SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care

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1 PHEMI Health Systems Process Automation and Big Data Warehouse SAP/PHEMI Big Data Warehouse and the Transformation to Value-Based Health Care Bringing Privacy and Performance to Big Data with SAP HANA and PHEMI Central Objectives Every healthcare organization around the world is struggling with rising costs, an aging patient population, and delivering continuous improvement in the quality of care. The Affordable Care Act has set in motion a transformation across the US healthcare landscape a transformation necessitating a data-driven strategy that will determine the competitiveness and the viability of healthcare institutions. There is little doubt that organizations that can effectively mine their data to derive insights and change the way they deliver care will be the winners. This transformation requires the full engagement of clinicians and administrators across the continuum of care, working in tandem to achieve the Triple Aim of: Improving the patient experience of care (including quality and satisfaction) Improving the health of populations Reducing the per capita cost of healthcare. PHEMI and SAP are working to help Healthcare Organizations (HCOs) lead this transformation, with the end goal of improving outcomes, efficiency and quality of care. An information chasm exists in HCOs today. Data-rich and information-poor, it s time for HCOs to move beyond analyzing claims data alone, and truly embrace the depth and breadth of clinical data in a hospital to derive new insights. Moreover, care providers must be liberated from routine data entry tasks and actionable information must be put in the hands of care providers, administrators and analysts to encourage innovation and lead the data-driven healthcare transformation. 1 / 10

2 A new solution from SAP/PHEMI is helping HCOs with this transformation. The SAP/PHEMI Big Data warehouse brings privacy and performance to Big Data, aggregating data currently stranded across the hundreds of information silos in a hospital network. Ideal for population health management, personalized medicine, business intelligence and research applications, the SAP/PHEMI Big Data warehouse lets organizations turn their? focus from the task of collecting and storing data to the more strategic role of curating data and deriving insights. Incorporating an innovative Privacy by Design framework, PHEMI Central provides unique privacy, security and governance capabilities to capture the volume, variety and velocity in hospital networks. PHEMI Central turns Big Data into Small Data; it works seamlessly with SAP HANA by curating the many terabytes of non-relational and unstructured documents, and then feeding the cleansed and curated data to SAP HANA for in-memory analytics. Solution Data-Driven Change Management Managers in top-performing hospitals are adapting introducing an average of 2.3 changes per manager per month, driving department-level cost savings. The cumulative effect generated an average of $5.8 million in savings. The old adage You can t improve what you can t measure is a key principle to any value-based health 2 / 10

3 care transformation. By unlocking rich clinical information sources, the SAP/PHEMI Big Data warehouse lets clinicians assess their individual performance metrics against peers and department targets in real-time to highlight areas requiring special attention. For example, managers can quickly analyse their Emergency Department s Time-to-Needle for Acute Myocardial Infarction patients and identify opportunities to improve outcomes and lower costs. 3 / 10

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5 Armed with timely and accurate information, doctors, nurses, and administrators are empowered to identify opportunities for improvement and immediately measure their progress towards those goals. Individualized metrics help organizations quickly identify and learn from clinicians who are leading best practices, while at the same time remediating those who are lagging. Breaking down the information silos In order to identify opportunities to improve cost, quality and outcomes, organizations need to access, aggregate and mine multiple disparate datasets. To build a complete data-driven picture of healthcare across populations and care providers in an organization, key data sources must include both structured and unstructured information not just claims data, but also clinical data from EMRs, medication, lab results, imaging, diagnostic reports, consult notes, HIE patient information, bedside telemetry and genomics. Fixed data models simply don t work. The SAP/PHEMI Big Data warehouse speeds up the data collection process by as much as 35% by removing the friction of data aggregation. The system s schema-less Big Data information model removes the complicated relational database schema and mapping constraints imposed by traditional enterprise data warehouse architectures. Delivering Services on Demand The SAP/PHEMI Big Data warehouse collects, cleanses and transforms a comprehensive warehouse of high quality patient information from across the health care network. HCOs are free to mine the information, rapidly adopting new and innovative applications from best-ofbreed vendors or developing custom solutions in-house. 5 / 10

6 Population Health: Best of breed population health analytics tools can mine the SAP/PHEMI Big Data warehouse to identify populations of interest, assign patients to care providers and drive outcome and quality improvements. Advanced dashboard analytics and ad hoc queries can be used to identify opportunities and communicate progress towards target metrics. Readmission Risk: The SAP HANA Predictive Analytics solution can be used to assess patient risk of readmission based on high quality and complete information in the SAP/PHEMI Big Data warehouse. At-risk patients can be assigned a care coordinator or other special resources to reduce Affordable Care Act readmission penalties. Personalized Medicine: The SAP/PHEMI Big Data warehouse is ideal for storing, searching and comparing genomic information and integrating it with clinical data at speed to drive new, evidence-based insights. Post-Market Surveillance: The SAP/PHEMI Big Data warehouse can mine clinical, medication, device, consult notes and discharge summaries to search for correlations in efficacy and adverse effects across the spectrum of drugs. Research Registry and Quality Reporting: The SAP/PHEMI Big Data warehouse is wellsuited for retrospective and prospective studies including randomized clinical trials, and randomized registry trials. Known information can be pre-populated to lower trial cost and accelerate the data capture process. Furthermore, information can be pre-populated for 6 / 10

