Medical Device Integration for Patient Centered Health Care
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This presentation describes considerations when evaluating BioMed and IT solutions for integrating patient monitors and medical devices to EHRs EMRs.
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Medical Device Integration for Patient Centered Health Care
- 1. John Squeo Lazer Focus Advisors Find us on LinkedIn
- 2. Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 3. Pressures driving Medical data convergence - Quality, Safety and Productivity Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 4. Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI) Pressures driving Medical data convergence - Quality, Safety and Productivity Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 5. Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI) Pressures driving Medical data convergence - Quality, Safety and Productivity Medical Device Integration (MDI) Landscape - Industry Players and Technology Challenges Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 6. Putting Hospital Device Integration Together Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI) Pressures driving Medical data convergence - Quality, Safety and Productivity Medical Device Integration (MDI) Landscape - Industry Players and Technology Challenges Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 7. Pressures toward extending patient monitoring beyond the hospital Putting Hospital Device Integration Together Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI) Pressures driving Medical data convergence - Quality, Safety and Productivity Medical Device Integration (MDI) Landscape - Industry Players and Technology Challenges Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 8. Emerging needs for Medical Device Integration (MDI) beyond hospital Pressures toward extending patient monitoring beyond the hospital Putting Hospital Device Integration Together Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI) Pressures driving Medical data convergence - Quality, Safety and Productivity Medical Device Integration (MDI) Landscape - Industry Players and Technology Challenges Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 9. Emerging needs for Medical Device Integration (MDI) beyond hospital Pressures toward extending patient monitoring beyond the hospital Putting Hospital Device Integration Together Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI) Pressures driving Medical data convergence - Quality, Safety and Productivity Overview of Patient & Care Provider Alerting & Outreach Systems - “Events Bus” Medical Device Integration (MDI) Landscape - Industry Players and Technology Challenges Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 10. Emerging needs for Medical Device Integration (MDI) beyond hospital Pressures toward extending patient monitoring beyond the hospital Putting Hospital Device Integration Together Opportunities to achieve better outcomes leveraging Medical Device Integration (MDI) Pressures driving Medical data convergence - Quality, Safety and Productivity Proposed Plan of Action to begin journey Overview of Patient & Care Provider Alerting & Outreach Systems - “Events Bus” Medical Device Integration (MDI) Landscape - Industry Players and Technology Challenges Hospital Setting Perspective Ambulatory & Home Settings Perspective TOPIC OUTLINE
- 12. NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 13. Clinical Documentation – Paper to EHR NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 14. Clinical Documentation – Paper to EHR Medication Administration – Scanned & Digitized NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 15. Clinical Documentation – Paper to EHR Medication Administration – Scanned & Digitized Process improvement programs e.g. LEAN NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 16. Clinical Documentation – Paper to EHR Medication Administration – Scanned & Digitized Achieving optimal Core Measures & HCAHPS scores Process improvement programs e.g. LEAN NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 17. Clinical Documentation – Paper to EHR Medication Administration – Scanned & Digitized Heightened emphasis on patient discharge process Achieving optimal Core Measures & HCAHPS scores Process improvement programs e.g. LEAN NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 18. Clinical Documentation – Paper to EHR Medication Administration – Scanned & Digitized Trend - fewer nurses for each patient Heightened emphasis on patient discharge process Achieving optimal Core Measures & HCAHPS scores Process improvement programs e.g. LEAN NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 19. Clinical Documentation – Paper to EHR Medication Administration – Scanned & Digitized Trend - fewer nurses for each patient Heightened emphasis on patient discharge process Achieving optimal Core Measures & HCAHPS scores Process improvement programs e.g. LEAN Can Information Technology DECREASE the burden of additional workload on nurses? NURSES HAVE MANY NEW THINGS TO DO & LEARN IN ADDITION TO DELIVERING EXCEPTIONAL PATIENT CARE
- 20. Source: Hospital nurse staffing ratio trends 1993-2004.1 No significant trend in median hospital nurse to patient ratio 1993-99; chi square test for trend for median hospital nurse staffing ratio 1999-2004 (p _.001). Journal of Hospital MedicineVolume 3, Issue 3, Article first published online: 20 JUN 2008 Nurse Staffing Ratios: Trends and Policy Implications for Hospitalists and the Safety Net, Patrick H. Conway, MD, MSc, et. al.
