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  • Arnau Valls

    Innovation Departament, Hospital Sant Joan de Déu

    05/07/2018

    Liquid Hospital Project: The experience in the integration of data from different origins in a hospital cloud platform

  • 1

    The strategy of the HSJD. Reference center 2

    Change in the habits of the reference population

    Why?

    Democratization of technology 3

  • Information and Communication

    78% of Spanish adolescents use social networks 66% at least one once a day

  • Professionals ask for data

    [Clinical Data: Patient Care + Research]

     Patient-specific Care (Precision medicine): Stratification

     Patient-Reported Data for Continuum of Care (Chronicity)

     Treatment based on the “Outcomes”

     PROMs, PREMs,…

  • Democratization of technology

    2015: Illumina $1000 human genome

    http://www.gosreports.com/gene-sequencing-market-analysis-and-development/

  • Consulta online

    Tele-consulta

    Tele-rehabilitación

    Tele-monitorización

    Segunda opinión

    Portal del Paciente

    Servicios

    ReToc (RetCam)

    A B

    E-Health Learning

    C

    Online

    Communities

    D

    Social

    Media

    Online Care

    Tele-Medicine Ideas

    E-learning

  • 202.756 contactos virtuales

    diarios

    Digital Contact Points

    In Person Contact Points

    Multipling the impact

    by 100

    Liquid Hospital To go beyond the walls of the hospital

  • Simplification Complex digital and data ecosystem

  • Liquid Hospital 4.0 FEDER-RIS3CAT 2016-2019

  • 1

    2

    Model of attention and provision of services that ensures multi-channel:  CRM – Contact Center – COACH  NEW Patient Portal  Health Literacy

    Create value from the data: • Health Data Management (HDM)

    “FRONT-OFFICE”

    “BACK-OFFICE”

  • PROMs PREMs ‘O M I C S Brain Genética I

    ‘OMICS

    PACIENTE

    HCE HOSPITAL

    Big Data & Predictive Analytics

    BB.DD.

    "Past / Present" “Present / Future”

    Radiología

    Medical Devices

    Anatomía Patológica

    Redes Sociales

    Nutrición

    Internet of Things

    Wearables

    Webs temáticas / Comunidad

    es online

    Apps

    Investigación biomédica

    Clinical

    Biological

    HSJD

    Clinical

    Biological

    EXTERNAL

    Machines

    Social Cuestionarios

    online (web/app)

    Farma. Lab.

    I Genética

  • PROMs PREMs ‘O M I C S Brain Genética I

    ‘OMICS

    Big Data & Predictive Analytics

    "Past / Present" “Present / Future”

    Radiología

    Medical Devices

    Anatomía Patológica

    Redes Sociales

    Nutrición

    Internet of Things

    Wearables

    Webs temáticas / Comunidad

    es online

    Apps

    Investigación biomédica

    Clinical

    Biological

    HSJD

    Clinical

    Biological

    EXTERNAL

    Machines

    Social Cuestionarios

    online (web/app)

    Farma. Lab.

    I Genética

    HDM

    PACIENTE

    HCE HOSPITAL

    BB.DD.

  • HL4.0

    BI

    DWH

    HDM

    DataLake

    Management Control Healthcare Processes

    (KPI, Outcomes, Scores, Operations Control…)

    Predictive Analytics Data Discovery

    Research (Rules of clinical support, Data

    science, DSS)

  • HL4.0 – HDM Cloud-based Data Lake for Clinial Decision Support

    Research (Internal)

    Data Analysis and Exploration

    DIABETES

    Prediction of crises (hypoglycemic events)

    Clinical Decision Support System

    360º view of the patient

    OBESITY

  • Datasets Heterogeneous

    - Standards - Terminologies - Diccionari

    Interoperability - Lack of APIs - Little homogeneity

    Silos - Many origins - Data in non-integrated

    databases

    Fear of sharing data

    - Governance - Traceability - Security - Ethics

    Co-existence of Codings

    Onthologias

    - SNOMED CT - ICD10-2018 / CIE09 - ORPHA - …

    Fear of change - Cloud Infrastructure - GDPR

    Barriers

  • Barriers

    • Dispersion in Data Silos

    • Dependencies with multiple stakeholders

    • Lack of APIs and Standards

    Interoperability and Integration

  • Data Sharing: How do we give patients the tools and information to manage their data? For Research… Within Institutions… Security, Standardization, Interoperability, Traceability,…

    Challenges

  • Thank you!

    Arnau Valls Innovation Department

    avallse@sjdhospitalbarcelona.org

    www.sjdhospitalbarcelona.org

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