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    Gain insights

    and take action

    Data Analytics in Healthcare

    1

    2

    3

    4

    5

    The right data

    The right analysis

    The right modeling

    The right conclusions

    The right actions

    The right stuff.

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    NextGen Healthcare puts businessintelligence and analytics at your fingertips.

    Harness, aggregate, analyze, and interpret patient data directly from our integrated

    NextGenAmbulatory EHR and NextGenPractice Management solutions.

    IDENTIFYhigh-risk patients for improved

    population health management

    and outcomes

    ENSUREa more successful transition from

    volume-based to value-based

    care and payment

    IMPROVEproductivity, increase

    reimbursements, and accelerate

    cash flow

    Watch an online demo | Request a personal demo | Email us at [email protected] | Call us at 855-510-6398

    Ambulatory Practice

    Management

    AnalyticsPopulation

    Health

    InteroperabilityInSight

    Reporting

    http://www.nextgen.com/Resources?type=demoshttp://www.nextgen.com/#contact-us-formmailto:Results%40NextGen.com?subject=mailto:Results%40NextGen.com?subject=http://www.nextgen.com/#contact-us-formhttp://www.nextgen.com/Resources?type=demos
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    The right stuffData analytics done right is kind of like the Five Rights of

    Medication Administration but with a data analytics twist

    Chapter

    1 The right data

    Chapter

    2 The right analysis

    Chapter

    3 The right modeling

    Chapter

    4 The right conclusions

    Chapter

    5 The right actions

    and the right to ask, Are we done yet?

    Whats thebig deal about

    big data inhealthcare?Find out in this

    new eBook.

    http://www.ihi.org/resources/Pages/ImprovementStories/FiveRightsofMedicationAdministration.aspxhttp://www.ihi.org/resources/Pages/ImprovementStories/FiveRightsofMedicationAdministration.aspxhttp://www.ihi.org/resources/Pages/ImprovementStories/FiveRightsofMedicationAdministration.aspxhttp://www.ihi.org/resources/Pages/ImprovementStories/FiveRightsofMedicationAdministration.aspx
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    A new study commissioned byEMC

    asked federal agencies how big data

    can help them. Among the results

    published recently:

    The healthcare industry is chomping at

    the bit for data analytics. Because the

    innovative answers needed to improve

    patient experiences and the health of

    populations, while simultaneously

    reducing costs, comes from insights,

    trends, and clues hiding in big data.

    and the right to get excited!

    How will Big Data Help?

    say Big Data will help track andmanage population health more

    efficiently

    say Big Data will significantly improvepatient care within the military healthand VA systems

    say Big Data will enhance the ability to

    deliver preventative care

    63%

    62%

    60%

    CHAPTER

    ONE

    http://www.emc.com/index.htm?fromGlobalSelectorhttp://www.forbes.com/sites/emc/2014/04/28/big-data-technologies-and-advancements-in-healthcare/http://www.forbes.com/sites/emc/2014/04/28/big-data-technologies-and-advancements-in-healthcare/http://www.emc.com/index.htm?fromGlobalSelector
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    Last year, McKinsey & Companyreported that big data could help saveAmerican taxpayers $450 billion in

    annual healthcare costs. Thats big.

    http://www.mckinsey.com/insights/health_systems_and_services/the_big-data_revolution_in_us_health_carehttp://www.mckinsey.com/insights/health_systems_and_services/the_big-data_revolution_in_us_health_care
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    When Dr. Karen DeSalvo took over as

    head of the Office of the National

    Coordinator (ONC) she saidthe ONCs

    agenda will launch a new discussion

    about interoperability, big data use, and

    patient-generated data, plus the security

    required to support all three.

    High-functioning health information

    technology (HIT) analytics can handle

    different data formats originating

    from scores of different sources.

    Which is why big data and

    interoperability are two health

    IT concepts you cant ignore.

    Right from the top

    http://www.govhealthit.com/news/desalvo-calls-big-data-use-over-next-decadehttp://www.govhealthit.com/news/desalvo-calls-big-data-use-over-next-decade
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    The underpinnings of EHRs need

    to be reconfigured to supportthe purposes of big data.Dr. Karen DeSalvo

    National Coordinator for HIT

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    Please dont. Theres no reason to. Except if

    youre not preparing properly for big data.

