A Glimpse at the Future of Predictive Analytics in Healthcare

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1 A Glimpse at the Future of Predictive Analytics in Healthcare 1

2 Dr. Thomas Hill Dell Executive Director, Analytics Dell Software Group 2 Dell - Restricted - Confidential

3 The promising future Machine learning, automation, and robotics for faster, better health outcomes Personalized health, access to experts through technology Wearable devices for efficient monitoring, rehabilitation, diagnosis, risk management, voice-of-patient Effective preventative intervention, care Better outcomes at lower cost with lower risk 3 Dell - Restricted - Confidential

4 Opportunities There are many Product Details File Size: KB Print Length: 1110 pages Publisher: Academic Press; 1 edition (September 22, 2014) Publication Date: September 22, 2014 Sold by: Amazon Digital Services, Inc. Language: English ASIN: B00OCG2R90 4 Dell - Restricted - Confidential

5 5 Dell - Restricted - Confidential Opportunities There are many

6 University of Iowa transforms the operating room with realtime analytics Goals: Predict patients with the biggest risk of surgical site infections Reduce infection rate to improve patient care and decrease costs Solutions: Merge historical EHR data and live patient vital signs to predict infection likelihood Provide doctors with real-time, predictive decisions, using Dell Statistica, during surgical procedures so they can create a plan to reduce risk Results: 58% reduction in occurrence of surgical site infections Personalize healthcare based on patient s own characteristics Reduce cost of patient care 6 Confidential

7 7 UPMC Health Plan reduces readmission rates using text mining of physician notes Goals: Identify patients at increased risk of being readmitted within 30 days of discharge Target those patients for extra personalized care transition and follow-up programs Solutions: Analyze physician notes (unstructured data) using Dell Statistica Data Miner predictive modeling to determine patients' risk prior to hospital admissions Feed readmission risk score for each patient into EMR profiles for nurse/physician access Results: Capture 64% of all 30-day readmissions with a true positive rate of over 27%. 53% of the predicted 30-day readmissions are readmitted within 180 days. Rapid ROI from integrating analytics into the workflow Confidential

8 8 Shire combats rare diseases with streamlined pharma production Goals: Control and monitor production processes to reduce operational risk and cost Identify areas of improvement Solutions: Install Dell Statistica Enterprise Quality Control (QC) with Web Data Entry on three environments (development, validation, and production). Results: Enable immediate Day 1 results with real-time data capture and analysis platform by replacing an assortment of tools Seamless, unified data presentation, regardless of data source Greater predictability of production; fewer defects and lost batches Expedited root cause analysis reduces operational risk and cost Confidential

9 Disruptors 9 Dell - Restricted - Confidential

10 Disruptors: Big Data changed how we think of data, what we collect 10 Dell - Restricted - Confidential

11 11 Dell - Restricted - Confidential And how much data we collect

12 12

13 Challenges and solutions 13 Dell - Restricted - Confidential

14 Challenge #1: From POCs to robust, flexible, production-ready architecture 14 Dell - Restricted - Confidential

15 Example: Case management scoring and optimization 15 Dell - Restricted - Confidential

16 Challenge #2: Controlling cost, avoiding vendor-lock 16 Dell - Restricted - Confidential

17 Technology company improves analytics strategy using Dell Statistica The mainframe era incumbent software required a lot of complex coding. Dell Statistica provides the results you need with a click of a button. Tejinder Kaur Bimbraw, Business Analysis Senior Advisor, Dell Inc. Business need To help its clients better understand their customers, improve their marketing and increase revenue, the Dell Global Analytics team needed an advanced analytics platform that is both powerful and easy to use. Solution By migrating from the incumbent mainframe era software to Dell Statistica, the team can now deliver better business value quickly and easily. Menu-driven workflows replace complex custom coding to improve efficiency, and exceptional power and flexibility ensure quality results. Benefits Improves efficiency with a menu-driven approach that requires no coding Delivers powerful analysis tools and a wide range of options Fosters creativity and encourages exploration of analysis techniques Delivers better business value with easy-to-understand visualizations and other deliverables

18 Challenge #3: Resource constraints, finding and retaining talent 18 Dell - Restricted - Confidential

19 Data scientists are hard to find, expensive, and difficult to keep 19 Dell - Restricted - Confidential

20 Automation, and designing for the business user Automated Analytics 20 Dell - Restricted - Confidential

21 Challenge #4: Succeeding early and clearly, finding high-roi targets 21 Dell - Restricted - Confidential

22 What outcomes? $17B Annual avoidable readmission costs for Medicare patients $840B Annual healthcare spending with little or no effect on outcomes 200K- 400K Annual deaths as a result of preventable harm in hospitals 22 Dell - Restricted - Confidential

23 How much better? UPMC Health Plan reduced readmission rates 37% by identifying at-risk patients and providing personalized transition care and follow-up ER doctors were able to reduce tests and overnight stays for ER patients by using analytics and both historic data and real-time data in ER to more accurately predict test outcomes and likelihood of impending cardiac events 58% reduction in surgical site infections at University of Iowa Hospitals and Clinics by providing real-time analytics during surgery Optimize Asthma care with notifications to emergency rooms, case managers and asthma patients forecasting events likely to exacerbate symptoms 23 Dell - Restricted - Confidential

24 Challenge #5: Security, compliance, transparency, fairness: First, Do No Harm 24 Dell - Restricted - Confidential

25 Security Fraud Governance 25 Dell - Restricted - Confidential

26 Algorithmic decision making 26 Dell - Restricted - Confidential

27 Best practices and solutions 27 Dell - Restricted - Confidential

28 Start at the end: How do I know I am done, how do I know I won? Have a clear goal where/when/how ROI and value is realized Align all stakeholders and their interests with process goal; Get everyone on board Plan for early and measureable success Think of how the solution will scale up, out Plan carefully and realistically for resources and how to embrace a data-driven culture There are lots of resources, technologies are standardizing and getting simpler, and conferences like the Big Data & Healthcare Analytics Forum provide ample support 28 Dell - Restricted - Confidential

29 Getting to know Dell Software 16 th Largest 6,000+ Software revenue Team members 2,000, % 1,000,000+ User community members EMA Radar Report Value Leader for Boomi Cloud Integration Of Global 1000 are Dell Software customers NSS Labs Highest overall protection Next-Gen Firewall 2,000 + Software engineers 2,500 + Software sales Customers Gartner 9 Magic Quadrants 29 Dell - Restricted - Confidential

30 Dell knows about Big Data & analytics in healthcare 30 Leader In 2 consecutive Gartner Magic Quadrants for Enterprise Integration Platform as a Service (ipaas): Dell Boomi #1 WW Healthcare IT Services Vendor for 6 consecutive years by Gartner* 10.5B+ 58% 1 st Medical images managed and secured in the cloud 30+ Reduction in surgical site infections at Years of deep experience in healthcare Hospitals and 400,000+ physicians University of Iowa Hospitals and clinics using predictive analytics worldwide work with Dell Dell Statistica 7 of 10 1,000,000 Leader Largest pharma companies use Dell Statistica validated analytics *Gartner, Inc., Market Share: IT Services, 2014, Kathryn Hale et al, March 31, 2015 Dell - Restricted - Confidential 4,000 Dell Statistica users worldwide 1,000+ Specialists with expertise on data warehouse, BI and analytics And Star Performer for App Outsourcing & IT Outsourcing by Everest Group FDA-approved personalized medicine clinical trial for pediatric cancer

31 31 Thomas Hill,

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