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DEVELOPING DATA VISUALIZATION CAPABILITY
IN HOSPITAL AUTHORITY HONG KONG
Symposium on Data-Driven Healthcare
29 & 30 August 2017
Mr. Kevin CAICIO, Hospital Authority Hong Kong
Developing Data Visualization Capability | Hospital Authority Hong Kong
Hong Kong’s Public Healthcare IT
Remarks: Figures as at 31 Mar 2017
Support by 70,000+ staff6,000+ medical professionals32,000+ nursing & allied health professionals
Serve 90% inpatients in HK28,100 beds1.7M inpatients p.a.
2.3M A&E attendances p.a.
Constitute 2.8% GDP of HKHK$54 billion p.a.Subvented by government
Manage all HK public hospitals & institutions42 hospitals in 7 Clusters120 outpatient clinics
Clinical Management
Systems
Electronic Health Records Sharing
System
Corporate Support Systems
Over 10 million transactions of clinical systems per day
280 Terabytes of Health Data
Clinical notes
Drug records
Lab reportsClinical images
Patient profiles
2
Key Challenges in the Coming Years
Developing Data Visualization Capability | Hospital Authority Hong Kong
Serv
ice
• Population growth and ageing
• Access and waiting time
• Service model transformation
• Keeping up with technology
Man
po
wer
Co
nst
rain
ts
• Staff management practice
• Training and development
Fin
ance• Financial
sustainability and cost-efficiency
• Transparency and equity in resource distribution
3
How many 3’s?
248721840123874092165901476098560
932472091256290650985265904827582
985680960986309584390564095878950
374509284750989475092984
Developing Data Visualization Capability | Hospital Authority Hong Kong
4
How many 3’s?
248721840123874092165901476098560
932472091256290650985265904827582
985680960986309584390564095878950
374509284750989475092984
Developing Data Visualization Capability | Hospital Authority Hong Kong
Human brain processes images 60,000 times faster than text,
90% of info transmitted to the brain is visual.
5
Our Data Analytics Challenges & Strategy
Developing Data Visualization Capability | Hospital Authority Hong Kong
Expertise
Lack of in-house expertise while expensive & difficult to get from market
Tools
Lack of low cost data analytics tools
Innovation
Need a variety and reliable environment for data sharing and exploration
Business Support
Lack of business sponsorship for data projects
• Establish Data Analytics Vision
1. Vision
• Establish Data Competence Center (DCC)
2. Expertise
• Build Innovation Lab to facilitate data collaboration
3. Innovation
• Deliver Data Driven Solutions in 5 strategic portfolios
4. Application
Challenges Strategies
6
Data Driven Healthcare Actionable Insights From Health Data
We Build “Smarter” Applications
Machine Learning /
Artificial Intelligence
Advanced
Visualization
1. Our Data Analytics Vision
Developing Data Visualization Capability | Hospital Authority Hong Kong
7
Formed in June 2015
from 8 to 80
members
in 2017
R&D
Open source
data technology
Data
infrastructure
HA use cases,
develop
prototypes
Learn and share,
develop 50
data engineers
2. Establish Data Competence Center (DCC)
Developing Data Visualization Capability | Hospital Authority Hong Kong
8
Data Strategy
Data
Architecture
Learn &Growth Machine
Learning
Data Analytics
Advanced Data
Visualization
Open Source
Technology
Data Services
Text Analytics
Data Technology Application
He
alt
hc
are
Us
e C
as
es
Focus on 9 areas of DCC Development
Developing Data Visualization Capability | Hospital Authority Hong Kong
9
Bronze
Introductory Learning ~1-2 months
Foundational understanding with application of knowledge:- Online learning- Instructor courses- Hands-on proof-of-
concept workshops
Silver
Intensive Training ~2-4 months
In-depth understanding with application of knowledge:- Online learning- Instructor courses- Hands-on proof-of-
concept prototypes
Assessment & Recognition
Gold
Hands-on Project~2-6 months
Data Scientist
Big Data Architect
Business/Data Analyst
Data Developer/Engineer
Developing Data Visualization Capability | Hospital Authority Hong Kong
Assessment & Recognition as
DCC Data Professional
Data Engineer
Data Analyst
Data Architect
Data Scientist
Design our DCC Training Roadmap
10
Develop expertise leveraging open source
Developing Data Visualization Capability | Hospital Authority Hong Kong
11
3. Build Innovation Lab to Facilitate Data Collaboration
Developing Data Visualization Capability | Hospital Authority Hong Kong
Isolated, de-identified data environment to facilitate external collaboration
AI robot / Kiosk reception
Mobile / Data / Geek prototype show cases
Simulated Smart Hospital Environment leverage existingapps and smart components
Collaboration zone
12
HAIT Innovation Management Framework
Developing Data Visualization Capability | Hospital Authority Hong Kong
Technology
to Idea
Idea to
Prototype
Prototype
to Project
Vendor
Competitor
Open source
Community
Market
Research
University
Ecosystem
Selection
Develop
Activate Transformation
Innovation ProjectsDevelop new technology vision
into HA solution prototype
Explore technology
beyond vendor
Deploy prototype
into projects
13