    Regardless of your healthcare sector, your

    income will be tied to your performance,

    which will be evaluated with data analytics

    and quality reporting.

    The Meaningful Use EHR incentive

    program, quality-based reimbursement

    models like Patient Centered Medical

    Homes (PCMHs) and Accountable Care

    Organizations (ACOs), and the Physician

    Quality Reporting System (PQRS) all

    rely on reporting and healthcare data

    analytics output.

    With the transformation to value-

    based care, health data analytics

    is at the heart of accountable,collaborative care.

    if youre not prepared.

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    The right analysisData Analytics 101: What you need to know.

    CHAPTER

    TWO

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    Ambulatory and

    Inpatient EHRs1

    Physical therapy4

    pharmacies3

    labs/radiology/ancillary testing2

    extended carefacilities5

    nursing homes

    6

    medicalexaminer

    8

    Data for healthcare

    analytics comes fromdiverse sources includingbut not limited to:

    7diseaseregistries

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    hospice carefacilites12behavioral health11

    communityhealth centers13

    patient -generated data14

    homecareorganizations15

    16specialtyand

    sub-specialtypractices

    10public health

    agencies

    correctional9

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    New big datasources beyond

    the EHR may include genomics,social determinants of health, andcombining data from multiple

    body systems, to name a few.

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    Care for a brontobyte?

    Ten to the power of 27 [1+27 zeroes] is

    a brontobyte. Its where big data is

    headed. Today, big data is happening on

    the planet at the yottabyte level [1024];

    one yottabyte = 250 trillion DVDs.

    Todays data scientist usesYottabytesto

    describe how much government data the

    NSA or FBI have on people altogether.

    In the near future, Brontobytewill be

    the measurement to describe the type of

    sensor data that will be generated fromthe IoT (Internet of Things).

    Resource:

    http://www.theregister.co.uk/2012/12/04/

    hp_discover_autonomy_vertica_big_data/

    Analytics 101:How big is big?

    Brontobyte

    This will be our digital

    universe tomorrow...

    1027

    1024Yottabyte

    This is our digital

    universe today

    1018Exabyte

    1EB of data is created

    on the Internet each

    day - 250 million DVDs1015

    Petabyte

    The CERN Large Hadron

    Collider generates

    1PB per second

    1012Terabyte

    500TB of new data per

    day are ingested in

    Facebook databases 109Gigabyte

    106Megabyte

    1021Zetabyte

    1.3 ZB networktraffic by 2016

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    drives population health.Integrated HIT with data analytics

    functionality. Thats your goal.

    Youll need data analytics functionality inyour HIT system to implement population

    health properly and profitably. Same

    with coordinated care. Ditto for new

    reimbursement models. Ditto to:

    track and manage population health

    more efficiently

    enhance preventive care

    reduce per capita cost of patient care

    enhance progress in diagnostics and

    medical research

    understand retail healthcare trends

    negotiate properly with payers

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    What is predictive analytics?Its when you extract information

    from existing data sets in order

    to determine patterns and predict

    potential future outcomes and

    trends.Predictive analytics will not tell you

    what will happen in the future. It helps you

    forecast what might happen and includes

    what-if scenarios and risk assessments.

    In Gartners IT Glossary, among the

    characteristics of predictive analytics most

    important to healthcare reform is rapid

    analysis of massive quantities of data (real-

    time/hours/day not months); emphasis

    on the relevance of resulting insights; and

    an emphasis on ease of use.

    CHAPTER

    THREE

    http://www.gartner.com/it-glossary/predictive-analyticshttp://www.gartner.com/it-glossary/predictive-analytics
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    We just covered predictive

    analytics. How about descriptive

    and prescriptive analytics?

    Descriptive analyticsis the simplest

    form of analytics. Its the easiest to do

    because its using data to describe what

    happened to patients in the past. Its the

    most common form of data analyticsbeing

    used in healthcare today.

    Predictive analyticsis in the middle of

    this descriptive, predictive, and prescriptive

    analytics triad. It has the potential toimprove healthcare delivery by analyzing

    all aggregated current and historical

    patient data to identify high-risk patients

    and opportunities for intervention

    and treatment.

