Jul 7, 2016 soon Ae Shin*, Jae-Woo Lee**, Kyung-Hee Cho**

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Jul 7, 2016 soon Ae Shin*, Jae-Woo Lee**, Kyung-Hee Cho** Big data Steering dep, NHIC* NHIC Ilsan Hospital, Younsei University**

APAMI 2016 2016.11.02-11.05 The K-Hotel, Seoul, Korea Submission Deadline : July 24, 2016 Social Program - Smart Hospital Tour - Galar Dinner - K-ICT IoT Open Lab Tour & Seoul City Tour 2

Contents Ⅰ II III Introduction NHI s Big Data My Health Bank 3

Introduction Ⅰ II III Introduction NHI s Big Data My Health Bank 4

Characteristics of NHI Single Insurer Collecting Contribution Universal Coverage Beneficiaries of NHI : 97.1%(50.3 mil) of the Total Population Medical aid 1.4 mil. (2.8%) (68.7%) (28.4%) 5

Characteristics of NHI Health Screening covering whole life cycle Infants Youth Adult, Senior Infant Screening Student Screening Juvenile out of School Screening General Screening Cancer Screening Lifetime Transition Period Screening (40, 66 yrs) By NHIS By Ministry of Education By Ministry of Gender Equality & Family Depends largely on Fee-For-Services 6

Operating System of NHI Health Insurance Insurer 1 Managing Beneficiary Eligibilities 2 Collecting Contribution National Health Insurance Service (NHIS) 6 Notifying the results after R&A R & A (HIRA) 7 Payment 8 Managing Facilities 5 Claim The Insured 3 Medical Treatment 4 Co-payment Provider Medical Care Institutions 7

NHI s Big Data Ⅰ II III Introduction NHI s Big Data My Health Bank 8

Collecting NHI s Big Data Review & Assessment Medical Care Institutions e-claim 99.9% Health Screening Facilities Long-Term Care Facilities e-claim 100% National Health Information DB Ministry of the Interior National Tax Service Etc. DB interconnection 9

Key Variable of NHI s Big Data Demographic & Social Variables Sex Age Birth Death Disability Residential Area Demographic Variables Male / Female At visit / At year-end Birth date Death date 15 disability types 6 disability grade (severity) Registration date of Patient / Workplace / Medical institution District level / Geocode level Beneficiary Type Contribution Workplace Type Social Variables Industrial workers & dependents Self-employees & dependents Medical Aid Amount Decile distribution ratio Adjusted amount Category of industry Size of workplace 10

Key Variable of NHI s Big Data Health behavior & Biomedical Variables Smoking Alcohol Physical Activity Disease History Mental Health Health Behavior Variables Smoking history Amount / Duration Drinking history Amount / Duration Walk / Moderate degree / Vigorous Past & Family history of Cardiovascular disease & Cancer Recognition / Depression Body Measure Lab Test Cancer Biomedical Variables Height / Weight / Waist circumference Visual & Hearing acuity BP (Systolic / Diastolic) FBS / CHOL / HDL / TG /LDL Liver & Kidney function test Screening test Sigmoid or Colposcopy Bx 11

Key Variable of NHI s Big Data Utilization & Provider Variables Utilization Provider Disease ICD-10 code Inpatient / Outpatient General Info. Founder(owner), Type of institution Utilization Cost Details ER / ICU Length of stay (LOS) Prescription days Payment / Copayment Medical procedure & material Manpower Facility Device No. of doctor, nurse, therapist Type of license / qualification Wards / Beds / ICU / ER CT / MRI / PET Ingredients Medicine Brand name Dosage 12

My Health Bank Ⅰ II III Introduction NHI s Big Data My Health Bank 13

PHR Based on NHI s Big Data General, Cancer, Infant, etc. General, Cancer, Infant, etc. Type of Treatment, Date of Treatment, Length of Stay, etc. Name of pharmacy, Date of Prescription, etc. Institution Level, Location, Manpower, Medical Device, etc. Severe Disease, Cancer, Rare Disease, etc. RRN, Medical Aid, etc. Membership : 5 million(~2015.8.30) Ranking No.1. among institutions under Ministry of Health and Welfare 14

Health Screening My Health Bank Healthy Life Health Info. A Story of Health Junior Health Info. A Guide to Screening My Health Bank Healthy Life 15

1 st Step- Health Screening Result Providing results accumulated for the latest 5 years Health Screening My Health Bank Healthy Life Health Info. A Story of Health Junior Health Info. My Health Care Health Screening Results & Questionnaire info. John Smith s Health Screening Results Screening Type General / Life 1 st Listing Results Year Date Name of Physician s (yyyy.mm.dd) Facility Opinion John s Pumpkins 2012 2012.09.11 suspected Dyslipidemia Hospital Counseling Results Details of Questionnaire 16

