1. BIG DATA TECHNOLOGIES TO SUPPORT POPULATION HEALTH Charles Boicey, MS, RN-BC, CPHIMS Enterprise Analytics Architect Stony Brook Medicine Stony Brook University

2. DSRIP 8 billion dollar grant (Medicaid waiver) from CMS to NY State 25% reduction over five years in avoidable hospitalizations and ER visits in the Medicaid and uninsured population Collaborative effort to implement innovative projects focused on System transformation Clinical improvement Population health improvement

3. Uninsured + Medicaid Members Medicaid Members Data from DSRIP 2012; Uninsured data from ACS 2012 5 Year Estimate n = 387,290 Geographic Concentrations in Western, Central and Eastern Suffolk

4. 5 YEAR GOALS Create integrated Suffolk County care delivery system for 387K lives anchored by safety net providers Engage partners across the care delivery spectrum to create a countywide network of care After five years, transition this network to an ACO which will contract with insurance providers on an at risk basis

5. Suffolk PPS Organizational Structure for exchange of clinical data and alerts for patient visits through e-HNLI Stony Brook Medicine Suffolk PPS HIE (SB Clinical Network IPA, LLC) Health Systems Hospitals Community Health Centers Behavioral Healthcare Providers Skilled Nursing Facilities CHHA’s/ LTHHC Physician Groups Health Homes Community- Based Agencies Pharmacies Those not part of the Stony Brook Medicine Network Other Healthcare Providers Develop-mental Disability Providers Suffolk county RHIO (e-HNLI) Jim Murry, Charles Boicey

6. Suffolk Care Colaborative IT Architecture Suffolk County Providers Suffolk county PPS Master Patient Index (MPI) Suffolk county PPS Health Information Exchange (HIE) E-HNLI RHIO (HIE) Suffolk County PPS Patient Portal Stony Brook Medicine Suffolk County Big Data Platform Suffolk County PPS Population Management Tools EMRs or clinical Information System eFormsPatient Wellness AlertsMobile Monitoring Patient Education Clinical Records Collaboratio n RegistriesCare PlansWorkflowMed AdherenceMobility Predictive Analytics Event Engine Structured DataFinancial DataLegacy Data Machine LearningNLPUnstructured Data Wearables Data Social Data Anomaly Detection RulesDevice DataHL7/CCDOpen Data Clinical Data for Patient Care

7. Interface Engine Hl7, CCD, CCDA, FHIR, XML, JSON Payors Population Management Platform DSRIP Provider Systems N>200 Consent Query SBM HIE SBM EMRs nonSBM EMRs Clinical Claims Clinical Claims Clinical View Clinical View

9. Contact Information Charles Boicey charles.boicey@stonybrookmedicine.edu (631) 444-3791 @N2InformaticsRN