Managing Unstructured Data in Healthcare Systems

1. Managing Unstructured Data in Healthcare Systems Mike Deegan Technical Consultant Hyland Software Inc. Global Healthcare Services

2. Agenda

3. About me… Ohio State – BS ISE May 2013 Hyland Global Healthcare Services Internship & Work Experience • Reducing lead time • Reducing WIP • Improving material handling Healthcare Metrics • Quality of Care • Patient Satisfaction • Physician Utilization

4. Welcome to the world of managing unstructured data!

5. We’re not reinventing the wheel just learning how to use it! http://p-hamilton.blogspot.com/2011/08/common-but-strange-product-design-terms.html

6. Evolution of Unstructured Data in Retail • Unstructured line items on a spreadsheet or ledger • Scanning & barcodes • Paper receipts • Completely digital transactions • Spending trends & notifications • Efficiency!

7. But what about Healthcare? Patient-Centered Global Payment System The Solution Global payments made to a group of providers for all care. Providers are not rewarded for delivering more care, but for delivering the right care to meet the patient’s needs. Current Fee-for-Service Payment System The Problem Care is fragmented instead of coordinated. Each provider is paid for doing work in isolation, and no one is responsible for coordinating care. Quality can suffer, costs rise and there is little accountability for either. How? $ $ $ $ $ Primary Care Hospital Specialist Home Health Primary Care Home Health Specialist Hospital Source – Recommendations of the Special Commission on the Health Care Payment System, July 2009

8. 3 Important Elements Accountable Care Organizations Financial Incentive to Improve Quality & Reduce Cost HIMSS Level 7 Increased Competition HITECH Act – Meaningful Use Financial incentive to increase available data, improve clinical processes & ultimately improve the quality of care delivery

9. Accountable Care Organization - “Payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in total cost of care for an assigned population of patients”

11. Healthcare Information and Management Systems Society (HIMSS) Electronic Medical Record Adoption Model (EMRAM) • Electronic Medical Record (EMR) aka Electronic Health Record (EHR)

13. HIMSS Stage 7 *U.S. Hospitals at Stage 7 – 2.9% *U.S. Clinics at Stage 7 – 4.33% *Hospitals & clinics evaluated by HIMSS Analytics as of end of Q4 2013

14. Theory of Diffusion of Innovations

15. Stages of Meaningful Use We are here

17. Design Processes to gather more discreet data • Convert paper documents to electronic forms • Instantaneously capture discreet data that was previously unusable • Online & tablet forms at registration & POC • Automated business processes / clinical workflows • Automatically validate & post payments & submit claims • Reduce readmission rates • Washington State - $31 Million in savings by reducing by 23%

18. Create discreet data from unstructured data Natural Language Processing Convert physician diagnosis notes & recording into usable data Advanced Optical Character Recognition Lift discreet data from paper forms and documents

19. Do what IE’s do best - Serve as Change Agents Leverage the IE skills & problem solving mindset • Approach clinical & business aspects from a holistic & systems point of view

21. There is no passion to be found playing small – in settling for a life that is less than the one you are capable of living. - Nelson Mandela