![Page 1: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/1.jpg)
Using Semantic Technology
to Drive Agile Analytics
Semantics, Analytics and
Data Unleashed™
May 14, 2014
![Page 2: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/2.jpg)
Presenters Overview
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 2
• Architecture
• Data Security
• Innovation
David Read
• Database Design
• Warehousing
• Semantics
Scott Van Buren
![Page 3: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/3.jpg)
Webinar Goal
• Demonstrate how semantic technology
enables you to make better decisions by
providing:
– the right data
– in the right form
– at the right time
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 3
![Page 4: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/4.jpg)
Agenda
• Introduce semantic terminology
• Describe how semantic technology
simplifies the data federation process
• Present a case study analyzing post-
discharge cost of care for heart attack
patients to illustrate how semantic
technology and agile analytics lead us to
an unexpected and surprising result!
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 4
![Page 5: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/5.jpg)
Data Federation Agility: Iterative Process
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 5
Define Iteration Goal
Identify Data
Federate Explore
Result
![Page 6: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/6.jpg)
SEMANTIC TECHNOLOGY
A brief look at the semantic technology underpinnings
that agile data federation leverages
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 6
![Page 7: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/7.jpg)
• Standards → RDF/RDFS/OWL/SPARQL
• Definitions → Ontologies
• Storage → Triple Stores
• Data Access → SPARQL
– Federation is assumed
• Inferencing → Reasoners
What Is Semantic Technology? (in this case)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 7
![Page 8: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/8.jpg)
Subject
Predicate
Object
What’s Different About Semantic Technology?
• Structure is (mostly) logical not physical
– Triple
– Directed Graph
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 8
Lisa
bioMotherOf
Michael
friendOf
Carl
favoriteSport
Bowling
![Page 9: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/9.jpg)
Lisa
bioMotherOf
Michael
The Physical Structure is Flexible by Design
• Relationships can be added or removed
as they are found, explored, accepted or
discredited
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 9
friendOf
Carl
Iced Tea
favoriteDrink
![Page 10: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/10.jpg)
Clm…
Bridging And Federating Data
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 10
Source_Pvdr Source_Clm
Clm_1 Pv1
name id dos lamt
ClaimHeader ClaimLine Provider
NPI
ClaimId
ch1 ch… prv1
PatNm BillAmt ServDt
Pv…
NatId
“Jones” “AB12” 2/3/14 405.00 “G403”
cl1 cl… prv…
Clm… Pv… Pv… Clm…
Line
Pvdr
Prov
![Page 11: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/11.jpg)
Directed Graph: Domain Class & Individuals
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 11
![Page 12: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/12.jpg)
Drilling Into Individuals
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 12
![Page 13: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/13.jpg)
Federating Example (merged individuals)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 13
Source 1 Source 2
![Page 14: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/14.jpg)
CASE STUDY
Semantically-enabled analytic agility
at a healthcare plan
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 14
![Page 15: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/15.jpg)
Case Study Description
• Healthcare Plan
– Medicare Administrative Contractor (MAC)
• Hypothesis
– Inconsistent treatment plans for heart attack
patients leads to varying costs and outcomes
• Opportunity
– Determine optimal post-discharge plans to
improve outcome and reduce costs to the
Medicare Trust Fund
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 15
![Page 16: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/16.jpg)
Infrastructure
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 16
Part A Claims • Headers • Lines
