2January, 2012 EMR Generated Data TDS (Legacy System) HL7 Feed RN DocumentationProvider DocumentationTDS (Legacy System)22 Years Patient Data1.2M Patients9M RecordsOrdersLabsTranscribed ResultsPatient RecordHL7 FeedLab ResultsPhysiological MonitorsVentilatorsTranscribed ReportsRadiology ResultsEndoscopy ResultsOrdersExternal DataHome MonitoringPersonal Health RecordSocial Media*Twitter*Foursquare*Yelp*RSS & Blog
3Big 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.
5Big Data = Interoperability An Ecosystem that SupportsHadoop (HDFS)MongoDB (NoSQL)Neo 4j (Graph Database)Relational Data BaseMapReduceJBoss DroolsMahout
6Limits 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.
7Data Information Knowledge Wisdom SaritorData Information Knowledge WisdomA 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.
8Health Care Data Sources Legacy SystemsAll HL7 Feeds (EMR source systems)All EMR Initiated DataDevice Data (in one minute intervals)Physiological MonitorsVentilatorsSmart PumpsReal Time Location SystemHospital SensorsGenomic DataHome MonitoringSocial MediaHealthcare Organization Sentiment AnalysisPatient Engagement
9Saritor Initial Functionality Integration with EMR to View Legacy Data30 Day Readmit Prediction (UCI Centric)Early Sepsis Detection & NotificationIntegration with UCI Clinical Intelligence ApplicationsChronic Disease ScorecardsHome Monitoring AnalyticsSocial Media Sentiment Analysis
11Algorithm Management Available Data Set Input Data Attributes, Rules, ParametersInput Data Attributes, Rules, ParametersTraining Data SetTest Data SetHypothesis / Algorithm Model(Core Engine with the Equations / Analysis)StatisticalTechniquesHypothesis / Algorithm Model(Core Engine with the Equations/ Analysis)StatisticalTechniquesOutput / Results (Actual)Output / Results (Actual)Analyze Output for Model Behavior(Actual versus Desired)Analyze Output for Model Behavior(Actual versus Desired)Not SatisfactorySatisfactory ResultNot SatisfactorySatisfactory ResultIdentify ImprovementsMatches ExpectationIdentify ImprovementsMatches ExpectationFeedback and Refine the ModelRelease for Testing the ModelFeedback and Refine the ModelBaseline the PatternPublish new version to RepositoryDiagnosisPatterns Repository