- 21. Source: Hospital nurse staffing ratio trends 1993-2004.1 No significant trend in median hospital nurse to patient ratio 1993-99; chi square test for trend for median hospital nurse staffing ratio 1999-2004 (p _.001). Journal of Hospital MedicineVolume 3, Issue 3, Article first published online: 20 JUN 2008 Nurse Staffing Ratios: Trends and Policy Implications for Hospitalists and the Safety Net, Patrick H. Conway, MD, MSc, et. al. Source: Implications of the California nurse staffing mandate for other states. Health Serv Res. 2010 Aug;45(4):904-21. doi: 10.1111/j.1475-6773.2010.01114.x. Epub 2010 Apr 9., Aiken LH, et al.
- 23. Human Error Avoidance with increased Efficiency
- 24. Ancillary Clinical Repository to house non-truncated “atomic” data for analytical research Human Error Avoidance with increased Efficiency
- 25. SpO2 Data
- 28. ?ALGORITHM TO SCRUB DATA POINTS FROM GOING INTO RECORD
- 30. Patient Monitor Clinical Network Gateway Phillips, GE, others Clinical Info System(s) McKesson, EPIC, Cerner, MEDITECH others HIS/ADT Info System McKesson, E PIC, Cerner, MEDITECH others HL7 Interface Engine Cloverleaf, Jcaps, others Central Station Phillips, GE, others Medical Device Integrator (MDI) Cerner, Capsule, Nuvon, iS irona, [DAS] Data Acquisition Systems, others Ancillary Medical Devices Serial to Ethernet or Wi-Fi Convertor
- 32. RESULTS - 2012 Capsite Survey 300 US hospitals 44% had purchased MDI in recent years majority in 2011 & 2012 Breakdown of Current MDI adopters 400 + Beds = 63% in category implemented MDI 399 - 200 Beds = 75% in category implemented MDI 200 Beds or less = 33% in category implemented MDI
- 33. Source: Medical Device Integration Software Surges in Hospitals, InformationWeek Healthcare, Ken Terry, August 15, 2012 Reasons Stated for MDI purchase Improve Clinical Outcomes = 40% Improve Efficiency = 37% Meaningful Use for government EHR financial incentives = 17% Other reasons = 6% RESULTS - 2012 Capsite Survey 300 US hospitals 44% had purchased MDI in recent years majority in 2011 & 2012 Breakdown of Current MDI adopters 400 + Beds = 63% in category implemented MDI 399 - 200 Beds = 75% in category implemented MDI 200 Beds or less = 33% in category implemented MDI
- 34. 31% 19% 50% 0 MDI Industry Market Share Cerner Capsule Epic GE MEDITECH Siemens iSirona Nuvon Source: Medical Device Integration Software Surges in Hospitals, InformationWeek Healthcare, Ken Terry, August 15, 2012
- 35. Source: Santa Rosa Consulting & BMoorman Consulting, LLC THE DOWNSIDE TO MDI
- 36. Source: Santa Rosa Consulting & BMoorman Consulting, LLC THE DOWNSIDE TO MDI
- 37. Source: Santa Rosa Consulting & BMoorman Consulting, LLC IT & TELECOM THE DOWNSIDE TO MDI
- 38. Source: Santa Rosa Consulting & BMoorman Consulting, LLC IT & TELECOM BIOMED THE DOWNSIDE TO MDI
- 39. Source: Santa Rosa Consulting & BMoorman Consulting, LLC IT & TELECOM BIOMED FACILITIES THE DOWNSIDE TO MDI
- 40. Source: Santa Rosa Consulting & BMoorman Consulting, LLC IT & TELECOM BIOMED FACILITIES VENDORS THE DOWNSIDE TO MDI
- 41. Patient Monitoring system Medical Device Alerts Sent directly to the phones or badges of the Nurses to elevate “situation awareness”
- 42. Patient Monitoring system Medical Device Alerts Sent directly to the phones or badges of the Nurses to elevate “situation awareness” BUT Alerts are “throttled” by Middleware to avoid “Alert Fatigue”
- 43. OPPORTUNITIES – WELLNESS AND FINANCIAL REQUIREMENTS – TECHNICAL
- 44. Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary OPPORTUNITIES – WELLNESS AND FINANCIAL REQUIREMENTS – TECHNICAL
- 45. Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary Emerging opportunity to get a broader glimpse of a patient‟s health profile and living habits OPPORTUNITIES – WELLNESS AND FINANCIAL REQUIREMENTS – TECHNICAL