1 st Step- Health Questionnaire Providing questionnaires accumulated for the latest 5 years Questionnaire Info. Health Health Screening Screening My Health My Health Bank Bank Healthy Healthy Life Life Health Health Info. Info. A Story A Story of Health of Health Junior Health Info. Examinee Name John Smith My Health Care RNN 771212-******* Health Health Screening Results & Questionnaire & Questionnaire info. info. Phone 82-10-123-4567 E-mail Address JS@gmail.com Seoul General Screening John John Smith s Smith s Health Screening Screening Results Results Questions about your medical history 1. Disease history Diagnosis Disease Diagnosed or not Medication or not Stroke (paralysis) Screeni ng Heart Type Disease (cardiac infarction / angina) Year Date Hypertension Diabetes Listing Results Name of Physician s Facility Opinion Others Dyslipidemia Tuberculosis (including cancer) Counseling Results Details of Questionnaire 2. Family history Disease Stroke (paralysis) Heart Disease (cardiac infarction / angina) Hypertension Diabetes Others (including cancer) 17

1 st Step- Medical Treatment & Medication Providing details claimed by providers for the latest 1 years Health Screening My Health Bank Healthy Life Health Info. A Story of Health Junior Health Info. Information on Medical Treatment & Prescription Your Data Children s Data No Name of Clinic & Hospital (Pharmacy) Date (yyyy.mm.dd) Type of Service Length of Stay Day of Prescription z Day of Medication 956 SNUH 2015.7.30 Outpatient 1 1 1 Details of Medication 955 Walblues 2015.7.30 Dispensing 1 1 1 18

1 st Step- Medical Treatment & Medication Health Screening My Health Bank Healthy Life Health Info. A Story of Health Junior Health Info. Information on Medical Visit & Prescription Details of Treatment & Prescription No. Date (yyyymmdd) Type of Institution No. of Px Your Name Data of Medicine Efficacy 1 20151104 Pharmacy 0 Alzetin Tab For Allergy 3 Day Children s of Details Data of Medication Medicine No. Name of Clinic & Hospital (Pharmacy) Date (yyyy.mm.dd) Type of Service Length of Stay Day of Prescription z Day of Medication 956 SNUH 2015.7.30 Outpatient 1 1 1 Details of Medication 955 Walblue 2015.7.30 Prescription 1 1 1 19

1 st Step- Medical Treatment & Medication Drug Details Name Details of Treatment & Prescription Ingredients ETC / OTC MFR. / IMP. Wonju No. Date Bio. Dosage Form (yyyymmdd) tablet Single / Complex Type Your Seller Data of No. Wonju Name Bio. of of Institution Route of Px Medicine Administration oral Children s Data Efficacy Day of Medication MOHW 1 20151104 Pharmacy 0 Alzetin Tab For Other Allergy 3 Classification for allergy Benefits Info. Alzetin Tab Azelastine HCI 1mg ETC 176 / 1 tab (2015-12-01) ATC code R06AX19 AZELASTINE KPIC Drug Classification Azelastine-HCI: allergy(including rhinitis, itching, etc.) > antihistamine > 2G [Contraindicated in combination] nothing DUR [Age contraindication] under 6 years old [Contraindicated in pregnancy] azelastine HCI 2 nd grade: use carefully only if there are obvious clinical evidence/reason Details of Medicine Efficacy Dosage Warning Medication Counseling Efficacy bronchial asthma, allergic coryza, urticaria, eczema, dermatitis, atopic dermatitis, pruritus cutaneous & itch Efficacy Dosage Warning Medication Counseling 20

2 nd Step- Analysis 21

3 rd Step- Diagnosis Summary You are a smoker. Stop smoking! Clinical Diagnosis FBS is normal. LDL/TG/HDL is normal. Normal weight/waist circumference 22

3 rd Step- Diagnosis Summary Providing time-series graphs to check the progress effectively 23

3 rd Step- Lifestyle Diagnosis (smoking) You are a smoker. Stop smoking Check your habits Check your willingness 24

3 rd Step- LAB Data Diagnosis (obesity) 25

3 rd Step- Health Risk Appraisal Providing health age compared to real age You condition is good. But you have some risk factors caused by bad lifestyle. Smoking & lack of exercise will threaten your health in the future. Managing of the following risk factor is necessary to prevent diseases. Aerobic exercise is recommended for your healthy life. (moderate: 150 M per week, intense: 75 M per week) Manage your risk factor Risk factor Your Status If you manage your risk factor as below Your status will be promoted as below Recommendation 0.5 26

3 rd Step- Risk Prediction (stroke) 27

4 th Step- Self-Care Program (obesity) Goal setting by user 28

Kyunghee Cho, M.D.,MPH, Ph.D khchomd@gmail.com 29

APAMI 2016 2016.11.02-11.05 The K-Hotel, Seoul, Korea Submission Deadline : July 10, 2016 Social Program - Smart Hospital Tour - Galar Dinner - K-ICT IoT Open Lab Tour & Seoul City Tour 30

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