Analytics & Reporting

Comprehensive analytics and reporting for clinical insights

Analytics Overview

Clinical Insights

Real-time analytics on patient outcomes, treatment effectiveness, and clinical patterns.

  • • Patient outcome tracking
  • • Treatment efficacy analysis
  • • Risk prediction models
  • • Population health insights

Operational Metrics

Monitor practice efficiency, resource utilization, and workflow optimization.

  • • Patient flow analysis
  • • Resource utilization
  • • Workflow efficiency
  • • Cost optimization

Compliance Reporting

Automated compliance reporting for HIPAA, quality measures, and regulatory requirements.

  • • Quality measure reporting
  • • HIPAA audit trails
  • • Performance benchmarks
  • • Regulatory compliance

Dashboard Setup

Quick Setup

Get your analytics dashboard up and running in minutes with pre-configured templates.

Dashboard Configuration

// Install SynThera Analytics SDK
npm install @synthera/analytics-sdk

// Initialize analytics client
import { AnalyticsClient } from '@synthera/analytics-sdk';

const analytics = new AnalyticsClient({
  apiKey: 'your-api-key',
  endpoint: 'https://analytics.synthera.health',
  dashboardConfig: {
    refreshInterval: 300000,    // 5 minutes
    timezone: 'America/New_York',
    dateRange: 'last_30_days',
    filters: {
      department: ['cardiology', 'internal-medicine'],
      provider: 'all',
      location: 'main-campus'
    }
  }
});

// Create custom dashboard
const createDashboard = async () => {
  const dashboard = await analytics.createDashboard({
    name: 'Clinical Performance Dashboard',
    layout: 'grid',
    widgets: [
      {
        type: 'metric_card',
        title: 'Patient Volume',
        metric: 'patients_seen_today',
        position: { x: 0, y: 0, width: 2, height: 1 }
      },
      {
        type: 'line_chart',
        title: 'Daily Census Trend',
        metrics: ['daily_admissions', 'daily_discharges'],
        timeRange: 'last_30_days',
        position: { x: 2, y: 0, width: 4, height: 2 }
      },
      {
        type: 'bar_chart',
        title: 'Top Diagnoses',
        metric: 'diagnosis_frequency',
        groupBy: 'icd10_code',
        limit: 10,
        position: { x: 0, y: 1, width: 3, height: 2 }
      },
      {
        type: 'heatmap',
        title: 'Resource Utilization',
        metric: 'bed_occupancy',
        dimensions: ['hour_of_day', 'day_of_week'],
        position: { x: 3, y: 1, width: 3, height: 2 }
      }
    ]
  });
  
  return dashboard;
};

// Set up real-time updates
analytics.onDataUpdate((data) => {
  console.log('Analytics data updated:', data);
  updateDashboardWidgets(data);
});

// Export dashboard configuration
const exportConfig = () => {
  return analytics.exportConfig({
    includeFilters: true,
    includeCustomMetrics: true,
    format: 'json'
  });
}:

Widget Configuration

Clinical Metrics Widgets

Patient Volume

Real-time patient count and trends

Length of Stay

Average LOS by department and diagnosis

Readmission Rates

30-day readmission tracking

Mortality Rates

Risk-adjusted mortality metrics

Quality Scores

CMS quality measure performance

Operational Widgets

Bed Utilization

Real-time bed occupancy and turnover

Staff Efficiency

Provider productivity and caseload

Wait Times

Patient wait times by department

Revenue Cycle

Billing and collection metrics

Cost Analysis

Cost per case and resource optimization

Data Sources & Integration

Comprehensive Data Integration

SynThera Analytics aggregates data from multiple sources to provide a complete clinical picture.