Part B Claims • Headers • Lines
General Info • Members • Providers Medical Review • Checklists • Denials
![Page 17: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/17.jpg)
Database Schemas
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 17
Part A Part B
Providers and Beneficiaries Medical Review
![Page 18: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/18.jpg)
ITERATION 1
Validate the hypothesis
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 18
![Page 19: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/19.jpg)
I1: Business Definition and Ontology
• Iteration Goal (Problem Statement)
– Determine the overall cost of Part B claims
directly related to patients discharged with
DRG 280, 281 and 282 coded Part A claims
• Identify Data (Terms and Relationships)
– Interested in Part A and B claim headers
• Part A: Patient Id, DRG, admit date, discharge
date, paid amount
• Part B: total paid across episode of care [EOC]
(based on dates and prior history)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 19
![Page 20: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/20.jpg)
I1: Relevant System Data
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 20
Part A Claims • Headers
Part B Claims • Headers
Semantic Environment • Ontologies (narrow) • Triple Store (in-memory/physical) • Reasoner • SPARQL Endpoint
2000
3000
4000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt A
Co
st ($
)
DRG
280
281
282
Part A Cost by DRG
2500
5000
7500
10000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt B
Co
st ($
)
DRG
280
281
282
Part B Cost by DRG
Costs Categorized by DRG
Analytic Tools
![Page 21: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/21.jpg)
I1: Federated Data Sample
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 21
![Page 22: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/22.jpg)
I1: EOC Aggregated Costs by DRG and LOS
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 22
280 281 282
40
00
10
00
0Total EOC Cost by DRG
DRG
To
tal E
OC
Co
st ($
)
2 3 4 5 6
40
00
10
00
0
Total EOC Cost by Inpatient LOS
LOS (Days)
To
tal E
OC
Co
st ($
)
![Page 23: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/23.jpg)
I1: Patient EOC Costs by DRG
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 23
2500
5000
7500
10000
12500
15000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
To
tal E
OC
Co
st ($
)
DRG
280
281
282
Total EOC Cost by DRG
![Page 24: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/24.jpg)
I1: Patient EOC Costs by DRG (Part A, Part B)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 24
2000
3000
4000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt A
Co
st ($
)
DRG
280
281
282
Part A Cost by DRG
2500
5000
7500
10000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt B
Co
st ($
)
DRG
280
281
282
Part B Cost by DRG
Costs Categorized by DRG
![Page 25: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/25.jpg)
I1: Patient EOC Costs by LOS
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 25
2500
5000
7500
10000
12500
15000
2 3 4 5 6
LOS (Days)
To
tal E
OC
Co
st ($
)
DRG
280
281
282
Total EOC Cost by LOS
2000
3000
4000
2 3 4 5 6
LOS (Days)
Pa
rt A
Co
st ($
)
DRG
280
281
282
Part A Cost by LOS
2500
5000
7500
10000
2 3 4 5 6
LOS (Days)
Pa
rt B
Co
st ($
)
DRG
280
281
282
Part B Cost by LOS
Costs Categorized by LOS
![Page 26: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/26.jpg)
ITERATION 2
Investigate the Part B stratifications
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 26
![Page 27: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/27.jpg)
I2: Business Definition and Ontology
• Iteration Goal
– Understand the Part B cost stratification. Start
by looking at the types of providers and
facilities within the relative order of visits
• Identify Additional Data
– Interested in Part B claim headers, lines and
providers (facilities)
• Part B: total paid for each claim, provider
associated with lines, provider specialty or facility
type
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 27
![Page 28: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/28.jpg)
I2: Relevant System Data
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 28
Part A Claims • Headers
Part B Claims • Headers • Lines
