techincal deep dive and demonstration

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© 2014 IBM Corporation 1 © 2015 IBM Corporation Technical Deep Dive and Demonstration Kabilan Nagarajan

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© 2014 IBM Corporation 1© 2015 IBM Corporation

Technical Deep Dive and Demonstration

Kabilan Nagarajan

© 2014 IBM Corporation 2© 2015 IBM Corporation#ibmiod

A Patient Centered Solution PerspectiveWellness Ability to access and interact with family, care givers, care team and

care plan Ability to engage with nursing, coaches across the medical

neighborhood on goals and activities Ability to monitor and visualize progress

Diagnosis A more natural language interface, less structured input requirements

Outcomes & knowledge based clinical decision support at the point of care Enable care delivery beyond the “four walls” Use of workflow automation to increase time for population management,

and chronic and complex care

Mon

itorin

g Enable self management, maximum behavioral impact potential Device and Sensor enabled data streams offer excellent predictive

potential for compliance and adherence Enable stakeholders to access medical device data and share knowledge

and insights generated

Develop

men

t

Enrich the patient longitudinal record with insights from across mission critical systems using content analytics and natural language processing

Integrate, analyze and surface information in context of the EMR Offer secure, easy to manage protocols for connecting out of network

care team members

© 2014 IBM Corporation 3© 2015 IBM Corporation

IBM’s Smarter Care portfolio offers industry-leading Care Management: identification, planning, collaboration, outcome evaluation

Care identification

Coordination

Care planning Care collaboration Outcome evaluation

Analytics and Cognitive Computing

Foundation

Data warehouse and data models

“Single view” customer EMPI (MDM)

Portals, mobile and collaboration

Remote monitoring and medical device connectivity

Paper and Fax capture, conversion and extraction

Population analytics Diagnostic support Care pathways Operational reporting

Cognitive computing

BI, reports and dashboards

Comprehensive global consulting, technology, infrastructure and managed services

© 2014 IBM Corporation 4© 2015 IBM Corporation

IBM Care Management – a total view

Analyzed Unstructured Data

Patient 360 View

Comprehensive Care Plan

Other Data Sources

EnterpriseServices

Unstructured data

Claims

EMR / EHR

Analysts

Multi-disciplinary Care Team

Doctor’s notes

Case worker’s notes

Social Workers

Medical Professionals

Mental Health Professionals

Care Workers

Ingest and Unify Data

Generate Individualized Care

Plan for Mary

Generate Individualized Care

Plan for Mary

© 2014 IBM Corporation 5© 2015 IBM Corporation

Patient Centered, Team Based Care

Standards Driven Integration Support

Healthcare Facts Identification in Unstructured Data

IBM Care Management

IBM Care Management defined – How to help Mary and clients like her

© 2014 IBM Corporation 6© 2015 IBM Corporation

IBM Care Management Demo - Personas

81 year old Pioneer

Generation

Suffers from Hypertension

Has a low BMI

Living Alone,

Kids study in AUS

Identified by PHM at risk

of Frailty

The Care Team

Care Team Supervisor

Care Manager

Ann’s Daughter

Social Worker

Physician / Analyst Population Health

© 2014 IBM Corporation 7© 2015 IBM Corporation

IBM Care Management Demo - Overview

Jenny picks up Ann’s referral and assign it to Susan

Susan processes the referral and creates a care plan

Susan Assess Ann’s needs to provision services

Susan forms the multi disciplinary care team for Ann

Betty uses the Care team portal to update Ann’s Activities

Kathy uses Patient portal to view and feedback Ann’s care plan

IBM Watson explorer generate insights about Ann from Clinical notes

Susan reviews Ann’s care plan and updates Activity progress

Jenny monitors her team and patients they serve

Dr. James analyze population health and refer Ann for coordinated care