Essential Skills for Data Analytics in Healthcare€¦ · do that. In fact, no analytics can do...

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Essential Skills for Data Analytics in Healthcare Susan Fenton, RHIA, PhD UTHealth School of Biomedical Informatics

Transcript of Essential Skills for Data Analytics in Healthcare€¦ · do that. In fact, no analytics can do...

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EssentialSkillsforDataAnalyticsinHealthcare

SusanFenton,RHIA,PhDUTHealthSchoolofBiomedicalInformatics

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Goals/ObjectivesorAgenda

• Determinetheessentialskillsforeffectivehealthcaredataanalysis

• Articulatedifferentdatatypesandappropriateusesforeach

• Compareandcontrastdataanalytictypesandtools

• Practicedataanalyticsskills

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SkillsNeeded

• SoftSkills• Curiosity• CriticalThinking• Listening

• TechnicalSkills• UnderstandData• Basic Stats• Communication

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IntroductiontoAnalytics• Definition• Typesofanalytics

–Descriptive–Diagnostic–Predictive–Prescriptive

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WhatisAnalytics?“Thediscovery ofmeaningfulpatternsindata,andisoneofthestepsinthedatalifecycleofcollectionofrawdata,preparationofinformation,analysisofpatternstosynthesizeknowledge,andactiontoproducevalue.”

NISTBigData.(2015)PublicWorkingGroupDefinitionsandTaxonomiesSubgroup.Retrievedfromhttp://bigdatawg.nist.gov/_uploadfiles/NIST.SP.1500-1.pdf.http://dx.doi.org/10.6028/NIST.SP.1500-1

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WhatisAnalytics?

• Entireprocessofdatacollection,extraction,transformation,analysis,interpretation,andreporting

"Data visualization process v1" by Farcaster at English Wikipedia. Licensed under CC BY-SA 3.0 via Commons https://commons.wikimedia.org/wiki/File:Data_visualization_process_v1.png#/media/File:Data_visualization_process_v1.png

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WhatisAnalytics?

“Analyticsisusedtorefertothemethods,theirimplementationsintools,andtheresultsoftheuseofthetoolsasinterpretedbythepractitioner.”

NISTBigData.(2015)PublicWorkingGroupDefinitionsandTaxonomiesSubgroup.Retrievedfromhttp://bigdatawg.nist.gov/_uploadfiles/NIST.SP.1500-1.pdf.http://dx.doi.org/10.6028/NIST.SP.1500-1

Theanalyticsprocessisthesynthesisofknowledgefrominformation.

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TypesofAnalytics:Overview• Descriptive:usesbusinessintelligenceanddataminingtoask:“Whathashappened?”

• Diagnostic:examinesdatatoanswer“Whydidithappen?”Gartner.(n.d.)GartnerITGlossary:DiagnosticAnalytics.Retrieved2/21/2016fromhttp://www.gartner.com/it-glossary/diagnostic-analytics.

• Predictive:usesstatisticalmodelsandforecaststoask:“Whatcouldhappen?”

• Prescriptive:usesoptimizationandsimulationtoask:“Whatshouldwedo?”IBMSoftware.(2013).Descriptive,predictive,prescriptive:Transformingassetandfacilitiesmanagementwithanalytics.Retrieved2/21/2016fromhttp://www-01.ibm.com/common/ssi/cgi-bin/ssialias?infotype=SA&subtype=WH&htmlfid=TIW14162USEN.

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TypesofAnalytics:Overview

http://www.gartner.com/it-glossary/predictive-analytics

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DescriptiveAnalytics• Describethedata• Commonstatistics:– counts– averages

• Typicalreportingmethods:– Tables– Piecharts– Column/barcharts– Writtennarratives http://www.gartner.com/it-glossary/predictive-analytics

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DiagnosticAnalytics

• Attemptstoanswer“whydidithappen?”

• Drill-downtechniques

• Datadiscovery• Correlations

http://www.gartner.com/it-glossary/predictive-analytics

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PredictiveAnalytics

• Predictsinsteadofdescribingorclassifying

• Rapidanalysis• Relevantinsights

• Easeofuse

http://www.gartner.com/it-glossary/predictive-analytics

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WhatPredictiveAnalyticsCannotDo

• “ThepurposeofpredictiveanalyticsisNOTtotellyouwhat will happeninthefuture.Itcannotdothat.Infact,noanalyticscandothat.Predictiveanalyticscanonlyforecastwhat might happeninthefuture,becauseallpredictiveanalyticsareprobabilisticinnature.”

