Harnessing Big Data in a Large Comprehensive Health Care System

Transcription

1 Harnessing Big Data in a Large Comprehensive Health Care System Adrian V. Lee PhD Professor of Pharmacology and Chemical Biology, and Human Genetics Director, Women s Cancer Research Center University of Pittsburgh and UPMC

2 Schadt EE. Mol Syst Biol. 2012;8:612.

3 Current Pathology Not Digital Last weeks cases Personal slide storage Teaching cases Today s work Disorganized, scales poorly, somewhat subjective, often solitary. Provided by JonHan Ho UPMC/GE/Omnyx

4 The Next Gen Pathologist s Office Digitized Integrated Images, Digitized recognition, EMR data Provided by JonHan Ho UPMC/GE/Omnyx

5 Analytics, Defined Analytics is the discovery and communication of valuable insights hidden within data. Data Information Uses analytics to forecast inventory levels, sales, and staff scheduling based on weather patterns. Uses analytics to tailor the user interface based on user interaction and visitation trends. Used analytics to forecast voter trends and quickly react to areas of campaign needs. Used analytics to discover a hidden negative user experience and profited $25 million after one month. Uses analytics to supply farmers real-time soil information, enabling higher crop yields.

6 UPMC Enterprise Analytics Putting UPMC data assets to work Begin with the end in mind

7 UPMC s Global Academic Integrated Delivery and Finance System (IDFS) 62,000 employees, $10B Revenue Enterprise Services Hospital and Community Services 22 hospitals 264,000 admissions 3.6 outpatient visits Physician Services Insurance Services International and Commercial Services 3,400 employed 2.2 M members 18 countries Hospitals: Italy, Ireland Oracle Informatica

8 UPMC s Strategic Framework

9 UPMC Information Technology Growth M Unique Electronic Health Records 393% Increase ,000 e-record Users M Unique Electronic Health Records 175% Increase ,000 e-record users Computerized Physician Order Entries e-record Smart Alerts per month 1600% Increase M Computerized Physician Order Entries e-record Smart Alerts per month

10 Data Storage Growth Measured in Terabytes (TB) ,030% Increase

11 UPMC s investment in technology is substantial

12 In the News Healthcare Informatics September 30, 2012, Breaking News: UPMC Goes Big Into Big Data: Health System Investing $100 Million in a Five-Year Enterprise Analytics Initiative A Confluence at Three Rivers The dean's perspective on the next big thing in medicine (make that three things) and how Pittsburgh is poised to make the most of this Moment. Jan 8, 2013, 2:47pm EST UPMC teams with CMU for big data training Dr Tom Davenport, author of the book Competing on Analytics called UPMC s analytics initiative unprecedented in his experience. October 9, 2012, UPMC Picks Oracle to Unlock Secrets of Human Health In this environment, advanced informationmanagement and analytics platforms will fuel the next giant leap forward for healthcare, in much the same way that the microscope and antibiotics transformed care in generations past. Dr. Steven D. Shapiro, UPMC s Chief Medical and Scientific Officer

13 Enterprise Analytics Delivering real-time data to the bedside Enterprise-Level Data Warehouse Advanced data mining Harmonize structured data (db Motion) and unstructured data (Nuance) Aggregate data into central data warehouse: Cerner, Epic, Peoplesoft, HealthPlaNET, etc. Ask new questions Make digital information usable Ingest over 200 data sources Clinical Data (Provider) Population Data (Payer) Financial Genetics Genomics Deliver better outcomes/optimize cost Develop new models of care Enable the center for innovative science

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15 The power of a use case Regulatory: Increasing the automation of data collection, as well as leveraging text analytics to reduce manual abstraction. Physician Performance: Understanding and sharing physician practice patterns Financial Modeling: Enabling what if scenarios in revenue forecasting. Genomics: Tying together genomics data and phenotypic data, using breast cancer as the model. Blue Sky: Investigating examples of advanced analytics which are dependent upon integrated data.

16 Clinical Performance Dashboard

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18 Research Opportunities Unlocking the secrets of medicine at UPMC The tissue & the biomarker Hyper-plexed imaging allows resolution of millions of pixel patterns to understand the features in the image, like facial recognition, but for tumors Multiple measures of a tumor in one go Phenotype + Genomic Longitudinal patient record Harmonized Medical Vocabulary Genomic data Proteomics is emerging The pattern & the interaction Computational biology including evolutionary tracing and algorithms to predict how disease evolves Develop algorithms to analyze patterns and cell behavior Digital Imaging of Tumors The environment & the DNA Computational Biology

19 Clinical Dashboard

20 Advanced Analytics

21 What is unique about UPMC s program? Data Governance Analytics Competency Community Use Cases DATA WAREHOUSE Integration Competency Center Value Technology

22 Questions?