Oracle Data Platform for Healthcare

Population healthcare management

 

Improve patient outcomes and minimize cost

Effective population healthcare management (PHM) offers many benefits—to health systems, practitioners, patients, communities, and payers. It can help improve health outcomes, elevate the patient experience, reduce health disparities, identify inefficiencies and care gaps, and control the cost of care. However, to be effective, PHM requires access to vast amounts of accurate, near real-time data from multiple sources, the tools to connect disparate datasets and use that data to develop actionable insights, and the safeguards to ensure that data remains secure at all times.

To overcome these challenges and support effective PHM strategies, health systems need a data platform that can capture, store, manage, and derive insights from data collected from admin, omics, clinical, and operational systems using a data lakehouse. The platform’s infrastructure must have a robust information governance framework that includes a citizen opt-out standard as well as interoperability, data, and cybersecurity standards. The platform must also provide advanced analytics, machine learning, and cognitive analytics, which are essential to designing effective, robust risk stratification methodologies and for monitoring the health of the population over time. With the ability to consolidate patient data spread across numerous healthcare information systems into a single record, healthcare teams can develop actionable insights that will improve patient outcomes while lowering costs for the patient, provider, and payer.

Make use of all the data

New approaches are required to help identify current healthcare needs and predict what patients will need in the future. The following architecture demonstrates how Oracle Data Platform is built to support population healthcare management by capturing, storing, curating, and analyzing data to better understand patient needs and deliver actionable insights.

population healthcare management diagram, description below

There are three main ways to inject data into an architecture to enable healthcare organizations to optimally understand their patients.

  • To understand patients, it’s imperative to know their medical history. To do this, healthcare organizations must obtain all their admission and transfer records from across healthcare information systems. This data can be enriched with patient data from third-party sources, such as unstructured data from social media and so on. Frequent real-time or near real-time extracts requiring change data capture are common, and data is regularly ingested from admission and discharge operational systems using OCI GoldenGate. OCI GoldenGate is also a critical component of evolving data mesh architectures where “data products” are the central data objects.
  • We can now add streaming data from medical devices that will be ingested in real time using a streaming service/Kafka. Not only does this include data from all the devices and monitors a patient may wear while under the direct observation of their clinician, but it also includes data from all the personal wearable devices a patient uses, which can help their care team better understand their symptoms and lifestyle when they’re outside the treatment center. This streamed data (events) will be ingested with some basic transformations/aggregations that will occur before storing in cloud storage.
  • While real-time needs are evolving, the most common extract from healthcare systems is a kind of batch ingestion using an extract, load, and transform or extract, transform, and load process. Batch ingestion is used to import data from systems that can’t support data streaming (for example, older mainframe systems). To get a holistic understanding of each patient, we also need data from operational systems, such as billing systems, and data arriving via the Fast Healthcare Interoperability Resources (FHIR) protocol from electronic medical record or electronic health record applications. The data is sourced across products and geographies. Ingestions can be frequent, as often as every 10 or 15 minutes, but are still bulk in nature. Groups of transacted datasets are extracted and processed rather than individual transactions.

Data persistence and processing options for collected data are built on three (optionally four) components.

  • Ingested raw data is stored in cloud storage for batch processing, which will do the necessary cleansing, enriching, and so on to put the data into the necessary state to be consumed by downstream users, which can be people, applications, or machine learning platforms. Though some data may be directly placed in the serving data store, this data is also simultaneously placed in cloud storage. This data will be processed using Spark. Processing can be performed directly using OCI Data Flow or as part of a larger pipeline using the orchestration capabilities in OCI Data Integration. These processed datasets are returned to cloud storage for onward persistence, curation, and analysis and ultimately for loading in optimized form to the serving data store. Alternatively, depending on architectural preference, this can be accomplished with Oracle Big Data Service as a managed Hadoop cluster.
  • We have now created processed datasets that are ready to be persisted in optimized relational form for curation and query performance in the serving data store. This will enable healthcare practitioners to better respond to a patient’s needs with the goal of avoiding having to admit or readmit them as an inpatient.

The analysis part is built on two technologies.

