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HIMSS Clinical & Business Intelligence Community of Practice June 25, 2015

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HIMSS Clinical & Business Intelligence

Community of Practice

June 25, 2015

Welcome

Shelley Price, MS, FHIMSS

C&BI Community Organizer

Director, Payer & Life Sciences, HIMSS

Nancy Devlin

C&BI Community Organizer

Senior Associate, Payer & Life Sciences, HIMSS

Michael Brooks, BS, MBA, CPHIMS

C&BI Community Co-Chair

Specialist Leader, Healthcare Information Management

Deloitte Consulting LLP

Michael Berger, PE

C&BI Community Co-Chair

Chief Analytics Officer

Affinity Health Plan

Agenda • Welcome

• HIMSS C&BI Community Updates / Announcements

• Presentation & Discussion:

“Healthcare Data: You Have to See It to Understand It” o Charles Boicey, MS, RN-BC, CPHIMS, Stony Brook Medicine,

Enterprise Analytics Architect

• Wrap-Up / Next Steps

C&BI Community Updates / Announcements

Committee

• Town Hall Series

– Town Hall Pt4: Town Hall Pt4: Telehealth Data Drivers & Challenges for Population Health: Smarter Living through

Data and Knowledge

• Arthur Panov; Terri Gocsik, Moderator. June 30, 2015 | 11am ET.

• A ROADMAP TO EFFECTIVE DATA GOVERNANCE: How to Navigate Five Common Obstacles (May 2015)

• HIMSS15 C&BI Symposium: Deploying C&BI to Enable the Future State of Care: Population Health Management (Aug

2014-Apr 2015)

• Value of Patient-Generated Health Data (PGHD) (December 2014)

• Predicative Analytics 10 Steps (Cheryl and D-A TF team) [PENDING]

• Value-based quality measures --STAP: blog and ATE (JD) [PENDING]

Community

• “C&BI Pt2 -- Healthcare Data: You Have to See It to Understand It?” Charles Boicey MS, RN-BC, CPHIMS, Enterprise

Analytics Architect, Stony Brook Medicine (Register.) (June 25, 2015)

• “Clinical & Business Intelligence: An Evolutionary Process” with Charles Boicey MS, RN-BC, CPHIMS, Enterprise Analytics

Architect, Stony Brook Medicine (May 28, 2015)

– ATE Q&A with Charles Boicey [PENDING]

• Increasing Patient Engagement through Moffitt's Patient Portal (March 2015)

• Healthcare Analytics – The Never Ending Journey to Stay Informed (December 2014)

– ATE: The Lessons Learned by VUMC During Their Journey to Stay Informed Through Healthcare Analytics

• UPMC Data Governance Program Overview (October 2014)

• Accountable Care Obstacles: The Holy Grail of Value-Based Analytics and Why We Aren’t Close Yet (September 2014)

FY15 C&BI New Content

Task Forces

• Town Hall Series

– Town Hall Pt1: Population Health - The Attribution Challenge

– Town Hall Pt2: Population Health Management: Care Coordination and Data Workflow

• Population Health Management: Care Coordination and Data Workflow Reference List

– Town Hall Pt3: Population Health Management: Analytics [PENDING]

• Aggregated Series: Top 10 Steps to Take Before Launching a Population Health Management Program (10

module series; 3 complete)

– Top 10 Steps to Population Health Management (PHM): Data Sharing Intricacies Require Legal

Oversight (Step 4)

– 10 Steps to PHM: Step #8—IT Partnership

• Aggregated Series: Analytics Executive Review (3 module series; COMPLETE)

– Analytics Executive Review—Needs Assessment

• CLINICAL & BUSINESS INTELLIGENCE: The Analytics Process

• ACO Case Studies: How IT Enables Reporting, Quality and Transformation

• Three Questions for a Strong Data Management Strategy

• Big Data 101: Moving from Health IT Data to Action (Series)

– Part 1: What is Big Data?

– Part 2: A Big Data Reference Architecture

FY15 C&BI New Content

HIMSS16: Call for Pre-conference Symposia Proposals

Call for Proposals: HIMSS16 Preconference Symposia

HIMSS is searching for full day, 7 to 8-hour program submissions to include in

the preconference education programming to take place at HIMSS16 in Las

Vegas, Nevada.

Proposals are being accepted for these categories:

Care Coordination and Population Health Management

Clinical and Business Intelligence

Clinical Informatics and Clinician Engagement

Cybersecurity

HIE/Interoperability

Leadership/Governance/Strategic Planning

Process Improvement/Workflow Redesign/Change Management

Other

The HIMSS16 Call for Preconference Symposia is now open through August

3, 2015, 5pm CT.

HIMSS Big Data & Healthcare Analytics Forum

The two-day forum brings together leading providers, payers, researchers, and

government officials to provide

• best practices,

• cases studies,

• peer-to-peer learning, and

• expert insights into how healthcare organizations are currently using analytics

to mine data to improve clinical care and enhancing financial performance

and administrative decision-making.

