AMADEUS – PLATFORM FOR PRECISION MEDICINE - Orion … · AMADEUS – PLATFORM FOR PRECISION...

AMADEUS –PLATFORM FOR PRECISION MEDICINE

UK & I CUSTOMER CONFERENCE 2016Dhaya Sivakumar, EVP IntegrationPaul de Bazin, Product Director – AmadeusFiora Au, Product Director – Open APIsPeter McCallum, VP Analytics

Page 2 • 2016 © Orion Health™ group of companies

Orion Health Amadeus | Integrated Suite of Products

Coordinate Engage

3rd Party Applications

Consult

Rhapsody

Analytics

Amadeus Medicines


Agenda

▸ Industry Trends

▸ Introduction to Orion Health Amadeus

▸ Open APIs – Early Adopter Program: Development Ecosystem

▸ Population Health Explorer– Market Launch: Population Health Explorer


Industry Trends | Health Data Explosion

2012500 Petabytes

=

10 billionFour drawer

cabinets

202025,000 Petabytes

=

500 billionFour drawer

cabinets

The amount ofhealthcare data

worldwide is expected to grow

by 50 times in 8 years


Industry Trends


Orion Health Amadeus | Clinical Data Platform HistoryHealth Professionals

PharmacyLabs Imaging Social

Relational(SQL)

Clinical Portal

Clinical Data Repository

Data Acquisition (Rhapsody)Traditional Data

Sources

• Orion Health’s traditional platform aggregated data for clinical access via. the Clinical Portal

• This greatly improved access to clinical information – both within organizations and within the community


Orion Health Amadeus | Precision Medicine Platform

Pharmacy

Pollution

Climate

Microbiome

Labs Imaging Social

LifestyleGenomic

Device

Food

Stress



Precision Medicine Platform

Orion Health

Pharmacy

Pollution

Climate

Microbiome

Labs Imaging Social

LifestyleGenomic

Device

Food

Stress

Amadeus



Health ProfessionalsPatients

⌚


Orion Health

Pharmacy

Pollution

Climate

Microbiome

Labs Imaging Social

LifestyleGenomic

Device

Food

Stress

Ecosystem of Health Applications


Orion Health Amadeus

Engage Coordinate / Consult

Consumer

EMR / PMS

Lab

Enterprise

GP System

Amadeus


Data Engine



Rhapsody

Raw DataStore

Consumer

EMR / PMS

Lab

Enterprise

GP System Amadeus

Data Processing Pipeline

Cleansing

SequencingRouting

Mapping

Replay Enriching

Data Spaces

Clinical

Payer

Consumer

Custom

Terminology ServicesEMPI


Data Engine



Rhapsody

Raw DataStore

Consumer

EMR / PMS

Lab

Enterprise

GP System Amadeus


Cleansing

SequencingRouting

Mapping

Replay Enriching

Data Spaces

Clinical

Payer

Consumer

Custom



Data Engine


3rd Party AppsEngage Coordinate / Consult

Rhapsody

Raw DataStore

Consumer

EMR / PMS

Lab

Enterprise

GP System Amadeus


Cleansing

SequencingRouting

Mapping

Replay Enriching

Data Spaces

Clinical

Payer

Consumer

Custom


Open APIs

Privacy Service


Data Engine



Rhapsody

Raw DataStore

Consumer

EMR / PMS

Lab

Enterprise

GP System Amadeus


Cleansing

SequencingRouting

Mapping

Replay Enriching

Data Spaces

Clinical

Payer

Consumer

Custom


Open APIs

Privacy Service

Clinical Portal Notifications Document Exchange

C-CDA ServicesConsent


Data Spaces

Clinical

Payer

Consumer

Custom

Orion Health Amadeus | With Analytics Extension

Open APIs



Cleansing

SequencingRouting

Mapping

Replay Enriching

Data Engine

Rhapsody

3rd Party Analytics

Raw DataStore

Privacy Service


C-CDA ServicesTerminology ServicesEMPIConsent

Consumer

EMR / PMS

Lab

Enterprise

GP System

Analytics Engine (Option)

Patient Registries

Streaming & Computation

Pipeline

In Memory Massively Parallel Processing

Population Health ExplorerBulk Download

RealTime

Amadeus Amadeus Analytics


Orion Health Amadeus | What is Amadeus?


Release Train and Component Integration Processes & Governance

Automation, Version Control & Tooling


Orion Health Amadeus | Amadeus Enables

Third Party Applications


Cleansing

SequencingRouting

Mapping

Replay Enriching

Data Engine

Raw DataStore

Privacy Service


C-CDA ServicesTerminology ServicesEMPIConsent

Data Spaces

Clinical

Payer

Consumer

Custom

Open APIs

Analytics

Machine Learning

Rhapsody

OPEN APIS

Open APIs | Enabling Perfect Care

Why APIs?

