Source: https://infocus.emc.com/william_schmarzo/thoughts-on-the-strata-rx-healthcare-conference/

– Data related to healthcare stored in separate but linkable datasets: physician claims, hospitalizations, drug utilization, emergency department visits, etc

– Stores many of Ontario’s healthcare administrative databases for research purposes: databases for all 13 million residents since 1992 are linked

EVERY study type has

strengths and limitations

Data GeneratorAnd User

Data Analyzer

Government Research Community

1. ‘My’ questions2. Answers NOW3. ‘Simple’ metrics

/ low complexity4. Need to make

decisions!

1. ‘My’ questions2. Maybe next year3. Simple is

boring…4. Need to publish

and get grants

9

Original ODPRN Structure

Rapid

Response

Unit (RRU)

Core

Academic

Unit (CAU)

ODPRN

Ontario Public

Drug Programs

(OPDP)

Ontario MOHLTC

10

Original ODPRN Structure

Rapid

Response

Unit (RRU)

Core

Academic

Unit (CAU)

Ontario Public

Drug Programs

(OPDP)

Policy-driven

Projects

Drug Utilization, Costs

Adherence

Drug Safety

Academic

Projects

Cost Effectiveness

Drug Safety

Drug Interactions

Data Extraction and Analysis Algorithms Example

Some Uses of Data:1. Understanding patient

outcomes and processes of care

2. Benchmarking3. Quality improvement4. Costing and budgeting5. ‘Predictive Analytics’6. Improving clinical

management

SMH – Current State of Data Flows / Information

28

Other

Possible

Data

sources:

Incident

reporting,

quality

reports,

patient

satisfaction

surveys?

Overall:

Multiple

sources

in/out, no

common

data

structure,

no single

source of

truth

Provincial

/ National

Data

Assets

Regional

Data

Assets

SMH

Local

Data

Assets

Clinical CareResearch / LKS

Knowledge InstituteEducation

Support/

Administrative

Soarian

Embedded

Analytics

Soarian

Clinicals /

Siemens

Pharmacy

Multitude of

Other Clinical

Systems, e.g.,

ADT, EDIS,

SoftLab,

Syngo,

SoftMed

ConnectingGTA

Clinical Data

Repository

OLIS – On-Line

Laboratory

Information

System

Other Standalone

Worksheets,

Access or SQL

DB, e.g,

Neurosurgery

Trauma,

SCC BELOS,

Patient Flow,

NRC Picker Pt

Satisfaction,

Site

Comparatives

Lawson/Infor

Financials/HR/

Payroll, e.g.,

Lab A/R Billing

Workforce

Mgmt

Avega Alliance

for Decision

Support (ADS) /

OCCI

Case

Costing DB

Avega Data

Warehouse

Query

Tool

Resource

Matching &

Referral

IDS – Toronto

LHIN / HHS

Integrated

Decision Support

MOHLTC

Intellihealth

Portal

Cancer Care

Ontario

Wait Times

CIHI

Database –

Including NACRS,

DAD and OMHRS

Existing Smart

Stream

Financial

System, e.g.,

Lab A/R Billing

Other Standalone

Worksheets,

Access or SQL

DB

DRAFT – FOR DISCUSSION

ONLY

Student

Registration

System

Hospital Diagnostic

Imaging Repository

Services

HDIRS

Multiple sources -

individual databases

per research project

Research would want to be

an enterprise data “user”

Manual Data Entry

HRM A/R

Sovera

Document

Repository

HOBIC

(ICES)

MOHLTC

Health Data

Branch

Case Costing

Note: Research would not likely

be an data “contributor” data

to a larger enterprise data

warehouse concept given:

- individual specific nature of

study not of use outside specific

research question

- potential inclusion of non-SMH

data which could not be

accessed outside of research

study

-Research Ethics Board limits

on use of data

A

A

A

A

A

A

Potential Future Flow

Current Flow

Lawson BI

and

Healthcare

Analytics

Routine ReportsManager-level

Access

Push-Button

Reporting

Basic Drill-Down

Data Exploration

End-User

Needs

Custom ReportsScientist & Analyst

Access

Advanced Analysis

and Statistics

Action

Data Warehouse

Routine AnalyticsAutomated Routine Reports

Basic Ad-Hoc Data Analysis

Examples of Software: Tableau,

Cognos, WebFocus

CHART: Advanced AnalyticsRaw Data Access through R or SAS

Machine Learning / Biostats /

Simulation Modeling

Examples of Software: SAS, R,

MATLAB, VFML

SMH Data and Analytics: Future Visioning

Joint Initiative Between SMH IT and Research

Business

Intelligence Tools

Expertise in

Epidemiology,

Machine Learning,

Simulation Modeling

/ Operations

Research,

‘Traditional’

Biostatistics,

Financial Analytics

CHART

Management Clinical Research