    Prescriptive analyticsis the most

    advanced of these three types of data

    analytics. In healthcare, prescriptive

    analytics is whats growing clinical decision

    support platforms. It goes beyond

    descriptive and predictive analytics by

    recommending one or more courses of

    action and including the likely outcome

    of each decision or action.

    Whats so great aboutpredicitive analytics?

    BIG

    D

    ATA

    ANALY

    TIC

    S

    http://www.informationweek.com/big-data/big-data-analytics/big-data-analytics-descriptive-vs-predictive-vs-prescriptive/d/d-id/1113279http://www.informationweek.com/big-data/big-data-analytics/big-data-analytics-descriptive-vs-predictive-vs-prescriptive/d/d-id/1113279
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    Predictive analytics can significantly increase the potential

    to improve care and population health. By analyzing all

    aggregated current and historical patient data, providers

    can identify high-risk patients and opportunities for

    intervention and treatment. Providers assess risk level basedon a particular set of health conditions and clinical decision

    making to develop an effective care plan.

    The goal of predictive modeling is to identify and actively

    manage high-risk patients, intervene before they become

    critical, and reduce or eliminate unnecessary ED visits and

    hospital admissions. Each of these steps can drive down

    healthcare costs, improve clinical outcomes for patients,

    and promote a healthier patient panel.

    Data analytics functionality

    creates models used to predict

    scenarios and probable trends.

    The analytics triadfor healthcare.

    Descriptiveanalytics

    Predictiveanalytics

    Prescriptiveanalytics

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    Whats the secret?Its not a secret.

    Its the patient registry.

    A patient registry (also called a central datarepository or master patient index MPI)

    is a centralized database that aggregates

    patient data from multiple healthcare

    providers and organizations (disparate

    data sets see page 23.

    Providers and authorized users can

    identify and query patient groups through

    myriad segmentations and relational

    database functions. For example, treatment

    queries can target patients by specific

    diagnosis or conditions (e.g., a risk factor)

    that predispose them for a health-related

    event. These patient groups are called

    patient cohorts.

    CHAPTER

    FOUR

    https://clinicalinformatics.stanford.edu/projects/cohort.htmlhttps://clinicalinformatics.stanford.edu/projects/cohort.html
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    The patient registry seamlesslyaggregates multiple disparate data

    sources, payer data, preventative,and clinical quality scores to improve

    clinical and financial outcomes

    across the practice.

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    And why shouldnt they?Public and private payers are using

    their analytics expertise to mine data for the answers they need to

    build new pay for performance provider reimbursement models.

    Payers want to know everything. They monitor, track, measure,

    manage, and report healthcare services, workflows, and outcomesusing state-of-the-art data analytics. And they know a healthier

    population means lower costs for both payers and patients.

    Payers just love, Love,LOVE data analytics.

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    How do answers from data analytics create action?Use results from thoughtful

    healthcare data analytics programs

    to help create innovative

    approaches that enable you

    to continually improve your

    performance, your other providers

    performances, or the performance

    of your practice or facility.

    Evaluate provider performancein managing disease(s)

    Adjust treatment plansin accordance with evidence-based guidelines

    Better understand and treat diseasesthat influence multiple body systems

    Identify a patients risk levelthrough a hybrid data assessment clinical, social, cultural

    Develop treatment programsthat align with recommended clinical guidelines

    Engage patients in a meaningful care transition programto ensure continuity of care

    Create care coordination protocolsdriven by evidence-based medicine

    and personalized care

    Cultivate better transition of careto help reduce readmissions and decrease costs

    Evaluate patient outcome trendsto negotiate fair reimbursement for patient cohorts

    Rank yourself against your peers and national healthcare benchmarks; know where

    you stand, be a savvy healthcare reform provider

    CHAPTER

    FIVE

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    Analytics makes it happenLike we said at the beginning of

    this eBook: You want answers.

    But youre searching for them in a

    healthcare setting that demands

    doing more with less, every day.

    Only sophisticated analytics can create

    the insights and data patterns you need

    to create new actions thatll get your

    toughest questions answered. Its the way

    to intelligently leverage your data.

