By Komes Chandavimol IMC Institute

July 2015

Big Data Analytics Government HealthCare

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Agenda

•  Big Data in Government •  Challenge for Government healthcare

•  The roles of government (include healthcare) •  Case Study:

•  The Electronic Health Records Incentive Program •  Meaningful Use of Data •  Core Measure

•  The future: connecting health to care

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Government Big Data

3  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract  

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Government Big Data

4  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract  

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Big Data in Government

5  h"p://cacm.acm.org/magazines/2014/3/172509-­‐big-­‐data-­‐applica?ons-­‐in-­‐the-­‐government-­‐sector/abstract  

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EHR Incentive Program

6  h"p://medicaleconomics.modernmedicine.com/medical-­‐economics/content/tags/ehr-­‐incen?ve-­‐program/financial-­‐penal?es-­‐nearing-­‐physician-­‐incen?ve?page=full  

The  Medicare  and  Medicaid  Electronic  Health  Records  (EHR)  Incen;ve  Programs  will  provide  incen;ve  payments  to  eligible  professionals  and  eligible  hospitals  as  they  demonstrate  adop;on,  implementa;on,  upgrading,  or  meaningful  use  of  cer;fied  EHR  technology.  These  incen;ve  programs  are  designed  to  support  providers  in  this  period  of  Health  IT  transi;on  and  ins;ll  the  use  of  EHRs  in  meaningful  ways  to  help  our  na;on  to  improve  the  quality,  safety,  and  efficiency  of  pa;ent  health  care.  

7  7  h"p://www.physiciansprac?ce.com/  

Medicare Incentive Program

8  8  h"p://medicaleconomics.modernmedicine.com/medical-­‐economics/content/tags/ehr-­‐incen?ve-­‐program/financial-­‐penal?es-­‐nearing-­‐physician-­‐incen?ve?page=full  

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Meaningful Use of Data Meaningful  Use  is  a  Medicare  and  Medicaid  program  that  awards  incen;ves  for  using  cer;fied  electronic  health  records  (EHRs)  to  improve  pa;ent  care.  To  achieve  Meaningful  Use  and  avoid  penal;es,  providers  must  follow  a  set  of  criteria  that  serve  as  a  roadmap  for  effec;vely  using  an  EHR.  

hPp://www.sfms.org/NewsPublica;on/SFMSBlog/TabId/467/PostId/1179/mu-­‐audit-­‐ca.aspx  

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Core Measure for MU

Core  Measures  

The  goal  of  "core  measures,"  is  not  to  measure.  Rather,  it's  to  drive  improved  performance  across  health  care  organiza;ons  and  depending  on  whom  you  ask,  it's  to  police  hospitals  to  ensure  certain  pa;ents  are  treated  in  line  with  what  has  been  determined  to  be  standard  and  necessary  based  on  their  diagnosis.  

•  Acute  Myocardial  Infarc;on  (AMI)  –  Heart  APack  •  Heart  Failure    •  Pneumonia    •  Surgical  Care  Improvement  Project  (SCIP)    •  Computerized  Provider  Order  Entry  (CPOE)  

h"p://www.huffingtonpost.com/janet-­‐dillione/easing-­‐core-­‐measure-­‐pain-­‐_b_1573695.html  

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Meaningful Use of Data CPOE  

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Core Measure Top-Tier Performer

hPp://www.wehealny.org/pa;ents/BI_pa;entqty/measures.html  hPp://hospitals.jefferson.edu/quality-­‐and-­‐safety/reports/pneumonia-­‐care-­‐measures/  

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The  future:  connec4ng  health  to  care    

13  h"p://healthit.gov/sites/default/files/na?onwide-­‐c-­‐roadmap-­‐draM-­‐version-­‐1.0.pdf  

Na4onwide  Interoperability  Roadmap  

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The  future:  connec4ng  health  to  care    

14  h"p://healthit.gov/sites/default/files/na?onwide-­‐interoperability-­‐roadmap-­‐draM-­‐version-­‐1.0.pdf  

Na4onwide  Interoperability  Roadmap  

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Questions?

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