Managing Big Data in Healthcare

1. Managing Big Data in Healthcare Jeff Lusby

2. 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

3. 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.)

4. 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

5. Big Data Key Drivers • New Delivery Models (ACO) • Meaningful Use • ICD-10 • Better Data = Improved Outcomes • Shift from volume-based care to value-based care • Fraud Detection • Cost Savings Population Health Patient Experience Per Capita Cost http://www.ihi.org/offerings/Initiatives/TripleAim/Pages/MeasuresResults.aspx

6. Healthcare is Positioned to Gain from Big Data

7. 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

8. Structured EHR HIS Unstructured Image based – PACS and radiology, EKG’s, Monitor data Insurance card, patient photo, consent forms, orders Paper based patient information 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 Where Does the Data Come From? Clinical and HIM Administrative Supply Chain and Revenue Cycle • Supply Chain • Materials Management • Documents such as requisitions, purchase orders, invoices, packing slips, receiving paperwork • Revenue Cycle • Pre-registration • Denials Management • Documents include EOB’s, correspondence Confidential – Do not copy or distribute

9. 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

10. 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 Financial System Eligibility System Clinical System Document Manager

11. How ECM with Business Process Management Can Help • Clearly Defined Processes • Enforced Business Rules • Integrated Systems • Consistent Results • Systemic Auditing • Analyze and Improve Over Time • Targeted User Interfaces • Actionable Data • Processes that cross departments and systems Eligibility System Financial Systems Patient ECM Financial Cons. Loan System

12. 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

13. Combine Reports and Dashboards To Give Management What They Need Combine data from finance, scheduling, and eligibility service Provide customized views

14. Automated Chart Completion Ancillary Services Clinic Wound Care Home Health Mobility View patient data Deficiency management Visit Type Monitoring 30 Day Re-Admit Tracking Human Resources Onboarding and Offboarding Process Legal Intelligent eForms and process automation for contract management Finance Statements Business Office Correspondence Manage Data and Processes with ECM Clinical and HIM Administrative Supply Chain and Revenue Cycle • Supply Chain • Materials Management and invoice tracking processes • Revenue Cycle • Pre-registration and authorization tracking • Denials Management Confidential – Do not copy or distribute

15. ECM Demonstrations • Correspondence • Human Resources • Executive Dashboard • Mobility – Wound Care

16. 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!

17. Questions?