Big data, cloud computing, and business continuity management (BCM) can help transform healthcare by enabling predictive analytics, maximizing asset utilization, and providing a foundation of availability. Healthcare data exists across the continuum of care but often in silos without interoperability. Cloud computing can help resolve physical interoperability issues, while standards help with syntactic interoperability. BCM is important for healthcare to ensure critical functions remain available. The role of these technologies is to revolutionize healthcare through increased efficiencies, better outcomes, and more personalized care.

1. The role of Big Data, BCM
& Cloud in Healthcare
Dr. Adam CHEE
Chief Advocacy Officer
25 Oct 2013
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2. Conflict of Interest Disclosure
Dr. Adam CHEE,
Dr.IndTech, FACHI, MSc, MPH (WIP), MBA (WIP), PgD MedInfo, SpD InfoSec, BCom IT, CPHIMS, CITPM,
CSSGB, CSP, MCSE,MCSA,MCDBA etc etc… does it really matter?
Faculty (Health Informatics) with IHLs (Practice-Based Researcher)
SME / Consultant / Advisor / Trainer with Health and Solution Providers, Consulting Firms
Chief Advocacy Officer of binaryHealthCare
Note: List of conferences presented & media mentions can be found at www.binaryHealthCare.com
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3. Agenda
• My topic for today is “The role of Big Data, BCM & Cloud in
Healthcare” and we will be examining;
• How the healthcare industry can leverage Big Data, Cloud and
sound BCM practices to revolutionize healthcare, from increased
efficiencies to better outcomes and more personalized care
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4. Demystifying Healthcare
• In order to ensure an effective implementation (of any
technology), it is important to understand the nature of the
industry (the nuances and contextual background)
• Ever wonder why healthcare is called a ‘Practice’?
• Ever wonder why a patient is called a ‘Patient’?
• Warning : The following explanation will expose the hard truth
about the origins of healthcare
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5. Demystifying Healthcare (cont.)
• Trial-and-Error medicine
• The cholera epidemics in England during the 1800s, which resulted
in more than 76,000 deaths, subside and stopped because John
Snow (a physician) identified the problem source (via some detective
work)
• The organism that causes cholera (Vibrio Cholera) was discovered
25 years after John Snow’s death by Robert Koch
• Trial-and-Error medicine is still being practice although it gets
better and better
• (ever heard of Clinical Trials and Evidence-Based medicine?)
• The good news is, healthcare is moving towards a patientcentered paradigm - personalized medicine
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6. Predictive Analytics in Healthcare
• Predictive Analytics
• Encompasses a variety of techniques from statistics, modeling,
machine learning, and data mining that analyze current and historical
facts to make predictions about future, or otherwise unknown, events
• Powered by Big Data
• Ongoing reforms in healthcare is slowly shifting from pay-forservice to pay-for-performance, as such, healthcare providers
are being more data-driven, gleaming insights from predictive
analytics
• Healthcare NEEDS Analytics & Big Data
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7. Data in Healthcare
Does
Where is the
healthcare
data?
have data?
Everywhere!
Absolutely!
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8. Everywhere? - Continuum of Care
• Continuum of Care
• A concept involving an integrated system of care that guides and
tracks patient over time through a comprehensive array of health
services across all levels health care.
Healthcare System (Simplistic)
PHR
EMR
Primary Care
Prevention &
Wellness
EMR
EMR
EMR
Community /
Extended
Care
Acute Care
EMR
EMR
Palliative
Care
Assisted
Living / Home
Care
Ambulatory
Care
Health Information Exchange
How about Interoperability?
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9. Interoperability Basics
• To put it briefly, there are three categories of Interoperability
• Physical Interoperability
• Medium of connectivity or the physical connections
• E.g. Wireless network or Mobile Phone network (e.g. 3G, GSM, CDMA)
• Usually take for granted
• Functional Interoperability
• Functional interoperability is syntactic in nature
• Syntax refers to the structure of a communication
• Similar to spelling and grammar rules
• Semantic Interoperability
• Semantics refers to the meaning of a
communication
• The vocabulary, dictionary or thesaurus
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10. Interoperability (cont.)
• To quote Charles Mead;
• “syntactic interoperability guarantees the exchange of the structure of
the data, but carries no assurance that the meaning will be
interpreted identically by all parties”
• Semantic Data across the Continuum of Care will enable;
• Big Data, Analytics
• Utilize these data to run Clinical Trials (using predictive analytics)
• Retrospective cohort, case-control studies
• Now back to answering the question of “where is the data”
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11. Continuum of Care vs.
Silos of Data
PHR
EMR
Primary Care
EMR
Prevention &
Wellness
EMR
Ambulatory
Care
Acute Care
EMR
Community /
Extended
Care
EMR
Assisted
Living / Home
Care
EMR
Palliative
Care
With Cloud, Physical Interoperability is resolved
With Standards (e.g. HL7), Syntactic Interoperability is resolved
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12. Business Continuity
• Business continuity is the activity performed by an organization to
ensure that critical business functions will be available to
customers, suppliers, regulators, and other entities that must
have access to those functions.
• These activities include many daily chores such as project
management, system backups, change control, and help desk.
• Business continuity is not something implemented at the time of a
disaster; Business Continuity refers to those activities performed
daily to maintain service, consistency, and recoverability.
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13. Business Continuity in Healthcare
• Hospitals are going digital;
• Not just filmless but also paperless
• Heavy reliance on technology
• Technology is expected to be
robust like our electricity grid
• As healthcare moves towards
being data-driven, availability
has taken on a new dimension
of importance
Source: HIMSS Analytics Asia Pacific
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14. Business Continuity in Healthcare
(Cont.)
• Disruption of critical business functions in healthcare is a NO-NO
• While technology cannot replace healthcare providers, the
absence of technology can seriously hinder (if not cripple) the
delivery of care
• Imagine a surgeon operating on a patient
and the electricity went out
• Or you are examining a patient when the
Electronic Medical Records is down
• Do you still prescribe tests and medication?
How about the priors?
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15. 15

16. 16

17. Source: http://www.stratus.com/
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18. Business Continuity in Healthcare
(Cont.)
• High Availability requirements of acute hospital
• 99.999 by the month (not year) for both planned and unplanned
downtime
• As a rule of thumb, if a physician has to wait for more than 3
seconds to load an image or report, than that is considered slow
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19. The role of big data,
BCM & cloud in Healthcare
Enables
Maximize
Big Data
& Analytics
Cloud
Enables
Asset
Business
Continuity
Foundation
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20. The role of big data,
BCM & cloud in Healthcare
• You folks have an important role in transforming healthcare
• Thank you and keep up the good work
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21. binaryHealthCare
Bridging the eHealth Divide
binaryHealthCare, a ‘purpose-driven’ (social enterprise) boutique consulting
firm offering training, technical and marketing strategy solutions / advisory,
specifically addressing the eHealth domains within (but not limited to) the
ASEAN region while serving to “Bridge the eHealth Divide” by empowering
stakeholders in both developed & LAMI counties on effective, sustainable
adoption of Health IT as an enabler for “better patient care at lower cost”
Thought
Leadership
Education
Consultancy
Collaboration
Content, Conferences,
Awareness Raising &
Media Engagements
Online, Onsite &
Collaboration towards
courses in eHealth
Consultancy as a
Service, SME as a
Service, Consulting
Workshops
Optimization by
eliminating replication.
Striving for a win-win
resolution for all
For further information, please contact;
Name
Dr. Adam CHEE
Email
adamchee@binaryhealthcare.com