DOWNLOAD PRESENTATIONS: http://www.bigdatahitforum.com

C&BI Community

Guest Speaker

Healthcare Data: You Have to See It to Understand It

Charles Boicey, MS, RN-BC, CPHIMS

Stony Brook Medicine

Enterprise Analytics Architect

June 25, 2015

• Describe and define the science of sight

• List three data visualization techniques that will enhance

the understanding of healthcare data

• Identify three data visualization facts

Learning Objectives Slide

Data Information Knowledge Wisdom

• Healthcare has an information problem

– Information rich

– More on the way

– Do we really know how to make sense of it?

• Data Analysis

– What is going on now

– What is likely to happen under what conditions and how can we better prepare

Sight

System 1 represents the automatic and intuitive thinking

process.

System 2 represents the thinking process that requires

effort and attention.

Vision Coupled with Thought

Source: Kahneman, Thinking Fast and Slow, 2011

Data Visualization and Human Perception

Out of Balance

Thinking

Intuition 200

123

40

75

200 105

34 75 36

15

50

289

20

78

38

Surgical Cases January, 2012 n = 1,378

Ortho

CT Surg

Neuro

Vascular

Trauma

Peds

Urology

Oncology

Opthomology

Otolaryngology Confusion

Data Visualization and Human Perception

Balanced

Intuition Thinking

Understanding

Central Line Infection Rate

Pie Chart Confusion

Even More Confusion

Visual Perception Fact #1

We do not attend to everything that we see. Visual perception is selective, as it must be, for awareness of everything would overwhelm us.

Visual Perception Fact #2

Our eyes are drawn to familiar patterns. We see what we know and expect.

Source: http://www.coolbuble.com

Visual Perception Fact #3

Memory plays and important role in human cognition, but working memory is extremely limited.

Visual Perception Fact #3

Memory plays and important role in human cognition, but working memory is extremely limited.

Color Perception

PrevalenceofColorVisionDeficiencyinBoys,byEthnicity

1.4%

2.6%

3.1%

5.6%

African-American

Hispanic

Asian

Caucasian

Source: Xie et. al., Color Vision Deficiency in Preschool Children , 2014

Color Blind Palette

Pre-attentive Attributes

OR Turnaround Time

7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22

Room 1

Room 2

Room 3

Room 4

Surgeon in Room 2 Patient delay from

floor

Waiting for labs

Robot in Room 4

Trends Over Time

Analytics Best Practices Tableau 2015

Comparison and Ranking

Analytics Best Practices Tableau 2015

Correlation

Analytics Best Practices Tableau 2015

Part to Whole

Analytics Best Practices Tableau 2015

Charles Minard’s Visualization of Napoleon's March of 1812

Nightingale Rose Diagram

Sedation Utilization in SICU Fentanyl/Midazolam/Propofol Guardrail Events by Time in the ICU

0

10

20

30

40

50

60

70

0

1

2

3

4

5

6

7

8

9

10

11

12

13

14

15

16

17

18

19

20

21

22

23

fentanyl midazolam propofol (WtB)

Healthcare Infographics

Data Visualization Applications

Data Visualization Gurus

• Edward Tufte

– http://www.edwardtufte.com

• Stephen Few

– http://www.perceptualedge.com

References

• Data Visualization Applications

– Alteryx: www.alteryx.com

– Birst: www.birst.com

– Birt: www.actuate.com

– MicroStrategy: www.microstrategy.com

– Pentaho: www.pentaho.com

– QlikView: www.qlik.com

– Tableau: www.tableausoftware.com

– TIBCO Spotfire: http://spotfire.tibco.com

References

• Healthcare Centric Infographics

– Paul Sonnier:

• www.pinterest.com/paulsonnier/digital-health-infographics-paul-sonnier/

– Pinterest:

• www.pinterest.com/search/pins/?q=healthcare%20infographics&rs=ac&len=10

– HIT Consulting:

• http://hitconsultant.net/2014/01/31/best-healthcare-technology-infographicsof-2013/

– HHS.gov:

• https://www.flickr.com/photos/hhsgov/sets/72157633968047018/

Thoughts

• What are you trying to say?

– Selective and purposeful

– Think of the audience

• Day of Presentation

– Homework

– Handouts

– End Early

Contact Me @

Charles Boicey

[email protected]

(631) 444-3971

@N2InformaticsRN

• Want to get involved?

Speaker or topic ideas

Key note presenter

Blogger, twitter

Contact Nancy Devlin

• Community Website

www.himss.org/ClinBusIntelCommunity

Wrap-Up

JOIN US IN FY16!

• Next meetings

Thursday, July 23, 2015

Thursday, September 24, 2015

Thursday, November 19, 2015

Thursday, January 28, 2016

Thursday, March 24, 2016

Thursday, May 26, 2016

Next Steps

FY15 Leadership and Contact Information Co-Chairs: Michael Brooks, BS, MBA, CPHIMS Specialist Leader Deloitte Consulting LLP [email protected] Mike Berger, PE Chief Analytics Officer Affinity Health Plan [email protected] HIMSS Community Organizers: Shelley Price, MS, FHIMSS Nancy Devlin Director, Payer and Life Sciences Sr Assoc., Payer and Life Sciences HIMSS HIMSS [email protected] [email protected]

Thank you!

