Dr Stout Healthcare Analytics

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Presented at Predictive Analytics Innovation Summit, Chicago 2017 #PAChicago https://theinnovationenterprise.com/summits/predictive-analytics-innovation-summit-chicago-2017/speakers This presentation centers on currently published findings focused on the use of predictive analytics in healthcare venues of sports medicine and orthopedic rehabilitative settings. Aspects of data access via national patient registries as well as nascent applications of machine learning will also be covered. An example of one approach of incorporating a model of assessment, evidence-based practice, treatment augmentation, and resultant outcome evaluation will be provided as well. Please be in touch http://DrChrisStout.com

Saúde e medicina

Chris Stout, PhD
VP, Department of Research and Data Analytics, ATI
College of Medicine, University of Illinois, Chicago
Chris Stout, PhD
VP, Department of Research and Data Analytics ATI
Holdings, and
The College of Medicine,
University of Illinois at Chicago
Harnessing Big Data
and
Analytics in Healthcare

Who is in the audience today…?
CIO…?
CTO…?
CISO….?
Founder…?
Investor/PE/VC….?
Anyone else….?
Folks that just like to raise their hands…?

Machine Learning and the Profession of Medicine
Feb 2016

There’s an app for that… and how!
Roughly 200 new apps added
every day.
Those apps are increasingly being
used in clinical trials.
Right now, there are 860 trials
underway across the globe testing
health apps for clinical use.
If the evidence supporting some of
those apps pans out — e.g., if
they’re able to reduce ER visits or
improve medication adherence —
they could help cut health care
costs in the future.

Apple HealthKit
In 14 of 23 major hospitals are trialing
Google, Phillips, Samsung, IBM, and
others are getting deeper into health-
based technology applications
Healthcare + fitness apps =
comprehensive picture
Send to MD or case manager

Harnessing diverse data, and a lot of it

>15,000 prior-managed bills were loaded and rerun
against the ODG Treatment UR Advisor for each ICD9-
CPT combination on frequency, number of visits,
recommendations from ODG Treatment, and the "Bill
Review Payment (or ODG Approval) Flags" divided
into Green, Yellow, Red…

Green, OK to auto-pay up to ODG Codes for
Automated Approval max number of visits;
Yellow, OK to auto-pay up to 25th %tile
number of visits
Red, need to review

It’s nice to work with workers’ comp
outcomes because…
Outcomes are VERY Quantified
– RTW at the same job description and PDL
or not?
– How many days passed before RTW?
– Nice, clean, and tidy!

Surgeon’s Perspective on a
Good Outcome
• No anesthesia issues
• No surprises during or after
• No complications
• Good wound healing
• No post-op infection

But how does the story end?
Is the patient back at work?
Quickly?
At the same PDL as prior to injury?
With the same job classification?

PRN Tx Guideline
Consult (brought to you
by your EMR)

I was always frustrated with the
disconnect of getting evidence-based
practice in real-time to the clinician
while with the patient

Combing Evidence with Practical Application, in Real-time

Evidence-based practice is sort of
like MoneyBall

No longer a problem of too
little data…
…but too much

Collaborative Opportunities
37
Example Projects
Analyzing individual patient demographic,
baseline and outcomes characteristics to
predict risk for developing chronic
musculoskeletal pain
Analyzing clinic and clinician, patient
demographics, baseline and outcomes
characteristics to predict likelihoods for
appointment cancellation

We are in the midst of some
wonderfully revolutionalry and
promising changes afoot…

Please be in touch
Chris.Stout@ATIPT.com
or visit DrChrisStout.com
for these slides

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All clinical research sites, especially new ones who’ve just entered the business, have a couple of common worries and complaints. The clinical research field is complicated and there are tons of formalities, papers, vendors, rules, regulations, etc. Taking into consideration the sensitivity of this business, the fact that human participants are involved, as well as the large amount of money that sponsors spend on a research, we have to work as professionally as possible. There are many steps involved in a clinical trial, starting from the site selection visit, negotiations, then routine monitoring visits, subject enrollment and randomization, etc. All of these steps are equally important in order to conduct a successful trial. However, the complexity of the clinical research process usually worries and confuses new research sites. We’ve done a research on some of the most common site worries and complaints throughout the duration of a trial. Below, we’ll give you answers to all your questions.

