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HEALTH ANALYTICSKRISA TAILOR

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EMPOWERED CONSUMERS:Proliferation of Digital Data

EXPLOSION OF DATA:Big Data – EHR, ‘Omics, Claims, Devices

DATA IS SHAPING THE LANDSCAPE OF HEALTHCARE

• Patient Consumer• Experience Economy• Personalization • How do we engage

patients and help them be active participants in their care?

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PROVIDER IMPERATIVES QUALITY, SAFETY, PATIENT EXPERIENCE

• Readmission Reduction• Disease prevention• Population Risk • Optimization of Care

• True cost of care• Identify Care Variation & Waste• Profitability Analysis

Proactively Manage Quality & Outcomes

Engage Patients AsUnique Individuals

Manage Financial Risks & Incentives

Improve Efficiencyof Care Delivery

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VALUE-BASED CARE CLINICAL EPISODES

Fee-for-Service Value-Based Payment

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THE GOAL IS THE SAME TRIPLE AIM - INSTITUTE FOR HEALTHCARE IMPROVEMENT

Source: Massachusetts eHealth Institute

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INSPIRATION FROM OTHER INDUSTRIES

“The future of banking is about connectionswith your customers, engaging them when and where they needbanking to solve a problem or provide a service. Banks won’t be ableto influence people with clever ad campaigns, better rates, or talk ofbranch networks. The only differentiation will be how you anticipatetheir needs and serve them in their day-to-day life, wherever theymay be.”

“The shopper drives the business now and retailers have torespond appropriately or the shopper will go elsewhere.

Customers can easily bounce to another vendor—price and availability are 100 percent transparent on the web. This free movement leaves retailers with one primary way

to differentiate themselves: through the customerexperience.”

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TRENDS IMPACTING HEALTH ANALYTICS

Machine Learning – recommendation engines to predict and suggest the best options for individuals

Internet of Things – connectivity and interoperability, mobile/wearable/sensor data, data streaming

Personal Health Analytics – personalized information for each individual to create behavior change

Population Health – peeling back layers to understand microsegments

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Support Index

ActivationLevel

Dx Conditions

Klout Score(Social Network

Influence)

Rx Prescriptions

Segment ID

Net Promoter Score(Promoter, Passive, or

Detractor?)

SocialDemographics

360-DEGREE PATIENT VIEW

INTEGRATED DATA STORE

ACTION AND RULES

PREDICTIVE ANALYTICS

PATIENT PROFILE

RISK MODULES

PATIENT PROFILE

Patient Experience Dimensions

Descriptive Dimensions

PsychosocialDimensions

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PatientsAnalysts

Clinicians

Corporate communications

HEALTH ANALYTICS FRAMEWORKS

OU

RC

E D

AT

A

Ambulatory

Pharmacy

Economic

Social

Hospitals

Cost

Contact center

INTEGRATED DATA STORE

ACTION AND RULES

PREDICTIVE ANALYTICS

PATIENT PROFILE

RISK MODULES

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Finding treasures in unstructured datalike social media or survey toolsthat could uncover insightsabout consumer sentiment

Mine databases for patterns and trends

Leveraging historical data to drive better insight into decision-makingfor the future

Analyze massiveamounts of data inorder to accurately

identify areas likely toproduce the best results?

FORECASTING

DATA MINING

TEXT ANALYTICS

OPTIMIZATION

STATISTICS

ADVANCED ANALYTICS

INFORMATIONMANAGEMENT

What will diabetic care cost next year?

What are patterns in the spread of disease across communities?

What are the key feedback from patients on service and care?

Which patients are at highest risk?

What is the best path of care for this patient?

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HOW DO WE GET STARTED?

The journey towards a strategic analytic culture starts with a small, highly visible step.

• Is it a business problem that resonates with the organization?

• Can it be easily defined?

• Is it relatively small in scope, but relatively large in impact?

• Are the objectives easily measurable?

• Does the required data exist?

• Do the skill sets required to derive results exist?

• Is the process repeatable, or is there at least a path to repeatability?

• Is there an executive who would be willing to provide support?

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BUSINESS

CLINICAL• Reducing No-show Patients • Understanding Patient Feedback for

Process and Care Improvement• Inventory / Resource and Capacity

Management (LoS, referral patterns)

• Tracking & Predicting Disease Outbreak

• Cohort Analysis and Clinical Pathways

• Risk Stratification • Quality of Care • Personalized Medicine

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A deeper look at the data to see the cost of Chronic Care in the state. How much does chronic care cost my state?

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Thank You!Contact me: Krisa.Tailor@sas.com