EHR Integration

  • • Epic MyChart and Hyperspace
  • • Cerner PowerChart and HealtheLife
  • • AllScripts Professional
  • • athenahealth EHR
  • • eClinicalWorks
  • • Custom FHIR endpoints

Clinical Systems

  • • Laboratory Information Systems (LIS)
  • • Picture Archiving Systems (PACS)
  • • Pharmacy Management Systems
  • • Nursing Documentation Systems
  • • Patient Monitoring Systems
  • • Telehealth Platforms

External Data

  • • Claims and billing data
  • • Public health databases
  • • Social determinants of health
  • • Genomic data repositories
  • • Clinical trial data
  • • Quality reporting databases

Data Pipeline Configuration

// Configure data sources
const dataSources = {
  // EHR Integration
  ehr: {
    type: 'epic',
    endpoint: 'https://your-epic-instance.com/fhir/r4',
    authentication: 'oauth2',
    credentials: {
      clientId: 'your-client-id',
      clientSecret: 'your-client-secret',
      scope: 'patient/*.read observation/*.read'
    },
    syncInterval: '15m',
    dataTypes: ['patient', 'encounter', 'observation', 'medication']
  },
  
  // Laboratory Data
  lab: {
    type: 'hl7',
    endpoint: 'tcp://lab-server:2575',
    messageTypes: ['ORU^R01', 'ADT^A08'],
    processingRules: {
      normalizeUnits: true,
      validateRanges: true,
      detectCritical: true
    }
  },
  
  // Imaging Data
  imaging: {
    type: 'dicom',
    pacsEndpoint: 'https://pacs.hospital.com/dcm4chee',
    storageLocation: 's3://synthera-imaging-data',
    aiAnalysis: {
      enabled: true,
      models: ['chest-xray', 'brain-mri', 'cardiac-echo']
    }
  },
  
  // Custom API Integration
  custom: {
    type: 'rest_api',
    endpoints: [
      {
        name: 'pharmacy_system',
        url: 'https://pharmacy.hospital.com/api/v1',
        authentication: 'bearer_token',
        methods: ['GET', 'POST'],
        rateLimit: 1000  // requests per minute
      }
    ]
  }
};

// Data transformation pipeline
const transformationPipeline = {
  // Data cleansing
  cleansing: {
    removeNulls: true,
    standardizeFormats: true,
    validateConstraints: true,
    deduplication: {
      enabled: true,
      fields: ['patient_id', 'encounter_id', 'timestamp']
    }
  },
  
  // Data enrichment
  enrichment: {
    calculateAges: true,
    geolocateAddresses: true,
    lookupCodes: {
      icd10: true,
      snomed: true,
      loinc: true
    },
    socialDeterminants: {
      enabled: true,
      sources: ['census', 'acs', 'public_health']
    }
  },
  
  // Privacy and security
  privacy: {
    deidentification: {
      enabled: true,
      method: 'safe_harbor',
      dateShifting: true,
      zipCodeGeneralization: true
    },
    encryption: {
      algorithm: 'AES-256',
      keyRotation: '90d'
    }
  }
};

Custom Metrics & KPIs

Tailored Analytics

Create custom metrics and KPIs specific to your organization's goals and requirements.

Metric Definition

// Define custom metrics
const customMetrics = {
  // Clinical Quality Metrics
  clinicalQuality: {
    name: 'Sepsis Bundle Compliance',
    description: 'Percentage of sepsis patients receiving complete 3-hour bundle',
    calculation: {
      numerator: {
        filter: 'diagnosis.code IN ("A41.9", "R65.20") AND bundle_complete = true',
        timeWindow: '3h'
      },
      denominator: {
        filter: 'diagnosis.code IN ("A41.9", "R65.20")',
        timeWindow: '24h'
      }
    },
    target: 0.85,  // 85% compliance target
    benchmarks: {
      excellent: 0.90,
      good: 0.80,
      needs_improvement: 0.70
    }
  },
  
  // Operational Efficiency
  operationalEfficiency: {
    name: 'ED Throughput Time',
    description: 'Average time from ED arrival to disposition',
    calculation: {
      aggregation: 'avg',
      field: 'ed_los_minutes',
      filters: {
        department: 'emergency',
        disposition_type: ['admit', 'discharge', 'transfer']
      }
    },
    target: 180,  // 3 hours target
    alerts: {
      critical: 360,    // 6 hours
      warning: 300      // 5 hours
    }
  },
  
