Embed Size (px)
Citation preview
Using CPCSSN data for predictive analytics at
point-of-care
Karim VassanjiKarim Keshavjee
Faculty/Presenter Disclosure
• Faculty: KARIM VASSANJI
• Nothing to disclose
CFPC CoI Templates
Karim VassanjiKarim Keshavjee
Are Primary Care Physicians Practicing
High Definition Medicine Using Black And White Technology?
Karim VassanjiKarim Keshavjee
The EMR landscape in primary care in Canada
Karim VassanjiKarim Keshavjee
The EMR landscape
in primary care
Designed for Record Keeping
Structured Data Unstructured Data
Some Capability for Patient Population Management
Reminders Queries
Require Clean Data
Karim VassanjiKarim Keshavjee
Can We Manage Patient Populations with EMRs?
Karim VassanjiKarim Keshavjee
Karim VassanjiKarim Keshavjee
Managing patient
populations with EMRs
Difficult and Imprecise False positives False negatives
Reminders and Queries Alert Fatigue Slows Down EMR
Dirty Data
Karim VassanjiKarim Keshavjee
Karim VassanjiKarim Keshavjee
Potential Solutions?
Karim VassanjiKarim Keshavjee
Pan Canadian Initiativ
e
Extracts EMR data from 10 different EMRs
Case finding algorithms Cleaning algorithms Statistical De-
identification
Structured database
Available for research
De-identified data
Paper reports sent to Physicians
Karim VassanjiKarim Keshavjee
EMR 1
EMR 2
EMR n
Karim VassanjiKarim Keshavjee
Could CPCSSN Bring Some Color To High Definition Primary Care Medicine?
Karim VassanjiKarim Keshavjee
Patient Encounters Providers
Vitals Health Card
Meds Labs Proc Referrals Allergies Vaccines
Current CPCSSN dataset
structure needs to be
transformed to support advanced
analytics
Karim VassanjiKarim Keshavjee
The transformation…
Karim VassanjiKarim Keshavjee
Data Transformation
CPCSSNAnalytics Database
Karim VassanjiKarim Keshavjee
Predictive Analytics 101
Karim VassanjiKarim Keshavjee
Regression Models Linear Regression Logistic Regression Multinomial Logistic
Regression Time Series Models Survival Analysis Multivariate Adaptive
Regression Splines Machine Learning Neural Networks Radial Basis Functions Support Vector Machines
Angoss Knowledge Studio Predixion KXEN Modeler TIBCO Spotfire SAS SPSS
CPCSSNAnalytics Database
Karim VassanjiKarim Keshavjee
The sequence…
Karim VassanjiKarim Keshavjee
Identify patient profiles which need urgent
attention
Develop custom programs
to address issues
Predictive Analytics Tools
• Drivers of cost• High risk for readmission• Multiple co-morbidities • ...
CPCSSNAnalytics Database
1st STEP
Karim VassanjiKarim Keshavjee
Identify clinics which can benefit
from custom programs
Submit programs
and eligibility criteria to clinics
CPCSSNAnalytics Database
2nd STEP
Karim VassanjiKarim Keshavjee
Re-identify CPCSSN
dataset to their EMR equivalent
Identify patients who are eligible
for programs
Provide clinics
with their portion of the CPCSSN dataset
CPCSSNAnalytics Database
3rd STEP
Develop and
implement action plans
Karim VassanjiKarim Keshavjee
Karim VassanjiKarim Keshavjee
CPCSSNAnalytics Database
Karim VassanjiKarim Keshavjee
One size fits all?!
Karim VassanjiKarim Keshavjee
