adam chee - the role of big data, bcm & cloud in healthcare

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The role of Big Data, BCM

& Cloud in Healthcare

Dr. Adam CHEE

Chief Advocacy Officer

25 Oct 2013

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Conflict of Interest Disclosure

Dr. Adam CHEE, Dr.IndTech, FACHI, MSc, MPH (WIP), MBA (WIP), PgD MedInfo, SpD InfoSec, BCom IT, CPHIMS, CITPM,

CSSGB, CSP, MCSE,MCSA,MCDBA etc etc… does it really matter?

Faculty (Health Informatics) with IHLs (Practice-Based Researcher)

SME / Consultant / Advisor / Trainer with Health and Solution Providers, Consulting Firms

Chief Advocacy Officer of binaryHealthCare

Note: List of conferences presented & media mentions can be found at www.binaryHealthCare.com

Agenda

• My topic for today is “The role of Big Data, BCM & Cloud in

Healthcare” and we will be examining;

• How the healthcare industry can leverage Big Data, Cloud and

sound BCM practices to revolutionize healthcare, from increased

efficiencies to better outcomes and more personalized care

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Demystifying Healthcare

• In order to ensure an effective implementation (of any

technology), it is important to understand the nature of the

industry (the nuances and contextual background)

• Ever wonder why healthcare is called a ‘Practice’?

• Ever wonder why a patient is called a ‘Patient’?

• Warning : The following explanation will expose the hard truth

about the origins of healthcare

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Demystifying Healthcare (cont.)

• Trial-and-Error medicine

• The cholera epidemics in England during the 1800s, which resulted

in more than 76,000 deaths, subside and stopped because John

Snow (a physician) identified the problem source (via some detective

work)

• The organism that causes cholera (Vibrio Cholera) was discovered

25 years after John Snow’s death by Robert Koch

• Trial-and-Error medicine is still being practice although it gets

better and better

• (ever heard of Clinical Trials and Evidence-Based medicine?)

• The good news is, healthcare is moving towards a patient-

centered paradigm - personalized medicine

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Predictive Analytics in Healthcare

• Predictive Analytics

• Encompasses a variety of techniques from statistics, modeling,

machine learning, and data mining that analyze current and historical

facts to make predictions about future, or otherwise unknown, events

• Powered by Big Data

• Ongoing reforms in healthcare is slowly shifting from pay-for-

service to pay-for-performance, as such, healthcare providers

are being more data-driven, gleaming insights from predictive

analytics

• Healthcare NEEDS Analytics & Big Data

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Data in Healthcare

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Does healthcare have data?

Absolutely! Where is the

data? Everywhere!

Everywhere? - Continuum of Care

• Continuum of Care

• A concept involving an integrated system of care that guides and

tracks patient over time through a comprehensive array of health

services across all levels health care.

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Acute Care

Community /

Extended

Care

Assisted

Living / Home

Care

Ambulatory

Care

Primary Care

Prevention &

Wellness

Palliative

Care

Healthcare System (Simplistic)

Health Information Exchange

EMR

EMR

EMR

EMR

EMR

EMR PHR

How about Interoperability?

Interoperability Basics

• To put it briefly, there are three categories of Interoperability

• Physical Interoperability

• Medium of connectivity or the physical connections

• E.g. Wireless network or Mobile Phone network (e.g. 3G, GSM, CDMA)

• Usually take for granted

• Functional Interoperability

• Functional interoperability is syntactic in nature

• Syntax refers to the structure of a communication

• Similar to spelling and grammar rules

• Semantic Interoperability

• Semantics refers to the meaning of a

communication

• The vocabulary, dictionary or thesaurus

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Interoperability (cont.)

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• To quote Charles Mead;

• “syntactic interoperability guarantees the exchange of the structure of

the data, but carries no assurance that the meaning will be

interpreted identically by all parties”

• Semantic Data across the Continuum of Care will enable;

• Big Data, Analytics

• Utilize these data to run Clinical Trials (using predictive analytics)

• Retrospective cohort, case-control studies

• Now back to answering the question of “where is the data”

Continuum of Care vs.

Silos of Data

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Acute Care

Community /

Extended

Care

Assisted

Living / Home

Care

Ambulatory

Care

Primary Care

Prevention &

Wellness

Palliative

Care

EMR

EMR

EMR

EMR

EMR

EMR PHR

With Cloud, Physical Interoperability is resolved

With Standards (e.g. HL7), Syntactic Interoperability is resolved

Business Continuity

• Business continuity is the activity performed by an organization to

ensure that critical business functions will be available to

customers, suppliers, regulators, and other entities that must

have access to those functions.

• These activities include many daily chores such as project

management, system backups, change control, and help desk.

• Business continuity is not something implemented at the time of a

disaster; Business Continuity refers to those activities performed

daily to maintain service, consistency, and recoverability.

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Business Continuity in Healthcare

• Hospitals are going digital;

• Not just filmless but also paperless

• Heavy reliance on technology

• Technology is expected to be

robust like our electricity grid

• As healthcare moves towards

being data-driven, availability

has taken on a new dimension

of importance

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Source: HIMSS Analytics Asia Pacific

Business Continuity in Healthcare

(Cont.)

• Disruption of critical business functions in healthcare is a NO-NO

• While technology cannot replace healthcare providers, the

absence of technology can seriously hinder (if not cripple) the

delivery of care

• Imagine a surgeon operating on a patient

and the electricity went out

• Or you are examining a patient when the

Electronic Medical Records is down

• Do you still prescribe tests and medication?

How about the priors?

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15

16

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Source: http://www.stratus.com/

Business Continuity in Healthcare

(Cont.)

• High Availability requirements of acute hospital

• 99.999 by the month (not year) for both planned and unplanned

downtime

• As a rule of thumb, if a physician has to wait for more than 3

seconds to load an image or report, than that is considered slow

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The role of big data,

BCM & cloud in Healthcare

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Foundation

Asset

Maximize

Enables

Enables

Business

Continuity

Cloud

Big Data

& Analytics

The role of big data,

BCM & cloud in Healthcare

• You folks have an important role in transforming healthcare

• Thank you and keep up the good work

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binaryHealthCare, a ‘purpose-driven’ (social enterprise) boutique consulting

firm offering training, technical and marketing strategy solutions / advisory,

specifically addressing the eHealth domains within (but not limited to) the

ASEAN region while serving to “Bridge the eHealth Divide” by empowering

stakeholders in both developed & LAMI counties on effective, sustainable

adoption of Health IT as an enabler for “better patient care at lower cost”

For further information, please contact;

Name Dr. Adam CHEE

Email adamchee@binaryhealthcare.com

Thought

Leadership Education Consultancy Collaboration

Content, Conferences,

Awareness Raising &

Media Engagements

Online, Onsite &

Collaboration towards

courses in eHealth

Consultancy as a

Service, SME as a

Service, Consulting

Workshops

Optimization by

eliminating replication.

Striving for a win-win

resolution for all

binaryHealthCare Bridging the eHealth Divide