  // Patient Satisfaction
  patientSatisfaction: {
    name: 'HCAHPS Overall Rating',
    description: 'Percentage of patients rating hospital 9-10',
    calculation: {
      numerator: 'hcahps_overall_rating >= 9',
      denominator: 'hcahps_overall_rating IS NOT NULL'
    },
    target: 0.75,
    trending: {
      period: 'monthly',
      comparison: 'year_over_year'
    }
  },
  
  // Financial Performance
  financialPerformance: {
    name: 'Cost Per Case',
    description: 'Total cost divided by case volume',
    calculation: {
      numerator: 'SUM(direct_costs + indirect_costs)',
      denominator: 'COUNT(DISTINCT case_id)',
      groupBy: ['service_line', 'drg_code']
    },
    benchmarking: {
      peerGroup: 'similar_hospitals',
      percentile: 50
    }
  }
};

// Create metric tracking
const createMetricTracker = (metricId) => {
  return analytics.createMetric({
    id: metricId,
    definition: customMetrics[metricId],
    schedule: {
      calculation: 'hourly',
      reporting: 'daily',
      retention: '2_years'
    },
    alerts: {
      enabled: true,
      channels: ['email', 'slack', 'dashboard'],
      recipients: ['quality_team@hospital.com']
    }
  });
};

// Real-time metric monitoring
analytics.onMetricUpdate((metric) => {
  console.log(`Metric ${metric.name} updated: ${metric.value}`);
  
  // Check thresholds
  if (metric.value < metric.target) {
    sendAlert({
      type: 'metric_below_target',
      metric: metric.name,
      value: metric.value,
      target: metric.target
    });
  }
  
  // Update dashboards
  updateDashboardMetric(metric.id, metric.value);
});

Automated Reporting

Report Templates

Executive Dashboard

High-level KPIs and strategic metrics for leadership.

  • • Patient volume and census trends
  • • Financial performance indicators
  • • Quality and safety metrics
  • • Operational efficiency measures

Clinical Quality Report

Detailed quality metrics and compliance tracking.

  • • CMS quality measure performance
  • • Patient safety indicators
  • • Infection control metrics
  • • Medication safety analytics

Departmental Performance

Service line and department-specific analytics.

  • • Productivity and efficiency metrics
  • • Resource utilization analysis
  • • Patient satisfaction scores
  • • Staff performance indicators

Scheduling & Distribution

// Configure automated reports
const reportSchedules = {
  // Daily operational report
  daily_ops: {
    template: 'operational_dashboard',
    schedule: {
      frequency: 'daily',
      time: '07:00',
      timezone: 'America/New_York'
    },
    recipients: [
      'cno@hospital.com',
      'cmo@hospital.com',
      'operations_team@hospital.com'
    ],
    format: 'pdf',
    delivery: 'email'
  },
  
  // Weekly quality report
  weekly_quality: {
    template: 'quality_metrics',
    schedule: {
      frequency: 'weekly',
      day: 'monday',
      time: '08:00'
    },
    parameters: {
      date_range: 'last_7_days',
      include_trends: true,
      benchmark_comparison: true
    },
    recipients: [
      'quality_team@hospital.com',
      'medical_staff@hospital.com'
    ],
    format: 'interactive_html'
  },
  
  // Monthly executive summary
  monthly_executive: {
    template: 'executive_summary',
    schedule: {
      frequency: 'monthly',
      day_of_month: 1,
      time: '06:00'
    },
    parameters: {
      date_range: 'last_month',
      include_forecasts: true,
      peer_benchmarking: true
    },
    recipients: [
      'ceo@hospital.com',
      'board@hospital.com',
      'finance_team@hospital.com'
    ],
    format: 'powerpoint'
  }
};

