FOUNDATIONS FOR CLINICAL AND HEALTHCARE BUSINESS INTELLIGENCE

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1 FOUNDATIONS FOR CLINICAL AND HEALTHCARE BUSINESS INTELLIGENCE James E. Gaston, FHIMSS Sr. Dir. of Clinical & Business Intelligence HIMSS and HIMSS Analytics HIMSS C&BI Community September 27 th, 2012 SEPTEMBER 2012

2 AGENDA Orienteering Clinical Intelligence First Steps Meaningful Use Driving Clinical Intelligence CI & BI A Symbiotic Relationship Practical Use Pulling It All Together

3 ORIENTEERING CLINICAL & BUSINESS INTELLIGENCE

4 ORIENTEERING Business intelligence (BI) mainly refers to computer-based techniques used in identifying, extracting, and analyzing business data, such as sales revenue by products and/or departments, or by associated costs and incomes. Business Intelligence supports business decision-making.

5 ORIENTEERING Clinical Intelligence (CI) mainly refers to computer-based techniques used in identifying, extracting, and analyzing healthcare data, such as lab results, medical histories, or medical records, to support a healthcare related decision. Clinical Intelligence supports healthcare decision-making.

6 ORIENTEERING Mining clinical data with an eye towards patient care Having data across the enterprise available for a consolidated (patient) view Access to key information to make care or business decisions that result in the best outcome for the patients and the business To use currently available and create new data sources to drive all aspects of running an organization Supporting clinical excellence Maximizing the quality of care and minimizing the cost

7 CLINICAL INTELLIGENCE FIRST STEPS Patient or Population Associated Information Opportunity for Clinical Intelligence

8 CLINICAL INTELLIGENCE FIRST STEPS Meaningful use Drivers Improve quality, safety, efficiency, and reduce health disparities Engage patients and family Improve care coordination, and population and public health Maintain privacy and security of patient health information Prepare Process Measure Data Capture and Sharing Advanced Clinical Processes Improved Outcomes

9 CLINICAL INTELLIGENCE AND BUSINESS INTELLIGENCE A SYMBIOTIC RELATIONSHIP

10 A SYMBIOTIC RELATIONSHIP To continue our height example A basic Venn Diagram, composed of two overlapping circles representing 2 groups All Males Basketball Players NBA Basketball Stars

11 A SYMBIOTIC RELATIONSHIP Scenarios could be wide and varied» Individual deciding on a surgery» Hospital administrator managing patient census Clinical Intelligence (CI) overlap with Business Intelligence (BI) BI Optimize lab orders with best treatment practices CI Pt exhibits disease symptoms order lab to verify BI MRI Pt volume is beyond capacity CI MRI is best choice for verifying aneurism Managing legal liability Timeliness of care

12 A SYMBIOTIC RELATIONSHIP Do ALL healthcare business decisions have a clinical impact? Business Decisions Clinical Decisions Vs. Business Decisions Clinical Decisions

13 A SYMBIOTIC RELATIONSHIP Clinical Statistical Significance refers to being of a magnitude that conveys practical relevance, or addresses whether an intervention or treatment may or may not fully correct the finding Clinical Intelligence occurs when the use of computer based techniques has a clinically / statistically significant influence on a healthcare decision

14 PRACTICAL USE

15 PRACTICAL USE CI is about exposing the clinical decision process, turning a gut feeling or intuition into a revealed process that is informed, defensible and consistent In the moment of the care decision» Banner Health physicians have access to patient EMR and are prompted upon a visit to provide diagnosis related care Retrospectively examining the circumstances (data)» Geisinger uses their patient data warehouse to identify care gaps and push them to clinicians for review

16 PRACTICAL USE BIDMC John D. Halamka, MD, MS Chief Information Officer of Beth Israel Deaconess Med. Center Chief Information Officer at Harvard Medical School Chairman of the New England Healthcare Exchange Network Healthcare IT Ten-year-old John Halamka winning the Science Fair in 4th grade with his home-built Van De Graff generator in Healthcare CIOs should implement applications which filter data so that it becomes information, transform information into knowledge, and ultimately provide clinicians with wisdom based on that knowledge at the exact time they need it.

17 PRACTICAL USE - BIDMC

18 Print, Digital, itunes all available

19 FOUNDATIONS FOR CLINICAL AND HEALTHCARE BUSINESS INTELLIGENCE James E. Gaston, FHIMSS Sr. Dir. of Clinical & Business Intelligence HIMSS and HIMSS Analytics

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