- 46. Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary Emerging opportunity to get a broader glimpse of a patient‟s health profile and living habits OPPORTUNITIES – WELLNESS AND FINANCIAL REQUIREMENTS – TECHNICAL Requires – Scalable data network 100s OR 1000s of connections into monitoring center
- 47. Ability to monitor most “at risk” patients such as elderly and chronically ill to preemptively intervene before an ED visit is necessary Emerging opportunity to get a broader glimpse of a patient‟s health profile and living habits Requires – Nimble data warehouse or core clinical repository. Able to parse structured and non-structured data with lower confidence of data match via master “person” index OPPORTUNITIES – WELLNESS AND FINANCIAL REQUIREMENTS – TECHNICAL Requires – Scalable data network 100s OR 1000s of connections into monitoring center
- 49. 1% of U.S. population consumes 20% of ALL HEALTH CARE DOLLARS Source: National Institute of Health Care Management 2012
- 50. 1% of U.S. population consumes 20% of ALL HEALTH CARE DOLLARS Source: National Institute of Health Care Management 2012 Total expenditure on healthcare: per capita per year: $7,960 Source: Organization for Economic Co-operation and Development on global health issues: Michael B. Sauter, Charles B. Stockdale, 24/7 Wall St. , 2012 - Countries that spend the most on health care, NBCNEWS.com, http://www.nbcnews.com/business/countries-spend-most-health-care-618241 Expenditure as percent of GDP: 17.4 percent
- 51. $90,000 $41,000 $236 0 COST BREAK DOWN Average Annual Healthcare Spend in USA Per Person Heart Disease Diabetes Arthritis Asthma Source: National Institute of Health Care Management 2012 C O S T D R I V E R S
- 52. #3 Biggest Issue – Patient Safety & Quality 2011 Results - Biggest Issue Facing Hospital CEOs Source: American College of Healthcare Executives, Annual Poll – Top Issues Confronting Hospitals: 2012 Annual Survey American College of Healthcare Executives
- 53. #3 Biggest Issue – Healthcare Reform Implementation 2012 Results - Biggest Issue Facing Hospital CEOs Source: American College of Healthcare Executives, Annual Poll – Top Issues Confronting Hospitals: 2012 Annual Survey American College of Healthcare Executives
- 54. •Hospital Readmissions– Hospital DRGs 1% in 2013 3% by 2015 •Medicaid DSH cuts - $18.1Billion 2014 – 2020 (Pres. Obama proposed delay to 2015) •Value-Based Purchasing •70% - Core Measures: Heart Failure, Acute Myocardial Infarction (AMI), Pneumonia & Surgical Care •30% - HCAHPS score: Patient Satisfaction •Physician (SGR) Sustainable Growth Rate – 27% Reduced Reimbursements CMS & Commercial Carriers •Accountable Care – Provider Risk Acceptance & Shared Savings •Bundled payment for episodic care Global Payments Innovations – CMS & Carriers •Payers setting up Accountable Care Organizations •Hospital Systems offering health insurance on public Health Insurance Exchanges (HIX) Payer/Provider Convergence
- 55. Source: Southcentral Foundation, “The Trust for Health Excellence‟s Better Health Initiative”
- 56. Looking “in” on the patient Looking “out” to the Health Care Environment
- 57. Looking “in” on the patient Looking “out” to the Health Care Environment Patient-centered medical homes (PCMH) – Not necessarily a “place” rather a central point from which assistance is provided to navigate the fragmented healthcare system Source: Oliver Wyman, Tom Main & Adrian Slywotzky
- 58. Aging in Place SILVER TSUNAMI - Growth of Senior Citizen Population 78 Million Baby Boomers turned 65 in 2011 9 out of 10 seniors want to stay in the home they retired in. Source: AARP Alzheimer‟ s Patients
- 59. Care At Home