– MichaelWuasquotedbyJeffBertolucciinBigDataAnalytics:Descriptivevs.Predictivevs.Prescriptive.InformationWeek.December31,2014,para13.Retrievedfromhttp://www.informationweek.com/big-data/big-data-analytics/big-data-analytics-descriptive-vs-predictive-vs-prescriptive/d/d-id/1113279.

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PrescriptiveAnalytics

• Examinesdataorcontenttoanswerthequestion“Whatshouldbedone?”or“Whatcanwedotomake_______happen?

• Ischaracterizedbytechniquessuchas– graphanalysis– simulation– complexeventprocessing– neuralnetworks– recommendationengines– heuristics– machinelearning

http://www.gartner.com/it-glossary/prescriptive-analytics

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StepsinDataAnalytics1. Identifytheproblemandthestakeholders2. Identifywhatdataareneededandwherethose

dataarelocated3. Developaplanforanalysisandaplanfor

retrieval4. Extract/transform/loadthedata5. Check,clean,andpreparethedataforanalysis6. Analyzeandinterpretthedata7. Visualizethedata8. Disseminatethenewknowledge9. Implementtheknowledgeintotheorganization

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1.IdentifytheProblemorQuestionandtheStakeholders

• Whyisthisanimportantproblem?• Howwilltheresultsimpactpatientcareortheinstitution?

• Whatisthebusinesscase?• Whoarethestakeholders?

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2.Identifywhatdataareneeded• Whatdataelements,suchasdateofbirth,gender,medications,laboratoryresults,andsoonareneeded?

• Wherearethesedataelementslocated– inwhatsystemorsystemsandwhatdatabasetables?

• Isthereaclinicaldatawarehouse?• Whoisthecontactpersonforeachsystemwhowillberesponsibleforretrievingthedata?

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3.Developplansforretrievalandanalysis

Retrieval• Enlistdatabaseadministratorforeachsystem• Developspecificplanforretrievingtherequireddata

elements• Methodforcross-checkingnumberofrecordsaswellas

completeness– howmanyshouldyouexpectanddidyougeteverything?

Analysis• Enliststatistician• Identifypopulation,samplesize,statisticalteststobe

performed

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4.Extract/Transform/Load(ETL)Process

Extraction• Maybeaniterativeprocess• Thedataareretrieved• Checkedforcompleteness• Descriptivestatistics• Errorscorrected,emptyfieldsaddressedTransformation• Datasynchronized(“transformed”)– e.g.M,F,Uvs1,2,9

Loading• Datathenimportedintodestinationsystem

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5.Check,clean,andpreparethedata

• Dataarenowinthesystemwhereanalysiswillberun

• Shouldbeacompletesetofdata• Needtocheckthateverythingisreadyforanalysis

• Descriptivestatistics• Double-checkproblemorquestionbeinginvestigated

• Double-checkagainstanalysisplan

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6.Analyzeandinterpretthedata

• Usethedataanalysisplan• Performtheactualstatisticalanalysesasdescribedintheplan

• Consultwithstatisticiantoconfirminterpretationsandconclusions

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7.VisualizetheData• Nominal (categorical)data:columnorbarcharts,tables,

piecharts,pivottables• Quantitative data:histograms,scatterplots,starplots• Examplesoftools

– Microsoft®ExcelChartfunction– Tableau®

Piecharthttps://commons.wikimedia.org/wiki/File:Charts_SVG_Example_5_-_Simple_Pie_Chart.svg

Histogramhttps://commons.wikimedia.org/wiki/Histogram#/media/File:Histogram_example.svg

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8&9:DisseminatingandImplementing

Disseminatingthenewknowledge• Writeupthefindings• DisseminatetothestakeholdersImplementingthenewknowledge• Requiresparticipationofstakeholders

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Data,Information,Knowledge,WisdomHierarchy

Data:symbols,facts,andmeasurements

Information:dataprocessedtobeuseful;providesthe“who,what,when,where”

Knowledge:applicationofdataandinformation;providesthe“how”

Wisdom:evaluatedunderstanding;providesthe“why”

Wisdom

Knowledge

Information

Data

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TypesofDatainanEHR• Quantitativedata(eg,laboratoryvalues)• Qualitativedata(eg,text-baseddocumentsanddemographics)

• Transactionaldata(eg,arecordofmedicationdelivery).

