mike deegan technical consultant hyland software inc. global healthcare services
TRANSCRIPT
Managing Unstructured Data in Healthcare Systems
Mike DeeganTechnical ConsultantHyland Software Inc. Global Healthcare Services
Agenda
Phase 1 Current landscape of unstructured data in Healthcare
Phase 2 Challenges facing Healthcare Systems
Phase 3 IE approach to solutions
Phase 4 Leveraging technology to improve decision making
Ohio State – BS ISE May 2013
About me…
Hyland Global Healthcare Services
Internship & Work Experience• Reducing lead time • Reducing WIP • Improving material handling
Healthcare Metrics• Quality of Care • Patient Satisfaction• Physician Utilization
Welcome to the world of managing unstructured data!
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
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!
But what about Healthcare?
Current Fee-for-Service Payment System
The ProblemCare 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.
Hospital Specialist Primary Care
Home Health
$ $ $ $
Patient-Centered Global Payment System
The SolutionGlobal 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.
$
Primary CareHospital
SpecialistHome Health
Source – Recommendations of the Special Commission on the Health Care Payment System, July 2009
How?
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
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”
Electronic Medical Record (EMR) aka Electronic Health Record (EHR)
Healthcare Information and Management Systems Society (HIMSS)
Electronic Medical Record Adoption Model (EMRAM)
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
Theory of Diffusion of Innovations
We are here
Stages of Meaningful Use
• 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%
Design Processes to gather more discreet data
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
Sustainable Improvement
Administrators
Physicians Nurses
Healthcare IT
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
““
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