InterConnect IBM Watson Health and IBM Integration: Transforming the Healthcare and Life Sciences Industries

Transcription

1 IBM Watson Health and IBM Integration: Transforming the Healthcare and Life Sciences Industries InterConnect 2017 Christopher Keller Executive IT Architect Watson Health Elaina Mickelburgh Offering Manager Hybrid Integration 1 3/14/17

2 Please note IBM s statements regarding its plans, directions, and intent are subject to change or withdrawal without notice at IBM s sole discretion. Information regarding potential future products is intended to outline our general product direction and it should not be relied on in making a purchasing decision. The information mentioned regarding potential future products is not a commitment, promise, or legal obligation to deliver any material, code or functionality. Information about potential future products may not be incorporated into any contract. Performance is based on measurements and projections using standard IBM benchmarks in a controlled environment. The actual throughput or performance that any user will experience will vary depending upon many factors, including considerations such as the amount of multiprogramming in the user s job stream, the I/O configuration, the storage configuration, and the workload processed. Therefore, no assurance can be given that an individual user will achieve results similar to those stated here. The development, release, and timing of any future features or functionality described for our products remains at our sole discretion. 2 3/14/17

3 Over 2.5 quintillion bytes of data are created every day and The average person is projected to generate more than 1 million gigabytes of health-related data in Source: IBM his or her lifetime. 3 3/14/17

4 Almost two-thirds of practicing nurses say they use mobile devices, social media and online references for professional purposes Source: Wolters Kluwer Health survey analysis 4 3/14/17

5 Nearly 25 percent of adults use mhealth apps and fitness tracking devices, and Source: Technology Advice survey of more than 900 adults 5 3/14/17

6 Only 100 of the approximately 100,000 mhealth apps available (.1%) are FDA approved Source: New England Journal of Medicine 6 3/14/17

7 Data is a two-way street What is Interoperability? Interoperability describes the extent to which systems and devices can exchange data, and interpret that shared data. Interoperability means the ability of health information systems to work together within and across organizational boundaries in order to advance the effective delivery of healthcare for individuals and communities. There are three levels of health information technology interoperability: Integration between the senders and users of data is key 1) Foundational 2) Structural 3) Semantic 7 3/14/17

8 Using the data begins with the power of Watson Understands, reasons, learns and interacts Extracts and derives meaning from structured and unstructured content at scale Provides analyses across vast arrays of criteria to transform decision-making Dynamically updates hypotheses based on variable chains of evidence Harnesses entire bodies of knowledge 8 3/14/17

9 Expectations for better quality, value and outcomes Transformation is finally happening, driven by fundamental shifts in expectations and critical drivers. Escalating incidence and cost of chronic disease Changing demographics and lifestyles Globalization of healthcare Critical resource shortages Increased competition and new entrants Advances in technologies and treatments 9

10 Focused. Coordinated. Integrated. Healthcare is moving to a system focused on value, coordinated around the individual and integrated into our communities. Focus is on value, coordinated around the individual and integrated into communities Emphasis is on proactive care to meet health needs Payment is based upon value and outcomes Care is standardized according to evidence-based guidelines We measure quality and make rapid changes to improve it Knowledge is translated into practice quickly Worker Understand Specialists and influence Medications Pallative their Care/ populations Hospice Rehabilitatio n Housing Quality Home Care measurement and performance reporting Evidence-based and standardized care planning Social Transportation Primary Care Funding and Payment Case Manager Data and Information Intensivist Dietician Behavioural Health Family Physical Therapist Caregivers Community Coordination across boundaries -- share care, accountability and risk Individual engagement and empowerment

11 Redefining value and success To redefine value and success in healthcare, organizations are working to: Builds sustainable healthcare systems Collaborate to improve care and outcomes Increase access to healthcare 11