Murdoch,T.B.,&Detsky,A.S.(2013).Theinevitableapplicationofbigdatatohealthcare. Jama, 309(13),1351-1352.

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UnderstandingtheData:ScalesofMeasure

• Datacomeinmanyforms,andthoseformsdeterminewhatcan orcannot bedonewiththedata.

• Forexample,twopatientnamescannotbeaddedtogether.

• Likewise,interpretingtherelativedistancebetweentwomeasurementscanonlybedonewithcertainkindsofdataandnotothers.

• Therearefourscales:Nominal,ordinal,interval,andratio.

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ScalesofMeasure:Nominal• FromLatin• Names,labels,categories• Examples:

– Patientnames(JohnDoe,MariaGarcia)– Drugnames(Ampicillin,Valium)– Eyecolor(blue,brown,green,gray)– Gender:male,female,unknown– Religiouspreference(Catholic,Jewish,none)

• Maybemappedtoanumberinadatabase– Example:browneyes=1,blueeyes=2

Eyeimagefromhttps://commons.wikimedia.org/wiki/File:Deep_Blue_eye.jpg

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ScalesofMeasure:Ordinal• IncludesallpropertiesofNominal(soOrdinaldataallhave

anameofsomesort)• Example:first,second,third,i.e.,arankingororder• Butintervalsarenotnecessarilyequal

http://www.cdc.gov/growthcharts/

Photo by Paul Kehrer. https://www.flickr.com/photos/paulkehrer/3659279740Creative Commons Attribution 2.0 Generic (CC BY 2.0) license.

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ScalesofMeasure:IntervalandRatio

• Continuous• Hasequalintervals;Ratioalsohasabsolutezero.• Examples:distance,length,temperature,weight• IncludespropertiesofNominalandOrdinal• Maybegroupedtogetherinonecategorycalled“scale”

https://commons.wikimedia.org/wiki/File:Soft_ruler.jpg

"Clinical thermometer 38.7" by Menchi - Own work. Licensed under CC BY-SA 3.0 via Commons -https://commons.wikimedia.org/wiki/File:Clinical_thermometer_38.7.JPG#/media/File:Clinical_thermometer_38.7.JPG

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CheckUnderstanding

• ZipCode• BloodPressure• HeartFailureClassificationI,II,III,IV

• Age• Ethnicity

• MaritalStatus• LengthofStay• DischargeDisposition(home,SNF,andsoon)

• Weight• LevelofEducation

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DataInconsistencies• Inconsistentnamingconventions, suchas“systolic

bloodpressure”versus“bloodpressure,systolic”• Inconsistentdefinitions,suchashowthedateof

admissionisdefinedacrossdepartments;• Varyingfieldlengths forthesamedataelement,such

asonesystemallowingapatient’slastnametobeupto50characterswhileanothersystemallows25characters

• Varieddataelements, suchasM,F,orUforpatientgenderinonesystemwhileanothersystemuses1,2,or9orMale,Female,orUnknown.

[AHIMA."ManagingaDataDictionary." JournalofAHIMA 83,no.1(January2012):48-52.Retrievedfromhttp://library.ahima.org/xpedio/groups/public/documents/ahima/bok1_049331.hcsp?dDocName=bok1_049331]

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DataDictionaries• Thefirststeptounderstandingthedatayouareworkingwith

Syntheticdataset

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DataDictionaries

• Thefirststeptounderstandingthedatayouareworkingwith

• “astandarddefinitionofdataelements”.

