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MongoDB Quality Measure Storage PostgreSQL User entered data Screen Shots SaaS Amazon EC2 http:// www.checkqm.com. January, 2012. EMR Generated Data RN Documentation Provider Documentation. External Data Home Monitoring Personal Health Record Social Media *Twitter - PowerPoint PPT Presentation
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• MongoDB– Quality Measure Storage
• PostgreSQL– User entered data– Screen Shots
• SaaS– Amazon EC2
• http://www.checkqm.com
January, 2012
Big Data = Complete Data
• The Electronic Medical Record is primarily transactional taking feeds from source systems via an interface engine.
• The Enterprise Data Warehouse is a collection of data from the EMR and various source systems in the enterprise.
• In both cases decisions are made concerning data acquisition.
• Hadoop is capable of ingesting and storing healthcare data in total.
Big Data = Infrastructure
• Low Cost of Entry & Scalable– Open Source– Commodity Hardware• UCI Hadoop Ecosystem
– 8 nodes– 4 terabytes
• Yahoo Hadoop Ecosystem– 60K nodes– 160 petabytes
• Cloud Ready
Big Data = Interoperability
• An Ecosystem that Supports– Hadoop (HDFS)– MongoDB (NoSQL)– Neo 4j (Graph Database)– Relational Data Base– MapReduce– JBoss Drools– Mahout
Limits of Current Ecosystem
• The Electronic Medical Record is not up to the task of handling complex operations such as anomaly detection, machine learning, building complex algorithms or pattern set recognition.
• Enterprise Data Warehouses (EDW) suffer from a latency factor of up to 24 hours. The EDW serves clinicians, operations, quality and research retrospectively as opposed to real time.
SaritorData Information Knowledge Wisdom
• A healthcare information ecosystem built on “Big Data” technologies capable of serving the needs of clinicians, operations, quality and research in real time and in one environment.
• Able to ingest all healthcare generated data both internal and external.
• Platform for advanced analytics such as early detection of sepsis & hospital acquired conditions. Prediction of potential readmissions. Complex algorithm and machine learning platform.
Health Care Data Sources• Legacy Systems• All HL7 Feeds (EMR source systems)• All EMR Initiated Data • Device Data (in one minute intervals)
– Physiological Monitors– Ventilators– Smart Pumps
• Real Time Location System• Hospital Sensors• Genomic Data• Home Monitoring• Social Media
– Healthcare Organization Sentiment Analysis– Patient Engagement
Saritor Initial Functionality
• Integration with EMR to View Legacy Data• 30 Day Readmit Prediction (UCI Centric)• Early Sepsis Detection & Notification• Integration with UCI Clinical Intelligence
Applications• Chronic Disease Scorecards • Home Monitoring Analytics• Social Media Sentiment Analysis
Training Data Set
Test Data Set
DiagnosisPatterns Repository
Input Data Attributes, Rules, Parameters
Hypothesis / Algorithm Model(Core Engine with the Equations / Analysis)
Analyze Output for Model Behavior (Actual versus Desired)
Identify Improvements
Feedback and Refine the Model
Matches Expectation
Release for Testing the Model
Output / Results (Actual)
Input Data Attributes, Rules, Parameters
Hypothesis / Algorithm Model(Core Engine with the Equations/ Analysis)
Analyze Output for Model Behavior (Actual versus Desired)
Identify Improvements
Feedback and Refine the Model
Matches Expectation
Baseline the Pattern
Publish new version to Repository
Output / Results (Actual)
Not Satisfactory Satisfactory Result Not Satisfactory Satisfactory Result
Available Data Set
StatisticalTechniques
StatisticalTechniques
Algorithm Management
Quantified Self
Personal Informatics
mHealth
Saritor
PHR Centric Health
EMR
HIE
http://healthdesignchallenge.com/
http://www.health2con.com/devchallenge/
The difference between a
vision and a hallucination
is that other peoplecan see the vision. Marc Andreessen
Charles [email protected]@N2InformaticsRN