Managing Unstructured Data in
Healthcare Systems
Mike Deegan
Technical Consultant
Hyland 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
About me…
Ohio State – BS ISE May 2013
Internship & Work Experience
•
Reducing lead time
•
Reducing WIP
•
Improving material handling
Hyland Global Healthcare Services
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-productdesign-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
Patient-Centered Global
Payment System
The Problem
The Solution
Care 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.
$
$
$
$
Global 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.
How?
$
Primary Care
Hospital
Specialist
Home Health
Hospital Specialist
Primary Home
Care
Health
Source – Recommendations of the Special Commission on the Health Care Payment System, July 2009
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”
Healthcare Information and Management
Systems Society (HIMSS)
 Electronic Medical Record
(EMR) aka Electronic
Health Record (EHR)
 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
Stages of Meaningful Use
We are here
Design Processes to gather more discreet data
•
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%
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
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
Physicians
Administrators
Nurses
Healthcare IT
Sustainable
Improvement
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
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