HealthInformationManagementSystemsSociety(HIMSS).(November,2014).Clinical&BusinessIntelligence:AnAnalyticsExecutiveReviewNeedsAssessment.Retrieved2/21/16fromhttp://www.himss.org/ResourceLibrary/genResourceDetailPDF.aspx?ItemNumber=34692

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DataDictionaries

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CommonTermsUsedinStatisticalAnalysis

• Population• Sample• Pairedsamples• Dataset• Descriptivestatistics• Frequencytable• Histogram• Chisquare• T-Test• Correlationvs.causation

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Term:Population• Agroupofthingsthathavesomethingincommon• Examples:

– Patientsinaparticularhospital– Patientswithacertaindiagnosis– Patientswithaparticularattribute(gender,smokingstatus,agegroup)

– Patientswhohadacertainsurgicalprocedureinagivenyearbyaspecificsurgeon

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Term:Sample

Arepresentativeportionorsubset ofagroupofthings–partofapopulation

• Examplepopulation:babiesbornintheUnitedStatesin2015

• Examplesample:aselectionofthosebabies

• Paired samples:before-and-afterstudies,ormatchedononeormorecharacteristics

Imagecredit:Kernler,D.SimpleRandomSampling.Retrievedfromhttps://commons.wikimedia.org/wiki/File:Simple_random_sampling.PNG.Licensedunderthe CreativeCommons Attribution-ShareAlike4.0International license.

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ConfidenceIntervals• Howwelldoesasampleapproximatetheentirepopulation?

• Oftensetat95%• Theresultingintervalswouldbracketthetruepopulationparameterinapproximately95%ofthecases

NIST/SEMATECHe-HandbookofStatisticalMethods,http://www.itl.nist.gov/div898/handbook/prc/section1/prc14.htm

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DataSet

Adatasetisacollectionofdataforaspecificpurpose.Forthispresentation,forexample,thedatasetisacollectionof500recordsthatconsistsofage,gender,stateofresidence,maritalstatus,bloodtype,weight,eyecolor,andsmokingstatus.

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DescriptiveStatistics

• Basicoverviewofthedata• Excel:Dataà DataAnalysis

à DescriptiveStatistics• Shouldbeamongthefirst

analysesdoneonasetofdata• Canidentifysomeerrors• Mean(average),numberof

records(count),rangeofvalues,maximumandminimumvalues

PatientWeights

Mean 189.1554StandardError 2.916985099Median 180.6Mode 192.3StandardDeviation 65.2257697SampleVariance 4254.401033Kurtosis 8.86101958Skewness 2.554839369Range 475.6Minimum 89.4Maximum 565Sum 94577.7Count 500ConfidenceLevel(95.0%) 5.731086356

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MeasuresofCentralTendency

� Mean– arithmeticaverageofanintervalorratio;verysensitivetooutliers

� Median– midpointofafrequency,with50%oftheobservationsaboveand50%oftheobservationsbelow

� Mode– themostfrequentobservation(s)inafrequency;maynotbeunique;canbeusedwithnominaldata

� 1,1,2,3,3,3,3,3,3,4,5,5,5,6,6,7,8,9,10

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MeasuresofVariation� Range– differencebetweenthesmallestandlargestvaluesinafrequency;simplemeasureofspread;canalsobeaffectedbyextremevaluesoroutliers

� Variance– amountofvariationofallvaluesorscoresforavariable;averageofthesquareddeviationsfromthemean(variancenotmeaningfulatdescriptivelevel)

� Standarddeviation– amountofdispersionaroundthemean;squarerootofthevariance;mostwidelyusedmeasureofvariabilityindescriptivestatistics

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InferentialStatistics

• Inferringfromsampletopopulationanddrawconclusions

• Dependupon– Datatype– Parametricvs.nonparametricdata

• Chi-square– categoricaldata• Correlation– continuousdata– relationships• ANOVA– continuousdata– differenceinmean

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CorrelationandCausation• Correlation:relationshipbetweentwothings• Causation:onecausesanother

Correlationdoesnotequalcausation

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ThePotentialofBigDatainHealthcare

1. Expandcapacitytogeneratenewknowledge– theeffectivenessoftreatments[Schneeweiss,2014]

– thepredictionofoutcomes[Schneeweiss,2014]2. Knowledgedissemination3. UsinganalyticstocombineEHRandgenomicdatato

translatepersonalizedmedicinetoclinicalpractice4. Deliverinformationdirectlytopatientsandincrease

patientparticipationintheirhealthcareMurdoch,T.B.,&Detsky,A.S.(2013).Theinevitableapplicationofbigdatatohealthcare. Jama, 309(13),1351-1352.Schneeweiss,S.(2014).Learningfrombighealthcaredata. NewEnglandJournalofMedicine, 370(23),2161-2163.

