Download - Hl7 Analytics for IT and Clinical Insights
1
HL7 Analytics for IT and Clinical Insights Wes Wright, CIO Seattle Children’s Hospital Erik Giesa, SVP of Marketing and Business Development ExtraHop Networks
2 CONFIDENTIAL
Agenda
• What Seattle Children’s Is Doing with HL7
• HL7 Analytics – How It Works
• Combining HL7 Analytics with Other Application Elements
• Ensuring Communications Between Systems
• The Big Data Opportunity for HL7
3 CONFIDENTIAL
A Little About Wes
• Joined Seattle Children’s in March 2008
• VP and Chief Technology Officer – responsible for day-to-day operations
• Moved to CIO position in August, 2012
• Health Information Services and Air Force Background • Health Services Administration USAF 1991 – 2006
• Clinics to Hospitals • Scripps Health, San Diego 2006 – 2008
• Executive Director, IS and Deputy CIO
• Associate member of CHIME and HIMSS since 1997 • Graduate of
• University of Maryland, Asian Division (BS) • University of New Mexico (MBA)
4 CONFIDENTIAL
Seattle Children’s Hospital
• Inpatient beds 323 (278) • Patient visits 357,206 • Outpatient visits 293,072 • Admissions 14,494
• Only 20% from Seattle
• Employees 5,569 • Medical Staff 1,309 • Residents/Fellows 225 • Volunteers 969
5 CONFIDENTIAL
Healthcare – It’s Kind of Complicated
6 CONFIDENTIAL
IT Is Always in Demand
More processes dependent on IT
+ Increasing IT complexity
+ Finite IT resources
= Need for IT to DO MORE WITH LESS
Safety and Workflow Improvement Opportunities
Non-IT Issues
Dependent on IT
7 CONFIDENTIAL
ExtraHop: Force-Multiplier for Health IT
• Citrix login times cut from ~60 seconds to under 12 seconds
• Dramatically reduced time spent troubleshooting IT issues
• Correlated, cross-tier visibility
• Passive analysis of wire data
Results
8 CONFIDENTIAL
What’s Next: Pediatric Health Information Network
9 CONFIDENTIAL
What’s Next: Pediatric Health Information Network
10 CONFIDENTIAL
What’s Next: Pediatric Health Information Network
• Quality - All your providers know what’s gone on with you/your child
• Delivery - Potential for instantaneous “virtual” consultations (Module for electronic referrals)
• Safety - All known allergies, immunizations, drug-drug interactions
• Cost - No repeat tests – MRI, Lab, etc; Population Health (Are you doing all you can to stay healthy?)
11
What Is HL7 Analytics?
12 CONFIDENTIAL
ExtraHop’s Wire Data Analytics Platform
L2–L7 Packet Data
ExtraHop’s Real-Time UI Real-Time Stream Processor
• Real-time analysis of all communications between systems, including HL7 messages
• Deep, rich source of IT and clinical insights
Structured Wire Data
Non-Proprietary NoSQL DB
13 CONFIDENTIAL
Structured Data Off the Wire From Raw
Unstructured Data
To Structured Wire Data
14 CONFIDENTIAL
Non-Proprietary NoSQL DB
Wire Data Provides IT and Clinical Insights
REAL-TIME stream processing, analysis, and visualization
POST-HOC Multi-dimensional analysis
AND/OR
Chartio
• HL7 Engineers • IT Operations • Network Teams • Application Support • … and others
Open Data Stream
• Clinical Informaticists • CMIOs • Researchers • Business Analysts • … and others
15 CONFIDENTIAL
Correlate HL7 with Other IT Elements
Real-time analysis of all HL7 messages regardless of interface vendor
Correlation with performance of other IT elements, including EMR applications, Citrix, network, database, storage, etc.
16 CONFIDENTIAL
HL7 message with patient information
HL7 Is Key to Interoperability
Registration and scheduling
Clinical entries
Understand capacity, scale, and performance for mission critical systems for every message type. Receive real-time alerts based on anomalies.
17 CONFIDENTIAL
HL7 Interface Monitoring and Mapping Monitor the performance of all HL7 messages by type.
Drill down to see errors and other metrics by message type, and mapped to associated interfaces.
18 CONFIDENTIAL
A Better Alternative: ExtraHop Big Data Analytics
Wire Data via a SPAN or network tap
Non-Proprietary NoSQL DB
Precision Transaction Streaming
Wire Data
Other Data Sets
19 CONFIDENTIAL
Disease Surveillance Population health management or public health analytics – You can use CPT or ICD codes to identify spikes in flu cases. This could influence ED staffing, for example.
20 CONFIDENTIAL
Real-Time Patient Flow Real-time clinical dashboards – ADT measurements for patient flow through Emergency Department.
How are patients flowing through the ER?
21 CONFIDENTIAL
Real-Time Patient Wait Times Real-time clinical dashboards – Measure time between registration and admission to see patient wait times across facilities.
What are the wait times in the ER?
22 CONFIDENTIAL
As Complexity and Expectations Soar, Available Labor Shrinks…
2005 2020 2010 2015 LOW
HIGH
Health Care IT unemployment, 2013: 1.5% 1
1 Department of Labor, Bureau of Labor Statistics, 2013 2 Barry Runyon and Vi Shaffer, Gartner, Real-Time Health Care System Challenges, February 2014
Health IT and Analytics Gap
23 CONFIDENTIAL
ExtraHop Is a Force-Multiplier for Health IT
2005 2020 2010 2015 LOW
HIGH
Health Care IT unemployment, 2013: 1.5% 1
1 Department of Labor, Bureau of Labor Statistics, 2013 2 Barry Runyon and Vi Shaffer, Gartner, Real-Time Health Care System Challenges, February 2014
Health IT and Analytics Gap
ExtraHop is like having a dozen experts rolled into a unified solution. Network | Application | VDI | HL7 Interface | Database | Infrastructure | Storage | Informatics | Asset Managers |Architectural & Compliance
24 CONFIDENTIAL
Health IT ExtraHop Healthcare Edition
HL7 Database Storage Web
Network L2-L3
Infrastructure DNS, SMTP, FTP, TCP etc.
Citrix VDI VMware VDI
AAA Services
Open Data Stream (Elasticsearch, MongoDB, VMware, Splunk etc.)
Virtual or Physical Appliance 1 Gbps, 3 Gbps, 10 Gbps, or 20 Gbps of continuous analysis
Included Analysis Modules
Platform Options
HL7 Operations and Support Bundle
List Price from: $20,500 - $238,000
… and others!
25
Q&A
Download a free virtual appliance or explore the interactive demo at www.extrahop.com/discovery