Managing Unstructured Data in Healthcare Systems

Mike DeeganTechnical ConsultantHyland Software Inc. Global Healthcare Services

Agenda

Phase 1 Current landscape of unstructured data in Healthcare

Phase 2 Challenges facing Healthcare Systems

Phase 3 IE approach to solutions

Phase 4 Leveraging technology to improve decision making

Ohio State – BS ISE May 2013

About me…

Hyland Global Healthcare Services

Internship & Work Experience• Reducing lead time • Reducing WIP • Improving material handling

Healthcare Metrics• Quality of Care • Patient Satisfaction• Physician Utilization

Welcome to the world of managing unstructured data!

We’re not reinventing the wheel just learning how to use it!

http://p-hamilton.blogspot.com/2011/08/common-but-strange-product-design-terms.html

Evolution of Unstructured Data in Retail

• Unstructured line items on a spreadsheet or ledger • Scanning & barcodes

• Paper receipts • Completely digital

transactions• Spending trends &

notifications• Efficiency!

But what about Healthcare?

Current Fee-for-Service Payment System

The ProblemCare is fragmented instead of coordinated. Each provider is paid for doing work in isolation, and no one is responsible for coordinating care. Quality can suffer, costs rise and there is little accountability for either.

Hospital Specialist Primary Care

Home Health

$ $ $ $

Patient-Centered Global Payment System

The SolutionGlobal payments made to a group of providers for all care. Providers are not rewarded for delivering more care, but for delivering the right care to meet the patient’s needs.

$

Primary CareHospital

SpecialistHome Health

Source – Recommendations of the Special Commission on the Health Care Payment System, July 2009

How?

3 Important Elements

• Accountable Care Organizations• Financial Incentive to Improve Quality & Reduce Cost

• HIMSS Level 7 • Increased Competition

• HITECH Act – Meaningful Use• Financial incentive to increase available data,

improve clinical processes & ultimately improve the quality of care delivery

Accountable Care Organization - “Payment and care delivery model that seeks to tie provider reimbursements to quality metrics and reductions in total cost of care for an assigned population of patients”

Electronic Medical Record (EMR) aka Electronic Health Record (EHR)

Healthcare Information and Management Systems Society (HIMSS)

Electronic Medical Record Adoption Model (EMRAM)

HIMSS Stage 7

*U.S. Hospitals at Stage 7 – 2.9%

*U.S. Clinics at Stage 7 – 4.33%

*Hospitals & clinics evaluated by HIMSS Analytics as of end of Q4 2013

Theory of Diffusion of Innovations

We are here

Stages of Meaningful Use

• Convert paper documents to electronic forms

• Instantaneously capture discreet data that was previously unusable• Online & tablet forms at

registration & POC• Automated business processes /

clinical workflows

• Automatically validate & post payments & submit claims

• Reduce readmission rates• Washington State - $31 Million

in savings by reducing by 23%

Design Processes to gather more discreet data

Create discreet data from unstructured data

Natural Language Processing• Convert physician diagnosis

notes & recording into usable data

Advanced Optical Character Recognition• Lift discreet data from paper

forms and documents

Sustainable Improvement

Administrators

Physicians Nurses

Healthcare IT

Do what IE’s do best - Serve as Change Agents

Leverage the IE skills & problem solving mindset• Approach clinical & business

aspects from a holistic & systems point of view

““

There is no passion to be found

playing small – in settling for a life

that is less than the one you are

capable of living.

- Nelson Mandela