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How to exchange and grant access
to health data in a secure way.
Approaches and recommendations
BigMedilytics Project
Big Data for Medical Analytics.
Comorbidities pilot
14th May 2020
Dr. Javier Gámez Payá
Project manager
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Basic principle
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BigMedilytics (Big Data for Medical Analytics)
.
€ 15 M Budget
Funded under H2020-EU.2.1.1.
35 partners
Healthcare providers
Technology companies
SMEs
Pharma
Insurers
Research institutes
Universities
12 countries
11 M patients’ health
records
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Quality
Cost Access
BigMedilytics (Big Data for Medical Analytics)
To transform healthcare in Europe by using state-of-the-art big data technologies
to achieve breakthrough productivity by reducing cost, improving healthcare
services quality and fostering its access.
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How does BigMedilytics achieve its goal?
12 pilots that cover 3 themes with the greatest impact on the sector
78% of deaths within
non-communicable
diseases
33% of the
expenditure
in the sector
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How does BigMedilytics achieve its goal?
12 pilots that cover 3 themes with the greatest impact on the sector
78% of deaths within
non-communicable
diseases
33% of the
expenditure
in the sector
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How does BigMedilytics achieve its goal?
12 pilots that cover 3 themes with the greatest impact on the sector
78% of deaths within
non-communicable
diseases
33% of the
expenditure
in the sector
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01010010001000010100010100101001001001010001001001
How does BigMedilytics achieve its goal?
12 pilots that cover 3 themes with the greatest impact on the sector
78% of deaths within
non-communicable
diseases
33% of the
expenditure
in the sector
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How does BigMedilytics achieve its goal?
12 pilots that cover 3 themes with the greatest impact on the sector
78% of deaths within
non-communicable
diseases
33% of the
expenditure
in the sector
Comorbidities
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Population Health & Chronic Diseases
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Critical patients
WHO. World Report on Ageing and Health 2015
Multimorbidity-
comorbidity is one of the
main challenges in the
healthcare sector.
Its prevalence is increasing
across Europe
Population Health & Chronic Disease
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Big Data Analytics to apply the personalized best therapeutic strategy
and reduce the burden on the healthcare system
High-risk
Primary
care
Secondary
care
Low-moderate risk
1. Retrospective
analysis
2. Technological
development
(ML)
3. Prospective
analysis to
validate the tool
4 M EHR
Valencian Community
Objective: to develop a
decision support system for GP
based on the stratification and
clustering of the population. In
order to assess the
hospitalization risk and
mortality.
Population Health & Chronic Disease Management Comorbidities
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Our approach. 3 pillars
Technology
Computational cluster + secure
channel
Legal
Bilateral agreement between
partners
Data anonymization
Anonymization + re-identification
risk assessment
Population Health & Chronic Disease Management Comorbidities
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Our approach. Anonymization
Population Health & Chronic Disease Management Comorbidities
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Our approach. Technology, visiting concept
Population Health & Chronic Disease Management Comorbidities
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Our approach. Technology. Cluster
4
3
2
8
9
1
56
7
Population Health & Chronic Disease Management Comorbidities
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Recommendations
Technology
Computational cluster + secure
channel
• Data should be in a secure server in-house.
• VPN. 2 steps authentication
• Traceability. One login per person. Important to track
all access.
• Virtualized environment implemented in Redundant
high performance servers (at least 2)
• Minimum requirements:
• SSD disk (fast access) + conventional disk (slow
access)
• 1TB RAM
• 10GB ethernet, interconnection between servers
• 24 cores
Population Health & Chronic Disease Management Comorbidities
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Recommendations
Legal
Bilateral agreement between
partners
Anonymization
Anonymization + re-identification
risk assessment
• A bilateral agreement
among partners that are
going to have access to
data is highly
recommended.
• Accountability principle.
Be able to document
everything and show that
you comply with all
regulations
• Double-anonymization
process
• Conduct a re-identification
risk assessment
• Check the
recommendation of your
national authority
Population Health & Chronic Disease Management Comorbidities
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Recommendations
Act as if fully anonymized data don’t exist
Reach the highest levels of security as possible
Prove that you apply all possible measures
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Thank you for your attention!
jgamez@incliva.es

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