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© 2020 Perspecta
Knowledge Management Using CDS-Hooks and the Clinical Query Language as an Enabler for BPM+ March 12, 2020
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Bo Dagnall CTO, Perspecta Shane McNamee MD CMIO, Perspecta
Rob Reynolds COO, DCG Julie Scherer MD Chief Data Scientist, Motive Medical Intelligence
Problem
Care with Boundaries
True patient centered care is obstructed by a litany of IT boundaries that markedly increase cost and complexity to achieve to achieving health and well being goals.
Facts:
It takes 17 years for best practices to spread across healthcare workflows
Over the past 4 decades we have seen a 31X increase in U.S. per capita healthcare costs.
Medical knowledge doubles every 73 days
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Solution
• Standards driven, Open IT movement to build a Public Health Utility to rationalize our healthIT ecosystem
• Significantly reduce the time for clinical decision support and knowledge to be integrated into the workflow
• Identify high risk patients from cohorts early, intervene early
• Knowledge without Boundaries standardized data artifacts standardized knowledge artifacts standardized knowledge services
Care without Boundaries
Standards are driving the next great disruption in healthcare
Data artifacts
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Knowledge artifacts
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• Clinical Decision Support
• Quality Measures
• Medical Calculators
Knowledge services
Core Platform
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Presenting Clinical Guidance
Standardized Data Artifacts
Claims
Registries
EHR
Analytics
Device
Standardized Knowledge Artifacts
Research
Guidelines
Case Studies
Clinical Trials
Presentation
Perspecta Knowledge Manager Knowledge
Surveillance
Medal Knowledge Services
Motive Knowledge Services DCG
Quality Measures
Microsoft ML Models
Standardized Knowledge evaluation
Guidance Knowledge
Data
Demo Knowledge Engineering, Publication and Dynamic Discovery
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Core Platform
Services Ecosystem
Data ingestion and standardization
Knowledge evaluation
Transformation Services
Terminology Services
Identity Management
Services
Unstructured Data / NLP Services
HealthConcourse Demo Environment
NiFi & Kafka
Data Retrieval
Orchestration
Provenance
Auditing
Error Mmgt
RedHat PAM
Automation
Workflow RedHat 3Scale
Secure APIs
Business process automation
Data Validation Services
Data Labeling and Metadata
Services
Deduplication Services
Record Linking Services
Privacy and Consent Services
Access Control Services
Secure data and knowledge syndication
Perspecta Knowledge Manager Knowledge
Surveillance SmileCDR FHIR Server Persistence
Query Mngt
MDMI SmileCDR cTakes HL7 FHIR Validator
Wolters Kluwer
HLI UMLS
Amida Dedup Service
IMO Precision Summary
Perspecta Consent OAuth
Wolters Kluwer
HLI
Logica Sandbox
Allscripts
Cerner Millennium
VistA
HealthShare
VistA
Medal Knowledge Services
Motive Knowledge Services DCG
Quality Measures
Microsoft ML Models
Trisotech BPM+
Modeler
MDIX Model Prep
CKD BPM+ Model
Diabetes BPM+ Model
Patient Viewer
CareNexus
MSFT ML Dashboard
PRA Clinical6
Chronic Kidney Disease – ePocket card BPM+ Health, FHIR and CDS Hook automation
10 VA/DoD CKD Pocketcard: https://www.healthquality.va.gov/guidelines/CD/ckd/VADoDCKDPocketCard.pdf
Human Readable Human and Machine Readable
Operationalization: Binding Decision Nodes to Knowledge Services
11 VA/DoD CKD Pocketcard: https://www.healthquality.va.gov/guidelines/CD/ckd/VADoDCKDPocketCard.pdf
Key decisions in the model
Bound to knowledge services brokered through HealthConcourse
Core Platform
Services Ecosystem
Data ingestion and standardization
Knowledge evaluation
Transformation Services
Terminology Services
Identity Management
Services
Unstructured Data / NLP Services
HealthConcourse Partner Coalition
NiFi & Kafka
Data Retrieval
Orchestration
Provenance
Auditing
Error Mmgt
RedHat PAM
Automation
Workflow RedHat 3Scale
Secure APIs
Business process automation
Data Validation Services
Data Labeling and Metadata
Services
Deduplication Services
Record Linking Services
Privacy and Consent Services
Access Control Services
Secure data and knowledge delivery
Perspecta Knowledge Manager Knowledge
Surveillance SmileCDR FHIR Server Persistence
Query Mngt
MDMI SmileCDR cTakes HL7 FHIR Validator
Wolters Kluwer
HLI UMLS
Amida Dedup Service
IMO Precision Summary
Perspecta Consent OAuth
Wolters Kluwer
HLI
Logica Sandbox
Allscripts
Cerner Millennium
VistA
HealthShare
VistA
Medal Knowledge Services
Motive Knowledge Services DCG
Quality Measures
Microsoft ML Models
Trisotech BPM+
Modeler
MDIX Model Prep
CKD BPM+ Model
Diabetes BPM+ Model
Patient Viewer
CareNexus
MSFT ML Dashboard
PRA Clinical6
Care without Boundaries