Patient Generated DataNorth Carolina Healthcare Information & Communications Alliance, Inc.
May 2015
Matt KeatingChief TechnologistBooz Allen Hamilton
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THE MOST UNDERUTILIZED
RESOURCE IN HEALTHCARE
IS THE PATIENT.
- Dr. Charles Safran
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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
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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
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Challenge: Patient Adoption
+ Learning Curve+ Value Proposition+ Sustained Use
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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
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Challenge: Data Quality & Limitations
+ Sporadic Measurement + Bias+ No Baseline
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Challenge: Clinician Adoption
+ Utility+ Understanding+ Guidelines+ Workflow+ Liability
Demonstration
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PGD provides deeper insight
Hospitalization CHF/MI
6 week cardiac rehab
program
Care episodes
VisitVisit Visit
8,760 hours / year
Care Between the Care
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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
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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
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