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The emerging healthcare environment requires expanded patient access while delivering optimal outcomes and cost. As healthcare moves form a fee for service model to alternative delivery and payment models, there are opportunities for physical therapy to revolutionize the delivery of musculoskeletal medicine. Physical therapists are uniquely qualified to spearhead musculoskeletal care through direct access with the potential to improve patient satisfaction and outcomes while limiting unneeded medical care. While this model has been described in the military, there are few descriptions of this PT First approach in the private payer arena. This session will provide the attendee with a multifaceted perspective on the impact of physical therapy in emerging, collaborative healthcare models. Approaches to payers and employers with the business implications will be presented that influence these new models. Key strategies to implement a scalable, best practice model will be discussed including the logistical challenges and corollary solutions in the private arena. We will discus our experience implementing novel delivery models for management of neck, back, shoulder and knee pain. The session will deliver practical solutions to the challenges of implementing, assessing, and adapting a theoretical construct to a working viable program. Finally, the session will discuss how the use of a a large Patient Outcomes Registry and analysis of “big data” can drive best practice and inform development of the program.

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Dr. Chris Stout will provide tools and discuss models that psychologists and other disciplines have used in global humanitarian work. The use of psychological principles in policy development and sustainability along with interventionism will also be discussed. He will share real-world stories from innovative non-profits that will open new perspectives, ideas and approaches for attendees to learn from and adapt to their interests and work. Dr. Chris Stout is a licensed clinical psychologist and the Founding Director of the Center for Global Initiatives, a Top Ranked Healthcare Nonprofit. He is a former faculty member at Northwestern’s Feinberg School of Medicine and is currently an Advisory Board Member at the Center for Global Health at the University of Illinois at Chicago’s College of Medicine. He served as a NGO Special Representative to the United Nations via Division 9 of the APA, was a Federal Advocacy Coordinator for APA for 12 years, was co-chair of CIRP, is past-President of the Illinois Psychological Association, Fellow in three Divisions of APA and is a Distinguished Practitioner in the National Academies of Practice. He was a World Economic Forum Global Leader of Tomorrow and invited faculty at their Annual Meeting in Davos. He published the award–winning three volume set, The New Humanitarians, in addition to over 35 other books, having been translated into 8 languages. He has been interviewed on CNBC, Oprah, and by the Wall Street Journal, Chicago Tribune and others. He’s received numerous humanitarian awards, including APA’s International Humanitarian Award and four honorary doctorates.

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You’re Invited: I am proud to announce that I have been invited by APA’s Division 52 – International Psychology to do a Continuing Education Webinar entitled: “Technologies, Organizations and Tools for Global Psychologists in Humanitarian Intervention,” moderated by Falu Rami, Ph.D. and hosted by Karen Brown, Ph.D. on May 21, 2019, 12:00 PM EDT, 11:00 PM CDT, 9:00 AM PDT. I hope you can join! - Chris

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I hope you find this issue to be informative and helpful in your work. Please send me any information you’d like posted in upcoming issues. The embedded links may not work in SlideShare, so please feel free to email me for a copy at DrChrisStout@gmail.com to be added to our email list. You can join our Facebook Group and interact with over 5200 likeminded individuals at: https://www.facebook.com/groups/CenterForGlobalInitiatives/ Any recommendations to improve this communique would be most appreciated! And if you’d like to support the Center’s work with a tax deductible donation, that would be fantastic(!) and do a great deal: http://centerforglobalinitiatives.org/donateNow.cfm Cheers, and thank you for your work, Chris Founding Director, http://CenterForGlobalInitiatives.org

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2017 October Tools for Change CGI Newsletter

