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Hl7 Analytics for IT and Clinical Insights

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Health IT has a Big Data opportunity with HL7 analytics. Learn about what is possible from Wes Wright, CIO at Seattle Children's Hospital, and Erik Giesa, SVP of Marketing and Business Development at ExtraHop.

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Hl7 Analytics for IT and Clinical Insights

  1. 1. 1 HL7 Analytics for IT and Clinical Insights Wes Wright, CIO Seattle Children’s Hospital Erik Giesa, SVP of Marketing and Business Development ExtraHop Networks
  2. 2. 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 2 CONFIDENTIAL
  3. 3. 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) 3 CONFIDENTIAL
  4. 4. 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 4 CONFIDENTIAL
  5. 5. Healthcare – It’s Kind of Complicated 5 CONFIDENTIAL
  6. 6. IT Is Always in Demand More processes dependent on IT 6 CONFIDENTIAL + 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
  7. 7. ExtraHop: Force-Multiplier for Health IT 7 CONFIDENTIAL • Correlated, cross-tier visibility • Passive analysis of wire data Results • Citrix login times cut from ~60 seconds to under 12 seconds • Dramatically reduced time spent troubleshooting IT issues
  8. 8. What’s Next: Pediatric Health Information Network 8 CONFIDENTIAL
  9. 9. What’s Next: Pediatric Health Information Network 9 CONFIDENTIAL
  10. 10. 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?) 10 CONFIDENTIAL
  11. 11. 11 What Is HL7 Analytics?
  12. 12. ExtraHop’s Wire Data Analytics Platform L2–L7 Packet Data 12 CONFIDENTIAL ExtraHop’s Real-Time UI Real-Time Stream Processor Structured Wire Data Non-Proprietary NoSQL DB • Real-time analysis of all communications between systems, including HL7 messages • Deep, rich source of IT and clinical insights
  13. 13. Structured Data Off the Wire From Raw Unstructured Data 13 CONFIDENTIAL To Structured Wire Data
  14. 14. Wire Data Provides IT and Clinical Insights 14 CONFIDENTIAL Non-Proprietary NoSQL DB 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
  15. 15. 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. 15 CONFIDENTIAL
  16. 16. HL7 Is Key to Interoperability 16 CONFIDENTIAL HL7 message with patient information 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.
  17. 17. HL7 Interface Monitoring and Mapping 17 CONFIDENTIAL 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.
  18. 18. A Better Alternative: ExtraHop Big Data Analytics 18 CONFIDENTIAL Wire Data via a SPAN or network tap Wire Data Precision Transaction Streaming Non-Proprietary NoSQL DB Other Data Sets
  19. 19. 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. 19 CONFIDENTIAL
  20. 20. Real-Time Patient Flow Real-time clinical dashboards – ADT measurements for patient flow through Emergency Department. 20 CONFIDENTIAL How are patients flowing through the ER?
  21. 21. Real-Time Patient Wait Times Real-time clinical dashboards – Measure time between registration and admission to see patient wait times across facilities. 21 CONFIDENTIAL What are the wait times in the ER?
  22. 22. As Complexity and Expectations Soar, HIGH 22 CONFIDENTIAL Available Labor Shrinks… Health IT and Analytics Gap 2005 2010 2015 2020 LOW 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
  23. 23. ExtraHop Is a Force-Multiplier for Health IT 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 2005 2010 2015 2020 HIGH LOW 23 CONFIDENTIAL 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
  24. 24. Health IT ExtraHop Healthcare Edition 24 CONFIDENTIAL HL7 Database Storage Web Network L2-L3 Citrix VDI VMware VDI Infrastructure DNS, SMTP, FTP, TCP etc. 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!
  25. 25. 25 Q&A Download a free virtual appliance or explore the interactive demo at