// Create and schedule reports
Object.entries(reportSchedules).forEach(([reportId, config]) => {
  analytics.scheduleReport({
    id: reportId,
    ...config,
    onError: (error) => {
      console.error(`Report ${reportId} failed:`, error);
      notifyAdministrators(reportId, error);
    },
    onSuccess: (report) => {
      console.log(`Report ${reportId} generated successfully`);
      trackReportDelivery(reportId, report.metadata);
    }
  });
});

Custom Report Builder

// Build custom reports programmatically
const buildCustomReport = async (reportConfig) => {
  const report = analytics.createReport({
    title: reportConfig.title,
    description: reportConfig.description,
    
    // Data sources
    dataSources: reportConfig.dataSources,
    
    // Filters and parameters
    filters: {
      dateRange: {
        start: reportConfig.startDate,
        end: reportConfig.endDate
      },
      departments: reportConfig.departments,
      providers: reportConfig.providers,
      locations: reportConfig.locations
    },
    
    // Report sections
    sections: [
      {
        type: 'summary',
        title: 'Key Performance Indicators',
        widgets: [
          { type: 'metric_card', metric: 'patient_volume' },
          { type: 'metric_card', metric: 'average_los' },
          { type: 'metric_card', metric: 'readmission_rate' },
          { type: 'metric_card', metric: 'patient_satisfaction' }
        ]
      },
      {
        type: 'charts',
        title: 'Trend Analysis',
        widgets: [
          { 
            type: 'line_chart',
            title: 'Patient Volume Trend',
            metric: 'daily_admissions',
            timeRange: 'last_30_days'
          },
          {
            type: 'bar_chart',
            title: 'Top Diagnoses',
            metric: 'diagnosis_frequency',
            groupBy: 'icd10_code',
            limit: 10
          }
        ]
      },
      {
        type: 'tables',
        title: 'Detailed Data',
        widgets: [
          {
            type: 'data_table',
            title: 'Provider Performance',
            columns: ['provider_name', 'patient_count', 'avg_los', 'satisfaction_score'],
            sortBy: 'patient_count',
            pagination: true
          }
        ]
      }
    ],
    
    // Output format
    output: {
      format: reportConfig.format || 'pdf',
      orientation: 'landscape',
      includeToc: true,
      includeFooter: true,
      branding: {
        logo: 'hospital_logo.png',
        colors: {
          primary: '#1e40af',
          secondary: '#64748b'
        }
      }
    }
  });
  
  return await report.generate();
};

// Example usage
const quarterlyReport = await buildCustomReport({
  title: 'Q1 2024 Clinical Performance Report',
  description: 'Comprehensive analysis of clinical and operational metrics',
  startDate: '2024-01-01',
  endDate: '2024-03-31',
  departments: ['cardiology', 'internal_medicine', 'emergency'],
  format: 'pdf'
});

Real-time Monitoring

Live Clinical Intelligence

Monitor critical metrics in real-time with instant alerts and automated responses.

Alert Configuration

// Configure real-time alerts
const alertRules = {
  // Critical patient alerts
  critical_patient: {
    name: 'Critical Patient Alert',
    condition: {
      metric: 'patient_early_warning_score',
      operator: 'greater_than',
      threshold: 7,
      duration: '5m'
    },
    actions: [
      {
        type: 'notify',
        channels: ['sms', 'pager', 'mobile_app'],
        recipients: ['rapid_response_team', 'attending_physician']
      },
      {
        type: 'create_task',
        task: 'bedside_assessment',
        priority: 'urgent',
        assignee: 'charge_nurse'
      }
    ]
  },
  
  // Capacity management
  capacity_alert: {
    name: 'ED Overcrowding Alert',
    condition: {
      metric: 'ed_occupancy_rate',
      operator: 'greater_than',
      threshold: 0.95,
      duration: '15m'
    },
    actions: [
      {
        type: 'escalate',
        to: 'bed_management_team',
        message: 'ED at 95% capacity - initiate surge protocols'
      },
      {
        type: 'dashboard_highlight',
        widget: 'ed_status',
        color: 'red'
      }
    ]
  },
  
