Partnership Seven Guney, Program Manager NSLHD Health Informatics - - PowerPoint PPT Presentation

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Nov 16, 2022 218 likes •339 views

MIYA PRECISION ACUTE CORONARY SYNDROME (ACS) & SURGICAL CARE RISK STRATIFICATION PLATFORM NSLHD, The Sydney Uni & Alcidion Partnership Seven Guney, Program Manager NSLHD Health Informatics & Analytics Program Source: Draft NSLHD

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ACUTE CORONARY SYNDROME (ACS) & SURGICAL CARE RISK STRATIFICATION PLATFORM Seven Guney, Program Manager NSLHD Health Informatics & Analytics Program MIYA PRECISION

NSLHD, The Sydney Uni & Alcidion Partnership

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Source: Draft NSLHD Strategic Plan 2017-2022 https://www.nslhd.health.nsw.gov.au/AboutUs/StrategicPlan/Documen ts/Strategic%20Plan%20Draft%20.pdf

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Right Infrastructure CDS AI-NLP & ML Operational Dashboard Access to Real time eMR Data

Improve quality and safe care
Improve the patient experience of care
Improve health outcomes
Improve clinical, business and
rganisational practice

Focus

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Project Scope

Operational Dashboards

Cardiology Risk Stratification
Surgical Care Risk Stratification
Hospital Acquired Complications
VTE
Arrhythmia
Medication Complications
Hospital Acquired Infections

Data in FHIR format CDS

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Targeted patient cohorts

Patient level

Demographic info
Allergies
Alert
Chronic problems

Encounter level Waitlist Having a surgery Will have a surgery Chest Pain Keyword Search Cardiac pathway Troponin ECG evidence Procedures Medical Imaging SNOMED-CT, ICD10

Patient Level

Demographics, Providers Allergies, Alerts Chronic Conditions Histories – Family, Social, Past Medical

Visit Level- Patient Journey

Admission, Transfer, Discharge Pathology Orders & Results Radiology Orders & Results Diagnosis , SNOMED CT & ICD10 Vital signs via BTF & iView Medication Perioperative surgical care Clinical Doc (Clinical Notes, Scanned Doc) Discharge process

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Infrastructure – Miya/FHIR

Patient, Practitioner
Organisation, Location
Appointments, Procedure
Encounter, Episode of Care
Observation, DiagnositicReport
ClinicalImpression (Clinical notes)
Flag, AllergyIntolerance
MedicationRequest, MedicationAdministration
Tasks, ServiceRequests (Referrals)
DetectedIssues (Clinical risks via CDS)
Communications, Notifications (via CDS)
Concept identification within

ClinicalImpressions (via NLP)

CDS Observations (via CDS)
Tasks, ServiceRequests (via CDS)
‘Tags’ of patient cohorts (via CDS)

Cerner to FHIR Mapping Generated by AI & CDS in Miya Precision

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Operational Dashboards (Example Configuration)

Location Cerner Patient Cerner/IPM Timers CDS Tasks CDS Tags, Detected Issue CDS Medication Cerner Observations, Cerner Diagnostic Reports Cerner, ESB Observations, Concepts NLP Tasks from Pathway CDS

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AI support – NLP

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Next Step

Enhance the integration layer to use ‘Miya Real time’ for real time events
Include other patient cohorts
Provide enhanced notifications to Medical Officers via mobile devices
Explore different models of integrating decision support into the clinical workflow
Leverage the Miya standards based FHIR interoperability platform to support other external

algorithms such as the CSIRO readmission prediction model

Leverage FHIR to support innovation from multiple vendors

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Acknowledgement

NSCCLHD ICT Unit
NSLHD Performance & Business Intelligence Unit
Alcidion
Centre of Translational Data Science Team, The University of Sydney