The Compass Winter 2018 | Page 3

FEATURE STORY BSWH Uses Big Data to Help Patients Get Back to Life As the sun rose one Friday morning this spring, 65- year-old David Blevins was getting dressed and looking forward to a day of crappie fishing with his brother. Unfortunately, his heart had other plans. infrastructure that helps our leaders collate large amounts of data efficiently and target improvement efforts. The vision is to empower a sophisticated way to look for correlations to improve outcomes and reduce unnecessary cost. The project was successfully led by Nancy Vish, RN, PhD, vice president of Baylor Scott & White Heart and Vascular — Dallas, and Kevin Wheelan, MD, chief medical officer at Baylor Scott & White Heart and Vascular — Dallas. The cardiovascular data warehouse initiative (IDW) has been praised as a model for other service lines to follow in the BSWH system. “We’re working with our physician leaders to identify key metrics, in one or two pages, which can be used as e felt sharp pains in his chest was discharged on Tuesday and back actionable results to improve patient and back, got sick to his singing at the Scurry Church of Christ care,” Ellie said. stomach and broke out in service on Wednesday. a cold sweat. He woke up his wife and As one of the busiest healthcare An example of one key metric in the IDW is the Door to Balloon (DTB) told her to call 911. David knew better systems in Texas, Baylor Scott & White time, or how fast a hospital gets the than to ignore these symptoms. Health cares for hundreds of heart attack heart blockage removed to restore blood patients like David every year. The emer- flow. Because of the intense focus on Scurry, Kaufman County, and quickly gency cardiac team at each BSWH facility reduction of DTB time and other clinical determined that he was having a heart is on call 24 hours a day, 365 days a year. quality measures, Baylor Scott & White attack. They activated a helicopter to get To support quality outcomes for Heart and Vascular — Dallas was ready him to an emergency heart center as fast patients at BSWH facilities, clinicians rely as possible. During his flight to Baylor Scott on meaningful data. Events like David’s & White Heart and Vascular Hospital — healthcare journey are routinely recorded For more information about Baylor Scott Dallas, paramedics had to shock his heart and entered into the electronic procedure & White’s heart and vascular initiatives, twice to stabilize his heart rhythm. record. Data points from health events like contact Melissa Dalton at 214.820.2705 or Once the team landed, David David’s are entered into national registries [email protected]. Paramedics arrived at his home in was rushed straight into the cardiac where clinicians can benchmark collated catheterization lab, where an interventional data to national registry performance. cardiologist, a team of nurses and other “These registries provide compre­ clinical caregivers were waiting for him. hensive and detailed reports, but can “I had one guy working on each arm. be cumbersome to sift through and Both got an IV in really fast,” David said. interpret,” said Eleanor “Ellie” Huff, RN, “They were very efficient.” MSN, director of cardiovascular services for David, and for that he’s grateful. How big is big data? for BSWH. “Our teams need accurate, Data is often measured in terabytes from the defibrillator while in the cath lab. timely data to maintain a continuous (TB). One TB is equivalent to about The cardiologist placed two stents process improvement program.” 1.6 million books. How much data David required four more shocks into the main artery supplying blood to David’s heart, and saved his life. David Baylor Scott & White Dallas Foundation provided a $1 million gift to create an IT The BSWH Perfusion Team airlifted David to Baylor Scott & White Heart and Vascular Hospital, twice having to shock his heart to stabilize his heart rhythm. does the healthcare industry amass compared to others? Here’s a look: The average hospital generates 665 TBs of data a year A Boeing 787 aircraft generates about 40 TBs of data per hour of flight Mining operations can generate up to 2.4 TBs of data per minute Facebook collects 500 TBs of data daily Sources: Adeptia, Cisco and John Quackenbush, a professor of Biostatistics and Computational Biology at the Dana Farber Cancer Institute and Harvard School of Public Health 3 THE COMPASS / BAYLOR SCOTT & WHITE FOUNDATION NEWS / WINTER 2018