hpcc systems engineering summit presentation - u.s. healthcare payment reform: applying hpcc...
TRANSCRIPT
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U.S. Healthcare Payment Reform
Applying HPCC Systems to Medicare’s Bundled Payments Innovation Program
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• Centers for Medicare & Medicaid Services (CMS)
• Today :“Fee for Service” model • Providers don’t have incentives for saving money or
coordinating care across providers. • Rewards quantity of services vs. quality of care
• The Bundled Payments for Care Initiative (BPCI)
• Payment arrangements • Based on financial and performance
Bundled Payments Overview
10/3/14 3
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time
Episode #2
Episode #1
Episode #3
BPCI: Episode Overlap
Episode #2
Episode #1
Episode #3 time
Episode #2
Episode #1
Episode #3
PROCESSIN
G
A
B
C
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Hadoop & Pig
• Pig: procedural and relational-centric
• Cannot process data at the record level
• Slow
• Cannot specify inline data
• Cannot (unit) test within Pig
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HPCC & ECL
• ECL: non-procedural and record-centric
• Record-level processing
• Fast*
• Inline data
• Unit Tests in ECL
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Unit Tests
simplified_ip_claim_layout := RECORD UNSIGNED INTEGER bene_id; UNSIGNED INTEGER claim_id; STRING claim_type; STRING provider_number; INTEGER4 through_date; STRING status_code; INTEGER4 admission_date; INTEGER4 discharge_date; STRING ms_drg_code; END;
// Using inline dataset
simple_ip_claims := DATASET([
{1,1,'0','010001',20000201,'',20000120,20000201,'61'},
], simplified_ip_claim_layout);
ip_claims := Samples.ip_claims(simple_ip_claims);
// OR passing NAMED parameters
ip_claims := Samples.ip_claims2(
bene_id := 1,
claim_id := 1,
claim_type := '00',
...
ms_drg_code := '61');
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Beyond Processing Data
• Security & User Authentication
• Share “jobs” with other developers
• Custom visualizations of results
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Timeline View
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Problem with the (learning) curve
• Not as steep as expected
• Lots of great tutorials, documentation and white papers online
• Data distribution and SKEW(…) errors
• Activity Graph is your friend
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Wish list
• Less cryptic error messages • Error: System error: -1: Graph[13], if[15]: SLAVE 172.31.40.116:20100: No access
to Dali - this normally means a plugin call is being called from a thorslave, (0, 0), -1,
• (Unit) Testing Framework
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Thank you!
Questions ? Feedback ? • www.linkedin.com/in/lucpezet
• mezzetin.blogspot.com