Healthcare Analytics
Driving Health Insights
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Analytics | Software | Services
HEALTHCARE ASSOCIATED INFECTION | ANALYTICS
Definition
HAIs are infections that patients acquire while receiving surgery and/or treatment for
medical conditions in a healthcare setting such as hospitals (in- or out-patient) or
nursing homes etc.
Implications
 Extended hospital stays Readmissions.
 Major cause of morbidity and Mortality.
 Increased medical costs-Provider, Patient and Government.
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HEALTHCARE ASSOCIATED INFECTION | ANALYTICS
Client
A Major Fortune 500 US Based Multinational PBM with operations in more than 15
countries.
Data Source
 Client IW –Provider and Patient Data.
 Secondary US Government Data.
Software
 SAS | R
 Database – Teradata.
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HEALTHCARE ASSOCIATED INFECTION | ANALYTICS
Objective
 Descriptive Statistical Techniques for determining the prevalence of HAI’s.
 Estimate Financial Impact (Medical Spending) to providers caused due to HAI.
 Cluster Analysis of HAI Prevalence.
 Customer/Patient Impact.
 Build Hospital Readmission Predictive Models for HAI’s.
 Visual Analytics Application development.
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TOP HEALTHCARE ASSOCIATED CONDITION
Scores by Providers
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*Scores calculated per Healthcare Infection Control Practices Advisory Committee (HICPAC) guidelines
National Healthcare Safety Network (NHSN)
TOP HEALTHCARE ASSOCIATED CONDITION
Scores by States
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*Complaint to HAI Action Plan Guideline
HOSPITAL READMISSION PREDICTIVE MODEL
TECHNIQUE
 Multivariate Logistic Regression
ESTIMATE
 Likelihood of readmission hospitalizations had an adverse event (HAC).
SELECTED HAC
 Catheter-associated urinary tract infections (CAUTIs).
 Deep vein thrombosis or pulmonary embolism (DVT/PE).
 Central line-associated bloodstream infections (CLABSI).
 Falls and trauma.
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MULTIVARIATE REGRESSION ESTIMATES
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Readmission Rates (Actual/Predicted) Across Providers
FY11-12-CAUTI Cases
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Readmission Rates (Actual/Predicted) Across Providers
FY11-12-CLABSI Cases
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HAI: Healthcare Associated Infections/Hospital Acquired conditions
(HAC) Spending per Hospital - FY11-12 for HAI
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CLUSTER ANALYSIS - CAUTI Cases- State Wise
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CLUSTER ANALYSIS | PATIENT SATISFACTION
HAI Reported Providers-Patient Satisfaction Ranking
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WATTS AND STROGATZ MODEL CLUSTERING | EMR LOGIN
Watts and Strogatz model Clustering Of Hospital Health-Care Worker Contact
Networks for proxy detection for spreading of HAI’s
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DATA SECURITY | HIPAA COMPLIANT
PHYSICAL SAFEGUARDS
 Dual -factor authentication
 Prolific use of video surveillance
 Visitor logging
 Procedure Documentation
TECHNICAL SAFEGUARDS
 Unique User Identification
 Emergency Access Procedure
 Automatic Logoff of Computers
 Transmission Security.
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ORGANIZATIONAL REQUIREMENTS
 Business Associate Contracts (or
Agreements, BAA)
HIPAA COMPLIANT ARCHITECTURE
 High Availability, Redundant
Firewalls (IDS/IPS), Routers,
ISPs.
 Two-Factor Authentication.
 Vulnerability Scanning.
 SSL Certificate (Web Apps) .
 Antivirus, OS Patch
Management.
 Data Encryption.
 Backup and Disaster
Recovery.
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DATA SECURITY ARCHITECTURE
Site-To-Site VPN
VPN
Dedicated Leased Line
 Managed Service
ISP3
Epworth LAN
ISP2
ISP1
VPN
KREARA LAN
 Encrypted and Authenticated
 Dedicated Leased Line
 VLAN for Epworth users
CISCO ASA
EpWorth LAN
FORTIGATE 110C
CISCO ASA
DB Server Citrix Server
KREARA LAN
Epworth VLAN
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DATA SECURITY ARCHITECTURE
CITRIX ARCHITECTURE
Citrix WanScaler
 Centralize information resources, and
manage and secure them in the
datacenter.
 Control access through pre-configured
granular based policies.
 Achieve compliance through built-in
monitoring, tracking and auditing of
information access.
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Citrix NetScaler
GOING FORWARD
NEXT ?
 Interactive Visual Analytics Platform Build with Apache server – R/JAVA/PHP GUI
STATUS
 Ongoing
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