  // Quality indicators
  quality_alert: {
    name: 'Sepsis Bundle Compliance',
    condition: {
      metric: 'sepsis_bundle_compliance_rate',
      operator: 'less_than',
      threshold: 0.80,
      timeWindow: '1h'
    },
    actions: [
      {
        type: 'notify',
        channels: ['email'],
        recipients: ['quality_team@hospital.com'],
        template: 'sepsis_compliance_alert'
      }
    ]
  }
};

// Set up real-time monitoring
const monitoringSystem = analytics.createMonitor({
  rules: alertRules,
  checkInterval: 60000,  // Check every minute
  
  onAlert: (alert) => {
    console.log(`Alert triggered: ${alert.rule.name}`);
    
    // Log alert to database
    logAlert({
      ruleId: alert.rule.id,
      timestamp: alert.timestamp,
      value: alert.value,
      threshold: alert.threshold
    });
    
    // Execute alert actions
    alert.actions.forEach(action => {
      executeAlertAction(action, alert);
    });
  },
  
  onResolve: (alert) => {
    console.log(`Alert resolved: ${alert.rule.name}`);
    
    // Notify resolution
    notifyAlertResolution(alert);
  }
});

Live Dashboard Features

Real-time Data Streaming

  • • WebSocket connections for live updates
  • • Sub-second data refresh rates
  • • Automatic reconnection handling
  • • Data buffering during network issues

Interactive Visualizations

  • • Dynamic chart updates
  • • Drill-down capabilities
  • • Time range selection
  • • Export and sharing options

Mobile Responsiveness

  • • Touch-optimized interface
  • • Offline capability
  • • Push notifications
  • • Voice-activated queries

Data Security & Compliance

HIPAA-Compliant Analytics

All analytics operations maintain strict HIPAA compliance with comprehensive audit trails.

Security Features

End-to-End Encryption

AES-256 encryption for data at rest and in transit

Role-Based Access Control

Granular permissions based on user roles and responsibilities

Data De-identification

Automatic PHI removal and anonymization

Audit Logging

Comprehensive tracking of all data access and modifications

Compliance Configuration

// Configure compliance settings
const complianceConfig = {
  // HIPAA compliance
  hipaa: {
    enabled: true,
    auditLevel: 'comprehensive',
    dataRetention: {
      phi: '6_years',
      auditLogs: '6_years',
      reports: '6_years'
    },
    deidentification: {
      method: 'safe_harbor',
      dateShifting: true,
      zipCodeTruncation: true
    }
  },
  
  // Access controls
  accessControl: {
    authentication: {
      method: 'saml_sso',
      mfa: true,
      sessionTimeout: 1800  // 30 minutes
    },
    authorization: {
      model: 'rbac',
      minimumPrivilege: true,
      dynamicPermissions: true
    }
  },
  
  // Data governance
  dataGovernance: {
    classification: {
      phi: 'restricted',
      clinical: 'sensitive',
      operational: 'internal'
    },
    retention: {
      automated: true,
      policies: {
        'patient_data': '7_years',
        'financial_data': '7_years',
        'operational_data': '3_years'
      }
    }
  }
};

// Audit trail implementation
const auditTrail = {
  logAccess: (userId, resource, action) => {
    analytics.audit.log({
      timestamp: new Date().toISOString(),
      userId: userId,
      resource: resource,
      action: action,
      ipAddress: getClientIP(),
      userAgent: getUserAgent(),
      sessionId: getSessionId()
    });
  },
  
  generateComplianceReport: async (startDate, endDate) => {
    return await analytics.compliance.generateReport({
      type: 'hipaa_audit',
      dateRange: { start: startDate, end: endDate },
      includeMetrics: [
        'data_access_frequency',
        'user_activity_summary',
        'security_violations',
        'data_export_tracking'
      ]
    });
  }
};

Troubleshooting

Common Issues

Dashboard Not Loading Data

Widgets show loading state but no data appears.

