#1NSH Health Analytics Platform and Analytics Roadmap Update From 'loudest voice' to 'smartest choice'#2nova scotia health authority Please be advised that we are currently in a controlled vendor environment for the One Person One Record project. Please refrain from questions or discussion. related to the One Person One Record project. 2#3nova scotia health authority Informatics... "Utilizes health information and health care technology to enable patients to receive best treatment and best outcome possible." 3#4nova scotia health authority Clinical Informatics... "is the application of informatics and information technology to deliver health care. " AMIA. (2017, January 13). Retrieved from https://www.amia.org/applications-infomatics/clinical-informatics 4#5Analytics... "is the discovery, interpretation, and communication of meaningful patterns in data." "relies on the simultaneous application of analysis, statistics, computer programming and operations research to quantify performance." nova scotia health authority 50#6nova scotia health authority Objectives At the conclusion of this activity, participants will be able to... Identify what knowledge and skills health care providers will need to use information now and in the future. Prepare health care providers by introducing them to concepts and local experiences in Informatics. Acquire knowledge to remain current with new trends, terminology, studies, data and breaking news. Cooperate with a network of colleagues establishing connections and leaders that will provide assistance and advice for business issues, as well as for best- practice and knowledge sharing. CO 6#7nova scotia health authority Conflict of Interest Declaration I do not have an affiliation (financial or otherwise) with a pharmaceutical, medical device, health care informatics organization, or other for-profit funder of this program. 7#8Session Objectives The specific objectives of this session are to provide and update on the progress of the NS Health Analytics Roadmap and the implementation of the NS Health Analytics Visualization Platform 01 02 2 Analytics Roadmap Primer Journey of the platform from Pilot to Production 03 Content Governance nova scotia health authority 04 What's next? 8#9nova scotia health authority What Data Do You Need and, Do You Need All That Data? Source 9#10nova scotia health authority Objective of Analytics From Data to Insight Data Data in different forms and formats held in disparate system across NSH clinical and corporate domains Insight Data joined together to create metrics and insights for ongoing monitoring and improvement 10#114 H◎ Data as a Utility We need to change how we think of data to grow analytics in Nova Scotia Utility vs. Luxury We tend to treat data as a luxury, we lock it away so that only approved people can access it. We should treat data like water. Life can't exist without it. We all need it. We wouldn't go anywhere without it. This is how we want our organization to think of data.#12nova scotia health authority Scratching the surface Decision-Making Enterprise Analytics The process of distilling and disseminating the best available evidence from research, practice and experience and using that evidence to inform and improve health policy and practice. An organizational approach and standardized toolkit for reporting and advanced analytics, including machine learning. 12 12#13Where are we going? Integrated Analytical Strategy Population Health Demographics, epidemiology, determinants of health Clinical/Research Outcomes, diagnosis, investigations, clinical decision support Financial Cost and efficiency of services from the system to patient level nova scotia health authority 5 $ SA Data Warehouse/ Analytics Workload/Utilization Patients where, when, what, and how much Workforce Clinicians where, when, what and how much Quality & Patient Safety Quality improvement, patient safety, satisfaction, outcomes 13#14Building Harmonized 'Essential Datasets' Example: Emergency Department Encounters nova scotia health authority EDIS STAR Meditech C/S Data Warehouse/ Analytics 14#15Bi-Modal Analytics/Data Management Bimodal is the practice of managing two separate, coherent modes of analytics delivery: one focused on stability and the other on agility. f Linked 84% 24% 3% +ableau Agility for Analytics python Exploratory, experimenting to solve new problems and optimized for areas of uncertainty. These initiatives often begin with a hypothesis that is tested and adapted during a process involving short iterations + Stability for Data Management and Reporting Optimized for areas that are more predictable and well-understood. It focuses on exploiting what is known, while renovating the legacy environment into a state that is fit for a digital world.