“Iwantitall。

”Thissentimentissharedbynearlyalloftheclinicianswe’vemetwith,fromthelargestintegratedhealthsystems(IHS)tothesmallestphysicianpractices,inreferencetowhatdatatheywantaccesstoonceanaggregationsolutionlikeadatawarehouseisimplemented?

Fromdiscussionswithorganizationsthroughoutthecountryandacrosscaresettings,weunderstandaproblemthatplaguesmanyofthesesolutions:thedisparitybetweenwhatclinicaluserswouldlikeandwhattechnicalsupportstaffcanprovide。

Forinstance,whenbuildingaSurgicalDataMart,anIHScancollectstandardpatientdemographicsfromanumberofitstransactionalsystems?

Whenasked,“which‘patientweight’wouldyouliketokeep,theonefromyourORsystem(Picis),yourregistrationsystem(HBOC)oryourEMR(Epic)?

”andsureenough,thedoctorswillrespond,“all3”。

Unfortunately,thedoctorsoftendonotconsiderthecostandeffortassociatedwithprovidingthreeversionsofthesamedataelementtoendconsumersbeforeanswering,“Iwantitall”?

Andthereinliesourtheoryforaccommodatingthisrequest:LeaveNoDataBehind。

Insupportofthisprinciple,wearenotalone。

Bynowyou’veallheardthatMicrosoftismakingaplayinhealthcarewithitsAmalgaplatform。

MSwillcontinueitsstrategyofintegratingexpertisethroughacquisitionandsofar,itseemstobeworking。

MSclaimsanadvantageofAmalgaisitsabilitytostoreandmanageaninfiniteamountofdataassociatedwithapatientencounter,acrosscaresettingsandovertime,foratrulyhorizontalandverticalviewofthepatientexperience。

Simplyput,NoDataLeftBehind?

Theothermajorplayers(GE,Siemens,Google)areshoringuptheirofferingsthroughpartnershipsthathighlighttheimportanceofaccesstoandmanagementofhugevolumesofclinicalandpatientdata。

WhyistheconceptofNoDataLeftBehindimportant?

Clinicianshavestatedemphatically,“wedonotknowwhatquestionswe’llbeexpectedtoanswerin3-5years,eitherbasedonnewqualityinitiativesorregulatorycompliance,andthereforewe’dlikealltherawandunfiltereddatawecanget。

”Additionally,therecentpopularityofusingclinicaldashboardsandalerts(or“interventionalinformatics”)inclinicalsettingsfurthersupportsthisclaim。

Whilealertscanbeusefulandhelppreventerrors,decreasecostandimprovequality,studiessuggestthattheaccuracyofalertsiscriticalforclinicianacceptance;thetypeofalertanditsplacementandintegrationintheclinicalworkflowisalsoveryimportantindeterminingitsusefulness。

Asmentionedabove,manyorganizationsunderstandtheneedtoaccommodatethe“Iwantitall”claim,butfewcombinethiswithexpertiseoftheaggregation,presentation,andappropriatedistributionofthisinformationforimproveddecisionmakingandtangiblequality,compliance,andbottom-lineimpacts。

Fortunately,thereareafewofuswho’vewitnessedandcollaboratedwithinstitutionstohelpevolvefromtheorytostrategytosolution。

Providersmustformulateastrategytocapitalizeonthemountainsofdatathatwillcomeoncethehealthcareindustryfiguresouthowtointegratetechnologyacrossitsoutdated,paper-ladenlandscape?

Producersandpayersmustimplementthepropertechnologyandprocessestoconsumethisdataviaenterpriseperformancemanagementfront-endssothattheentirevaluechainbecomesmoreseamless。

Theemphasisondatapresentation(thinkBI,alerting,andpredictiveanalytics)continuestodominatetheheadlinesandbudgetrequests。

Healthcareinstitutions,though,understandthesekindsofadvancedanalyticsrequiretheappropriateclinicalandtechnicalexpertiseforimplementation。

Organizations,nowmorethanever,areembarkingonthisjourney。

We’vehadtheopportunitytohelpovercomethechallengesofsiloedsystems,latentdata,andanincompleteviewofthepatientexperiencetohelpinstitutionsrealizethepromiseofanEMR,thebenefitsofintegrateddatasets,andthedecisionmakingpowerofconsolidated,timelyreporting。

Noneoftheseinitiativeswillbesuccessful,though,withincompletedatasets;asuccessfulenterprisedatastrategy,therefore,alwaysembracestheprincipleof“NoDataLeftBehind”。