• Talent specialisation• Learning culture• IT for IT • Better business
alignment
• Smarter IT services• Advanced infrastructure• More reliable and secure
platform
• Data-driven insights for better outcome
• Patient engagement• Community collaboration• Alignment to HK Smart
City
• Mobile tools• Staff collaboration• Enhanced resource
management• Value-adding process
• HA’s care model transformation
• Efficiency improvement• Clinical quality and risk
management
Next Generation
Clinical Management
Enhanced Patient
Experience
Digital Workplace and
Collaboration
Advanced Process &
Infrastructure
Resource Centralization
and Specialization
4. Deliver Data Driven Solutions in 5 IT Strategic Portfolios
Developing Data Visualization Capability | Hospital Authority Hong Kong
IT Strategic Portfolios
Strategies
Programmes
5
20
100+
14
1 Delivered3 Delivered
2 Delivered 1 Delivered5 Delivered
Next Generation
Clinical Management
Enhanced Patient
Experience
Digital Workplace and
Collaboration
Advanced Process &
Infrastructure
Resource Centralization
and Specialization
Total
12Delivered
Data Driven Solutions Delivered in the Past 12 Months
Developing Data Visualization Capability | Hospital Authority Hong Kong
15
Developing Data Visualization Capability | Hospital Authority Hong Kong
Selected Visualization Solutions
16
1. Reduce Access Block in A&E
1. Problem
- Long waiting time, patients have to wait a long time in A&E even after being diagnosed and confirmed to admit to hospital
- Difficult to identify individual patient waiting
- Different to redeploy supply based on demand
2. Solution
- Near real time patient view of A&E at a glance
- With auto alert emails to hospital management if waiting longer than defined period
- Dynamic resource deployment
3. Implementation
- Agile development- Java + SQL Server- Responsive Ajax: jQuery- Visualization: FusionChart
4. Outcome
- Complete, HK-wide A&E service view- Help patients transfer across wards &
hospitals- Improved patient care
Developing Data Visualization Capability | Hospital Authority Hong Kong
17
1. No. of Patients Awaiting
2. Consultation Time
3. No. of Access Block
Admission info for major
specialties.
Email Alert
A&E DashboardDeveloping Data Visualization Capability | Hospital Authority Hong Kong
18
A&E Dashboard
Bed Occupancy Rate byWards
Developing Data Visualization Capability | Hospital Authority Hong Kong
19
2. Visualize Patient Journey
1. Problem
- Manual process on textual info, over 60 million laboratory reports
- Disparate data across patient history- Exact match search limit capability to find
similar result- Lack of holistic view by associating lab
results with whole patient journey to facilitate clinical decision making
2. Solution
- Illustrate patient journey history by integrated view of all medical data (lab, admission, discharge, etc) with related diseases and treatment
- Intuitive data visualization to convert text view info various graphic displays
- Convert free-text, unstructured lab reports into structured clinical entity for fuzzy search
- Link search result with patient demographic for clinical analysis and decision making
3. Implementation
- Noble Coder to process lab reports- SNOMED-CT for terminology
standardization- Hadoop for data analytics
Developing Data Visualization Capability | Hospital Authority Hong Kong
20
Patient Journey Visualization
Time series to view patient records by year to month with scroll up and down
Chart Summary Record detail shown in text, once clicked on above boxes
Developing Data Visualization Capability | Hospital Authority Hong Kong
21
Patient Journey Visualization
1 2 3
Different type of view for different perspective
Developing Data Visualization Capability | Hospital Authority Hong Kong
22
3. Protect our e-HR Platform1. Problem
- Over 95% of cyber traffics are attacks- Difficult to trace and analyze resource of
attack, time, pattern and types- Traces are immersed in large amount of
log files- There are too many types of log files in a
complex system like HK’s e-HR
2. Solution
- Collect all log files and event data in a centralized repository
- Convert unstructured log data into structured data
- Make data searchable in fast and meaningful ways
- Cost little using open source
3. Implementation
- Logstash: input and output parser of all data
- Elasticsearch: indexes all data and make it searchable
- Kibana: Visualize interface for log data
4. Outcome
- Shorten incident investigation time, reduce from 6 hours to 10 mins
- Plot different timeline to predict the trend and prepare action
- Utilize powerful analytics to recognize data patterns and summarize data dimensions
- Will fully deploy before 2018
Developing Data Visualization Capability | Hospital Authority Hong Kong
23
Developing Data Visualization Capability | Hospital Authority Hong Kong
24
Developing Data Visualization Capability | Hospital Authority Hong Kong
Future: Achieve Data Driven Healthcare
Traditional Data Analysis & Historical Reporting
Data Analytics & Insights Data-Driven Enterprise
Current state Target state in 5 years
25
THANK YOU !