    Payers can figure out which patients are

    most likely to generate the highest costs.

    Providers will discover which of their

    patients arent taking their meds. Hospital

    executives can better understand the

    probabilities of relapse and readmission.

    Thats why more and more healthcare

    professionals are interested in using big

    data and analytics to prevent problems

    before they occur in healthy patients.

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    Advanced analytics [in healthcare]allows you to be much more

    sophisticated in where you

    intervene and with what.Dr. Bob NeaseChief Scientist, Express Scripts

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    Almost. But we need to mention interoperability.Without interoperability, big data

    and data analytics are useless.

    HIT systems must achieve high degrees ofinteroperability and data sharing for big

    data to impact real-time clinical decision

    making across the nation. Disparate

    systems need to work together. Seamlessly.

    Were not there yet, but like Dr. DeSalvos

    quote on page 6of this eBook, the use of

    big data across interoperable HIT systems

    is the essence of ONCs new 10-year plan.

    (Told you it was quick!)

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    When dataresides inmultiple disparate silos,

    payers and providers cannot

    cost-effectively aggregate,analyze, and assess risk.

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    Hint: Its a trick question.

    Heres a not-so-secret secret: Lots of

    providers vote yes for data analytics and

    no for wanting to do it. They want the

    value; the new insights and answers. Butthey dont want the deep data dive for fear

    of not understanding what to do or how to

    do it and for wasting a lot of time trying to

    figure it out.

    Thats where your HIT vendor can help.

    Dont try to figure this out on your own.

    Youre a medical professional, not adata scientist.

    Work with a committed, long-term HIT

    partner. Theyll have a better understanding

    of how to integrate and leverage data

    analytics into your daily EHR and practice

    management workflows.

    And remember: A data analytics initiative

    without an interoperability strategy is

    like writing a book that no one can read.

    Ask your vendor to share their long term

    interoperability road map.

    Yes! or No!for data analytics?

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    1 Gain insights and take __________________.

    2 The healthcare industry is chomping at the bit for__________________ __________________.

    3 Dr. Karen DeSalvo said the underpinnings of EHRs need to be reconfigured to support the purposes of __________ __________.

    4 A brontobyte is ten to the power of __________________.

    5 Our digital universe today is happening at the __________________ level. One of these = 250 trillion DVDs.

    6 A central repository or master patient index is called a __________________ __________________.

    7 Patient groups are called __________________.

    8 Predictive analytics increases the potential to __________________ __________________.

    9 HIT systems must achieve high degrees of __________________.

    10 Data analytics without interoperability is like ____________________________________________________.

    *Answer key next page

    Pop Quiz!Go ahead. Surprise yourself with how much you now know about data analytics!

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    Copyright 2014 NextGen Healthcare Information Systems, LLC. All rights reserved.

    NextGen is a registered trademark of QSI Management, LLC, an affiliate of NextGenHealthcare Information Systems, LLC. All other names and marks are the property of their

    respective owners. Patent pending.

    NextGenAmbulatory EHR version 5.8 is ONC-HIT 2014 Edition certified as a complete EHR.

    795 Horsham Road, Horsham, PA 19044

    p: 215.657.7010 | f: 215.657.7011 | nextgen.com

    NextGen Healthcare Solutions.

    We provide HIT solutions, including an award-winning,

    integrated EHR and Practice Management system alongwith Revenue Cycle Management (RCM) expertise and

    interoperability solutions to approximately 85,000 physicians,

    specialists, and dentists spanning in excess of 4,400 group

    practices and more than 300 hospitals across the nation.

    Our providers have attested for more than a half billion

    dollars (and growing) in Meaningful Use incentive revenue.

    *Answer Key: 1) action; 2) data analytics; 3) big data; 4) 27; 5) yottabyte;

    6) patient registry; 7) cohorts; 8) improve care; 9) interoperability;

    10) writing a book that no one can read.

    To learn more about our proven solutions, including

    data analytics and system interoperability, contact us at

    [email protected] call 855-510-6398.

    mailto:Results%40nextgen.com?subject=mailto:Results%40nextgen.com?subject=