The Diabetes Community Sentinel Project
Our Conversation Today
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Introduce the National Health Index
Diabetes and The Revolution in Health Information
Managing Population Health Through Cloud Based Analytics
Introduce the Diabetes Community Based Sentinel Project
How We Might Collaborate
The National Health Index LLC
(NHI)
NHI integrates disparate health data sets into easily accessible information
systems to create powerful community-based tools to promote well being.
The World of Analog Medicine
The Dawn of Digital Medicine
Digital Medical Information Revolution
300 Million Americans Will Have
Health Data in the Cloud
Digitized Medical Information Must Be
Curated
Managing Population Health
through Cloud-Based Analytics
Diabetes Community Sentinel
Project
The Future is Now
DCSP is an example of how to use cloud analytics to
manage the health of a population with a chronic
disease
Diabetes Community Sentinel Project
The purpose of the Diabetes Community Sentinel
Project (DCSP) is to deploy and commercialize a
national diabetes information system whose purpose is
to measure the incidence and prevalence of diabetes by
zip code, to provide historic information (outcomes,
cost, etc.) on how people with the disorder have used
medical services to manage the disease, and to predict
how those residents will use care in the near term.
DM in the Age of Digital Health
Key Findings
The DM Market can be Defined Geographically
•
80% of those living with DM reside in 9,000 zip codes (diabetes
communities) out of 38,000 zip codes.
• Half of these zip codes are minority zip codes, where over 50%
of the resident population is minority
• Within these diabetes communities the prevalence and number
of people with the disease is increasing
• DM communities tend to be medical deserts with a limited
number of points of care (physicians’ office, hospitals and
clinics) to meet the needs of those living with the disease.
We Are Already Collecting Massive
Amounts of Data on the DM Market by Geography
•
Data from Points of Care (physicians’ offices, hospitals, payer
data,
pharmacies)
• Medical Devices (glucose monitors, insulin pumps, heart and
sleep monitors)
• Consumer data (internet traffic, home devices)
The DM Market is Stable
Within DM Communities, people with DM
exhibit stable consumption patterns from
one year to the next.
Forces that Shape the DM Market
DM consumption patterns are the product of
consistencies in the incidence and prevalence of
disease, underlying consistencies in patient
response to DM, practices variation, and uniformity
in the ways in which the health care financing and
delivery system responds to patient needs.
How to use this Critical Intelligence
About the DM Market
This stability is knowable, predictable and algorithms
can be built that can anticipate consumption patterns.
The Information must be shared across health
systems
DCSP Value Proposition
Aggregating heretofore disaggregated data into
a central cloud based location
Curating and analyzing data from millions of
people living with diabetes
Delivering to users on demand, actionable
intelligence about diabetes communities and
their residents who have the disorder
DCSP
Subscribers
• Payers
• Health systems
• Investors, manufacturers and distributors of diabetic
products and services
• Government
• Researchers
• Volunteer Organizations
DCSP
Subscriber Environment
DCSP will bring to the subscribers’ desktop a
powerful array of communications, data and
analytical services, providing actionable,
community-based, information about people
living with diabetes, their care, and evidencebased reports about their future use of health
services all delivered in a familiar Microsoft
environment.
How Can We Collaborate
Sanofi’s Information Dilemma
As a direct function of its business, Sanofi does not directly produce or own big data
sets, with the notable exception of clinical trials, but the use of its products are
captured in large data sets that are owned by others.
Those large data sets are being aggregated in the cloud and will be publically
available.
To survive in this sea of information, Sanofi will need data aggregation and cloud
based analytics
The Question
How does Sanofi’s cross-functional product teams use the revolution in medical
information (big data, cloud analytics, social and business networks) to drive
product development, marketing, sales and advocacy?
DCSP a Really World Laboratory for Sanofi
Internally
Lessons to be learned in doing business in the world of digital medicine where
Sanofi remains highly regulated, but there is a blizzard of analysis driving safety and
efficacy consideration about its products
Consider: Avandia, PCORI, European Union on Clinical Trials
DCSP a Really World Laboratory for Sanofi
Externally
Major leadership in transforming diabetes quality improvement
Leadership role in ending the acute care paradigm in diabetes care
Educating regulators, payers and the general public about community-based
solutions to the challenge of driving down cost while improving outcomes.
Where Can We Partner
• Translate findings from administrate data to clinical equivalents (that is replace
annual cost profiles with clinical profiles) by working with the American College of
Physicians and others to collect additional data from EMRs, administrative and
consumer data (including prescription drug) in the 9,000 zip codes to create a
representative sample of the diabetes population
• Create zip code level clinical profiles of consumers (in particular, low consumers)
to stratify their risk for an acute event by time, including time sequencing
adherence to medical therapy
• Launch DCSP as a subscription service
DCSP Launch 1st Quarter 2014
DCSP will benchmark diabetes by community, the quality of
care diabetes residents are receiving. It will offer twelve-month
projections on: medication adherence, the number of inpatient
stays, emergency-room visits, the cost of care and other
metrics.
The information will be delivered to subscribers online via the
World Wide Web, mobile devices , e-mail, and print. A national
press conference will be held to announce the projections.
DCSP
Partners
American College of Physicians
American College of Cardiology
American Association of Clinical Endocrinologists
Microsoft
Health Choice Network
“To measure is to know”
Sir William Thomas, Lord Kelvin
.