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Real-Time Healthcare Analytics:A New Approach to Simple, Fast, and Cost-Effective Insights

Erik GiesaSVP, Marketing and Business DevelopmentExtraHopHIMSS 2015

• Leader in wire data stream-analysis and IT Operations Analytics (ITOA)

• Disruptive platform that enables greater IT and business intelligence

• Monitoring over 1M systems and trillions of transactions daily

• Founded in 2007; one of the fastest growing technology companies

Industry RecognitionTechnology Partnerships

“ExtraHop may have kicked the rock off of the top of the mountain that causes the avalanche that disrupts and reorganizes the entire $20B IT operations market.

This is going to be very bad for the hundreds of vendors who just collect commodity data, and it will ultimately put IBM, BMC, HP, and CA under severe pressure as well.”

A Few of the Pioneers who Introduced ExtraHop to Healthcare…

Drex DefordCIO Scripps, Seattle Children’s Hospital, and Steward Health

Wes WrightCTO Sutter Health,CIO Seattle Children’s Hospital

Todd ForgieVP, IT and Managed Services, MEDHOST

“ExtraHop is a force multiplier for Health IT”- Todd Forgie, MEDHOST

In 2014 Healthcare Became a Top 3 Vertical

Financial Services Retail & E-Commerce

Travel

Healthcare

Government

Technology Media & Entertainment

Education

Telco/Providers

Healthcare IT: Complex, Costly & Critical

While change is constant, one thing remains the same –

everything transacts on the wire.

Is Your Data “Locked” or Easy to Access?

Clinical Ambulatory Pharmacy Radiology

Financial / Claims

Laboratory Cardiology Patient Portal PACS

EMR / EHR

How Simple, Fast, and Adaptable is This?

Clinical Ambulatory Pharmacy RadiologyEMR / EHR

Data Staging

ETL E

TL

ETL

ETL ETL

Data Warehouse

Now can we see real-time correlated drug administration and observation across all hospitals? What about real-time readmits? No? Can you run a customized ETL today? No?!!!!

Real-Time Healthcare Operational Intelligence

Fast, Simple, Adaptable, and Inexpensive

Today’sdiscussion

Healthcare Data

Patient ID

Admissions

Orders

Diagnoses

Facility / Physician

Observations

Claims

Allergies

Application Data

POST Content

AJAX Data

Section

Sub-Section

Page Title

Session Cookie

Proxied IP Address

Error Message

Availability Data

HTTP status codes

Application errors

Connection resets

Heartbeats

SSL certificate validity

Synthetic pingers

SNMP traps

Authentication errors

Wire Data is the Conversation Stream

A small sample of what wire data contains…Capacity Data

Throughput

Transactions

Dropped packets

Application stalls

Application slowdowns

Geolocation/IP mapping

Storage Access (reads/writes)

SSL Offload

Security Data

Command and Control

Shadow IT (SaaS, cloud)

Network traversal

Unauthorized outbound connections & protocols

Storage/DB access

Blacklisted traffic

Brute force attacks

Surreptitious tunneling

All L2-L7 communication on the network

From Raw Packet Data

To Structured Wire Data

Extract and analyze all

communication

between all connected systems

Performance Metrics

Caching Behavior

Compression Behavior

Base HTML Load Time

Round Trip Time

Client Request Time

Server Reply Time

Server Send Time

Total Time Taken

Wire Data Stream-Processing

Customize & Share

Analyze & Visualize

Index & Store

Extract & Transform

Prescription

Analysis

BigDataIntegration

Medical

Informatics

EMR / EHR

Performance

Epidemiology

HIPPA

Security &

Compliance • Non-invasive deployment (simple network tap to

analyze all communication)• Installs in under 15 minutes• Auto- discovers, classifies, and maps relationships

Prove Meaningful Use and Performance

Meaningful Use Analysis

Clinical View: Total Time to Order by User

Which users are having a difficult time or just being difficult? Factual comparisons. Prioritize training.

Patient Statistic Monitoring: Less than 5 Minutes

Who and how many are being admitted right now? Do we need to adjust staff?

Why are so many males being admitted in Kent? Is it an epidemic?

Identify abnormal patient admit activity. Is a smaller city suddenly seeing a spike in patients?

Patient Allergy Monitoring

Observes the top 20 allergies that patients are suffering from.

Observes the severity and the general type of the allergies.

Observe and baseline seasonal trends and identify abnormalities.

Proactive Real-Time Epidemiology

U.S. Flu Epidemiology

U.S. Flu Summary

Total Notifications 23,632

Unique Locations 3,151

Mean per Location 7.5

Top Locales

San Francisco 450

Seattle 275

Top Hospitals

SF: UC San Francisco

225

SEA: Harborview 125

WAL: John Muir Med Cntr

75

SEA: Swedish First Hill

68

RED: Kaiser Permanente

51

Detect in real-time potential outbreaks.

Communicate rapidly to clinics and hospitals

Prepare and be proactive. Geomap continuous care patients by location. Pre-stock equipment and medicines for disasters.

Simple implementation saves time and money, while improving agility.

Prescription Monitoring and Fraud Detection in Minutes

Observes and counts all prescriptions being issued in your environment.

Tracks prescriptions by facility, prescribing doctor, and drug type.

Gain a better understanding of prescription patters.

Real-time monitoring can help protect against fraudulent activity or abuse.

ICD9 to 10 Real-Time Audit Accountability

Identify and alert on incorrect coding before the claims are submitted.

Observes diagnoses messages and identifies interfaces and applications sending and receiving ICD-9 and ICD-10 codes.

Ensure uninterrupted payments from payers, including federal government, while avoiding fines.

Confirmation that testing is occurring, with both home grown and vendor interfaces and applications.

Diagnoses Monitoring with ICD Codes

Examines ICD codes used for patient diagnoses and medical billing. Trend over time.

Diagnostic codes are grouped by type.

Alerts can be set up irregular spikes in diagnoses types

Observation can help inform clinicians of trends in patient ailment.

Drug Administration and Observation Results– Real-Time

Creates real-time automated patient watch lists based upon drug administrations and lab results.

Research hospital desired real-time patient monitoring but development time and cost prevented implementation.

Took 5 minutes to write extraction and visualization logic saving thousands of dollars while improving patient safety.

Observes both drug administrations and observation results for patient safety.

Patient ADT and Workflow Impact

Optimize processes and staffing for improved patient quality.

Observe admittance and discharge workflow.

Adjusted staffing to reduce impact on infrastructure and patient satisfaction.

See readmits based on registration events as they occur.

Non-ProprietaryNoSQL DB

ExtraHop Open Data StreamWire Data

Stream AnalyticsREAL-TIMEstream processing, analysis,

and visualization

Visualization Tools

POST-HOCData set correlation, analysis, and visualization

Set Your Data Free with ExtraHop

Explore and Integrate Your Data• Easily combine wire data with other data sources

Save Money• No cost for Open Data Stream• Bring your own storage for unlimited look back

Flexibility• Supports nearly any open source data store• Any traditional database that supports REST APIs

Questions and Next Steps

• Visit – ExtraHop at Booths #5426 and #

• Learn– ExtraHop.com/industry/healthcare

• Explore– Extrahop.com/test-drive

• Contact– Extrahop.com/company/contact