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© 2020 Perspecta Knowledge Management Using CDS-Hooks and the Clinical Query Language as an Enabler for BPM+ March 12, 2020 1 Bo Dagnall CTO, Perspecta Shane McNamee MD CMIO, Perspecta Rob Reynolds COO, DCG Julie Scherer MD Chief Data Scientist, Motive Medical Intelligence

Transcript of Presentation title is Arial Black 28pt, three lines max › virtual-march-2020 › pdf ›...

Page 1: Presentation title is Arial Black 28pt, three lines max › virtual-march-2020 › pdf › ...2020/03/12  · Data ingestion and standardization Knowledge evaluation Transformation

© 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

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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

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Data artifacts

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Knowledge artifacts

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• Clinical Decision Support

• Quality Measures

• Medical Calculators

Knowledge services

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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

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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

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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

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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

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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 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

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Care without Boundaries