Dr. Chris Stout

There are lots of planners, systems, seminars, and books to help achieve goals, get organized, and plan. But Meaningful Productivity is the first comprehensive approach for one’s LIFE – not just work or home. It is based on an integrative philosophy of living that has evolved and been acid-tested in the real world by its originator. It is designed to be specifically tailored to your needs, goals, and ambitions. Meaningful Productivity is designed to be simple and unencumbered. It is basically a hybrid of a scheduling system/planner with a to-do list. Its simplicity is its power. It is my goal to get Meaningful Productivity out to the masses, via amazon so it is as affordable as it is easy to use. I am not too concerned with my copyright, other than you recognize my authorship and perhaps may wish to use my consultative services or purchase other materials, via DrChrisStout.com. My focus is on life significance. This significance is defined via achievement with satisfaction. Significance wins out over success. Meaning and individualized importance are drivers. Sure, sometimes these result in outward reward of status, celebrity, or wealth, but these are side-effects, not ends. This philosophy is best stated in one of my mottos: “Do important things.” I feel the accomplished life is ongoing, not an endpoint. Accomplishment should occur across the life span. Life thus needs a design. Certainly randomness has its place, and entropy can make for an enjoyable calamity, but a life left to be “designed” by chance is too much at risk of being wasted. Some choose to simplify their lives. And this has become quite popular as of late. I support this philosophy with clarification: to simplify is to be unencumbered from the unnecessary, not to sacrifice needs and self-defined reasonable wants. It is my philosophy to support high-achievement over over-achievement. Over-achievers tend to be more driven by obtaining external trappings resultant from achievement rather than inherent drive by the work itself. These are the individuals who risk burn out they are those who feel heavy work involvement is expected by a superior (not the result of an “internal” motivation); or feel a need to perform for others; or feel pride in external/material attainment over intrinsic satisfaction in the work itself; and then they reach a point in mid- to late-career that results in the “is this all there is?” phenomenon.

Setting Goals by Sarah Buerger & Dr Chris Stout

Dr. Chris Stout

2017 July Tools for Change CGI Newsletter

Dr. Chris Stout

The Great Pairs Series #3

Dr. Chris Stout

Global Health/CGI Film Club

Dr. Chris Stout

Some of you may be familiar with the concept behind “The 100 Ton Club.” It’s basically lifting 100 tons, yes, 200,000 pounds, in a day’s time. If you know some of my background, you may know that I like to take on various (odd) physical challenges—running marathons and ultras, racing cycling criteriums, summer biathlons, cross-country ski races, Warrior Dashes and other obstacle races, diving the Blue Hole, the Great Barrier Reef, and with sharks, climbing 3 of the World’s Seven Summits, etc. You may not know that I grew up poor, obese (particularly a bummer when you consider my last name), had orthopedic issues, etcetera—woe was me. You also likely know that I run a non-profit Center for Global Initiatives and often pair some physical challenge as a fundraiser for our work in Tanzania. So, by my 58th birthday (8 May) I hope to join-the-Club and lift 100 tons, but as somewhat of making this an endurance challenge as well, I hope to do it in 3 hours. Gulp… If you’d like to support this crazy challenge for our friends in Tanzania, please do: http://centerforglobalinitiatives.org/donateNow.cfm Or, if you’re so inclined, you may want to take on your own challenge (maybe this one too?) and support the Center’s work. Thanks for any help you can lend…! Chris

100 Ton Club Challenge 2017

Dr. Chris Stout

I hope you find this issue to be informative and helpful in your work. Please send me any information you’d like posted in upcoming issues. The embedded links may not work in SlideShare, so please feel free to email me for a copy at DrChrisStout@gmail.com to be added to our email list. You can join our Facebook Group and interact with over 3900 likeminded individuals at: https://www.facebook.com/groups/CenterForGlobalInitiatives/ Any recommendations to improve this communique would be most appreciated! And if you’d like to support the Center’s work with a tax deductible donation, that would be fantastic(!) and do a great deal: http://centerforglobalinitiatives.org/donateNow.cfm Cheers, and thank you for your work, Chris Founding Director, http://CenterForGlobalInitiatives.org

2017 March Tools for Change CGI Newsletter

Dr. Chris Stout

The Great Pairs Series 2

Dr. Chris Stout

CSM 2017 Stout

Dr. Chris Stout

This presentation will provide a number of real-world examples of various incredible programs and their founders who served as the basis for the presenter’s bookset “The New Humanitarians.” Examples and statistical data will then give way to a number of stories about various humanitarian organizations that are as innovative in their approach as they are successful in their outcomes. Inspirational stories as well as practical tools will round out this rich and engaging presentation.

Creative Approaches to Humanitarian Intervention: Tools and Techniques From ...

Dr. Chris Stout

Mais de Dr. Chris Stout (20)

Means and Methods of Humanitarian Intervention

Methods of Humanitarian Intervention - APA 2019

Science, Technology and Ethics: Hacking Darwin with Jamie Metzl, PhD

Technologies, Organizations and Tools for Global Psychologists in Humanitaria...

