qlikview in public health

7/27/2019 Qlikview in Public Health

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QlikView in Public Health Care

Experiences

Landstinget BlekingeLeif Fransson

Department of Planning and Statistics

and - prior - Department of Clinical Physiology


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Landstinget Blekinge in the South

of Sweden.

Blekinge

150.501 inhabitants

uses 3.4 bilj SEK (0.36 bilj )

~5000 employees

~4200 computers


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Health Care

PrimaryHealth Care (GPs): ~205.000 visits/yearNon Institutional Care:~160.000 visits/year

Institutional Care: ~25.000 visits/year

Psych. Care: ~66.000 visits/yearDental Care: ~61.000 treatments/year


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Blekinge Hospital, use QlikView to gain increased visibility into its operations to:

Shorten waiting times for patients dramatically by monitoring inflow/outflowpatterns - finding bottlenecks

Increase operational efficiencies by benchmarking against other hospitals Improve treatment recommendations by analyzing survival expectancy data

Reduce medical costs by 5% or $1.1 million by analyzing prescription patterns Economy: deliver annual budget surplus by assessing economic indicators Comply with government regulations by delivering key patient metrics

QlikView & Health Care


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Some Statements and Keywords

Keywords creating a Data Warehouse: When, Where and How

(Time, Organization and Treatments/Examinations)

Some words about using QlikView and Qlikview Server:

Low costs in the end (you create solutions yourself withoutany consulting firm!)

Easy to learn and due to that, short take off (if youre familiar with the data) Ad hoc - the opposite of static cubes

Easy and fast screening of large amounts of data

Handling multiple data sources ( Excel, text files, data bases)

Creating statistical reports and distribution on internal or external web

Easy analysing of data from high to low level (drill down to details)

Improving Health Information, Insight and Knowledge


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State of the Art in Blekinge

One data source (Data Warehouse) - one tool (QlikView withQlikviewserver) - for everyone

this is decided by County Council Management (very important!)

Presenting all the statistics on the internal web site, covering

Production

Economics

Drugs - consumption (Defined Daily Doses, DDD) and costs

Personnel

Other reports (e.g. survival studies or surveys of different kindsand much more)


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Our Experience using QlikView

A broad knowledgegives rise and triggersto:

participation

operational

efficiency

improve quality

ideas

acceptance

Leading to effects such as:Reduced costs

Increased efficiency

Motivated employees

QlikView on the webeasy to learn

easy to build and maintain

easy to use

ad hocno costs for consulting


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ExamplesFlow

Economy

Drugs

Statistical methods


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Examples - Admission Notes

Inflow of admission notes

INFLOWPercentPercent OUTFLOWOUTFLOW


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Examples - Bottlenecks

Delays could depend on

Administration (blue)

Care unit (red)

Patient (green)

Medical reasons (yellow)

DetailsDetails


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Examples - Trends

Trends and seasonal

fluctuations

Orthopaedic surgeon

Knees.

OrthopaedicOrthopaedic surgeonsurgeon

HipsHips


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Examples - Political Edicts

PoliticalEdict

90 + 90 days


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Examples - EconomyOverview: Managing Director (designed by himself )


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Examples - EconomyOverview- Managing Director

Administrations


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Examples - Drugs expenses.Moving Average

Administrations The trends of increasing costsof drugs was stopped due tothe fact that we started toshow this graph on our internalweb. That started a discussionof how to reduce costs.

Reduction nearly 10 millionsSEK in 1year

(1.06 million Euro ).

Pharmacy


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Local Committee for Drug ManagementBy visualizing the drug prescriptions - using QlikView and Qlikviewserver - we gain a very deep and broad knowledge of how drugs areprescribed.Results: better aimat our goal - decreasing costs without jeopardizingthe medical effect.

The committee creates andmaintains a list of recommendeddrugs

Examples - Drugs expenses.


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Local Committee for Drug Management

Difference in cost : If by the listthe costs = 1.55 SEK/DDD

otherwise 6.03 SEK/DDD



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Difference in

prescriptions between

municipals due to

characteristics of the

inhabitants but mostly

due to the doctor

Municipal Differences



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Examples - SurvivalKaplan-Meier Survival Analysis, Students t-test

Surgery: Yes Surgery: No

Surgery, Median: 306 days No surgery, Median: 96.5 days


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Stadium IA,IB

Stadium III,IV

With Helicobacts

Without Helicobacts

Examples - Survival (K-M)


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Examples - ANOVA, t-test, CI, adjustingfor age and more Stroke

AllAll methods are verifiedmethods are verifiedby SPSSby SPSS


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Examples - ANOVA, t-test, CI, adjustingfor age and more Health Score & Drugs

Health scoreHealth score Nbr of DrugsNbr of Drugs


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Examples - SurveysPublic Health, influenced by age: medical, mental and social health


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Public Health, influenced by location: confidence limits (95%)

If < 25 yo

Examples - Surveys


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Examples - Benchmarking

DifferencesDifferences inin healthhealth

betweenbetween countyscountysNumberNumber of visitsof visits

vsvs expensesexpenses


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Summary.

A broad knowledge

gives rise to: participation

understanding

ideas

Leading to effects such as:

Reduced costsIncreased effiency

Motivated employees

New knowledge

QlikView on the web

easy to learneasy to build/maintain

easy to use

ad hoc

no costs for consulting

Thank You for Listening.

qlikview in public health

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