This is the presentation of Dr. Nipit Piravej at the 2012 Healthcare IT summit in Singapore.

1. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
EMR Data Usage for Improving Health Outcomes
Dr.Nipit Piravej
Chief Corporate Officer,
Bangkok Chain Hospital, Thailand
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

2. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
OUTLINE
Clinical Analytics…Tech is Ready, Are We Ready ???
Effective Management + Meaningful Use of Clinical BIG DATA
Requires…Right System-Process-Platform…
Make It a Key Part of Healthcare Reform Agenda…
1. Game Changing Factors
2. Current Gaps
3. The New Model
4. Key Enablers…
Informatics + Analytics
5. Driving Development
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

3. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
GAME CHANGING FACTORS
Healthcare Sector under Enormous Pressure…
1. Rising Consumer Power…Serving Gen “ME”
Customization, Customerization, Personalization
Across Health-Care & Life-Workstyle Continuum…
2. Rising Policy Demand…Delivering Ultimate Health Outcomes
Accountable, Affordable, Value-based Model
Keep People Healthy-Happy, Reduce Acute Care & Hospitalization…
3. Rising Quality Expectation…Zero Defect Care & Servicing
Ultra-micro Standards, High Reliability Model
Real Time, Ubiquitous Data-Info-Knowledge-Based Care & Processing
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

4. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
CURRENT GAPS
Healthcare Sector under Great Constraints…
Mainstream Healthcare Trapped in Traditional Model…
1. Physician Directed (Labor Intensive)
Specialty-based Fragmented Assessment-Decision-Care-Interaction
2. Institution Centric
Complex-Departmentalized, Limited Access, Hi-costs
3. Acute Care Focused + Case-based
Passive-Reactive, Resource Intensive, Short-term Oriented
Prone to be Hi-costs BUT Lo-outcomes + Poor Satisfactions
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

5. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
CURRENT GAPS
Hi-costs BUT Lo-outcomes…
Case-1 : Male 26 Yr…
Right Wrist Pain 5 Mo
Dx : De Quervain
Treatment Course
Multi-course NSAID (Cox-2 Inhibitor),
Steroid Injection, PT…Not Improved
After 15 OP Visits over 4 Mo
Final Advice…Surgery/Change Job
Non-Medical Factors…Become Key Determinants
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

6. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
CURRENT GAPS
Hi-costs BUT Lo-outcomes…
Case-2 : Girl 3 Yr…
Cough, Dyspnea, Fever 2 D
Acute Bronchitis
Admitted for IP Treatments
Past History
Last 6 Mo, 4 OP + 3 IP Similar Dx
Progress
Next 3 Mo, 2 OP + 1 IP for Same Dx
Non-Medical Factors…Become Key Determinants
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

7. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
CURRENT GAPS
Hi-costs BUT Lo-outcomes…
Case-3 : Health Ins Claims Experience
Insured with > 12 OP Visits/Yr
= 12 % of Insured Population,
Consumed > 45 % of Total OP Claims…
Almost All…Diagnosed as “URI”
Main Treatments…
Analgesics, Antibiotics, Anti-histamine
Case-based + Population-based Mgt…
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

8. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
THE NEW MODEL
Coping with New Health Challenges Require Paradigm Shift...
“The 3rd Pillar”
Access
Good Health Affordable Cost
Bridging the Gap
Primary Prevention
Public Health
Population-based
Paradigm
Acute Curative
Paradigm
Med-Health
Case-based
Medical
Management
Health & Care
Continuum
Case-Population
Bridging the Gap
Bio-Medical-Health-Behavioral-Social-Econ
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

9. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
THE NEW MODEL
New Model…New Player : Health “Manager” or “Integrator”
New Approach…Systematic Management…
Info-Evidence-Knowledge-Based Decisions & Actions
Mainstream Delivery System
Personal Care Primary Care Secondary Care Tertiary Care
Multi-Modality Multi-Disciplinary
Promotive Preventive Curative Rehabilitative
Others Others
Med-Health Management
Case Mgr, Dz Mgr, Health Mgr
Integrate, Manage, Engage, Coordinate, Facilitate, Interoperate
Patient & Population
Healthy Risky ACUTE Chronic Complicated End-of-Life
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

10. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
THE NEW MODEL
Medical & Health Management Value Model…
Comprehensive Profiling…Med-Fin-Personal-Social Factors
ASSESS
Multi-disciplinary PE, Lab, Imaging…
Retro-Concurrent-Prospective Analytics
PREDICT
Hindsight, Insight, Foresight…
Primary-Secondary-Tertiary Prevention
PREVENT From Passive-Reactive to Proactive-Pre-emptive…
Info-Evidence-Knowledge-based Decisions-Actions
INTERVENE
Comprehensive…Med-Fin-Personal-Social Outcomes
Continuing Profiling; Engagement & Supports…
ENHANCE
Joint Actions to Improve Health & Well-being
Target Individual (personalized care) vs. Target Population (health mgt)
From Acute-Chronic to Wellness Care
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

11. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
KEY ENABLERS
1. EMR-EHR…
Relevant Providers + Stakeholders (Payers-Employers)
Multidisciplinary Standardized & Structured Clinical Data
Transaction + Interaction Data (Cumulative, Medical + Non-medical)
2. PHR…
Individual Self-reported Data Portal & Connectivity (Life-Workstyle Info)
3. Real-time Health-Med Risk Analytics…
Info-Evidence-Knowledge-based Hindsight, Insight, Foresight
Support Day-to-Day Preventive-Acute-Long-term Care Actions
Strategic Service Planning of Target Individual-Group-Population
4. Health ICT Platform…
Integrate, Communicate, Engage, Interoperate
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

12. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
KEY ENABLERS
Analytic Techniques…
Std Reports
Ad hoc Reports
OLAP
Alerts-Reminders
Statistical Analysis
Forecast-Predict
Optimization
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

13. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
DRIVING DEVELOPMENT
Establish System-Team-Process…
CEO
Business Op Hospitality Op Medical Op
CNO CMO
Med-Affairs
Med-Mgt
Med-Services
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

14. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
CONCLUSION
1. Healthcare Systems are Under Increasing Pressure to Improve
Performance & be More Accountable
2. With Rapid Adoption of EMR-EHR in Recent Years, Hospitals Start to
Capture Increasingly Large Amount Electronic Clinical Data…
3. Big Clinical Data Provide Both Opportunity & Liability…
4. Effective Management & Meaningful Use of Big Clinical Data Requires a
Proper System-Process-Platform for Knowledge Deployment,
NOT Just Analytic Tools…
5. Medical & Health Management Based on Info-Knowledge-Rich Value Model
of “Assess-Predict-Prevent-Intervene-Enhance” to Improve Health Outcomes
at Both Individual & Population Levels is an Good Framework to Unleash the
Potential of the Coming Big Clinical Data Environment
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com

15. Clinical Analytics for Improving Health Outcomes, HIT-Summit SG 15-03-12
EMR Data Usage for Improving Health Outcomes
THANK YOU
Dr.Nipit Piravej
Chief Corporate Officer,
Bangkok Chain Hospital, Thailand
Dr.Nipit Piravej, CCO-BCH; drnipit@gmail.com