BIG DATA TECHNOLOGIES TO SUPPORT POPULATION HEALTHCharles Boicey, MS, RN-BC, CPHIMS
Enterprise Analytics Architect
Stony Brook Medicine
Stony Brook University
DSRIP
• 8 billion dollar grant (Medicaid waiver) from CMS to NY State• 25% reduction over five years in avoidable hospitalizations and ER visits in the Medicaid and uninsured population
• Collaborative effort to implement innovative projects focused on• System transformation• Clinical improvement• Population health improvement
Uninsured + Medicaid Members
Medicaid Members Data from DSRIP 2012; Uninsured data from ACS 2012 5 Year Estimate
n = 387,290
Geographic Concentrations in Western, Central and Eastern Suffolk
5 YEAR GOALS
•Create integrated Suffolk County care delivery system for 387K lives anchored by safety net providers
•Engage partners across the care delivery spectrum to create a countywide network of care
•After five years, transition this network to an ACO which will contract with insurance providers on an at risk basis
Suffolk PPS Organizational Structurefor exchange of clinical data and alerts for patient visits through e-HNLI
Stony Brook Medicine
Suffolk PPS HIE(SB Clinical
Network IPA, LLC)
Health Systems
Hospitals
Community Health
Centers
Behavioral Healthcare Providers
Skilled Nursing Facilities CHHA’s/
LTHHC
Physician Groups
Health Homes
Community-Based
AgenciesPharmacies
Those not part of the Stony Brook Medicine Network
Other Healthcare Providers
Develop-mental Disability Providers
Suffolk county RHIO
(e-HNLI)
Jim Murry, Charles Boicey
Suffolk Care Colaborative IT Architecture
Suffolk County Providers
Suffolk county PPS Master Patient Index (MPI)
Suffolk county PPS Health Information Exchange (HIE)
E-HNLI RHIO (HIE)
Suffolk County PPS Patient Portal
Stony Brook Medicine
Suffolk County Big Data Platform
Suffolk County PPS Population Management Tools
EMRs or clinical Information SystemEMRs or clinical Information System
eForms Patient Wellness
Alerts Mobile Monitoring
Patient Education
Clinical Records
Collaboration
Registries Care Plans Workflow Med Adherence Mobility
Predictive Analytics
Event Engine
Structured Data Financial Data Legacy Data
Machine Learning NLP Unstructured Data
Wearables Data
Social Data
Anomaly Detection
Rules Device Data HL7/CCD Open DataClin
ical
Dat
a fo
r Pati
ent C
are
RHIO
Interface Engine
Hl7, CCD, CCDA, FHIR, XML, JSON
PayorsPopulation ManagementPlatform
DSRIPProvider SystemsN>200
Consent Query
SBMHIE
SBMEMRs
nonSBMEMRsClinical Claims
Clinical
Claims
Clinical
Clinical
Clinical
View
Clinical
View