Patient Generated DataNorth Carolina Healthcare Information & Communications Alliance, Inc.

May 2015

Matt KeatingChief TechnologistBooz Allen Hamilton

2

THE MOST UNDERUTILIZED

RESOURCE IN HEALTHCARE

IS THE PATIENT.

- Dr. Charles Safran

4

Several major movements are converging to transform how care is sought and delivered

Better educated and more health conscience societyBetter information and increased usage of online health resources and communities

LegislationAffordable Care Act has changed laws governing coverage, costs, and care

Availability of consumer health technologyMajor investments and rising adoption personal health monitoring devices

Advances in cloud computing and data processingAvailability of low-cost storage and processing

5

Developed an analytics solution to persist and analyze patient generated data (PGD) to improve outcomes and healthcare delivery

+ Our client is increasing use of mobile and telehealth solutions to provide additional opportunities for patients to actively participate in their health and healthcare

+ The client engaged Booz Allen to define and implement a strategy for managing the growing volume of patient data generated outside the clinical setting

+ Patient and clinician focused analytics and visualizations distill and present relevant information

6

Challenge: Patient Adoption

+ Learning Curve+ Value Proposition+ Sustained Use

7

Challenge: IT Integration

Systems with limited extensibility

Database solutions withrigid data models

Traditional compute infrastructure limits the universe of data we can use andconstrains our ability to ask questions

Capacity forces culling orrejection of information

8

Challenge: Data Quality & Limitations

+ Sporadic Measurement + Bias+ No Baseline

9

Challenge: Clinician Adoption

+ Utility+ Understanding+ Guidelines+ Workflow+ Liability

Demonstration

11

PGD provides deeper insight

Hospitalization CHF/MI

6 week cardiac rehab

program

Care episodes

VisitVisit Visit

8,760 hours / year

Care Between the Care

12

PGD is an enabler for new forms of access

Asynchronous

Communication

Sensor Secure

message Text/Tweet Communication Modality Intensity

Provider Intensity

Physicians(Specialist, General

Practitioner)

Licensed Health Care Providers (Physician Assistant Nurse Practitioner,

PharmacistSocial Worker, Nurse, Physical Therapist)

Non-Licensed Providers

(Alternative Medical Provider, Health

Coach, Caregiver)

Healthcare Delivery Value Chain

Synchronous Remote

Phone Chat

Telehealth

Synchronous Face-to-

Face Outpatient Inpatient

THE ONLY ACTOR IN OUR HEALTH SYSTEM NOT

ACCOUNTABLE FOR THE HEALTH OF THE PATIENT

IS THE PATIENT THEMSELVES.

- Unknown

14

The opportunities for PGD to improve our health system span the entire continuum of care

Cultural

• Patient Accountability• Increased Patient

Engagement• Routine monitoring

Institutional

• Patient Utilization• Episodic care vs.

Continuous care• Care delivery (right dose

at the right time)

Clinical

• Tailored care• Humanization of the

patient