Semantic Environment • Ontologies (broadened) • Triple Store (in-memory/physical) • Reasoner • SPARQL Endpoint
General Info • Providers
pcp
car
inp
car
phm
nut
phm
cpt
gpt
nut
pcp
cpt
car
hom
pcp
edu
gpt
hom
edu
cpt
pcp
cpt
car
hom
pcp
cpt
cpt
gpt
car
pcp
car
Flow by Patient Count
pcp
car
inp
car
phm
nut
phm
cpt
gpt
nut
pcp
cpt
car
hom
pcp
edu
gpt
hom
edu
cpt
pcp
cpt
car
hom
pcp
cpt
cpt
gpt
car
pcp
car
Flow by Mean $ per Patient
Analytic Tools
![Page 29: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/29.jpg)
I2: Federated Data Sample
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 29
![Page 30: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/30.jpg)
pcp
car
inp
phm
car
nut
phm
gpt
cpt
nut
pcp
cpt
hom
car
pcp
edu
gpt
hom
edu
cpt
pcp
cpt
hom
car
pcp
cpt
gpt
cpt
car
pcp
car
Flow by Patient Count (DRG 282)
pcp
car
inp
phm
car
nut
phm
gpt
cpt
nut
pcp
cpt
hom
car
pcp
edu
gpt
hom
edu
cpt
pcp
cpt
hom
car
pcp
cpt
gpt
cpt
car
pcp
car
Flow by Patient Count (DRG 281)
pcp
car
inp
phm
car
nut
phm
gpt
cpt
nut
pcp
cpt
hom
car
pcp
edu
gpt
hom
edu
cpt
pcp
cpt
hom
car
pcp
cpt
gpt
cpt
car
pcp
car
Flow by Patient Count (DRG 280)
I2: Part B Facility Flow (by DRG)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 30
1
1
2
3
2 3
![Page 31: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/31.jpg)
pcp
car
inp
phm
car
nut
phm
gpt
cpt
nut
pcp
cpt
hom
car
pcp
edu
gpt
hom
edu
cpt
pcp
cpt
hom
car
pcp
cpt
gpt
cpt
car
pcp
car
Flow by Patient Count
pcp
car
inp
phm
car
nut
phm
gpt
cpt
nut
pcp
cpt
hom
car
pcp
edu
gpt
hom
edu
cpt
pcp
cpt
hom
car
pcp
cpt
gpt
cpt
car
pcp
car
Flow by Mean Aggregated $ per Patient
I2: Part B Facility Flow
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 31
![Page 32: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/32.jpg)
I2: Average EOC Costs By DRG and Flow
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 32
280-PCP 280-CDO 280-REH 281-PCP 281-CDO 281-REH 282-PCP 282-CDO 282-REH
Average Claim Costs
DRG and Flow
Do
lla
rs
0
2000
4000
6000
8000
10000
12000
Claim Type
Part B
Part A
![Page 33: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/33.jpg)
280 281 282
40
00
80
00
12
00
0Total EOC Cost by DRG with Rehab Hosp
DRG
To
tal E
OC
Co
st ($
)
280 281 282
30
00
50
00
70
00
90
00
Total EOC Cost by DRG without Rehab Hosp
DRG
To
tal E
OC
Co
st ($
)I2:EOC Agg by DRG (Rehab Hosp Difference)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 33
![Page 34: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/34.jpg)
I2: Patient EOC by DRG (w/o Rehab Hosp)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 34
4000
6000
8000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
To
tal E
OC
Co
st ($
)
DRG
280
281
282
Total EOC Cost by DRG
![Page 35: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/35.jpg)
I2: Patient EOC by DRG (w/o Rehab Hosp)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 35
2000
3000
4000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt A
Co
st ($
)
DRG
280
281
282
Part A Cost by DRG
2000
3000
4000
5000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt B
Co
st ($
)
DRG
280
281
282
Part B Cost by DRG
Costs Categorized by DRG
![Page 36: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/36.jpg)
pcp
car
phm nut
gpt
cpt
pcp
car
cpt
hom
edu
car
pcp
hom
edu
gpt
cpt
hom
edu
cpt
pcp
car
cpt
hom
cpt
car
pcp
car
cpt
gpt
cpt
pcp
car
Flow by Patient Count (DRG 282)
pcp
car
phm nut
gpt
cpt
pcp
car
cpt
hom
edu
car
pcp
hom
edu
gpt
cpt
hom
edu
cpt
pcp
car
cpt
hom
cpt
car
pcp
car
cpt
gpt
cpt
pcp
car
Flow by Patient Count (DRG 281)
pcp
car
phm nut
gpt
cpt
pcp
car
cpt
hom
edu
car
pcp
hom
edu
gpt
cpt
hom
edu
cpt
pcp
car
cpt
hom
cpt
car
pcp
car
cpt
gpt
cpt
pcp
car
Flow by Patient Count (DRG 280)
I2: Part B Facility Flow (w/o Rehab Hosp)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 36
![Page 37: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/37.jpg)
pcp
car
phm nut
gpt
cpt
pcp
car
cpt
hom
edu
car
pcp
hom
edu
gpt
cpt
hom
edu
cpt
pcp
car
cpt
hom
cpt
car
pcp
car
cpt
gpt
cpt
pcp
car
Flow by Patient Count
pcp
car
phm nut gpt
cpt
pcp
car
cpt
hom
edu
car
pcp
hom
edu
gpt
cpt
hom
edu
cpt
pcp
car
cpt
hom
cpt
car
pcp
car
cpt
gpt
cpt
pcp
car
Flow by Mean Aggregated $ per Patient
I2: Part B Facility Flow (w/o Rehab Hosp)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 37