12 The need for efficient integration From: Patient Bed System Infant Security System Digital Wayfinding system BioMed systems Digital Pagers Radio Systems Point to point data connectivity TV Control VoIP Interface Personal Communicator Islands of data and capability Partial use of interface engine Poor visibility of issues Medical Equipment Medical Equipment Alarm Nursing Call system CATV Interface Electronic Medical Record Device Network Interface Tracking System Facility Automation System Emergency Generator Fire Alarm System Lighting Control Time Keeping System Security Access Control IP CCTV Diagnostic Imaging Bar-coding devices Smart Room Systems Wireless Pervasive devices RFID system Registration Kiosks Non-Clinical Equipment Alarm System Hospital Gas Alarm LIS RIS Pharmacy 12 3/14/17

13 The need for efficient integration To: Integrated approach using a common platform Maintain use of best of breed applications Info Process Interaction No platform tie in add new vendor apps as needed IBM Integration Single point of control and consistency Unlock the potential of analytics, mobile, etc. Ease of exposing back-end information as APIs Partner App Systems of Record Access Use of cloud-based resources to expand the availability and usage of healthcare data 13 3/14/17

14 is amplified by Watson Health Industry leading capabilities: Performance Improvement Risk Navigation, Care Management, Social Program Management, Imaging, Clinical Trial Management, Health Analytics One of the world s largest and most diverse health data repositories, leveraged in HIPAAenabled and GXP-enabled cloud offerings A global team of experienced professionals, bringing decades of knowledge in healthcare, life sciences, benefits, policy, social programs, and health economics The global capacity, scale, trustworthiness, and commitment of IBM 14 3/14/17

15 Info Process Interaction IBM Integration IBM Integration and the Partner App Access Watson Platform for Health 15 3/14/17

16 Hybrid is the future of Integration A cohesive & modular offering for any integration need Data Apps APIs TH GS IN Connect Seamlessly Hundreds of end points to apps and data in the cloud and on premise Develop Rapidly Intuitive and robust tooling to transform data to meet business needs HYBRID INTEGRATION CONNECT XFORM DELIVER COMPOSE EXPOSE API MANAGEMENT SECURE GATEWAY INTEGRATION ENGINE MESSAGE & EVENT HUB Scale Efficiently Performance and scalability to meet the SLAs of your business applications CREATE - OPERATE - MANAGE - On-Premise SaaS MONITOR - GOVERN PaaS 16 3/14/17

17 Integration needs are becoming more pervasive Automator Integrator Developer LoB Professional Data Scientist Biz/System Analyst Shadow Integrator ETL Architect Integration Specialist API Developer Full Stack Developer Front End Developer Event-driven and Data-prep tooling Graphical flow editors & configuration API driven coding and orchestration 17 3/14/17

18 Cloud Deploy on Bluemix, AWS, Azure, Google Rental pricing PureApp (Bluemix Local System) IIB Patterns CHEF scripts IIB on Cloud Offering Callable flows Digital Transformation RESTful Services Push to API Connect SaaS Java Script APIs Patterns for rapid mobile integration MQTT Connector Open and Available Free Developer Edition Integration Community Connector Framework GitHub Repository Productive & Intuitive Record and Replay Web administration Built-in unit testing Patterns and tutorials Business Transaction Monitoring 18 3/14/17 Analytics Analyze data in real-time Embedded ODM Analytics engine integration Enterprise Grade and Lean Zero pre-reqs Radically simplified packaging and installation, install in under 10 mins Market leading performance MQ Flexibility

19 What is IBM Healthcare Integration? Time saving patterns Ø Rapidly create integrations between clinical and enterprise systems, customize patterns and re-use across your enterprise Healthcare-oriented operational views Ø Single point of visibility and control of clinical applications Support for Healthcare standards and messaging formats Ø HL7 v2.x, DICOM, IHE, HIPAA X12, CDA/CCD, HL7 FHIR Connectivity to bedside Medical Devices Connectivity beyond the hospital walls Ø Build Remote Patient Monitoring and Assisted Living solutions Ø Health Information Exchange connectivity (IHE Profile support) Patient and provider identity resolution Ø Embedded connectivity to IBM EMPI (Patient Hub, Provider Hub Initiate MDM) Compliance in a regulated world Ø Support for creation and parsing of HIPAA claims messages Ø Support for IHE ATNA profile (Audit Trail & Node Authentication) 19 3/14/17