#16NS Health Analytics Visualization Platform COVID-19 Daily Monitoring Dashboard - Our Steven Carrigan Midified Jun 4.2020 11:10 PM Views 13 Data Sources 10 Subscriptions a Select All 103 COVID-19 Daily 153 Data at your fingertips Sod by Sheet (First-Last) COVID-19 Primary 1523 811 Call Volumes Emergency Dep NSH Finance Experience Implementing sharing of the current NSH financial situation with Senior Leaders in dynamic reporting tools. Snapshot COVID-19 Burden 811 Primary Assessment Clinics COVID-19 Lab 1923 Lab - ICU Inpatient Ut 193 Inpatient Ut ICU (Measures) ICU Capacity Inpatient (Site) Inpatient (Unit) Inpatient Capacity Emergency Department *--- ICU Uta FR13 COVID-19 Inpa -* Inpatient (COVID Beds) Performance and Analytics Experience Focused on building content to support understanding of system utilization by program/service and zones/site/units/services. IM/IT Business Intelligence Experience Focused on implementing and administering the server environment to ensure content is secure and available#17NS Health Analytics Visualization Platform Journey January 2019 Piloting Visualization tools in NSH Review of Visualization tools, engagement and pilot with Tableau, proof of concepts with PA and Finance reporting August 2019 Implement Pilot Tableau Server Focus on provision of financial reporting to Senior Leadership, testing interactive PA dashboards in server environment, evaluating as infrastructure to support analytics and visualization platform#18March 2020 Rapid Expansion of Pilot to support COVID-19 Response and Monitoring Expansion from 100 to 250 viewers, focused on COVID-19 Response leaders and IMT teams, rapid development of content from a systems lens, incorporating IWK and DHW data and viewers September 2020 Launch of NS Health Analytics Visualization Platform Production implementation of Tableau Server in collaboration with NSDS, IMIT, Finance, PA, with support and governance model, integration of DHW viewers, expansion of access to 550 viewers, expansion of content from a finance, workforce and utilization and outcomes perspective. $#19Analytics Roadmap Benefits Realization Case Study - Merged Emergency Program Dataset One week to produce Emergency Program Dashboards Monthly Past State Extracting record level data from three source clinical information system in three different formats, running data through three separate calculator processes to generate aggregate monthly data, manually copy and paste aggregate stats into two separate reporting tools, validate totals, push to end users VS 5 minutes to produce Emergency Program Dashboards at any time Current State Run record level or aggregated data from the single merged dataset, load once into single reporting tool, validate, push to end users#20Visualization Platform - Governance Enrichment & Preparation Data Security Data Quality Data Source Management Content Management Authorization Data Content Metadata Management Monitoring & Management Content Utilization Content Validation Content Promotion Content Certification#21Visualization Platform - Content Governance Content Management Content Promotion How content is organized. ☐ ☐ How is content moved from a development area to a trusted production area. Authorization How users authenticate and are granted permission to content. Content Validation What methods are used to validate content. nova scotia health authority ☐ ☐ ☐ Content Certification What criteria are used to 'certify' content. Content Utilization How usage data are combined with user feedback to enhance content. 21#22Analytics Roadmap Next Steps The steps we will take this year to move down the road Education & Competencies Build analytics skill set within the teams through education and learning opportunities. Analytics Platform Continue make strategic investment in visualizations and advanced analytics capabilities Strengthen Relationships Build connection with system partners, NSDS, DHW, research community nova scotia health authority ODD TOP eDW Continue make strategic investment in data infrastructure/foundation Data Discovery and Fluency Support the teams and programs/networks/zones to start looking at data in new ways Build data fluency in the organization 22#23.000 Evolve our analytics strategy and workforce to meet health system needs Moving as an Enterprise 12 Strategic investment in infrastructure, visualization and analytics software Shift 'data-related' activities to appropriate teams Progressing through the maturity model in each of the five components of analytics. Investing in the workforce and systems to support the model Move from spread mart to an integrated Enterprise Data Warehouse nova scotia health authority →> OPOR - Operational readiness to prepare, consistent business processes Enterprise Adoption of Analytics 23#24THANK YOU Question?