Make perfect care possible by enabling the best solutionsto be built for every healthcare scenario

Well understood

Abstracts complexity

Promotes reuse

Open APIs | Ecosystem

Developers

Customer platform

Enables the app

End user

Provides the app

Uses the app

Offer a variety of best of breed apps

Developers Developers

Developers

Customer platform

Developers

Sells app directly


Open APIs | Benefits

▸ Customise Orion solutions for specific needs

▸ Improve patient care and clinical efficiency through a variety of best of breed apps and solutions

▸ Adopt innovative solutions as they get built by third parties

▸ Regulatory compliance

▸ Leverage the Orion Marketplace, customer base and clinical risk governance

▸ Revenue from app development, sales or subscriptions

▸ Apps are re-sellable on other platforms

▸ Support and training in use of FHIR

Orion customers Developers

Open APIs | Components

Sandbox

Developer Program

Developer Portal

App Certification

Marketplace

API ManagementSecurity & Threat protection | Analytics | Traffic control | Operations

RESTful APIs

Data Engine and Spaces

Presentation

Secured access

Business logic

Data integration


Open APIs | Product packages

CDR8

Add-onCore APIs

CDR8 Amadeus Rhapsody

BundledFull APIs

Add-on


Open APIs | Early Adopter Program

▸ Sustained first mover advantages provided to early adopters

▸ Open and regular dialogue to thoroughly understand their needs

▸ Now recruiting Early Adopters

From start à working prototypes in less than 5 weeks


Open APIs | Prototype apps








§


Introducing AnalyticsPopulation Health Explorer


Amadeus Analytics | Introducing Population Health Explorer

▸ Key component of OH’s Population Health Management solution

▸ Enables our customers to drastically improve health outcomes and reduce the cost of managing their patient population

▸ Population Health Explorer 1.0 is available now


Amadeus Analytics | Priority Use Cases

Quality &Compliance Reporting

Managing Cost & Utilization

• Monitor and manage quality measures and care gaps.

• Give practices and providers the tools required to identify and close care gaps.

Coordinating Care

• Population exploration tools for care coordination staff

• Patient risk stratification tools

• High risk discharge and medication adherence analysis

• Tools to identify key contributors to costs:

- Readmissions- Utilization


Amadeus Analytics | Key design principles

Real time Leverages the real-time data acquisition capability of the Amadeus platform to stream data directly into the patient registries

Scalable Built on horizontally scalable, open source technology designed for high throughput and high query performance on massive data sets

Intuitive A highly intuitive user experience, supporting exploration by a broad spectrum of users – from clinical to deeply technical.

FlexibleThe powerful query and dashboard builders in combination with the extensible computation engine enable customers to keep pace with the evolving measurement needs of health networks and health systems.

Actionable Tightly integrated with OH Coordinate, enabling insights to translate into action and outcomes.


Amadeus Analytics | Query Build UI


Amadeus Analytics | Care Gaps & Quality Program Dashboards


Amadeus Analytics | Care Coordination – Population Explore Tools


MSSP Management | Innovation Health Partners (formerly Scottsdale Health Partners) – 2015 Results

Efficiency▸ 2014 (pre Orion Health solution): Manual process took

over 2 months and reported on ~70% of ranked patients▸ 2015: 76% of ranked patients marked as complete by week 3 ▸ 2016: 84% of ranked patients marked as complete by week 4;

captured data from practices 50% faster than in 2015

Results‣ Achieved cost savings of nearly USD 10m in 2015

(reported 2016)‣ Resulted in cost savings for IHP of USD 3.7m

“It is absolutely amazing compared to last year’s process the February upgrade will make it even better ”

- HonorHealth Medical Group

“The new tool is great! So much easier than entering data in the excel spreadsheet ”

- Family Practice

“Now more than one user can be working inside the tool which will cut the time it takes us to finish in half ”

- HonorHealth Medical Group

User Satisfaction

MACHINE LEARNING

Orion Population Health Management | Application of Machine Learning

▸ Social▸ Environmental ▸ Genome▸ Consumer ▸ Pharmacy ▸ Lab ▸ Payer▸ Clinical ▸ Community

Enables us to:▸ Regularly screen large populations▸ Assist in decisions about patients

novel to a clinician▸ Make predictions without cognitive bias

Amadeus RawData Store

Analytics Measures

Machine Learning

Optimized for your patients

LACE/PARR-30

Machine learning model


Machine Learning | Models for 30 day readmission

CompleteLACE OrionPARR

Clinical

Genetic

Environmental

Factors

Predictive Model Area Under ROC Curve (AUC)

LACE 0.587

PARR-30* 0.625

Orion 0.685

SUMMARY


Orion Health Amadeus | Key Points

▸ Amadeus is our new "cloud ready" platform for precision medicine ready for deployment now

– Specifically designed to resolve current integration challenges– Built to support new data types– Built to scale to massive volumes of data

▸ Orion Health’s developer ecosystem will open to early adopters this year– Third party applications bring new value propositions and offerings– Contact Fiora for more information ([email protected])

▸ Machine learning will bring new insights to healthcare and enable organizations to deliver the perfect care for every individual

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