Healthcare Analytics Driving Health Insights Analytics | Software | Services .

Healthcare Analytics

Driving Health Insights

Analytics | Software | Serviceswww.kreara.com

www.kreara.com

HEALTHCARE ASSOCIATED INFECTION | ANALYTICS

HAIs are infections that patients acquire while receiving surgery and/or treatment for medical conditions in a healthcare setting such as hospitals (in- or out-patient) or nursing homes etc.

Definition

Extended hospital stays Readmissions.

Major cause of morbidity and Mortality.

Increased medical costs-Provider, Patient and Government.

Implications

www.kreara.com

HEALTHCARE ASSOCIATED INFECTION | ANALYTICS

A Major Fortune 500 US Based Multinational PBM with operations in more than 15 countries.

Client

Client IW –Provider and Patient Data.

Secondary US Government Data.

Data Source

SAS | R

Database – Teradata.

Software

Objective

Descriptive Statistical Techniques for determining the prevalence of HAI’s.

Estimate Financial Impact (Medical Spending) to providers caused due to HAI.

Cluster Analysis of HAI Prevalence.

Customer/Patient Impact.

Build Hospital Readmission Predictive Models for HAI’s.

Visual Analytics Application development.

HEALTHCARE ASSOCIATED INFECTION | ANALYTICS

www.kreara.com

www.kreara.com

TOP HEALTHCARE ASSOCIATED CONDITION

Scores by Providers

*Scores calculated per Healthcare  Infection Control Practices Advisory Committee (HICPAC) guidelinesNational Healthcare Safety Network (NHSN)

www.kreara.com

TOP HEALTHCARE ASSOCIATED CONDITION

Scores by States

*Complaint to  HAI Action Plan Guideline

www.kreara.com

HOSPITAL READMISSION PREDICTIVE MODEL

ESTIMATE

Likelihood of readmission hospitalizations had an adverse event (HAC).

SELECTED HAC

Catheter-associated urinary tract infections (CAUTIs).

Deep vein thrombosis or pulmonary embolism (DVT/PE).

Central line-associated bloodstream infections (CLABSI).

Falls and trauma.

TECHNIQUE

Multivariate Logistic Regression

www.kreara.com

MULTIVARIATE REGRESSION ESTIMATES

www.kreara.com

Readmission Rates (Actual/Predicted) Across Providers FY11-12-CAUTI Cases

www.kreara.com

Readmission Rates (Actual/Predicted) Across Providers FY11-12-CLABSI Cases

www.kreara.com

HAI: Healthcare Associated Infections/Hospital Acquired conditions (HAC) Spending per Hospital - FY11-12 for HAI

www.kreara.com

CLUSTER ANALYSIS - CAUTI Cases- State Wise

www.kreara.com

CLUSTER ANALYSIS | PATIENT SATISFACTION

HAI Reported Providers-Patient Satisfaction Ranking

www.kreara.com

WATTS AND STROGATZ MODEL CLUSTERING | EMR LOGIN

Watts and Strogatz model Clustering Of Hospital Health-Care Worker Contact Networks for proxy detection for spreading of HAI’s

www.kreara.com

DATA SECURITY | HIPAA COMPLIANT

Unique User Identification

Emergency Access Procedure

Automatic Logoff of Computers

Transmission Security.

PHYSICAL SAFEGUARDS

Dual -factor authentication

Prolific use of video surveillance

Visitor logging

Procedure Documentation

TECHNICAL SAFEGUARDS ORGANIZATIONAL REQUIREMENTS

Business Associate Contracts (or Agreements, BAA)

www.kreara.com

HIPAA COMPLIANT ARCHITECTURE

High Availability, Redundant Firewalls (IDS/IPS), Routers, ISPs.

Two-Factor Authentication.

Vulnerability Scanning.

SSL Certificate (Web Apps) .

Antivirus, OS Patch Management.

Data Encryption.

Backup and Disaster Recovery.

www.kreara.com

DATA SECURITY ARCHITECTURE

Site-To-Site VPN

ISP3Epworth LAN ISP1

KREARA LANISP2VPN

Citrix ServerDB Server

VPN

CISCO ASA

CISCO ASA

Dedicated Leased Line

FORTIGATE 110C

KREARA LAN

Epworth VLAN

EpWorth LAN

Managed Service

Encrypted and Authenticated

Dedicated Leased Line

VLAN for Epworth users

www.kreara.com

DATA SECURITY ARCHITECTURE

Centralize information resources, and manage and secure them in the datacenter.

Control access through pre-configured granular based policies.

Achieve compliance through built-in monitoring, tracking and auditing of information access.

Citrix WanScaler

Citrix NetScaler

CITRIX ARCHITECTURE

www.kreara.com

GOING FORWARD

Interactive Visual Analytics Platform Build with Apache server – R/JAVA/PHP GUI

NEXT ?

Ongoing

STATUS