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WhatisBigData?• Characteristicsofbigdata:

– Volume (i.e.,thesizeofthedataset)– Variety (i.e.,datafrommultiplerepositories,domains,

ortypes)– Velocity (i.e.,rateofflow)– Variability (i.e.,thechangeinothercharacteristics)– Value(i.e.,isthecostworthit?)

• Traditionaldataarchitectures(suchastypicalrelationaldatabases)cannothandlethistypeofdata

• NewarchitecturesarerequiredSource:NISTSpecialPublication1500-1.NISTBigDataInteroperabilityFramework:Volume1,Definitions.FinalVersion1,page4.NISTBigDataPublicWorkingGroupDefinitionsandTaxonomiesSubgroup.Retrievedfromhttp://bigdatawg.nist.gov/_uploadfiles/NIST.SP.1500-1.pdf http://dx.doi.org/10.6028/NIST.SP.1500-1

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Tools• Hadoop

– Runsonclustersofhardware• MongoDB

– Storesdatausingdocumentswithfields• NoSQLutilities

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RequirementsForAnalyticsforLearningSystems

• Awaytoensurethatpatientgroupsbeingcomparedaretrulysimilar

• Automatedtoolsforanalysis• Abilitytorapidlyrunautomatedtoolsagainstnew

data• Softwarethatcanbeusedwithlittletrainingandhelps

preventerrorsininterpretation• Easilyunderstoodresults

Schneeweiss,S.(2014).Learningfrombighealthcaredata. NewEnglandJournalofMedicine, 370(23),2161-2163.

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ChallengesFacingBiomedicalBigData

• Amountofinformation• Lackoforganization• Lackofaccesstodataandtools• Insufficienttrainingindatasciencemethods

NationalInstitutesofHealth.WhatisBigData?Retrievedfromhttp://datascience.nih.gov/bd2k/about/what,para3.

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Summary• Typesofdata.• Technologyortoolsforworkingwithdifferentdatatypes.

• DeterminewhetherdatafitsthedefinitionofBigData.

• ChallengesfacedwhenworkingwithBigData.• Commontermsusedindataanalysis,suchassample,paired,histogram,population,correlationvs.causation,anddescriptive.

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COMMUNICATINGANDDATAANALYTICS

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VisualizationObjectives1. Selectthebestdatacommunicationmode,giventheanalysisgoalsandresults.2. Interpretdataanalysisresults.3. Presentsolutionsforavarietyoftechnicaldatacommunicationchallenges.4. Prepareasimpledatavisualizationusingopen-sourcetools.5. Participateinthedesignanddevelopmentofacomplexdatavisualization.

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CommunicationBasics

• DelineatetheProblem• DefineYourAudience• ChoosetheRightMode• ChoosetheRightWords• ChooseSupportingVisuals• Havean“Elevator”Speech

http://www.aaas.org/pes/communication-101-communication-basics-scientists-and-engineers

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DelineatetheProblem• Whatareyoutryingtodowiththiscommunication?

• Isthereaparticulartimeframeinvolved?• Doesthenumberofpeoplematter?

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DefineYourAudience• Colleaguesorco-workers• Stafforsupervisors• Subjectmatterexperts• Otherscientists• Journalists• Policymakers• Others

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ChoosetheRightMode• Brainstormthepossiblecommunicationchannels– Email– Websiteorblog– PodcastorYouTube– Peer-reviewedmanuscript– Conferencepresentation– Dashboard

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ChoosetheRightWords

• Fortheaudience• Becarefulofacronyms(ONC,EHRorMU,asexamples)

• Jargoncanhardtofollow• Shortwordsandshortsentences• Nottoomany!

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DataVisualization• showthedata.• inducetheviewertothinkaboutthesubstanceratherthanthemethodology,graphicdesign,thetechnology,orotherthings.

• avoiddistortingwhatthedatahavetosay.• presentmanynumbersinasmallspace.• makelargedatasetscoherent.• encouragetheeyetocomparedifferentpiecesofdata.