![Page 38: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/38.jpg)
280-PCP 280-CDO 281-PCP 281-CDO 282-PCP 282-CDO
Average Claim Costs
DRG and Flow
Do
lla
rs
0
2000
4000
6000
8000
Claim Type
Part B
Part A
I2: Average EOC Costs By DRG and Flow
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 38
![Page 39: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/39.jpg)
ITERATION 3
Refine the data set
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 39
![Page 40: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/40.jpg)
I3: Business Definition and Ontology
• Iteration Goal
– Remove claims that would be denied based
on claim review history
• Define Additional Data
– Interested in claim review denials and
relationship to claims in the study’s data set
• Medical Review: adjudication status, claim
information such as provider specialty and facility
type
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 40
![Page 41: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/41.jpg)
I3: Relevant System Data
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 41
Part A Claims • Headers
Part B Claims • Headers • Lines
Semantic Environment • Ontologies (broadened) • Triple Store (in-memory/physical) • Reasoner • SPARQL Endpoint
General Info • Providers
Medical Review • Adjudication • Claim Details
Analytic Tools
280-PCP 280-CDO 281-PCP 281-CDO 282-PCP 282-CDO
Average Claim Costs
DRG and Flow
Do
lla
rs
0
1000
2000
3000
4000
5000
6000
Claim Type
Part B
Part A
![Page 42: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/42.jpg)
I3:EOC Agg by DRG (Denied Claims Diff)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 42
280 281 282
30
00
50
00
70
00
90
00
Total EOC Cost by DRG with Denied Claims
DRG
To
tal E
OC
Co
st ($
)
280 281 282
30
00
50
00
70
00
Total EOC Cost by DRG without Denied Claims
DRG
To
tal E
OC
Co
st ($
)
![Page 43: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/43.jpg)
I3: Patient EOC by DRG (w/o Denied Claims)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 43
3000
4000
5000
6000
7000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
To
tal E
OC
Co
st ($
)
DRG
280
281
282
Total EOC Cost by DRG
![Page 44: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/44.jpg)
2000
3000
4000
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt A
Co
st ($
)
DRG
280
281
282
Part A Cost by DRG
1500
2000
2500
3000
3500
1.0 1.5 2.0 2.5 3.0
DRG Grouping
Pa
rt B
Co
st ($
)
DRG
280
281
282
Part B Cost by DRG
Costs Categorized by DRG
I3: Patient EOC by DRG (w/o Denied Claims)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 44
![Page 45: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/45.jpg)
pcp
car
phm nut
gpt
cpt
hom
cpt
edu
pcp
edu
cpt
gpt
cpt
edu
car
pcp hom pcp gpt pcp
Flow by Patient Count
pcp
car
phm nutgpt
cpt
hom
cpt
edu
pcp
edu
cpt
gpt
cpt
edu
car
pcp hompcp gpt pcp
Flow by Mean Aggregated $ per Patient
I3: Part B Facility Flow (w/o Denied Claims)
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 45
![Page 46: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/46.jpg)
I3: Average EOC Costs By DRG and Flow
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 46
280-PCP 280-CDO 281-PCP 281-CDO 282-PCP 282-CDO
Average Claim Costs
DRG and Flow
Do
lla
rs
0
1000
2000
3000
4000
5000
6000
Claim Type
Part B
Part A
![Page 47: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/47.jpg)
Conclusions
• Data federation agility
accelerates data analysis
& reporting
– Experts follow unexpected
paths as they work with data
– Predicting up-front what data will be useful
• Error prone (too little missed)
• Heavyweight (too much wasted effort)
• Targeting federation at specific questions
reduces the scope of data integration
• Multiple iterations inform a broader data
warehousing need
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 47
![Page 48: Using Semantic Technology to Drive Agile Analytics - SLIDES](https://reader036.vdocuments.mx/reader036/viewer/2022081519/558a29a4d8b42a46028b4633/html5/thumbnails/48.jpg)
Thank You
(c) 2014 Blue Slate Solutions Semantics Underpins Analytic Agility 48
We appreciate your spending time with us.
If there are questions we do not cover during
the Q&A time in the webinar, feel free to
contact us at your convenience:
[email protected] [email protected]
www.blueslate.net
www.dataunleashed.com