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1 Preparing for Big Data Improved operational performance, increased coordination of care, and reduced medical error only begin to scratch the surface of what big data has to offer in an age of advancing digitization. However, effective mechanisms to gather, consolidate, and distribute large amounts of health information to the appropriate individuals and tools to analyze and interpret the recent explosion of health information in a meaningful way do not currently exist. How can different parties partner together to work towards a future with effective utilization of health information in an industry on the brink of a technological transformation. Paul Warren Halliday Director of HICT Information Management Hamad Medical Corporation - Qatar

2 Effective utilization of Health Information Establish - Data Governance Collaborate on Data Build a Digital Organization Develop Intelligence Capabilities 2

3 Establish Data Governance

4 Importance of Data Governance Key Role Ensures data is trustworthy Adopts data standards Manages data as a vital asset Protects data from abuse Determines rules for sharing Engages people and technology to prevent data issues.

5 Data Governance Framework Utilize technology Allocate responsibilities Appropriate and accessible tools to support the Data Governance objectives, analysis, data exchange. View Data as a strategic asset For oversight and execution of Data Governance program and activities Measure performance Technology Establishing the rules Processes for monitoring Information management performance to continuously improve data quality, master data and data security Driven by business value Compliance Data Governance Framework Organization Policies Linked to strategic initiatives For enforcing the Data Governance guiding principles Implement the standards Data quality, data access and security, metadata, master data, data lineage, and data integration standards that define data-related operating practice Standards Processes Enabled with a comprehensive change management program Agree the methods To establish, maintain and enforce data standards and quality; ensure privacy & security over data; resolve issues and provide access to data for users 5

6 HMC - Data Governance Organization Executive Management Committee Executive Sponsor Executive Director Knowledge & Information Management (KIM) Sponsorship Direction Management Execution Information Management Committee (IMC) Led by ED KM & Deputy Medical Director for Clinical Information Systems Data Ownership Lead Data Steward Data Stewardship Group Hospital Facilities Operational Units Partners Primary Healthcare Technology Support Information Management Lead Data Custodian Group Data Architects Database Admin Data Processing System Developers Programmers Reporting & Analytics Reporting & Analytics Lead Reporting & Analytics Group Clinical Research Performance Bioinformatics ERP Team 6

7 Build a Digital Organization

8 Build a Digital Organization Structure the Unstructured Data Capture Complex patient data journeys require new records. Database not Paper base

9 HMC - Expanding Structured Data Health Information Exchange Other Stakeholders Research & Knowledge Tertiary Care Acute/Secondary Primary Care Core Clinical Clinical Depts. Administration (Access HIM-Revenue) Support Departments Infrastructure Information For Patients Online Services For Patients Clinical Research and Audit Management Information Clinical Data Repository Clinical Data Sidra Repository Online Patient Records Clinical Data Computerised Repository Citations Decision Support Medical Devices NICU Intensive Care Clinical Data Repository Research & Trials Physio-AHP Clinical Data OP In Patient Emergency Health Maternity Repository Pharmacy Out-Patients In-Patients Pharmacy Department Well Promotion Consultation Women ClinicalScreening Data Home Chronic Disease Oncology Repository Clinical Orders Clinical Notes Ambulance Operating Theatre Patient Scheduling RegistrationSolutions Technology Clinical Docs Care Plans Clinical Laboratory Pharmacy Imaging Blood Bank, General, Anatomical Device Links to Patient In-Patients Integration Records Medical Admit, Transfer Discharge Accounting Devices (Digital) Bed Management Access Audit P2 Laundry CSSD 724 Business Continuity Main Hardware Hardware Monitor (and Backup) Nutrition Integration (Open Engine) Links to Existing Systems

10 Data Capture Devices Enterprise EMR Wearables the Personal EMR? Personal EMR 10

11 Data Partnerships Primary Healthcare Corporation - for additional patient journeys. Supreme Council of Health - for data standards, performance metrics, targets. Health Insurance Administrators - for public health analysis. Ministry of Interior - for population and person data. Ministry of Urban Planning - for Qatar population and facility location data. Academic Health System - for international benchmarking and research. Ministry of Finance - for finance reporting standards. ICT Qatar national health data exchange WHO data submissions and standards 11

12 HMC Digitization Timeline Digital Organization Building a Digital organization takes time. Data Governance and Intelligence efforts are forever! BIS Phase 4 Live Q CIS Phase 1 Complete Q BI Deployment Complete Q BIS Phase 3 Live Q CIS Program Kick Off Q BIS Phase 2 Live Q CIS Mobilization Q1 - Q BIS Phase 1 Live Q CIS Implementation Partner Q BIS Kick Off Q CIS Solution Vendor Q BIS Solution Vendor Q IT Delivery Plan Q IT Strategy Q

13 Develop Intelligence Capabilities

14 Develop Intelligence Capabilities Intelligent Organization Determines what is important to know or discover Harnesses technology to support exploration. Develops skills of inquiry and Foresight 14

15 HMC - Intelligence Architecture Self Service Reporting /Analytics CIS Extract, Transform, Load Master Data Hub Enterprise Data Warehouse Data and Information Output Data Sharing Data Quality Monitoring 15

16 Enhanced Intelligence Architecture 16

17 Develop Intelligence Skills Intelligence Unit Intelligence is embedded throughout the organization. Harness it into BI Units 17

18 Summary - Effective utilisation of healthcare information Requires Build Information Governance to manage All your data assets. Digitize as many of your current data sources as possible. Build a scalable BI architecture to facilitate Big Data initiatives. Collaborate on data inside and outside your own organisation. Define a Reporting Strategy to shape the intelligence needs of the organisation. Build intelligent teams to manage data, make sense of it and present it in a meaningful way. 18

19 The End or just the Beginning? 19

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