Utilizing the Technologies Powering Facebook, LinkedIn, Twitter and Yahoo to

Advance Clinical Practice and Research

Charles Boicey, MS, RN-BCInformatics Solutions Architect

UC Irvine Health

Health Technology Forum Kick-offJune 26, 2013

January, 2012

Saritor

Data Information Knowledge Wisdom

• A healthcare information ecosystem built on “Big Data” technologies capable of serving the needs of clinicians, operations, quality and research in real time and in one environment.

• Able to ingest all healthcare generated data both internal and external.

• Platform for advanced analytics such as early detection of sepsis & hospital acquired conditions. Prediction of potential readmissions. Complex algorithm and machine learning platform.

Big Data = Complete Data

• The Electronic Medical Record is primarily transactional taking feeds from source systems via an interface engine.

• The Enterprise Data Warehouse is a collection of data from the EMR and various source systems in the enterprise.

• In both cases decisions are made concerning data acquisition.

• Hadoop is capable of ingesting and storing healthcare data in total.

Big Data = Infrastructure

• Low Cost of Entry & Scalable– Open Source

– Commodity Hardware

• UCI Hadoop Ecosystem

– 8 nodes

– 4 terabytes

• Yahoo Hadoop Ecosystem

– 60K nodes

– 160 petabytes

• Cloud Ready

Big Data = Interoperability

• An Ecosystem that Supports

– Hadoop (HDFS)

– MongoDB (NoSQL)

– Neo 4j (Graph Database)

– Relational Data Base

– MapReduce

– JBoss Drools

– Mahout

Limits of Current Ecosystem

• The Electronic Medical Record is not up to the task of handling complex operations such as anomaly detection, machine learning, building complex algorithms or pattern set recognition.

• Enterprise Data Warehouses (EDW) suffer from a latency factor of up to 24 hours. The EDW serves clinicians, operations, quality and research retrospectively as opposed to real time.

Health Care Data Sources• Legacy Systems• All HL7 Feeds (EMR source systems)• All EMR Initiated Data • Device Data (in one minute intervals)

– Physiological Monitors– Ventilators– Smart Pumps

• Real Time Location System• Hospital Sensors• Genomic Data• Home Monitoring• Social Media

– Healthcare Organization Sentiment Analysis– Patient Engagement

Saritor Initial Functionality

• Integration with EMR to View Legacy Data

• 30 Day Readmit Prediction (UCI Centric)

• Early Sepsis Detection & Notification

• Integration with UCI Clinical Intelligence Applications

• Chronic Disease Scorecards

• Home Monitoring Analytics

• Social Media Sentiment Analysis

Saritor

PHR Centric Health

EMR

HIE

MappyHealth

Social MediaEngagement/Surveillance Dashboard

• Sentiment Analysis

• Healthcare: Patients & UCI

• Research: Exercise Physiology

• Cross Domain

The difference

between a

vision and a

hallucination

is that other people

can see the vision.

Charles Boicey

cboicey@uci.edu

@N2InformaticsRN