• revealthedataatseverallevelsofdetail.• serveareasonablyclearpurpose.• arecloselyintegratedwiththestatisticalandverbaldescriptionsofthedataset.(Tufte)

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BarCharts

• Showcomparisonsbetweengroups• Canbevertical(akacolumncharts)orhorizontal

• Canbeahistogram(nextslide)• CanbePareto(mosttoleast)

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Histogram

Thissampleisfromfictionaldata.

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StackedBarGraph

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5% 5% 5% 10%

StudentGradeDistribution

F

D

C

B

A

This graph is total fiction. It does not represent actual grade distribution.

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LineCharts

• Usedforlargeamountsofdataoccurringovertime

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PieCharts(orShapeCharts)• Displaydataasaproportionofawhole• Noaxes• Canexplodeoutforemphasis• Canbeanyshape

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PolarorRadarCharts

• Multipleseriesorcategoriesofdata• Largervaluesarefartherfromthecenter

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Scatterplotsorscattercharts• Valuesrepresentedasaseriesofpointsonachart

• Distributionsofvaluesandclustersofdata• Displayingandcomparingnumericaldata

Stanfill,M.H.,Williams,M.,Fenton,S.H.,Jenders,R.A.,&Hersh,W.R.(2010).Asystematicliteraturereviewofautomatedclinicalcodingandclassificationsystems.JournaloftheAmericanMedicalInformaticsAssociation:JAMIA,17(6),646–651.http://doi.org/10.1136/jamia.2009.001024

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DisplayinAction!• www.texmed.org/WorkArea/DownloadAsset.aspx?id=24815

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The“Elevator”Speech• Canyoutellthestoryinthetimeittakestoridetheelevator?

• Threemainpoints• Meaningful• Easytounderstand

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Summary• Effectivedatacommunicationrequiresthoughtandplanning

• Allcommunicationisnotequalforallaudiences

• Thevisualpresentationisparticularlyimportant,butcanbemoredifficult

• Havean“elevator”speech

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WORKINGWITHDATA

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Prepare!• https://uth.instructure.com/courses/27078/pages/16-activity?module_item_id=269525

• Downloadeachdataset.

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ExerciseObjectives• Describereasonswhydataneedtobecleanedormodifiedbeforeanalysis

• Demonstrateabilitytoidentifyandcorrectbasicerrorsindata

• Demonstrateabilitytoperformdescriptivestatistics

• Demonstrateabilitytousepivottables• DescribetherelationshipbetweenadatabaseinanHITsystemanddataanalysistools

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TechnologiesandTools• Commontechnologiesandtoolsusedfordataanalyticsinclude:– SpreadsheetprogramssuchasMicrosoftExcel®

– StatisticalprogramssuchasR,SAS,SPSS,andStata

– DatabasemanagementsystemssuchasMySQLandMicrosoftSQLServer®- canperformsomebasicanalysis

– BusinessintelligenceapplicationssuchasTableau®,QlikView®,IBMCognos

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InstalltheExcelAnalysisToolPak• YoumustalreadyhaveMicrosoftOfficewithExcelonyourcomputer

• Clickthe File tab,thenclick Options.• Click Add-Ins,andthenintheManage box,select ExcelAdd-ins.

• Click Go.• Inthe Add-Insavailable box,selectthe AnalysisToolPak checkbox,andthenclick OK.

• AfteryouloadtheAnalysisToolPak,the DataAnalysis commandisavailableinthe Analysis groupontheData tab.https://support.office.com/en-us/article/Load-the-Analysis-ToolPak-305c260e-224f-4739-9777-2d86f1a5bd89

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CleaningData• Identifyerrors

– Descriptivestatistics– Categoricaldata– Useofpivottables

• Determinecorrectvaluesorinfer/impute• Ifuncorrectabledeletetherecord• Workwithacopy ofyourdatasetandlogallchanges!

