Changing expectations and new technologies are critical drivers
transforming the healthcare industry:
HEALTHCARETRANSFORMATION
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Demographics and Lifestyle• Expectations for better quality, value and outcomes• Aging population and escalating incidence of chronic disease
Increased Competition and Regulations• More regulations and compliance requirements• Technology enabled new competition
Resource Shortages• Shortage of right skills, capabilities and supplies• Shortage of consumer and provider based services
Healthcare-based driversI.
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Connected and Open• Proliferation of mobile devices and Internet access• Fosters collaboration within the ecosystem
Fast and Scalable• Anticipate unknown requirements and quickly address them• Reduced cost of innovation
Increasing Complexity—Yet Highly Consumable• Increased but masked complexity• Analytics and insights to drive decision making
Technology-based driversII.
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Disease and Cost-of-Care Progression
20% of peoplegenerate 80% of costs
Healthcare spending
TIME 70% of USdeaths are fromchronic diseases
Health status
Early interventionOpportunities identification
Early interventionOpportunities identification
Healthylow risk At risk High risk
Early clinical
symptoms
Activedisease
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Poor quality and outcomes, health care inefficiency, out-of-control costs
Annual Excess Costs in Operational Processes
Transforming Healthcare through Population Health
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Definition: “The health outcomes of a group of individuals including the distribution of such outcomes within the group.”The transition from volume- to value-based care with the goals of improved health, improved care and reduced cost.
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The Healthcare Data Environment
• Batch, real time, streaming• Files, messages, transactions• Standards based (e.g., HL7),
proprietary• Structured, unstructured• Text, images, sound• Complete, incomplete• Clean, dirty
EMR
ADT
Claims
Financial
Supply Chain
HIE
Notes/Reports
Reference/3rd Party Files
Medical Devices
Lab
ER
Surgery
Codes
Genomics
Registries
Images
Voice
Pathology of the world’s data was generated in just the last two years
90%
The data environment is complex but represents an opportunity if it can be harnessed
80%of data in healthcare is unstructured
• Batch, real time, streaming• Files, messages, transactions• Standards based (e.g., HL7),
proprietary• Structured, unstructured• Text, images, sound• Complete, incomplete• Clean, dirty
EMR
ADT
Claims
Financial
Supply Chain
HIE
Notes/Reports
Reference/3rd Party Files
Medical Devices
Lab
ER
Surgery
Codes
Genomics
Registries
Images
Voice
Pathology of the world’s data was generated in just the last two years
90%
The data environment is complex but represents an opportunity if it can be harnessed
80%of data in healthcare is unstructured
of the world’s data was generated in just the last two years
90%
80% of data in healthcare is unstructured
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The Healthcare Analytics Journey
Enterprise-wide Data Insights
Retrospective Reporting
Proactive Interventions and Improved Outcomes
Dynamic Learning for Optimal Care Guidance
Basic reporting
What happened?
What is happening?
What will happen?
What is the optimal treatment?
Foundational analytics
Predictive and prescriptive
Cognitive
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“There is nothing more important [in healthcare] than the transition from traditional medicine to population health and the implications that will have. No outcome, no income.”
Dr. David NashFounding Dean, Jefferson School of Population Health
Start your analytics journey atibm.co/healthcareanalytics