- 60. Care At Home HEALING AND AGING IN THE HOME – REMOTE MONITORING PILOT PROGRAM Leverage Home Care nursing augmented by remote sensor monitoring Good Samaritan – LivingWell@Home [Pilot of 40 connected assisted living facilities] study 1/2011 through 6/2013 WellAware – motion sensors detect movement in bed, showering, toileting etc. Phillips Lifeline – auto-alert function detects falls Honeywell Hommed Telehealth monitoring: Heart rate, Blood pressure, Weight, Oxygen saturation, Temperature, ECG rhythm, Spirometry, Prothrombin time/INR Source: „The Matrix‟ Meets Medicine: Surveillance Swoops Into Health Care, Michael Millenson, January 9, 2013
- 61. Care At Home HEALING AND AGING IN THE HOME – REMOTE MONITORING PILOT PROGRAM Leverage Home Care nursing augmented by remote sensor monitoring Good Samaritan – LivingWell@Home [Pilot of 40 connected assisted living facilities] study 1/2011 through 6/2013 WellAware – motion sensors detect movement in bed, showering, toileting etc. Phillips Lifeline – auto-alert function detects falls Honeywell Hommed Telehealth monitoring: Heart rate, Blood pressure, Weight, Oxygen saturation, Temperature, ECG rhythm, Spirometry, Prothrombin time/INR Source: „The Matrix‟ Meets Medicine: Surveillance Swoops Into Health Care, Michael Millenson, January 9, 2013 Source: Iboun Taimiya Sylla, Texas Instruments NantLife by NantCare
- 62. Source: Current and Future Trends in Medical Electronics, Steven Dean, Texas Instruments, September 23, 2009 HOME SETTING Connectivity HOSPITAL SETTING Connectivity
- 64. Qualcomm Life 2net Sensors Implantable In Vivo Glucose Monitor
- 65. Qualcomm Life 2net Sensors Implantable In Vivo Glucose Monitor Wearable fitbi t
- 66. Qualcomm Life 2net Sensors Implantable In Vivo Glucose Monitor Wearable fitbi t Behavior Tracking Glowcaps
- 69. SET THE DATA COLLECTION SYSTEM “IN REVERSE” TO CONDUCT PATIENT OUTREACH, INFLUENCE HABITS AND PREEMPTIVELY MONITOR ADVERSE TRENDS
- 70. SET THE DATA COLLECTION SYSTEM “IN REVERSE” TO CONDUCT PATIENT OUTREACH, INFLUENCE HABITS AND PREEMPTIVELY MONITOR ADVERSE TRENDS
- 71. Source: Southcentral Foundation, “The Trust for Health Excellence‟s Better Health Initiative”
- 72. Source: Southcentral Foundation, “The Trust for Health Excellence‟s Better Health Initiative” Influence the RIGHT PEOPLE at the RIGHT TIME at the RIGHT PLACE by the RIGHT METHOD USE PATIENT OUTREACH TO
- 73. Web Email Text/Mobil e Mail Social Communities IVRTelephonic Face-to- Face Home Care
- 74. Web Email Text/Mobil e Mail Social Communities IVRTelephonic Face-to- Face Home Care
- 75. Web Email Text/Mobil e Mail Social Communities IVRTelephonic Face-to- Face Home Care
- 76. Web Email Text/Mobil e Mail Social Communities IVRTelephonic Face-to- Face Home Care
- 77. Source: Oliver Wyman, The Volume-To-Value Revolution, Rebuilding the DNA of Health from the Patient in, Tom Main & Adrian Slywotzky, 2012
- 82. OLAP/SQL
- 83. OLAP/SQL
- 84. RISK SCORES Episode Risk Groups (ERGs) Episode Treatment Groups (ETGs) Hierarchical Condition Categories (HCC) OLAP/SQL
- 88. MIDDLEWARE Connexall, EXTENSION, ASCOM, Phillips Emergin, Amcom
- 89. MIDDLEWARE Connexall, EXTENSION, ASCOM, Phillips Emergin, Amcom
- 90. MIDDLEWARE Connexall, EXTENSION, ASCOM, Phillips Emergin, Amcom
- 91. MIDDLEWARE Connexall, EXTENSION, ASCOM, Phillips Emergin, Amcom
- 92. MIDDLEWARE Connexall, EXTENSION, ASCOM, Phillips Emergin, Amcom
- 93. IDEALLY……. LAYER IN SELF-SERVICE MESSAGE ROUTING & AVAILABILITY STATUS
- 94. PLAN OF ACTION
- 95. HOW TO BEGIN THE JOURNEY IN A HOSPITAL PLAN OF ACTION
- 96. HOW TO BEGIN THE JOURNEY IN A HOSPITAL PLAN OF ACTION Which perspective is your organization? Hospital only? Hospital, SNF, Ambulatory, Home Health, Other? Converging service lines?
