pamela peele - upmc at the chief analytics forum officer, west coast
TRANSCRIPT
Pamela Peele, Ph.D.
Chief Analytics Officer
UPMC Insurance Services UPMC Enterprises
May 2016
Creating the Narrative
• $14 billion integrated global health
enterprise headquartered in
Pittsburgh, Pennsylvania.
• 20 hospitals operating over 4,200
licensed beds; 187,000 admissions
per year
• 4.6 million outpatient visits; 480,000
emergency visits per year
• 3 million UPMC Health Plan members
• 400 outpatient locations
• 55,000 employees
• 3,400 employed physicians
• 20,000+ contracted physicians
UPMC BACKGROUND
UPMC Invests Heavily in Technology and Leverages the Investment Across the Organization
$1.6 Billion
over the past 6 years
Heinz Field
PNC Park Park
Consol Energy Center
Total Cost of all 3 Stadiums: $833M
Confidential – Do Not Duplicate
The Kitchen?
Ready to Cook
Now We’re Cooking
• A measure of Clairvoyance
– New knowledge not previously
possible
• Learning what isn’t known.
– Hypothesis free approaches to
problems.
Where does Data fit into the future of health care?
Consuming Something Different
Your Factory Needs a Foreman
Where Do You Get Your News?
Using a supergraphic
0.990.880.770.660.550.440.330.22
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400
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0
Probability
Freq
uenc
y
0.70.5
Distr ibution of Probability for R eadmiss ion
FY09 Acute Inpatient Discharges (A ll LOB)
n = 38,840
SWEET SPOT
Discharge Advocate: Risk Models Identify Readmission “Sweet Spot”
12
Lower Risk of Readmission Less Actionable
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30 D
ay R
ea
dm
it R
ate
30 Day Acute Readmit Rate (Any DRG) and Distribution of Readmission
Here’s the Metric
3.0
3.2
3.4
3.6
3.8
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4.8
5.0
30.0
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50.0
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30 D
ay R
ea
dm
its
/ 1,0
00
Dis
ch
arg
es
/ 1,0
00
Discharges and 30 Day Readmissions per 1,000 Trends
Trend (Acute Discharges / 1,000)
Trend (30 Day Acute Readmits / 1,000)
Here’s the Story
A = Imaging
B = Consultation
C = Testing
D = Attending
Median Diagnoses During IP Stay
< 8
> 8
Average Services Per Admit DRG 470 – Major Joint Replacement
Bubble Size is Proportional to 30 Day Readmission Rate
Provider Network Plot
17
Provider Patient Sharing Patterns
18
EMR Text Mining
19
Division of Health Economics (DOHE) Topology of Disease – Regional Population Health
Geographic Sectors
Western PA Cities 10,000+ Pop
20
Understanding the depth of chronic illness (or donors)
UPMC Hospitals and Catchment Areas within Geographic
Regions
All Hospitals and Catchment Areas within Geographic Regions
UPMC PCPs
within Geographic Regions
NonUPMC PCPs
within Geographic Regions
The Danger of Big Data
This is Not the Solution
An information-rich
environment creates a scarcity
of what it consumes.
Herb Simon (1971)
The Dangers of Big Data