Post on 25-May-2015
description
transcript
Business Intelligence:
Functional & Operational
Tools for Optimizing
Healthcare
June 12, 2013
2010 - 2012
Page 2
About CentraState
Environmental Drivers
The Vision
The Reality
The Vision – Revised
Future Plans
Q & A
Agenda
Page 3
2012 Statistics
282 bed full-service community medical center
14,384 Inpatient admissions (excludes newborns)
154,959 Outpatient visits (excludes SDS)
62,340 Emergency Department visits
511 board certified physicians
Family Medicine residency program
Senior Services
94 unit Assisted Living Facility
123 bed Skilled Nursing Facility
430 unit Continuous Care Retirement Community
About CentraState
2010 - 2012
Page 4
Stage 1 Meaningful Use Attester for 2011 & 2012
Private Health Information Exchange
Regional Health Information Organization
Wide Array of Systems In Use
► ADT; Central Scheduling; Radiology
► Clinical Documentation; Order Entry; Results;
Pharmacy; HIM; Interface Engine
► Laboratory
► PACS
► ORIS
► EDIS
► Patient Accounting
About CentraState
Page 5
Agenda
About CentraState
Environmental Drivers
The Vision
The Reality
The Vision – Revised
Future Plans
Q & A
Page 6
Environmental Drivers
Quality Measurement
Regulatory initiatives & payment reform model
“experiments” are driving significant attention
to quality
Emerging Realities
Core Measures
Value Based Purchasing / HCAHPS
Readmissions
Page 7
Environmental Drivers
High level of competition for limited resources
Time
Page 8
Environmental Drivers
Disparate tools and systems
Healthcare BI Analytics Landscape
Page 9
Agenda
About CentraState
Environmental Drivers
The Vision
The Reality
The Vision – Revised
Future Plans
Q & A
Page 10
The Vision
Integrated Clinical / Business Intelligence Environment
Page 11
The Vision
Orderly transition from disparate to structured model
Assess environment
Build data dictionary across systems
Catalog reports
Map current reporting needs against available data
Evaluate future reporting needs against available data
Implement central repository
Migrate data / feed central repository
Convert existing reports / build new reports & tools
Page 12
The Vision
Goals
Ensure ability to deliver data to meet evolving landscape
Reduce costs related to multiple reporting environments
Put more control over data in the hands of end-users
Reduce workload for IT
Page 13
Agenda
About CentraState
Environmental Drivers
The Vision
The Reality
The Vision – Revised
Future Plans
Q & A
Page 14
The Reality
Disparate tools and systems
Healthcare BI Analytics Landscape
Page 15
The Reality
Somewhat Integrated Intelligence Environment
TPRS
TPRS TPRS
TPRS
Page 16
The Reality
Project scope was far greater than anticipated
End-users unclear on needs
Data dictionary requires deep analysis
Cataloging reports is labor intensive
Necessary data not being captured electronically
Need for benchmark data
Myriad of niche reporting solutions being proposed
Lack of business unit ownership of data
Need a different approach
Page 17
Agenda
About CentraState
Environmental Drivers
The Vision
The Reality
The Vision – Revised
Future Plans
Q & A
Page 18
The Vision - Revised
Break project down to manageable components
Operational Tools
Dashboards and traditional reports to help business
unit managers operate their respective areas
Functional Tools
Solution specific tools to address defined business
needs:
Value Based Purchasing
Readmissions
Page 19
The Vision - Revised
Implementation Process
Applied to all tool / dashboard development
• Identified and validated KPIs most relevant to a
community hospital of our size
• Performed data gap analysis: data required for
selected KPIs versus data available?
• Defined data acquisition approach and timeline
• Defined governance structure to ensure business unit
ownership of data and reporting relevance and
existence of benchmark data
Page 20
The Vision - Revised
Operational Tools – CFO Dashboard
Page 21
The Vision - Revised
Operational Tools – CMO Dashboard
Page 22
The Vision - Revised
Functional Tools – Value Based Purchasing
Desired Capabilities
• Capture and aggregate data in as close to real time
as possible
• Provide the ability to “Drill Down” to various
stakeholders to make the information actionable
• Assist with improvement of Patient experience of care
scores
• Continually measure Financial Impact (overall)
Page 23
Value-Based Purchasing
Page 24
Value-Based Purchasing
Page 25
The Vision - Revised
Functional Tools – Readmissions Management
Desired Capabilities
• Enable providers to impact care prior to discharge
• Use real-time and predictive analytics to identify:
• Patients at risk for discharge with HF, PN, AMI, COPD
• Patients at risk for readmissions, higher utilization &
costs
• Integrate information with “Work Lists” to enable
effective transitions in care
• Address complete “continuum of care”
Page 26
The Vision - Revised
Functional Tools – Readmissions Management
Sample of Patient at Risk for HF Readmission
Patient Profile
• Patient Name: Judy Finn
• Age: 66
• Primary Diagnosis: Heart Failure
• Comorbidities: Diabetes Mellitus, Hypertension,
Obesity
• Medication List: Bisoprolol, Enalapril
Page 27
• Updated Daily
• Patient list
• Readmission risk score
• Patients identified prior to discharge and coding
Case Study: Heart Failure Readmissions
Inpatient List
1
1
The Vision - Revised
Page 28
Case Study: Heart Failure Readmissions
Inpatient Work List
• Work List comprised
of action items for
CHF patients
• Completed prior to
discharge to ensure
all actions have been
taken to prevent
readmission
Page 29
• Collect data reliably at the front end
• Make your analytics actionable with real-time
data
• Integrate with workflow as a key feature
Best Practices
The Vision - Revised
• Integrate financial implications with quality
improvement efforts
• Make managers accountable for financial
implications
• Analytics across the continuum of care (Don’t
forget ambulatory and post acute care)
Page 30
• Operational Dashboards
• To drive performance improvement at all
organizational levels
• Functional Tools
• Expand use of tools to other disease states
• Accountable Care
• Bundled Payments
• Analytics across the continuum of care
Future Plans
Page 31
Questions