  • Analytics and visualization services deliver descriptive analytics (describes current trends with histograms and charts), predictive analytics (predicts future events, identifies trends, and determines the probabilities of uncertain outcomes), and prescriptive analytics (proposes suitable actions, leading to optimal decision-making.). Together, they can be used to predict patient needs and offer suitable interventions. For example, analytics can predict whether a cluster of patients of a certain age, living in a specific area, subjected to varying environmental impacts, and prescribed a specific combination of treatments could develop a certain chronic illness.
  • Alongside the use of advanced analytics, machine learning models are developed, trained, and deployed. These models can be accessed via APIs, deployed within the serving data store, or embedded as part of the OCI GoldenGate streaming analytics pipeline.
  • Our curated, tested, and high-quality data and models can have governance rules and policies applied and can be exposed as a “data product” (API) within a data mesh architecture for distribution across the healthcare organization.

Reduce the complexity and costs of managing healthcare with the right data platform

The right data platform can help health organizations get the greatest value from all the available data to design better-aligned, more cost-efficient, and sustainable healthcare services. This includes better-tailored care plans and support for individuals, including early and proactive interventions such as routine population screenings, which can improve health outcomes as well as patient engagement and satisfaction.

Related resources

Get started with Oracle Modern Data Platform

Try 20+ Always Free cloud services, with a 30-day trial for even more

Oracle offers a Free Tier with no time limits on more than 20 services such as Autonomous Database, Arm Compute, and Storage, as well as US$300 in free credits to try additional cloud services. Get the details and sign up for your free account today.

  • What’s included with Oracle Cloud Free Tier?

    • 2 Autonomous Databases, 20 GB each
    • AMD and Arm Compute VMs
    • 200 GB total block storage
    • 10 GB object storage
    • 10 TB outbound data transfer per month
    • 10+ more Always Free services
    • US$300 in free credits for 30 days for even more

Learn with step-by-step guidance

Experience a wide range of OCI services through tutorials and hands-on labs. Whether you're a developer, admin, or analyst, we can help you see how OCI works. Many labs run on the Oracle Cloud Free Tier or an Oracle-provided free lab environment.

  • Get started with OCI core services

    The labs in this workshop cover an introduction to Oracle Cloud Infrastructure (OCI) core services including virtual cloud networks (VCN) and compute and storage services.

    Start OCI core services lab now
  • Autonomous Database quick start

    In this workshop, you’ll go through the steps to get started using Oracle Autonomous Database.

    Start Autonomous Database quick start lab now
  • Build an app from a spreadsheet

    This lab walks you through uploading a spreadsheet into an Oracle Database table, and then creating an application based on this new table.

    Start this lab now
  • Deploy an HA application on OCI

    In this lab you’ll deploy web servers on two compute instances in Oracle Cloud Infrastructure (OCI), configured in High Availability mode by using a Load Balancer.

    Start HA application lab now

Explore over 150 best practice designs

See how our architects and other customers deploy a wide range of workloads, from enterprise apps to HPC, from microservices to data lakes. Understand the best practices, hear from other customer architects in our Built & Deployed series, and even deploy many workloads with our "click to deploy" capability or do it yourself from our GitHub repo.

Popular architectures

  • Apache Tomcat with MySQL Database Service
  • Oracle Weblogic on Kubernetes with Jenkins
  • Machine-learning (ML) and AI environments
  • Tomcat on Arm with Oracle Autonomous Database
  • Log analysis with ELK Stack
  • HPC with OpenFOAM

See how much you can save on OCI

Oracle Cloud pricing is simple, with consistent low pricing worldwide, supporting a wide range of use cases. To estimate your low rate, check out the cost estimator and configure the services to suit your needs.

Experience the difference:

  • 1/4 the outbound bandwidth costs
  • 3X the compute price-performance
  • Same low price in every region
  • Low pricing without long-term commitments

Contact sales

Interested in learning more about Oracle Cloud Infrastructure? Let one of our experts help.

  • They can answer questions like:

    • What workloads run best on OCI?
    • How do I get the most out of my overall Oracle investments?
    • How does OCI compare to other cloud computing providers?
    • How can OCI support your IaaS and PaaS goals?