Invited Midwestern Psychological Association Presentation - 2019

Dr Stout's Reading List 2018

Dr Stout's Reading List 2017

Summer 2018 Tools for Change CGI Newsletter

Becoming a New Humanitarian: Examples and Tools

2017 October Tools for Change CGI Newsletter

Setting Goals by Sarah Buerger & Dr Chris Stout

2017 July Tools for Change CGI Newsletter

The Great Pairs Series #3

Global Health/CGI Film Club

100 Ton Club Challenge 2017

2017 March Tools for Change CGI Newsletter

The Great Pairs Series 2

CSM 2017 Stout

Creative Approaches to Humanitarian Intervention: Tools and Techniques From ...

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Dr Stout Healthcare Analytics

1. Chris Stout, PhD VP, Department of Research and Data Analytics, ATI College of Medicine, University of Illinois, Chicago Chris Stout, PhD VP, Department of Research and Data Analytics ATI Holdings, and The College of Medicine, University of Illinois at Chicago Harnessing Big Data and Analytics in Healthcare

2. Who is in the audience today…? CIO…? CTO…? CISO….? Founder…? Investor/PE/VC….? Anyone else….? Folks that just like to raise their hands…?

3. Machine Learning and the Profession of Medicine Feb 2016

4. Machine Learning… not so fast…

5. Precision Medicine Initiative®

6. There’s an app for that… and how! Roughly 200 new apps added every day. Those apps are increasingly being used in clinical trials. Right now, there are 860 trials underway across the globe testing health apps for clinical use. If the evidence supporting some of those apps pans out — e.g., if they’re able to reduce ER visits or improve medication adherence — they could help cut health care costs in the future.

7. There’s an app for that… and how!

8. There’s an app for that… and how!

9. There’s an app for that… and how!

10. Apple HealthKit In 14 of 23 major hospitals are trialing Google, Phillips, Samsung, IBM, and others are getting deeper into health- based technology applications Healthcare + fitness apps = comprehensive picture Send to MD or case manager

11. Harnessing diverse data, and a lot of it

12.

13.

14. Predictive Analytics

15. Predictive Analytics

16. >15,000 prior-managed bills were loaded and rerun against the ODG Treatment UR Advisor for each ICD9- CPT combination on frequency, number of visits, recommendations from ODG Treatment, and the "Bill Review Payment (or ODG Approval) Flags" divided into Green, Yellow, Red…

17. Green, OK to auto-pay up to ODG Codes for Automated Approval max number of visits; Yellow, OK to auto-pay up to 25th %tile number of visits Red, need to review

18.

19.

20. It’s nice to work with workers’ comp outcomes because… Outcomes are VERY Quantified – RTW at the same job description and PDL or not? – How many days passed before RTW? – Nice, clean, and tidy!

21. Surgeon’s Perspective on a Good Outcome • No anesthesia issues • No surprises during or after • No complications • Good wound healing • No post-op infection

22. But how does the story end? Is the patient back at work? Quickly? At the same PDL as prior to injury? With the same job classification?

23.

24. PRN Tx Guideline Consult (brought to you by your EMR)

25. I was always frustrated with the disconnect of getting evidence-based practice in real-time to the clinician while with the patient

26. So I did some experimenting….

27. And we may have cracked the code

28. Combing Evidence with Practical Application, in Real-time

29. Evidence-based practice is sort of like MoneyBall

30. Evidence-based practice is not…

31. Evidence-based practice is not…

32. No longer a problem of too little data… …but too much

33. OK, So, now WHAT?

34. It’s about tools…

35. Registries to the Rescue!

36. ATI Outcomes Registry 36

37. Collaborative Opportunities 37 Example Projects Analyzing individual patient demographic, baseline and outcomes characteristics to predict risk for developing chronic musculoskeletal pain Analyzing clinic and clinician, patient demographics, baseline and outcomes characteristics to predict likelihoods for appointment cancellation

38. Registry in Differentiation and Exposure 38 ATI possesses > 2 million unique cases of clinical outcomes Solid profile describing clinical-operational results Building towards differentiation Creating National Benchmarks for comparison purposes Developing models to predict and profile best care behaviors Using data to target improvements to differentiation Partnering with world class research institutes to innovate, improve patient management and clinical outcomes

39.

40. We are in the midst of some wonderfully revolutionalry and promising changes afoot…

41.

42.

43. Please be in touch Chris.Stout@ATIPT.com or visit DrChrisStout.com for these slides

Dr Stout Healthcare Analytics

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