Hl7 Analytics for IT and Clinical Insights

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HL7 Analytics for IT and Clinical Insights Wes Wright, CIO Seattle Children’s Hospital Erik Giesa, SVP of Marketing and Business Development ExtraHop Networks

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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

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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)

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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

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Healthcare – It’s Kind of Complicated

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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

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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

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What’s Next: Pediatric Health Information Network

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What’s Next: Pediatric Health Information Network

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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?)

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What Is HL7 Analytics?

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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

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Structured Data Off the Wire From Raw

Unstructured Data

To Structured Wire Data

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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

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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.

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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.

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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.

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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

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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.

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Real-Time Patient Flow Real-time clinical dashboards – ADT measurements for patient flow through Emergency Department.

How are patients flowing through the ER?

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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?

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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

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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

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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!

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Q&A

Download a free virtual appliance or explore the interactive demo at www.extrahop.com/discovery