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The Changing Face of Therapeutics: The role of eHealth, Big Data and Business Intelligence Professor Steven C. Boyages Medical Director eHealth NSW

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The Changing Face of Therapeutics: The role of eHealth, Big Data and

Business Intelligence

Professor Steven C. Boyages

Medical Director

eHealth NSW

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Top Trends in eHealth

• Electronic Health Records

• Business Intelligence

• Big Data and Analytics

• Apps for Health

• Social Media and Social Business

• Mobility

• Virtualisation

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High TouchHigh

Tech

Team and Workflow

Platform

Technology

Platform

Health work is a balanced matrix

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Health ecosystem

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E Health records

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Maturity model

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Benefits Estimate

Deloitte Consulting has estimated that an investment of $2.6 billion over 10 years in EHealth in Australia will yield a benefit of $5.7 billion in net present value over 10 years

The main source of benefit is derived from time saved related to manual information handling and a reduction in avoidable hospital days related to adverse events.

Additional benefits are also seen in the areas of improved chronic disease management, reduced unnecessary repeat testing and reduction in travel.

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Benefits estimate

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Building on Foundations

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Registries Big Data

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Big Data

• Big data describes the way we deal with the astonishing accumulation of digital information which is often stored in large unstructured data repositories.

• New tools such as business intelligence (BI) have emerged to organise and interpret this vast array of information with benefits in public health, research, patient care and hospital operational systems.

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New methods of scientific inquiry

• While it is attractive to contemplate the way

everything may become connected to everything

else, it presents a number of large challenges.

• The lab research model has been important for

over a century in both scientific advancement and

product development; soon it may also have to

accommodate a search for truth based only on

pattern-spotting.

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Nearly every transaction or

interaction leaves a data signature

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Someone somewhere is capturing and

storing

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Sheer scale has far exceeded human

sense-making capabilities

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At these scales patterns are often too subtle and relationships too

complex or multi dimensional to observe by simply looking at the data.

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Data mining is a means of automating the

process to detect interpretable patterns.

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It helps us see the forest without getting

lost in the trees.

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USING DATA

Google trends, Google analytics

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Google Trends Michael Jackson

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6/8/2012 24©2011 Healthcare Information

and Management Systems Society

Google flu trends

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6/8/2012 25©2011 Healthcare Information

and Management Systems Society

Facebook can predict your breakups

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6/8/2012 26©2011 Healthcare Information

and Management Systems Society

Your personality can be predicted

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6/8/2012 27©2011 Healthcare Information

and Management Systems Society

Eating Habits

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Google Trends

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We need to embrace social media

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Health Intelligence:

Keeping Score in Health

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The Next Level:

Health Intelligence Systems

• Definition

Responsive

Agile

Available

Flexible

Timely

Real time

Near Real time

Capability

Patient Care

Safety

Decision support

Outcomes Research

Patient Logistics

Performance Management

State

Area based

Hospital/cluster/network

Modality (scheduling)

Bedside

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Bed Board Web Based

Delivered by legacy PAS

Real Time

Predictive

ED performance

Network performance egcardiology

Load Management

Patient Placement

Length of Stay Features

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6/8/2012 35©2011 Healthcare Information

and Management Systems Society

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Table 2: Annual benefit paid by Medicare for 25-hydroxyvitamin D testing and percentage increase since 2000

Year Annual Benefit ($) % Increase

2000 1,021,784 100%2001 1,670,597 163%2002 2,318,770 227%2003 3,216,543 315%2004 5,269,951 516%2005 7,592,467 743%2006 12,149,112 1189%2007 22,621,733 2214%2008 42,358,509 4146%2009 67,643,016 6620%2010 96,746,203 9468%

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Google trends for vitamin D

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Google Analytics-Google Trends

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Summary

• Benefits of e Health

• PCEHR

• Benefits to clinical research

• Big Data

• Business Intelligence

• Analytics