applying architecture design for information delivery - hc
DESCRIPTION
Practical steps to analyzing and designing the ideal information architecture for your organization.TRANSCRIPT
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Anwar McEnteeInroads Ltd. Hong [email protected]
Architecture's for Healthcare
From Dashboards to Analytics
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Healthcare architecture and challenges
Healthcare environment – key driver for BI
Architecture and processes to achieve BI sustainability
demos
Practical advice
Dashboards, scorecards
Samples
Q&A
Agenda
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Healthcare Architecture of Old
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• Difficulty integrating data
• poor data quality + no standards = Data Hazards
• data “silo’d” or sent to “data cemeteries”
• Lack of both HC and IT understanding
• Lengthy implementation times
• Requirements changed (or something has)
• Cost of ownership
• No (straightforward) EA methodology used
Barriers to Applying BI to Healthcare
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Healthcare Costs
Healthcare budget $147.7B - $50B for (HIT)
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Electronic Health Records (EHR) Adoption
US medical groups' adoption of EHR (2005)
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• Will EHR reduce diagnosis errors? it should… BI will emerge as an invaluable macro / micro analysis tool http://www3.ha.org.hk/ppp/ppiepr_a.aspx
Diagnosis
Source: Harvard Risk Management Foundation
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* Or at least move in the right direction
From old…
To NEW!
How Do We Start
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Enterprise Architecture Layers
Overall business (healthcare) framework; goals, roles, processes, activities, reports - Often mapped to apps and data that will be required.
Describe data structures at rest or in motion, how created, processed, utilized.
Structure and behavior of applications and how they interact (users, apps). How is “knowledge” produced and consumed.
The client and server nodes, networks, access, databases, etc.
Security Architecture - routines and components that secure the architectureGovernance Architecture - operational routines and processes to manage/maintain above architectures.
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Business Architecture
• Business process modeling helps differentiate want and need formalize processes
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Enterprise Architecture Layers
Overall business framework; goals, roles, processes, activities - Often mapped to apps and data that will be required.
Describe data structures at rest or in motion, how created, processed, utilized.
Structure and behavior of applications and how they interact (users, apps). How is “knowledge” produced and consumed.
The client and server nodes, networks, access, databases, etc.
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Business and Data
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Data Architecture
• Data collection and integration data governance, MDM, verification, metadata
Data source for sample:http://www.td.gov.hk/en/road_safety/road_traffic_accident_statistics/2008/index.html
1. Data Integration
2. Models
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Enterprise Architecture Layers
Overall business framework; goals, roles, processes, activities - Often mapped to apps and data that will be required.
Describe data structures at rest or in motion, how created, processed, utilized.
Structure and behavior of applications and how they interact (users, apps). How is “knowledge” produced and consumed.
The client and server nodes, networks, access, databases, etc.
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Application Architecture
• Ease of access• Reporting, analytics, view and go
From Models to Web
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Enterprise Architecture Layers
Overall business framework; goals, roles, processes, activities - Often mapped to apps and data that will be required.
Describe data structures at rest or in motion, how created, processed, utilized.
Structure and behavior of applications and how they interact (users, apps). How is “knowledge” produced and consumed.
The client and server nodes, networks, access, databases, etc.
Security Architecture - routines and components that secure the architectureGovernance Architecture - operational routines and processes to manage/maintain above architectures.
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Users with different requirements, access, levels
Portal
Extraction Transformation Load (ETL)
Several Sources
Back End System
Healthcare practitioners
Senior Healthcare Management
Health Informatics Professional
Models (data
stores)
Applications and Technology
DRG
OutcomesAMI
Mobile Desktop
Ideal architecture, in design and practice
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Conventional Data Warehouse• Heavy upfront architecture, in design and practice• Does not flow with our enterprise architecture design
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• Start small, focus on what ails you the most and detail what outcome you want
• Plan for mistakes – small and cheap
Practical Advice – Project Initiation
Proof of Concept!
• PoC, pilot, scale• Pay for services depending on scope, ie work involved
Avoid vendor lock-in, after all its:Your data, Your objectives, Your decision
One cup at a time
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• Allot time to model processes, confirm flow, goals• Look for areas to reduce redundancies• Have a scope for the entire organization, but focus on cross
sections
Practical Advice - Business
• Integration – must be able to take in multiple sources and formats• Information freshness; real-time, near real-time or combination• Flexible – add another source• HIMSS, HL7, etc.• Security
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Practical Advice - Application
• Delivery – client / clientless, fixed / mobile • Not just reporting, analytical ability• Dashboard to detail – summary to detail• Workflow – match your organization requirements
• Play nice with existing infrastructure• Standards based• Emerging technologies, deliveries, etc• Data warehouse – differentiate is it a nice to have or a need to have• Security
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• Provide access to actionable, timely information across the organization.
• Hospital-wide discipline of using data, analyzing information, making decisions and managing performance.
• Better visibility on hospital/clinics’ operations.
• Control costs and improve efficiency – analysis, not just reports.
• Free form analytics – find problems before they find you.
• Free text narrative – semantic search ability (evolving).
Business Intelligence for Healthcare – Key Benefits
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• Reporting – structured reports
• Charts – indicators, trends, metrics, benchmarks
• Report – to Excel or PDF
Actionable BI Areas
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Dashboards (logical group of metrics or KPI’s)
• i.e. diabetes
• real / near-time to monitor operational activity
• snapshot of current organizational trends
• operational staff
Actionable BI Areas
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Disease dashboardSelection of disease type such as Digestive Organ Disease, the value of all indicators change.
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Scorecards
• report card; how are the grades (performance) over a period of time
• give measure and accountability – management report
• scorecard tells you how well you are progressing towards meeting organizational objectives
• senior management - government
Actionable BI Areas
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External Reports - ScorecardThis report details disease and patient’s age statistics which is requested by Ministry of Healthcare. Automatic every month, no longer a manual process.
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Early Visualization
1854 by Dr. John Snow
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Fin
Thank you.
Questions?