20 What is the Watson Platform for Health? Helps accelerate product innovation by leveraging cloud computing, big data and the power of cognitive insights. Removes the complexityof integrating health data through a HIPAA-enabled data platform. Enables life sciences companies to develop unique solutions using mobile and smart healthiot. Providesend-to-end security that helps organizations manage risk, while they focus on competitive advantage and efficiency. Watson Platform for Health a key building blockto unlockinsights from data

21 The Watson Platform for Health and IBM Integration 21 3/14/17

22 The Watson Platform for Health and IBM Integration F i re wa l l Collect Data Integration (Data Usage and Exchange) Watson Platform for Health Analyze Normalize and Curate Data Scientist Application (Consumer) Big Data Lake (raw data) Track Consent Govern Mask Identities Data Reservoir Adhere

23 Cognitive Solutions and FHIR Making them work together 23 3/14/17

24 Why Cognitive? Cognitive systems will forever change the way people interact with computing systems to help people extend their expertise across any domain of knowledge and make complex decisions involving extraordinary volumes of fast moving Big Data. Cognitive systems uses technologies like natural language processing and machine learning to enable people and machines to interact more naturally to extend and magnify human expertise and cognition. These systems will learn and interact to provide expert assistance to scientists, engineers, lawyers, and other professionals in a fraction of the time it now takes.

25 Why Watson Health as a cognitive solution? Watson Health can help doctors narrow down the options and pick the best treatments for their patients. While the doctor still does most of the thinking, Watson is there to make sense of the data and help make the process faster and more accurate. Watson for Oncology has an advanced ability to analyze the meaning and context of structured and unstructured data in clinical notes and reports, easily assimilating key patient information written in plain English that may be critical to selecting a treatment pathway. By combining attributes from the patient s file with clinical expertise, external research, and data, Watson Health solutions can identify potential treatment plans for a patient. This means doctors can consider the treatment options provided by Watson when making decisions for individual patients.

26 What is FHIR and why do we need it? What FHIR: Fast Health Interoperability Resources Focus: On API-related standards Broader community of mobile app and PHR developers There has been a need to share healthcare information electronically for a long time Increasing pressure to share data wider Across organizations, disciplines, even borders Mobile and cloud-based applications And faster integration in days or weeks, not months or years 26 3/14/17 Why HL7v2/v3/CDA cannot meet the needs of a cloudbased world Nothing suitable for light-weight integration, or for Health 2.0 : Ø V2 is old and limited by it s own rules Ø V3 is too slow and too hard Ø CDA has had the most success, but is both limited and still too hard Should we throw away those standards? Nope They are still useful and still supported They provide the foundation for FHIR FHIR s focus is on building API-related standards and the broader community of mobile app and Personal Health Record developers

27 Info Process Interaction IBM Integration IBM Integration and the Partner App Access Watson Platform for Health Futures 27 3/14/17

28 Where are we heading next with IBM Healthcare Integration and Watson Health? Updates to be made to the IIB Healthcare pack: 1) Bring in line with the latest FHIR standards - Updated to STU2 at a minimum - Rich FHIR resource model 2) Introduce functionality that facilitates the transformation and routing of FHIR data. New patterns to include: - Transformation from HL7 v2 and CSV to FHIR - Transformation from FHIR to HL7 v2 and CSV 3) FHIR-based APIs providing interconnectivity between Watson Health and EMRs 28 3/14/17

29 InterConnect 2017 Thank you for listening. Any questions? 29 3/14/17

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