ABSTRACT

Health institutions generate large volumes of data inherent both to clinical and administrative activities. The Healthcare Data Analytics methodology provides tools for the collection, storage, analysis, and interpretation of data. Currently institutions involved in health care are concerned with improving the quality of the service they provide to patients and families. However, despite new operational and administrative approaches few health institutions in the world have achieved it. Decision makers need information about the global functioning of the healthcare institution. Besides the information of accomplished facts, they need information on what may happen and the possible consequences of this in order to establish priorities for the improvement process of the organization. Healthcare Analytics exists to optimize the quality of the care provided to the patient and to reduce service management costs. Fraud covers a wide range of illicit practices, intentional deceptions, or illegal acts, which do not depend on threats, violence, or physical force.