Healthcare Operational Dashboards

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Chaos Session

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Healthcare Operational Dashboards For Chaos Engineering

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Yury Niño Roa Cloud Infrastructure Engineer Chaos Engineering Advocate @yurynino www.yurynino.com

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AGenda ● Healthcare Informatics [HI] Challenges: Observability & Reliability. ● How to use Chaos to face [HI] Challenges? ● Health Informatics Dashboards in Google Cloud for monitoring Chaos and Reliability!

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Health/care informatics [HI] HI is the integration of: healthcare sciences + computer science + information science + cognitive science

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HISTORY 1950’s Computers store and process large amounts of data. 1960’s AC Hospital created the EMRs and IBM deliver the first HIS. 1980’s Interoperability and data sharing become in a challenge. 1990’s The challenge was faced with REST, HL7 and FHIR 1970’s EMRs at the Medical University of South Carolina. 2000’s New capabilities were added using ML, AI, IoT and Chaos Engineering

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Healthcare Informatics Challenges

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[HI] CHALLENGES in 2016 https://www.youtube.com/watch?v=_jzpwaiU6Lo

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[HI] experts were facing those challenges when Technology changed! We MOVED from On Premise to Cloud

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Technology CHANGED/ is CHANGING/ will CHANGE Healthcare REACTION or REVOLUTION https://www.accenture.com/us-en/insights/health/digital-adoption-healthcare-reaction-or-revolution

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Covid-19 accelerated Cloud Adoption and Healthcare Informatics evolution... The worldwide end-user spending on public cloud services is forecast to grow 18.4% in 2021 to total $304.9 billion.

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NOW [HI] HAS MORE CHALLENGES Classic Challenges still without solution Patient Identification Quality Data Data Integration Privacy and Consents Researching Cloud Adoption Challenges Security & Reliability Operational Excellence Performance Efficiency Balancing & Scalability Observability Cost Optimization COVID-19 Challenges Telehealth Virtual Assistant API Management IoT Integration Data-driven decision Operational Dashboards

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AND THEY ARE COMPLEX AND CHAOTIC Classic Challenges still without solution Patient Identification Quality Data Data Integration Privacy and Consents Researching Cloud Adoption Challenges Security & Reliability Operational Excellence Performance Efficiency Balancing & Scalability Observability Cost Optimization COVID-19 Challenges Telehealth Virtual Assistant API Management IoT Integration Data-driven decision Operational Dashboards

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In the middle of chaos … Therac-25 was involved in at least six accidents between 1985 and 1987, in which patients were given massive overdoses of radiation. https://en.wikipedia.org/wiki/Therac-25

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CHAOS ENGINEERING FOR FACING CHALLENGES

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Chaos Engineering It is the discipline of experimenting on a system in order to build confidence in the system’s capability to withstand turbulent conditions in production. https://principlesofchaos.org/

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Chaos Engineering RECIPE Chaos Observability Resilience CHAOS ENGINEERING www.yurynino.dev

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REmember the [hi] challenges Standard Interface Designs Provide Resilient & Reliable clinical environments Methods for unambiguous patient identification Insights for decision support Enable automated solutions Design proper monitoring dashboards

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Don’t see … OBSERVE the chaos With so many challenges! To learn from chaos in healthcare requires observability and actionable insights. When the medical staff are confronted with an emergency or abnormal ... they are not surgery they are monitoring to make decisions in live!

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OPERATIONAL DASHBOARDS WITH GCP

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Not only Doctors and Patients need to observe the chaos As Dev/Infra/Ops Engineers we reach reliability if we have observability

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APIS ARE COMMON IN HEALTHCARE Healthcares ENTITIES APIs Micro-Services Customers Developers Businesses Direct Consumers

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APIS ARE COMMON IN HEALTHCARE

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APIS ARE COMMON IN HEALTHCARE Healthcares ENTITIES APIs Micro-Services Customers Developers Businesses Direct Consumers

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OBSERVABILITY FOR APIS WITH CHAOS

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TO MONITOR CHAOS WE NEED more features • Customizability • Reporting • Filtering • Historical Use

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DASHBOARD FOR WRITING POSTMORTEMS • Source of Chaos • Root Causes • Proactive • Alerting

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VISUALIZE WITH CLOUD MONITORING

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VISUALIZE WITH CLOUD MONITORING ● View system metrics ● Enable SRE best practices ● Collect application metrics ● Create custom dashboards

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HEATMAP PATTERNS FOR CHAOS Key Visualizer for Firestore

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Healthcare is a complex adaptive system. They are nonlinear, random and chaotic … They are composed of agents whose behavior is dynamic, psychological and based on social rules …

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Health systems requires software renewal … In the middle of chaos those systems require new observable and reliable software and hardware!

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Thanks for coming! @yurynino