THANK YOU, Mike Brooks! Extending a deep appreciation to Community co-Chair, Mike Brooks, for the years of dedication all the hard work, thought leadership, and spirit given to start and build this community.

Co-Chair: Michael Brooks, BS, MBA, CPHIMS Specialist Leader Deloitte Consulting LLP [email protected]

FY16 Leadership and Contact Information Co-Chairs: Mike Berger, PE Chief Analytics Officer Affinity Health Plan [email protected] Arthur Panov, MPH, CPHIMS Client Technical Leader IBM [email protected] HIMSS Community Organizers: Shelley Price, MS, FHIMSS Nancy Devlin Director, Payer and Life Sciences Sr Assoc., Payer and Life Sciences HIMSS HIMSS [email protected] [email protected]

Thank You

…and welcome to summer!

Appendix

J.D. Whitlock, MPH, MBA, CPHIMS* --

Chair Vice-President, Clinical & Business Intelligence

Mercy Health

Cheryl Bowman, CPHIMS Data Manager

University of Wisconsin Hospital and Clinics

Michael Brooks, BS, MBA, CPHIMS,

FHIMSS* Specialist Leader

Deloitte Consulting LLP

Robyn Chatman, CPHIMS, FAAFP, MD,

MPH Physician

Healthbridge

Teresa Gocsik, MS, CRNA, CPHIMS* Director

Aspen Advisors

Michael Kurliand, MS, RN* IS Strategy Consultant

Children's Hospital of Philadelphia

Sharon Lynn Morley, RN/CNS Client Manager

Humedica

Arthur Panov, MPH, CPHIMS* Arthur Panov, MPH, CPHIMS

Client Technical Leader

IBM

Stuart Rabinowitz, MBA, BC Director Federal Markets - Socrata

Socrata

Maxine Rand, DNP (c), MPA, RN-

BC, CPHIMS* Director, Clinical Education, Practice &

Informatics

Kaiser Permanente

Chester H Robson, DO, FAAFP Medical Director, Clinical Programs and

Quality

Walgreen Co.

Wolf Stapelfeldt, MD* Chairman, General Anesthesiology

Saint Louis University Medical Center

* Indicates a

returning

committee

member

2014-2015 C&BI Committee Members

C&BI Community of Practice The goal of the C&BI Community is to bring together thought leadership and share knowledge that will support the future success of our members by improving their ability to understand and form partnerships to manage C&BI as a part of doing business and providing accountable and quality care to their members. The Community will support activities that promote peer-to-peer networking, problem solving, solution sharing, and education.

Topics of focus may include:

• Storage and Management of Data and Supporting Technologies

• Knowledge Management to Support Accountable and Quality Care

• Case, Risk & Cost Management

• Best Practices Clinical & Business Analytics

• Clinical Decision Support

• Research Data Warehousing/EDW

• Data Lifecycle Management

C&BI Community of Practice

• Open to all HIMSS members (current membership: approx 6,700 people)

• Will meet virtually 6 times/year

• Agenda for the meetings may include:

• Commencing with a short series of 2-Minute Drills presented various Community members

• Topical discussion with key note presenter

The ‘2-Minute Drill’ is based loosely on the sports analogy, and in this case

is a fast-paced (short in length) presentation on a hot, emerging, or timely topic, news event (e.g. research paper, game-changing market or technology news), or recent and relevant event (e.g., federal public meeting, legislative/federal/judicial news, critical conference or educational event).

2-Minute Drills foster greater peer-to-peer networking, member engagement, problem solving,

solution sharing, and education. If you are interested in presenting any drills, please contact Nancy or Shelley.

C&BI Task Forces Data and Analytics Task Force

CO-CHAIR: Raj Lakhanpal, MD, FRCS, FACEP | CEO | SpectraMedix

CO-CHAIR: Carol Muirhead, MBA | Computer Science Faculty | Wyoming Northern Community College District, Gillette College, Gillette, Wyoming

This group creates resources and tools to help providers and provider organizations manage, integrate and aggregate the necessary information to support robust data and analysis, facilitate effective reporting by translating data into meaningful knowledge, resulting in improved quality, clinical and financial outcomes. Meeting times: 3rd Tuesday of the month, 1:00-2:00pm ET

Population Health-Accountable Care Task Force

CO-CHAIR: William (‘Bill’) Beach, PhD | Regional Director of Accreditation, Northern California | St. Joseph Health System

CO-CHAIR: Jennifer Jackson | Senior Director, IT Population Health Data Solutions | Banner Health

This group creates resources and tools to help healthcare organizations (providers, hospitals, integrated delivery networks, health plans and other stakeholders) use C&BI to execute population health management initiatives. These resources and tools to help these organizations achieve the industry transition from volume to value based population-based healthcare, particularly through delivery models such as Accountable Care Organizations.

Meeting times: 3rd Wednesday of the month, 2:00-3:00pm ET