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DataCleaning– ContinuousDataDescriptiveStatistics

TogeneratedescriptivestatisticsinExcel:Dataà DataAnalysisàDescriptiveStatistics

PatientWeights

Mean 189.1554StandardError 2.916985099Median 180.6Mode 192.3StandardDeviation 65.2257697SampleVariance 4254.401033Kurtosis 8.86101958Skewness 2.554839369Range 475.6Minimum 89.4Maximum 565Sum 94577.7Count 500ConfidenceLevel(95.0%) 5.731086356

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DataCleaning– CategoricalData

A B

1 F2 U3 M4 M5 F6 D7 M8 M9 F10 M

COUNTIFfunction=COUNTIF(range,criteria)=COUNTIF($B$1:$B$10,“M”)- willgive5=COUNTIF($B$1:$B$10,“F”)- willgive3=COUNTIF($B$1:$B$10,“U”)- willgive1

• Canidentifysomeerrors

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FilteringRecords• Displaysonlythoserecordsthatmeetcertaincriteria

• Clickacellinthecolumntobefiltered• OntheData tab,clicktheFilter icon

Unfiltered Filtered

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FilteringRecords,continued

• Dialogboxdisplaysallthevaluespresentinthecolumn

• Cancheckonlyvaluesyouareinterestedin–Excelwilldisplayonlythoserecords

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ColumnGraph• Columngraphshowsindividualweights• Butdoesn’tshowushowmanypatientsareina

particularweightcategory

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FrequenciesandHistograms• Frequency:“HowmanyofXandYarethere?”• Afrequencycalculationgiveshowmanytimesa

particularvalueoccurs• Canbeshownas:• Frequencytable• Histogram:agraphofthenumberoftimesvalues

occurinasetofdata

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ExampleFrequencyTableandHistogram

0 Frequency100 4149 107199 222249 136299 4349 6399 5449 7499 71000 1More 0

4

107

222

136

4 6 5 7 7 1 00

50

100

150

200

250

100 149 199 249 299 349 399 449 499 1000 More

Freq

uency

0

Histogram

Frequency

FrequencyTable

Categorie

sor”Bins”

Howmanyrecordsfellintothat

category(or“bin”)

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ExampleHowmanypatientsareineachofthefollowingweightcategories(inpounds)?<100 300-349100-149 350-399150-199 400-499200-249 500-1000250-299 1000+

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Setupthecategorybins

• AddacolumntoyourExcelspreadsheetwiththebinsthatyouwanttousetocategorizethepatientweights

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CreatingaFrequencyTableandHistogram

• InMicrosoftExcel:ClickData,thenDataAnalysis,thenchooseHistogram

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CreatingaFrequencyTableandHistogram

• IntheInputRangefield,entertherangeofcellsthatcontaintheweights

• IntheBinRangefield,entertherangeofcellsthatcontainthecategorybinsthatyoucreated

• ClickChartOutput

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FrequencyTableandHistogramOutput

UsingtheExcelDataAnalysisToolPakFrequencyfunctionfor500records

0 Frequency100 4149 107199 222249 136299 4349 6399 5449 7499 71000 1More 0

4

107

222

136

4 6 5 7 7 1 00

50

100

150

200

250

100 149 199 249 299 349 399 449 499 1000 More

Freq

uency

0

Histogram

Frequency

FrequencyTable

Categorie

sor”Bins”

Howmanyrecordsfellintothat

category(or“bin”)

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SortedHistogram(Pareto)

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PivotTables• PivottablesareanExceltoolthatletyousummarize,analyze,andcreatedifferentviewsofyouryour data.Youcanarrangehowthedataisdisplayed.

• Pivottablesareveryusefulforidentifyingtrendsorrelationshipsamongdatainlargedatasets.

• Usethelaboratoryexerciseonpivottablestoexploredataonhospital-acquiredinfections

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ExamplePivotTableFromthis: Tothis:

89

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Chi-SquareTest• Aretwocategorical variablesrelated?• Categoricalvariableexamples:

– Gender– Ethnicity– Agegroup(e.g.40-49,50-59)– Diseasestage(I,II,III,IV)– Presenceorabsenceofadisease

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VisualizationObjectives1. Selectthebestdatacommunicationmode,giventheanalysisgoalsandresults.2. Interpretdataanalysisresults.3. Presentsolutionsforavarietyoftechnicaldatacommunicationchallenges.4. Prepareasimpledatavisualizationusingopen-sourcetools.5. Participateinthedesignanddevelopmentofacomplexdatavisualization.

