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Importance of Data: HCA 528 - Week 6

This document discusses the importance of leveraging big data in healthcare, specifically for population health management. It defines big data as large volumes of complex data from various sources that require advanced techniques to analyze. Characteristics of big data include volume, velocity, variety, and veracity. The document outlines the data capture, analysis, and provisioning process and discusses how data from sources like claims, surveys, and public databases can be used for clinical analytics, risk prediction, and reducing waste for population health management programs. Challenges and advantages are also covered.

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AR J Lopez
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48 views15 pages

Importance of Data: HCA 528 - Week 6

This document discusses the importance of leveraging big data in healthcare, specifically for population health management. It defines big data as large volumes of complex data from various sources that require advanced techniques to analyze. Characteristics of big data include volume, velocity, variety, and veracity. The document outlines the data capture, analysis, and provisioning process and discusses how data from sources like claims, surveys, and public databases can be used for clinical analytics, risk prediction, and reducing waste for population health management programs. Challenges and advantages are also covered.

Uploaded by

AR J Lopez
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PPTX, PDF, TXT or read online on Scribd
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Importance of Data

HCA 528 – Week 6


Learning Objectives

• Big data analytics in healthcare: promise and potential


• Leveraging big data in population health management
Introduction
• Driven by mandatory requirements, massive amount of data have been
generated.
• Data were very diverse: clinical data from CPOE and clinical decision
support system, patient data, machine generated data, and many others
• Integration of payer claim data with clinical and patient experience data
provides support of the Triple Aim agenda.
What is “Big Data”
• “large volume of high velocity, complex and variable data that require
advance techniques and technologies to enable the capture, storage,
distribution, management and analysis of the information”

• Characteristics: volume, variety, velocity, and veracity


4 “Vs” of Big Data
• Volume: high-volume
• Velocity: in real-time and at a rapid pace
• Variety: structured, unstructured, and semi-structured
• Veracity: error-free and credible
Data Capture:
acquire data, assure
data quality,
integrate into
workflow

Information
Management
Cycle Data Provisioning:
Data Analysis: move to data
interpret data, data warehouse, build
mining, evaluate visualization,
data quality generate external
reports
Clinical/Advanced Analytics
• What are the key health indicators across my patient/ member population?
• What is the total cost of care?
• What are the main predictors for readmissions?
• Which patients/ members are most at risk for a bad outcomes or ongoing
treatment?
• How can I intervene to incentivize patients/ members to make better
choices?
Advantages
• Predict and manage risk
• Help reduce waste and inefficiency on the following areas: clinical
operations, R & D, and public health
• Contribute to: evidence-based medicine, genomic analytics, fraud
analysis, device/ remote monitoring, patient profile analytics
Challenges
• Complex, reside in multiple places and in different formats
• Inconsistent or variable definitions
• Changing regulatory and reporting requirements
• Managerial issues: ownership (privacy & security), governance, and
standards
Big Data in PHM
• PHM incorporates many determinants of health: medical care, social and
physical environments, genetics, and individual behavior.
• PHM chooses selected target groups.
• PHM includes full spectrum of care.
• PHM uses data (analytics) to create/ evaluate the program
PHM for
AARP Medigap Plan
Enrolees
• Target Population: 4 millions adults
enrolled in AARP Medigap plan
• PHM: Nurse HealthLine, Treatment
Decision Support, Advanced Illness,
Trusted Health Partner, At Your Best,
Emergency Room Decision Support,
MyCare Path
Data Sources
• Administrative (health plan membership) record
• Medical and pharmaceutical claims data
• Health Risk Appraisal (HRA) survey questionnaires: current health
conditions, prescription drug use, limitations in ADL, frequency of
hospitalization in the last year.
• CAPHS survey
• US census data, Dartmouth Atlas, consumer data
Results
• Increased duration in care coordination was associated with fewer hospital
readmissions; participants were more likely to have recurring physician
office visit and recommended laboratory tests.
• Reduced ER visits
• Reduced depression symptoms
• Suggested the need for a wellness program (resulted in the creation of “At
Your Best” in later year)
Data Sources
• State Health Facts: http://kff.org/statedata
• Health Indicators Warehouse: http://www.healthindicators.gov
• The Dartmouth Atlas of Health Care: http://www.dartmouthatlas.org
• The CMS Chronic Conditions Data Warehouse (CCW):
https://ccwdata.org/web/guest/home
• Medicare Enrollment Dashboard
• OSPHD: http://www.oshpd.ca.gov/HID/

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