- 97. HOW TO BEGIN THE JOURNEY IN A HOSPITAL Include all stakeholders early on Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others PLAN OF ACTION Which perspective is your organization? Hospital only? Hospital, SNF, Ambulatory, Home Health, Other? Converging service lines?
- 98. HOW TO BEGIN THE JOURNEY IN A HOSPITAL HOW TO BEGIN OUTSIDE OF A HOSPITAL Include all stakeholders early on Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others PLAN OF ACTION Which perspective is your organization? Hospital only? Hospital, SNF, Ambulatory, Home Health, Other? Converging service lines?
- 99. Which perspective is your organization? Not closely affiliated with hospital(s)? Closely Integrated with hospital(s)? Integrated Delivery Network? Accountable Care Organization? HOW TO BEGIN THE JOURNEY IN A HOSPITAL HOW TO BEGIN OUTSIDE OF A HOSPITAL Include all stakeholders early on Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others PLAN OF ACTION Which perspective is your organization? Hospital only? Hospital, SNF, Ambulatory, Home Health, Other? Converging service lines?
- 100. Which perspective is your organization? Not closely affiliated with hospital(s)? Closely Integrated with hospital(s)? Integrated Delivery Network? Accountable Care Organization? HOW TO BEGIN THE JOURNEY IN A HOSPITAL HOW TO BEGIN OUTSIDE OF A HOSPITAL Include all DATA source/destination stakeholders early on IPA or PHO (Case Managers) Home Health Agency(s) Durable Medical Equipment (DME) providers Local retail and outpatient pharmacies Hospital based & stand alone outpatient clinics ASCs - Labs - Radiology clinics/Imaging centers WorkCenter health partners (ASOs/Self-insured Co‟s.) Information systems staff or partner(s) EHR & PMS vendor(s) Registry vendor Care Coordination Software vendor Others Include all stakeholders early on Administrative Leadership Physicians Nurse Leaders Informaticists Clinical Engineering/BioMed Information Systems Telecommunications Facilities/Maintenance Others PLAN OF ACTION Which perspective is your organization? Hospital only? Hospital, SNF, Ambulatory, Home Health, Other? Converging service lines?