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WheretoGetSkills

• TxHIMA/AHIMA• LocalColleges• MOOCs• Coursera• MITOpenCourseWare

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JobsUsingTheseSkills

• HealthCareDataAnalyst• OperationsDataAnalyst• RevenueAnalyst• QualityImprovementAnalyst• DataIntegrationAssociate• AndSoOn!!!!

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Conclusion

• It’sallaboutthedata!!!!

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Question/Answer

• THANKYOUFORYOURATTENTION!

Page 96: Essential Skills for Data Analytics in Healthcare€¦ · do that. In fact, no analytics can do that. Predictive analytics can only forecast whatmighthappen in the future, because

Bibliography• HealthandMedicineDivision.(n.d.).RetrievedApril28,2016,from

http://www.nationalacademies.org/hmd/Activities/Quality/LearningHealthCare.aspx• IBM(2013).Descriptive,predictive,prescriptive:Transformingassetandfacilities

managementwithanalytics.Retrievedfromhttp://www-01.ibm.com/common/ssi/cgi-bin/ssialias?infotype=SA&subtype=WH&htmlfid=TIW14162USEN.

• ManagingaDataDictionary.(2012). JournalOfAHIMA, 83(1),48-52.Retrievedfromhttp://library.ahima.org/doc?oid=105176#.VyeKJoQrJaQ

• Murdoch,T.&Detsky,A.(2013).TheInevitableApplicationofBigDatatoHealthCare.JAMA, 309(13),1351.http://dx.doi.org/10.1001/jama.2013.393

• NationalInstituteofStandardsandTechnology,.(2015). NISTBigDataInteroperabilityFramework:Volume1,Definitions.Retrievedfromhttp://nvlpubs.nist.gov/nistpubs/SpecialPublications/NIST.SP.1500-1.pdf

• NIST/SEMATECHe-HandbookofStatisticalMethods.(n.d.).RetrievedMay02,2016,fromhttp://www.itl.nist.gov/div898/handbook/

• Overview- Sepsis- MayoClinic.(2016). Mayoclinic.org.Retrieved2May2016,fromhttp://www.mayoclinic.org/diseases-conditions/sepsis/home/ovc-20169784

• IdealGraphs…Tufte,E.R.(2001).TheVisualDisplayofQuantitativeInformation(2ndedition).Cheshire,Conn:GraphicsPr.

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Bibliography• Schneeweiss,S.(2014).Learningfrombighealthcaredata. NewEnglandJournalof

Medicine, 370(23),2161-2163.• Shapira,G.(2016). TheSevenKeyStepsofDataAnalysis. Oracle.com.Retrieved28April

2016,fromhttp://www.oracle.com/us/corporate/profit/big-ideas/052313-gshapira-1951392.html

• SixStepsOfAnAnalyticsProject- QualityAssuranceandProjectManagement.(2015). QualityAssuranceandProjectManagement.Retrieved2May2016,fromhttp://itknowledgeexchange.techtarget.com/quality-assurance/six-steps-of-an-analytics-project/

• WhatisHadoop?.(2016). Sas.com.Retrieved2May2016,fromhttp://www.sas.com/en_my/insights/big-data/hadoop.html

• WhatisBigData?|DataScienceatNIH.(2015). Datascience.nih.gov.Retrieved2May2016,fromhttp://datascience.nih.gov/bd2k/about/what

• Charts,TablesandFigures• 1.1Figure:Smith,K.(2016).ClinicalDataWarehouse.Usedwithpermissionfrom

KimberlySmith.• 1.2-1.6Figures:Definition,P.(2012).BigDataAnalytics- PredictiveAnalytics- Gartner

Glossary.GartnerITGlossary.Retrieved28April2016,fromhttp://www.gartner.com/it-glossary/predictive-analytics

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Bibliography

Images• Slide9:Farcaster.(2014).Datavisualizationprocessv1[OnlineImage].Retrieved

April28,2016fromhttps://commons.wikimedia.org/wiki/File:Data_visualization_process_v1.png#/media/File:Data_visualization_process_v1.png

• Slide25:Innesw.(2014).Simplepiechart [OnlineImage].RetrievedMay2,2016from https://commons.wikimedia.org/wiki/File:Charts_SVG_Example_5_-_Simple_Pie_Chart.svg