7 submission to third party registries such as the: Inpatient Quality Reporting (IQR), Hospital Outpatient Quality Reporting (OQR), Physician Quality Reporting System (PQRS), and diseasespecific registries such as NCDR and STS. Improving Clinician Productivity and Data Quality According to the ECRI Institute, data integrity failures are the number one patient safety issue in healthcare today. It is standard practice for clinicians to routinely report over 300 data points per patient to national quality and research registries such as NCDR and STS. This burdensome data entry task takes clinicians away from patient care and leads to a 32% reject rate due to poor data quality. The SAP/PHEMI Big Data warehouse can automatically convert unstructured documents into structured data to auto-populate registries and free up clinicians to increase their patient-hours. In a recent pilot, PHEMI demonstrated a 36% productivity improvement for nurses and a 96% productivity improvement for clerical staff. Protecting Information Privacy, Security and Governance Without Compromising Legitimate Right to Use According to the Ponemon Institute, the average cost of a healthcare data breach is estimated to exceed $3.5 million. Meanwhile, trends to increase risk are driven by the inevitable healthcare transformation to Affordable Care, ACO participation, HIE integration, and BYOD policies. The impact to corporate reputation, fines, lost business and senior executive careers has been felt across industries. PHEMI Central employs an innovative Privacy by Design framework integrated into the Big Data warehouse itself. Fine-grained privacy, security and governance rules can be institutionalized in PHEMI Central where the data resides across applications greatly lowering the risk of a privacy breach. Full audit, version control, data immutability and retention rules ensure governance is maintained throughout the data lifecycle. The SAP/PHEMI Big Data warehouse can be delivered as a HANA Enterprise Cloud service, onpremise in the hospital network or in a hybrid service model. Scaling SAP HANA Solutions to Petabytes and Beyond With a 60% lower cost of ownership than traditional enterprise data warehouse solutions PHEMI Central is designed to store the volume and variety of data found in healthcare organizations today and into the future. Operating on commodity hardware, PHEMI Central scales from terabytes of data and a handful of virtual machines to hundreds of petabytes of data across multiple racks of dedicated 7 / 10

8 hardware. Statistics show that 99% of hospital data is rarely accessed. PHEMI Central easily stores the high volume of healthcare data. It then converts this largely unstructured data into structured data, feeding the important and timely small data to SAP HANA for analytics. PHEMI Central is based on a self-healing, fault-tolerance architecture with full data and systemlevel redundancy to ensure the cloud-scale system has the highest reliability, availability and scalability. Quick Facts Summary SAP and PHEMI are working to help Healthcare Organizations (HCOs) lead the data-driven transformation to improve outcomes, efficiency and quality of care. Data-rich and information-poor, HCOs must move beyond analyzing claims data alone, and truly embrace the depth and breadth of clinical data in a hospital network to derive new insights. Moreover, clinicians must be liberated from routine data entry tasks and actionable information must be put in the hands of care providers, administrators and analysts to encourage innovation and lead this transformation. Objectives Solution Embrace data-driven change management by empowering care providers and administrators with the tools to foster continuous improvement. Break down the information silos and automatically collect and report high quality, real time and comprehensive data. Mine the Big Data warehouse by rapidly adopting new and innovative applications from best-of-breed vendors or developing custom solutions in-house. Application examples include Population Health, Readmission Risk Analysis, Personalized Medicine, Post- Market Surveillance and Research Registries. Improve clinician productivity and data quality by reducing data entry tasks automatically converting unstructured documents to structured data, and autopopulating known information where possible. Protect information privacy, security and governance without compromising legitimate right to use. Scale to petabytes and beyond at a fraction of the cost of traditional enterprise data warehouse alternatives. The SAP/PHEMI Big Data warehouse is ideal for population health management, personalized medicine, business intelligence and research applications. SAP/PHEMI Big Data warehouse 8 / 10

9 easily adapts to rapidly changing business needs and lets organizations turn their? focus from the task of collecting and storing data to the more strategic role of curating data and deriving insights. This Big Data warehouse brings privacy and performance to Big Data, aggregating data currently stranded across the hundreds of information silos in a hospital network. Incorporating an innovative Privacy by Design framework, PHEMI Central provides unique privacy, security and governance capabilities to capture the volume, variety and velocity in hospital networks. PHEMI Central turns Big Data into Small Data. It works seamlessly with SAP HANA by curating the many terabytes of non-relational and unstructured documents, feeding the cleansed and curated data to SAP HANA for in-memory performance. Benefits SAP and PHEMI arm care providers, administrators and policy makers with high quality, realtime data to gain insight, drive business decisions, adapt to changing business requirements and lead a transformation to value-based reimbursement. The solution embraces an innovative Privacy by Design framework to provide unique privacy, security and governance capabilities to capture the volume, variety and velocity in hospital networks. The SAP/PHEMI Big Data warehouse helps HCOs become data-driven organizations and achieve the Triple Aim of: Improving the patient experience of care (including quality and satisfaction); Improving the health of populations; and Reducing the per capita cost of health care. Learn more To find out more, call your SAP or PHEMI representative today or visit us online at or About PHEMI PHEMI Health Systems is a process automation and Big Data platform company that unlocks patient data to improve clinic productivity, patient outcomes, and medical research. PHEMI Central is a Big Data warehouse platform that lets organizations rapidly collect, curate and analyze the variety and volume of data throughout the healthcare organization. With unique privacy, security and governance features, the joint PHEMI Central/ SAP HANA solution unlocks the hundreds of healthcare information silos and economically scales to petabytes while fully 9 / 10

10 Powered by TCPDF (www.tcpdf.org) leveraging HANA s in-memory performance. 10 / 10

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