it as… "Big data are high
volume, high velocity, and/or high variety
information assets that require new forms of
processing to enable enhanced decision
making, insight discovery and process
optimization.”
(Douglas, Laney. "The Importance of 'Big Data': A
Definition". Gartner. Retrieved 21 June 2012.)
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Size of Big Data
•
•
In 2011 alone, 1.8 zettabytes of data were created globally. To put this into
perspective, this volume of data equated to 200 billion, 2-hour long HD
movies, which one person would need 47 million years to watch in their
entirety.
U.S health care data alone reached 150 exabytes in 2011. Five exabytes (1018
gigabytes) of data would contain all the words ever spoken by human beings
on earth. At this rate, big data for U.S. health care will soon reach zettabyte
(1021 gigabytes) scale and yottabytes (1024 gigabytes) not long after.
The register.co.uk
“Translating Health Care Through Big Data, Strategies
for leveraging big data in the health care industry” Institute for Health Technology Transformation
4
Big Data Key Drivers
• New Delivery Models (ACO)
• Meaningful Use
Population
Health
• ICD-10
• Better Data = Improved
Outcomes
• Shift from volume-based
care to value-based care
• Fraud Detection
• Cost Savings
Patient
Experience
Per Capita
Cost
http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/MeasuresResults.aspx
Healthcare is Positioned to Gain
from Big Data
6
Key Industry Challenges
•
•
•
•
•
Industry Readiness
Data Usability/Trustworthiness
Data Fragmentation
Architecture and Infrastructure Issues
Health Information Ownership, Use and Security
Institute for Health Technology Transformation: Transforming Health Care
Through Big Data Strategies for Leveraging Big Data in the Health Care Industry
7
Where Does the Data Come
From?
Clinical and HIM
Administrative
Supply Chain and
Revenue Cycle
•
•
• Supply Chain
•
Structured
─ EHR
─ HIS
Unstructured
─ Image based – PACS
and radiology, EKG’s,
Monitor data
─ Insurance card, patient
photo, consent forms,
orders
─ Paper based patient
information
•
•
•
Confidential – Do not copy or
distribute
Human Resources
– HR Management
Systems
– Documents such as
new hire paperwork,
employee records,
credentialing, etc.
Legal
– Documents include
contracts and
agreements,
correspondence,
compliance
Finance
– Statements
Business Office
– Correspondence
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– Materials Management
– Documents such as
requisitions, purchase
orders, invoices, packing
slips, receiving paperwork
• Revenue Cycle
– Pre-registration
– Denials Management
– Documents include EOB’s,
correspondence
Enterprise Content Management (ECM) with Business
Process Management (BPM) - The Next Generation
Platform
BPM environments put
you in control of your
applications, processes
and data to:
• Solve critical IT priorities
• Enable better patient
experiences
• Improve workflow efficiency
• Provide a greater ROI
• Improve collaboration
• Refine processes
• Boost productivity
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What are Your Processes Like Today?
• Informal
• Limited Ability to Audit
• Fuzzy Priorities
• Outcome Depends on Path
• Overlapping Functionality
• Confusing User Interfaces
• Outside tools for tracking and
task completion including
spreadsheets and email
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How ECM with Business Process
Management Can Help
• Clearly Defined Processes
Eligibility
System
• Enforced Business Rules
• Integrated Systems
• Consistent Results
Patient
Financial
Systems
• Systemic Auditing
• Analyze and Improve Over
Time
Financial
Cons.
ECM
• Targeted User Interfaces
• Actionable Data
Loan
System
• Processes that cross
departments and systems
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The Power of ECM with a BPM
Toolkit to Improve Your Workflows
DO - Let your
stakeholders try
it out
PLAN - Layout what
you think makes sense
CHECK - Monitor
how it functionally
is working
ADJUST - Review
performance and
Identify Bottlenecks
An Iterative Process
Use it and Consistently Improve it
Combine Reports and Dashboards To
Give Management What They Need
Combine data from
finance, scheduling, and
eligibility service
Provide customized
views
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Manage Data and Processes with
ECM
Clinical and HIM
Administrative
Supply Chain and
Revenue Cycle
•
•
• Supply Chain
•
Automated Chart
Completion
Ancillary Services
–
–
–
•
Mobility
–
–
•
•
Clinic
Wound Care
Home Health
View patient data
Deficiency
management
Visit Type Monitoring
30 Day Re-Admit Tracking
Confidential – Do not copy or
distribute
Human Resources
–
•
Legal
–
•
Intelligent eForms and
process automation for
contract management
Finance
–
•
Onboarding and
Offboarding Process
Statements
• Revenue Cycle
– Pre-registration and
authorization tracking
– Denials Management
Business Office
–
– Materials Management
and invoice tracking
processes
Correspondence
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ECM Demonstrations
•
•
•
•
Correspondence
Human Resources
Executive Dashboard
Mobility – Wound Care
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Why ECM? Why Now?
• Maximize Your Current Systems Investments
– Seamless Integrations
– Good candidate projects include CIS integration, elimination of out of date legacy
systems, connect systems that support the revenue cycle
• Cost Effective Bring Your Own Device (BYOD)
Support
• Process Automation, Alerts, and Dashboards
– Cross systems
– Completely customizable
• Technology Has Finally Caught Up With
Healthcare!
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Questions?
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