Preparing for Big Data
Improved operational performance, increased coordination of care, and reduced medical error only begin to scratch the surface of
what big data has to offer
in an age of
advancing digitization.
However, effective
mechanisms to gather, consolidate, and distribute large amounts of health information
to the appropriate
individuals and tools to
analyze and interpret the recent explosion of health information
in a meaningful way do not
currently exist.
How can different parties partner together
to work towards a
future with
effective utilization of health information
in an
industry on the brink of a technological transformation.
Paul Warren Halliday
Director of HICT – Information Management
Hamad Medical Corporation - Qatar
Effective utilization of Health Information
•
Establish - Data Governance
•
Build – a Digital Organization
•
Develop – Intelligence Capabilities
2
Importance of Data Governance
•
Ensures data is trustworthy
•
Adopts data standards
•
Manages data as a vital asset
•
Protects data from abuse
•
Determines rules for sharing
Engages people and technology
to prevent data issues.
Data Governance Framework
5 Enabled with a comprehensive change management program Linked to strategic initiatives Driven by business value View Data as a strategic asset Technology Compliance Standards Processes Policies OrganizationData
Governance
Framework
Agree the methods
To establish, maintain and enforce data standards and quality; ensure privacy & security over data; resolve issues and provide access to data for users
Implement the standards
Data quality, data access and
security, metadata, master data, data lineage, and data integration
standards that define data-related operating practice
Allocate responsibilities
For oversight and execution of Data Governance program and activities
Establishing the rules
For enforcing the Data Governance guiding principles
Measure performance
Processes for monitoring Information management performance to
continuously improve data quality, master data and data security
Utilize technology
Appropriate and accessible tools to support the Data Governance objectives, analysis, data exchange.
HMC - Data Governance Organization
6
Executive Sponsor
Executive Director Knowledge & Information Management (KIM)
Information Management Committee (IMC)
Led by ED KM & Deputy Medical Director for Clinical Information Systems
Executive Management Committee
Sponsorship Direction Management
Execution
Reporting & Analytics
Reporting & Analytics Group
Reporting & Analytics Lead
Clinical Research
Bioinformatics ERP Team
Data Ownership
Data Stewardship Group
Lead Data Steward
Hospital Facilities Operational Units
Partners
Technology Support
Data Custodian Group
Information Management
Lead
Data Architects Database Admin Data Processing System Developers Programmers Performance Primary HealthcareBuild a Digital Organization
Structure the Unstructured
Complex patient data
journeys require new
records.
Database
not
Paper base
Infrastructure
Main Hardware
(and Backup)
Integration
(Open Engine)
Links to
Existing
Systems
Technology Solutions
•Access Audit P2
•724 Business Continuity
•Hardware Monitor
Device
Integration
Links to Medical DevicesSupport Departments
Laundry
CSSD
Nutrition
Administration
(Access –HIM-Revenue)
Patient
Registration
Patient
Accounting
Scheduling
Admit, Transfer DischargeIn-Patients
Bed Management
Records
(Digital)Clinical Depts.
Pharmacy
Laboratory
Blood Bank, General, Anatomical
Clinical
Imaging
Operating
Theatre
Ambulance
Clinical Data
Repository
Clinical Orders
Clinical Notes
Core Clinical
Clinical Docs
Care Plans
Clinical Data
Repository
Primary Care
Consultation
Well
Women
Health
Promotion
Chronic Disease
Screening
Home
OP
Pharmacy
Clinical Data
Repository
Acute/Secondary
Emergency
Department
Maternity
Medical
Devices
In Patient
Pharmacy
Physio-AHP
Out-Patients
In-Patients
Clinical Data
Repository
Tertiary Care
Oncology
Research
Intensive Care
NICU
& Trials
Clinical Data
Repository
Research & Knowledge
Clinical Research
and Audit
Management
Information
Citations
Computerised
Decision Support
Other Stakeholders
Information
For Patients
Online Services
For Patients
Sidra
Health Information Exchange
Online Patient Records
Clinical Data
Repository
Data Capture Devices
10
Enterprise EMR
Personal EMR
Data Partnerships
•
Primary Healthcare Corporation - for additional patient journeys.
•
Supreme Council of Health - for data standards, performance metrics, targets.
•
Health Insurance Administrators - for public health analysis.
•
Ministry of Interior - for population and person data.
•
Ministry of Urban Planning - for Qatar population and facility location data.
•
Academic Health System - for international benchmarking and research.
•
Ministry of Finance - for finance reporting standards.
•
ICT Qatar – national health data exchange
•
WHO – data submissions and standards
HMC Digitization Timeline
12
CIS Phase 1 Complete Q1 2016
CIS Program Kick Off Q3 2013
CIS Mobilization Q1 - Q2 2012
CIS Implementation Partner Q2 2012
CIS Solution Vendor Q4 2011
IT Delivery Plan Q2 2010
IT Strategy Q1 2009
BIS Phase 2 Live Q4 2013
BIS Phase 3 Live Q2 2014
BIS Phase 1 Live Q3 2012
BIS Kick Off Q1 2011
BIS Solution Vendor Q3 2010
BIS Phase 4 Live Q2 2016
Building a Digital organization
takes time.
Data Governance and
Intelligence efforts are forever!
BI Deployment Complete Q3 2015
Develop Intelligence Capabilities
14
Determines what is important to know or discover
Harnesses technology to support exploration.
Develops skills of inquiry and Foresight
HMC - Intelligence Architecture
15Ex
tra
ct,
Tra
ns
fo
rm
, L
oa
d
Da
ta
an
d In
fo
rm
atio
n O
utp
ut
CIS
Self Service
Reporting /Analytics
Data Quality
Monitoring
Master Data Hub
Enterprise Data Warehouse
Enhanced Intelligence Architecture
Develop Intelligence Skills
17
Intelligence is
embedded throughout
the organization.
Harness it into BI Units
Intelligence Unit
Summary - Effective utilisation of healthcare information
•
Build Information Governance to manage All
your data assets.
•
Digitize as many of your current data sources
as possible.
•
Build a scalable BI architecture to facilitate
Big Data initiatives.
•
Collaborate on data inside and outside your
own organisation.
•
Define a Reporting Strategy to shape the
intelligence needs of the organisation.
•
Build intelligent teams to manage data, make
sense of it and present it in a meaningful way.
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