1. The Role of Data and Analytics in the Healthcare Ecosystem
March 20, 2019

2. Agenda TELUS Health and data/analytics
Improving health outcomes with RWD/RWE
Tracking medication adherence
Helping employers manage benefit programs using analytics
Summary

3. Data and analytics at TELUS Health
Turning information into better health outcomes by connecting patients, providers and insurers through the applications and services of the TELUS Health Exchange (THX) 3

4. Healthcare data flow
Physicians
Nurses
Allied care
Pharmacists
Insurers
Hospitals
Home care
Patients
Physicians
Nurses
Pharmacists
Home care
Hospitals
Allied care
Patients
TELUS connections are electronic and patient centric 4

5. Data governance office
TELUS data governance
As a part of the Technology Strategy Team, the TELUS Data & Trust Office (DTO) has a broad mandate as the owner of various TELUS programs. TELUS has appointed a Chief Data & Trust Officer to oversee the DTO and the following areas:
Privacy office
The TELUS Privacy Office is charged with operationalizing TELUS' commitment to earn and maintain the trust of our customers and other stakeholders when it comes to how we handle personal information enterprise-wide.
Compliance office
As a business and regulated telecommunications and technology company, TELUS has to comply with a wide variety of laws and regulations. Responsibility for regulatory compliance is de-centralized.
Data governance office
The TELUS Data Governance Office is responsible for TELUS Data Governance program that supports our commitment to treat data in a manner that fosters innovation and at the same time mitigates privacy, security, and ethical risks associated with previously unimaginable uses of data.
Allow for deeper sharing of expertise across the organization and the exploration of new and innovative ideas, while introducing standards and refining best practices to ensure a consistent approach to managing re-identification risk 5

6. Improving outcomes in health

7. RWD to RWE (real world data to real world evidence)
Deliver
Manage
Monitor
Act
Any EMR can participate.
No PHI
Physician’s
dashboard
Overall dashboard
EMR
Metrics
Query 7

8. Prioritizes a care gap they wish to close
RWE in action
RWE:
Defines the care standard
Identifies care gaps (population level) 1 2 3 4 5
Impact:
Care gap is closed. Patient outcomes improved.
RWE evolves
Prioritizes a care gap they wish to close
Physicians:
Presented “actionable insight“ at the point of care
“Action” RWE by engaging with EMR-integrated tools, thereby closing care gap
Design EMR-integrated tools which identify these care gaps at the physician level 8

9. Outcomes dashboard - diabetes9

10. Clinical results Population addressed: 85,000 patients (57 physicians)
A total of 1,802 diabetic patients with an outdated or non-existent A1c result had their A1c done. 10

11. Screening dashboard 11

12. Outcomes dashboard - COPD12

13. Assisting pharmaceutical manufacturers with decision support

14. Drug treatment analysis
Meter ‘claims’ repository
Claims database for strips (880,000 claimants in diabetes)
New patient starts
Switches over time
How many new patient starts are you getting vs new starts on competitive strips?
How long patients use their meters and how long until they switch meters / strips.
How often do they refill strips?
Total diabetes patients
Quantify diabetic patient volumes receiving strips with free meters over time.
Longitudinal claims analysis
New patient starts Adherence and switching # unique patients Adherence by Co-Pay
Time on treatment
Brand switching
Offering for market research and brand planning
We can track meters and strip usage over time 14

15. Longitudinal studies 15

16. Longitudinal studies – switch rates
Nov 2014
Dec 2014
Jan 2015
Feb 2015
Mar 2015
Apr 2015
May 2015
Jun 2015
Jul 2015
Aug 2015
Sep 2015
Oct 2015
-1,000
2,000
4,000
6,000
8,000
New 7,235
Dropped 5,327 16

17. Longitudinal studies – concomitant therapy
Proportion of patients by therapy
Average days to additive therapy 17

18. Longitudinal studies – adherence rates
Projection beyond 2 years 18

19. Improving outcomes health plan costs

20. Use of data in program optimization
Benefit program managers are focused on the following:
Plan management
Keeping employees healthy
Driving behaviour change
Benefit program managers are interested in answering the following:
What health conditions are driving our plan costs?
Where do the opportunities lie to improve our plan to ensure sustainability?
How does our plan experience compare to others? 20

21. Validating perception with data
Source: TELUS Health annual employer survey 2017 21

22. Plan performance dashboard (enrolment)22

23. Plan performance dashboard (KPIs)23

24. Additional flexible reporting tools
Providing easy and instant access to those that manage the benefit program 24

25. Summary
The healthcare system can be improved by leveraging and integrating various data points Removing historical siloes from data will advance health outcomes Management of healthcare touchpoints (physician decision support tools, pharmaceutical development, and employee access to care) is facilitated through data analysis AI and ML will continue to evolve in healthcare data analytics 25