nwcdc 2018 pharmacy analytics in workers’ comp...© 2018 matrix healthcare services, inc. | an...
TRANSCRIPT
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Cliff BelliveauVP Business Intelligence
NWCDC 2018Pharmacy Analytics in Workers’ Comp
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
What is Visual Analytics?
2
Transforming data into insights that tell a story
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
3
A little history…
Jacquard loom Punch Cards
Textile Pattern
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
4
Transforming data into information
Punch Cards Textile PatternLoom
DataVisual
InformationData Process
18
20
20
18
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
5
Visual Analytics
Data Visualization
Modern equivalent of visual communication
"An ideal visualization should not only communicate clearly, but stimulate viewer engagement and attention“
- Fernanda Viegas and Martin M. Wattenberg, IBM
Over 90% of the worlds data has been created in the past 2 years
The human brain processes images 60K faster than text
90% of the information transmitted to the brain is visual
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
6
Top Trends in Analytics
1. Data Quality Management (DQM)
2. Data Discovery3. AI, Machine Learning,
Predictive & Prescriptive Analytics
4. Connected Clouds5. Data Governance and Trust6. Security, Digital Ethics and
Privacy7. Collaborative BI
Machine learning patents grew at a 34%
between 2013 and 2017
Third-fastest growing category of all patents granted
Spending on AI/ML will grow from $12B in
2017 to $57.6B by 2021
Source: International Data Corporation (IDC)
Healthcare’s AI market will reach $6.6 billion
by 2021, from $600 million in 2014
Source: Accenture
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
7
Workers’ Comp Data
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
8
Organizing data to answer questions quickly
Data Warehouses are pantries for data and information
“Groceries”“The Pantry”
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Revealing Outliers in a Patient Population
9
Unveiling hidden metrics
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
The ranking dilemma
Which patient(s) has the oldest claims and the highest opioid utilization?
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
11
Comparing multiple values visually
• Displays large populations of data• Useful for seeing correlations• Fixed time period
Which patient(s) has the oldest claims and the highest opioid utilization?
Answer: Patient C
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
12
Varying perspectives yield different stories
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
13
Segmenting population reveals more insights
Categorization of data point within the population can lead to deeper understanding:
• Geography• Demographics• Market• Jurisdiction
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Measuring Pharmacy Utilization
14
Analyzing patterns to better target patients for intervention
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
15
Common utilization patterns
Benzodiazepine Use Days Supply
Compound Use Rx Count
Concurrent Use of Benzodiazepines and Opioids Concurrent Day Supply
Concurrent Use of Benzodiazepines, Opioids and Soma Concurrent Day Supply
Concurrent Use of Buprenorphine and Opioids Concurrent Day Supply
High Dose Acetaminophen mg per Day
More Than One Opioid Type CPE Count
Multiple Opioid Prescribers Unique Prescribers
Multiple Pharmacies Unique Pharmacies
Naloxone Use Rx Count
New Start Long-Acting Opioid Rx Count
Opioid Use Days Supply
Sedative Hypnotic Use Days Supply
Skeletal Muscle Relaxant Use Days Supply
Therapeutic Duplication CPE Count
Daily Morphine Equivalent Dose Aggregate MED
Trans mucosal Immediate Release Fentanyl Days Supply
What We Measure How We Measure
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Difficult to measure utilization patterns from detail
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
17
Measuring and trending patient’s utilization
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
18
Assigning safety risk scores to patient’s utilization
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Measuring Intervention EffectivenessUnderstand the impact of clinical interventions to utilization
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
20
Typical interventions in WC pharmacy
PharmacistPrescriber
ClaimsExaminer
InjuredWorker
• Pharmacy/Provider alerts• Utilization review• Physician consultation• Patient education• Clinical review
Email TextMessage
Letter VoiceCall
FAX
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Visualizing the effect of interventions on utilization
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Using safety risk score to measure intervention effectiveness
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Machine Learning / AI
23
Where we are and what the future holds
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Machine learning & predictive analytics
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Applying predictive models to utilization and safety risk scores
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Wrap up
• Share data• Build a pantry• Transform data• Use visual analytics• Think big • Experiment• Become data-driven
© 2018 Matrix Healthcare Services, Inc. | An Express Scripts Company.All Rights Reserved.
Thank [email protected]
27