- 101. REACH ME AT LinkedIn: John Squeo
Editor's Notes
- Thank you for attending this sessionTHE TOPIC this session isMy name is John Squeo, TITLEVANGUARD HEALTH SYSTEMSInvestor Owned Health Delivery System29 HospitalsDOCTORS in 1000 Care settings across the United StatesCurrently undergoing a major transformation in the way we are being compensated by the Payers such asMEDICAREMEDICAIDANDCommercial InsurersShow of hands from audience from Health Care, Pharmaceutical or Life SciencesTHIS TOPIC should be of interest to you for professional reasonsDEFINE PERSONALIZED HEALTHCARETHIS TOPIC affects all because we will all be affected by it due to recent shifts in HealthCare Payment and Delivery driven by changes in way Government pays for healthcare
- WHAT CAN TECHNOLOGY TELL US ABOUT POPULATION HEALTH?According to the National Institute of Health Care Management1% of Insured USED $90K per person in health care expenses in 20115% accounted for $41K per person50% of the insured average only $236 in health care expenses in 2011MAIN COST DRIVERS OBESITY RELATED HEART DISEASE Diabetes ArthritisOn Track in 2012 for !4,250 Transplants at average cost of $730K eachIF WE CAN IDENTIFY WHICH PEOPLE ARE HEADED TOWARDS THESE DISEASES, WE CAN INTERVENE EARLY ON AND AVOID THE HIGH EXPENSE
- According to the 2011 Annual Survey American College of Healthcare Executives – THE BIGGEST ISSUES FACING HOSPITAL CEOs
- According to the 2011 Annual Survey American College of Healthcare Executives – THE BIGGEST ISSUES FACING HOSPITAL CEOs
- Last week, Rep. John Lewis (D-Ga.) proposed the DSH Reduction Relief Act, which would delay Medicare and Medicaid DSH payment cuts until the government's 2016 fiscal yearIL Bill Status of SB2840 98th General Assembly Senate SponsorsSen. Heather A. Steans - John G. Mulroe"pay and chase" model to a prospective pre-payment model - Contains provisions concerning eligibility and payment verifications; data sharing; and the benefits of a pre-payment, post-adjudication, and post-edit claims system
- HOW DO WE DO REACH THE PATIENT TO INFLUENCEGOOD HEALTH JUDGEMENTS?DIFFERENT METHODS OF OUTREACH WEB PORTALS EMAIL TEXTING SOCIAL MEDIA CALL CENTERS IVR INTERACTIVE VOICE RESPONSE SYSTEMS HOME HEALTH CARE – CASE MANAGERSPROMOTE EXERCISE AND DIETMEDICATION COMPLIANCESMOKING CESSATION PROGRAMS
- HOW DO WE DO REACH THE PATIENT TO INFLUENCEGOOD HEALTH JUDGEMENTS?DIFFERENT METHODS OF OUTREACH WEB PORTALS EMAIL TEXTING SOCIAL MEDIA CALL CENTERS IVR INTERACTIVE VOICE RESPONSE SYSTEMS HOME HEALTH CARE – CASE MANAGERSPROMOTE EXERCISE AND DIETMEDICATION COMPLIANCESMOKING CESSATION PROGRAMS
- HOW DO WE DO REACH THE PATIENT TO INFLUENCEGOOD HEALTH JUDGEMENTS?DIFFERENT METHODS OF OUTREACH WEB PORTALS EMAIL TEXTING SOCIAL MEDIA CALL CENTERS IVR INTERACTIVE VOICE RESPONSE SYSTEMS HOME HEALTH CARE – CASE MANAGERSPROMOTE EXERCISE AND DIETMEDICATION COMPLIANCESMOKING CESSATION PROGRAMS
- HOW DO WE DO REACH THE PATIENT TO INFLUENCEGOOD HEALTH JUDGEMENTS?DIFFERENT METHODS OF OUTREACH WEB PORTALS EMAIL TEXTING SOCIAL MEDIA CALL CENTERS IVR INTERACTIVE VOICE RESPONSE SYSTEMS HOME HEALTH CARE – CASE MANAGERSPROMOTE EXERCISE AND DIETMEDICATION COMPLIANCESMOKING CESSATION PROGRAMS
- USE PROBABILISTIC MATCHING ALGORITHMONLY IF NEEDED Hadoop HIVE Hbase for MAP REDUCE JOBS
- USE PROBABILISTIC MATCHING ALGORITHMONLY IF NEEDED Hadoop HIVE Hbase for MAP REDUCE JOBS
- USE PROBABILISTIC MATCHING ALGORITHMONLY IF NEEDED Hadoop HIVE Hbase for MAP REDUCE JOBS
- USE PROBABILISTIC MATCHING ALGORITHMONLY IF NEEDED Hadoop HIVE Hbase for MAP REDUCE JOBS
- USE PROBABILISTIC MATCHING ALGORITHMONLY IF NEEDED Hadoop HIVE Hbase for MAP REDUCE JOBS
- QUESTIONS?>>>>>>>>>>>>>LISTEN TO AUDIENCE………..I WANT TO THANK YOU FOR ATTENDINGI CAN BE REACHED ON LINKEDIN by searching for JOHN SQUEO