NWCDC 2018 Pharmacy Analytics in Workers’ Comp...© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company. All Rights Reserved. 3 A little history… Jacquard loom Punch

© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.

Cliff BelliveauVP Business Intelligence

NWCDC 2018Pharmacy Analytics in Workers’ Comp


What is Visual Analytics?

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Transforming data into insights that tell a story


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A little history…

Jacquard loom Punch Cards

Textile Pattern


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Transforming data into information

Punch Cards Textile PatternLoom

DataVisual

InformationData Process

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Visual Analytics

Data Visualization

Modern equivalent of visual communication

"An ideal visualization should not only communicate clearly, but stimulate viewer engagement and attention“

- Fernanda Viegas and Martin M. Wattenberg, IBM

Over 90% of the worlds data has been created in the past 2 years

The human brain processes images 60K faster than text

90% of the information transmitted to the brain is visual


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Top Trends in Analytics

1. Data Quality Management (DQM)

2. Data Discovery3. AI, Machine Learning,

Predictive & Prescriptive Analytics

4. Connected Clouds5. Data Governance and Trust6. Security, Digital Ethics and

Privacy7. Collaborative BI

Machine learning patents grew at a 34%

between 2013 and 2017

Third-fastest growing category of all patents granted

Spending on AI/ML will grow from $12B in

2017 to $57.6B by 2021

Source: International Data Corporation (IDC)

Healthcare’s AI market will reach $6.6 billion

by 2021, from $600 million in 2014

Source: Accenture


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Workers’ Comp Data


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Organizing data to answer questions quickly

Data Warehouses are pantries for data and information

“Groceries”“The Pantry”


Revealing Outliers in a Patient Population

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Unveiling hidden metrics


The ranking dilemma

Which patient(s) has the oldest claims and the highest opioid utilization?


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Comparing multiple values visually

• Displays large populations of data• Useful for seeing correlations• Fixed time period

Which patient(s) has the oldest claims and the highest opioid utilization?

Answer: Patient C


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Varying perspectives yield different stories


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Segmenting population reveals more insights

Categorization of data point within the population can lead to deeper understanding:

• Geography• Demographics• Market• Jurisdiction


Measuring Pharmacy Utilization

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Analyzing patterns to better target patients for intervention


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Common utilization patterns

Benzodiazepine Use Days Supply

Compound Use Rx Count

Concurrent Use of Benzodiazepines and Opioids Concurrent Day Supply

Concurrent Use of Benzodiazepines, Opioids and Soma Concurrent Day Supply

Concurrent Use of Buprenorphine and Opioids Concurrent Day Supply

High Dose Acetaminophen mg per Day

More Than One Opioid Type CPE Count

Multiple Opioid Prescribers Unique Prescribers

Multiple Pharmacies Unique Pharmacies

Naloxone Use Rx Count

New Start Long-Acting Opioid Rx Count

Opioid Use Days Supply

Sedative Hypnotic Use Days Supply

Skeletal Muscle Relaxant Use Days Supply

Therapeutic Duplication CPE Count

Daily Morphine Equivalent Dose Aggregate MED

Trans mucosal Immediate Release Fentanyl Days Supply

What We Measure How We Measure


Difficult to measure utilization patterns from detail


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Measuring and trending patient’s utilization


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Assigning safety risk scores to patient’s utilization


Measuring Intervention EffectivenessUnderstand the impact of clinical interventions to utilization


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Typical interventions in WC pharmacy

PharmacistPrescriber

ClaimsExaminer

InjuredWorker

• Pharmacy/Provider alerts• Utilization review• Physician consultation• Patient education• Clinical review

Email TextMessage

Letter VoiceCall

FAX


Visualizing the effect of interventions on utilization


Using safety risk score to measure intervention effectiveness


Machine Learning / AI

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Where we are and what the future holds


Machine learning & predictive analytics


Applying predictive models to utilization and safety risk scores


Wrap up

• Share data• Build a pantry• Transform data• Use visual analytics• Think big • Experiment• Become data-driven


Thank [email protected]

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NWCDC 2018 Pharmacy Analytics in Workers’ Comp...© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company. All Rights Reserved. 3 A little history… Jacquard loom Punch

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