// Check data source connections
analytics.dataSources.test()
  .then(results => {
    results.forEach(source => {
      console.log(`${source.name}: ${source.status}`);
      if (source.status === 'failed') {
        console.error(`Error: ${source.error}`);
      }
    });
  });

// Verify API connectivity
fetch('/api/analytics/health')
  .then(response => {
    if (!response.ok) {
      throw new Error(`HTTP ${response.status}: ${response.statusText}`);
    }
    return response.json();
  })
  .then(data => console.log('API Health:', data))
  .catch(error => console.error('API Error:', error));
  • • Check network connectivity to data sources
  • • Verify API credentials and permissions
  • • Review firewall and proxy settings
  • • Check for scheduled maintenance windows

Performance Issues

Slow query performance or dashboard timeouts.

// Monitor query performance
analytics.performance.monitor({
  onSlowQuery: (query, duration) => {
    console.warn(`Slow query detected: ${duration}ms`);
    console.log('Query:', query);
    
    // Suggest optimizations
    const suggestions = analytics.performance.optimize(query);
    console.log('Optimization suggestions:', suggestions);
  },
  threshold: 5000  // 5 seconds
});

// Check resource usage
analytics.system.getResourceUsage()
  .then(usage => {
    console.log('CPU Usage:', usage.cpu);
    console.log('Memory Usage:', usage.memory);
    console.log('Database Connections:', usage.dbConnections);
  });
  • • Optimize query date ranges and filters
  • • Review database indexes and performance
  • • Consider data aggregation strategies
  • • Implement caching for frequently accessed data

Data Discrepancies

Analytics show different values than source systems.

// Data validation checks
const validateData = async (metric, dateRange) => {
  const analyticsValue = await analytics.getMetric(metric, dateRange);
  const sourceValue = await dataSource.queryDirect(metric, dateRange);
  
  const variance = Math.abs(analyticsValue - sourceValue) / sourceValue;
  
  if (variance > 0.05) {  // 5% variance threshold
    console.warn(`Data discrepancy detected for ${metric}`);
    console.log(`Analytics: ${analyticsValue}`);
    console.log(`Source: ${sourceValue}`);
    console.log(`Variance: ${(variance * 100).toFixed(2)}%`);
    
    // Trigger data reconciliation
    await analytics.reconcile(metric, dateRange);
  }
};

// Check data pipeline status
analytics.pipeline.getStatus()
  .then(status => {
    status.stages.forEach(stage => {
      console.log(`${stage.name}: ${stage.status}`);
      if (stage.errors.length > 0) {
        console.error('Errors:', stage.errors);
      }
    });
  });
  • • Verify data transformation logic
  • • Check for timing differences in data updates
  • • Review filter and aggregation settings
  • • Ensure consistent date/time handling

Performance Optimization

// Performance optimization strategies
const optimizationStrategies = {
  // Caching configuration
  caching: {
    enabled: true,
    layers: {
      browser: {
        ttl: 300,  // 5 minutes
        maxSize: '50MB'
      },
      application: {
        ttl: 1800,  // 30 minutes
        maxSize: '500MB'
      },
      database: {
        queryCache: true,
        resultCache: true,
        ttl: 3600  // 1 hour
      }
    }
  },
  
  // Query optimization
  queryOptimization: {
    // Pre-aggregate frequently accessed metrics
    materialization: {
      enabled: true,
      refreshInterval: '1h',
      metrics: [
        'daily_patient_volume',
        'hourly_bed_occupancy',
        'monthly_quality_scores'
      ]
    },
    
    // Index recommendations
    indexing: {
      autoCreate: true,
      suggestions: [
        'patient_id, encounter_date',
        'department, admission_timestamp',
        'provider_id, service_date'
      ]
    }
  },
  
  // Data partitioning
  partitioning: {
    strategy: 'date_based',
    interval: 'monthly',
    retention: '24_months',
    archiving: {
      enabled: true,
      destination: 's3_glacier'
    }
  }
};