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Healthcare Analytics. Driving Health Insights. Analytics | Software | Services. www.kreara.com. HEALTHCARE ASSOCIATED INFECTION | ANALYTICS.
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Healthcare Analytics Driving Health Insights Analytics | Software | Services www.kreara.com
HEALTHCARE ASSOCIATED INFECTION | ANALYTICS HAIs are infections that patients acquire while receiving surgery and/or treatment for medical conditions in a healthcare setting such as hospitals (in- or out-patient) or nursing homes etc. Definition Implications • Extended hospital stays Readmissions. • Major cause of morbidity and Mortality. • Increased medical costs-Provider, Patient and Government. www.kreara.com
HEALTHCARE ASSOCIATED INFECTION | ANALYTICS A Major Fortune 500 US Based Multinational PBM with operations in more than 15 countries. Client Data Source • Client IW –Provider and Patient Data. • Secondary US Government Data. Software • SAS | R • Database – Teradata. www.kreara.com
HEALTHCARE ASSOCIATED INFECTION | ANALYTICS Objective • Descriptive Statistical Techniques for determining the prevalence of HAI’s. • Estimate Financial Impact (Medical Spending) to providers caused due to HAI. • Cluster Analysis of HAI Prevalence. • Customer/Patient Impact. • Build Hospital Readmission Predictive Models for HAI’s. • Visual Analytics Application development. www.kreara.com
TOP HEALTHCARE ASSOCIATED CONDITION Scores by Providers www.kreara.com *Scores calculated per Healthcare Infection Control Practices Advisory Committee (HICPAC) guidelinesNational Healthcare Safety Network (NHSN)
TOP HEALTHCARE ASSOCIATED CONDITION Scores by States www.kreara.com *Complaint to HAI Action Plan Guideline
HOSPITAL READMISSION PREDICTIVE MODEL • Likelihood of readmission hospitalizations had an adverse event (HAC). TECHNIQUE • Multivariate Logistic Regression ESTIMATE SELECTED HAC • Catheter-associated urinary tract infections (CAUTIs). • Deep vein thrombosis or pulmonary embolism (DVT/PE). • Central line-associated bloodstream infections (CLABSI). • Falls and trauma. www.kreara.com
MULTIVARIATE REGRESSION ESTIMATES www.kreara.com
Readmission Rates (Actual/Predicted) Across Providers FY11-12-CAUTI Cases www.kreara.com
Readmission Rates (Actual/Predicted) Across Providers FY11-12-CLABSI Cases www.kreara.com
HAI: Healthcare Associated Infections/Hospital Acquired conditions (HAC) Spending per Hospital - FY11-12 for HAI www.kreara.com
CLUSTER ANALYSIS - CAUTI Cases- State Wise www.kreara.com
CLUSTER ANALYSIS | PATIENT SATISFACTION HAI Reported Providers-Patient Satisfaction Ranking www.kreara.com
WATTS AND STROGATZ MODEL CLUSTERING | EMR LOGIN Watts and Strogatz model Clustering Of Hospital Health-Care Worker Contact Networks for proxy detection for spreading of HAI’s www.kreara.com
DATA SECURITY | HIPAA COMPLIANT PHYSICAL SAFEGUARDS • Dual -factor authentication • Prolific use of video surveillance • Visitor logging • Procedure Documentation ORGANIZATIONAL REQUIREMENTS TECHNICAL SAFEGUARDS • Unique User Identification • Emergency Access Procedure • Automatic Logoff of Computers • Transmission Security. • Business Associate Contracts (or Agreements, BAA) www.kreara.com
HIPAA COMPLIANT ARCHITECTURE • High Availability, Redundant Firewalls (IDS/IPS), Routers, ISPs. • Two-Factor Authentication. • Vulnerability Scanning. • SSL Certificate (Web Apps) . • Antivirus, OS Patch Management. • Data Encryption. • Backup and Disaster Recovery. www.kreara.com
DATA SECURITY ARCHITECTURE Site-To-Site VPN • Managed Service • Encrypted and Authenticated • Dedicated Leased Line • VLAN for Epworth users www.kreara.com
DATA SECURITY ARCHITECTURE CITRIX ARCHITECTURE Citrix WanScaler Citrix NetScaler • Centralize information resources, and manage and secure them in the datacenter. • Control access through pre-configured granular based policies. • Achieve compliance through built-in monitoring, tracking and auditing of information access. www.kreara.com
GOING FORWARD NEXT ? • Interactive Visual Analytics Platform Build with Apache server – R/JAVA/PHP GUI STATUS • Ongoing www.kreara.com