Healthcare User Forum & Advisory Council

Alan Eisman Director Healthcare SolutionsOctober 20, 2010

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The First Person to Appreciate Business Intelligence

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"The only real wisdom is knowing you know nothing" Socrates, Around 420 BC

More Greek Philosophy and Physicians

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According to Hippocrates, “A physician’s judgment mattered more than any external measurement.” And the practice of medicine was long organized accordingly. But today with so many treatment approaches and our perverse incentive system it no longer makes sense to leave decisions only to the to the physician’s informed intuition.

Transparency Drives Accountability and Improvement

Medicare spending varies from $14,000 to $5,200/Beneficiary 40% Can be explained based on case mix, regional pricing 60% due to other factors supply of resources and practice

patternsPhysician down the hall - “In our own organization there is a 2

to 3 fold variation in use of tests, unaware of what colleagues down the hall are doing.

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“Chaos and Organization in Health Care” Thomas H Lee, M.D. James J. Mongan M.D.

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ORLANDO – There is "no distinction between information management and healthcare," said Peter Salgo, MD, associate director of surgical intensive care at Presbyterian Hospital in New York, in his rousing presentation at AHIMA on Tuesday. And the people who know how to synthesize, store, and integrate medical information will lead the massive healthcare changes of the 21st century.

HIM Pros Vital to Healthcare Performance Improvement

Tuesday September 28th 2010

So What Are the Imperatives?

Data, Data, Data – Trusted, Transparent, TimelyAlignment – Adoption - Accountability

e nablement of Process e ngagement of Stakeholders e limination of Spreadmarts

Sensible Strategy or Roadmap Leadership and Tweeners (PPI, CMIO, DSS)Healthcare Performance Management and Allowing MU to be

Whatever it Needs Be

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What is Healthcare Performance Management?

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Healthcare Performance Management (HPM) is a framework for merging goals, strategies, Scorecards, measures, processes, and initiatives in a way that makes sense not only to management, but to every participant in the health care value chain.

Operational

Analytical

Strategic

What BI Should Be to Support HPM?

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Monitor performance and communicate strategy-Translate strategy for the operation

-Promote continuous improvement-Drive accountability and focus on key drivers

Direct Analytical BI towards potential problems

Isolate and identify good and bad- Analyze historical trends- Mine for problems and opportunities- Predict future potential

Direct the focus of operational initiatives

Implement Operational Initiatives To… - Enable/Accelerate processes - Empower employee decisions - Improve patient flow

Monitor Performance of Initiatives

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HPM Aligns Strategic and Operational loops

Strategic

Operational

Strategy Management

Operational Execution

Change

Align

Measure

Measure

Plan

Execute

Analyze

For Example: Closing the Gap Between Budgeting & Ops.

What are my Strategic Financial Goals? Profitability, Solid Balance Sheet Growth

What Makes up Financial Performance? Revenues Costs Cash Flow

What makes up Revenues, Costs, Cash Flow?What Drives Financial Performance?

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Drivers of Financial Performance

Profitability, Market Share, Growth Patient Satisfaction S/Line Revenue Mix Payer Mix

Revenues Volumes – Census, Surgeries Productivity – RVUs LWOBS, Revenue Leakage, Denied Claims

Costs Labor Productivity Supplies Asset Utilization – Medical Technology, Beds, Operating Room

Cash Flow Accounts Receivable Discharged Not Final Billed (DNFB)

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Agenda

10:00 - 10:20 a.m. Welcome, Introductions and IBI Healthcare Strategy Alan Eisman, Director Healthcare Strategy

10:20 - 11:00 a.m. Best Practices for Clinical Research, Reporting and Analytics, Dan Housman, Director, Analytical Apps, Recombinant Data Sys

11:00 - 11:40 a.m. Providing Exec Insight to Improve Performance Using Dashboards and Scorecards, Mary Tedaldi Senior Director PM, and Jeff Shein BI Dev Mgr, NYU Langone MC

11:40 a.m. - 12:20 p.m. Leveraging Performance Management to Track Meaningful Use Initiatives, Anna Twomey, Solutions Architect

12:20 - 1:00 p.m. Lunch

1:00 - 1:30 p.m. Eliminating Data Discrepancies with iWay Data Quality Center, Jessica Spector, Senior Project Manager, Mount Sinai Hospital

1:30 - 2:10 p.m. Operationalize Budgeting and Planning with Mgt Dashboards, Megan LaPointe, Senior Manager, deFacto Global Inc., John Sulka Senior SE, IBI

2:10 – 3:15 p.m. Roundtable Discussion Wrap-up and mtg follow-up topics

My Simplified View of Maturity Cycle

Concurrent Waves

From Process Measures – Outcomes – Cause and Effect

From Departmental – Service Line – Enterprise

From Spreadsheets – Metrics Mgt. – Balanced Scorecards

From Historical – Daily Dashboard - Operational – Predictive

From DSS – C Sponsor/PPI – Data Mgt – BI Competency Ctr

From Data – Information – True PPI Enablement - HPM

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Malcolm Baldridge Winner!

Modern Day Socrates

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Our Strategy Hasn’t Changed

Drive Performance at all Levels for highest ROI Improve Patient Safety and Clinical Outcomes Optimize Patient Flow – Efficiency, Patient Satisifaction Reduce Costs – Labor, Supplies, Administrative Increase Revenues – Rev Cycle. Grow Strategic S/Lines

Leverage Strengths: Flexibility ,Scalability, Interoperability, Usability Leverage Client Experiences, Priorities, IT Investments Leverage Re-usable Components to Speed Time to Value Leverage Partnerships

Clinical Best Practices Business Process Transformation Strategic and Financial Planning Change Management

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Advantages of Information Builders Solutions

Comprehensive Yet Flexible Solutions Independence Technology Agnostic – Access any data source (HL7, EPIC, IDX Mumps, etc…) Top Rated for Customer Support Emphasis on Innovation for 35 Years

Leadership Position Healthcare – Highest KLAS Rating of Best of Breed BI vendors Gartner Leader for Business Intelligence & Integration Performance Mgt #1 Rating Dresner, Wisdom of Crowds

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Socrates Might Say: MU Should Be Whatever It Needs to Be

ERP

Trusted Performance Management Layer

Personalized Dashboards

My Dashboardfor KPIs , Alerts& Drill Anywhere

Independent Layers Maximize Flexibility

Analysis withdata from anysource

Metrics in oneplace managed with Scorecards for each Dept.

Holisticintegrationframework

Functional Analytic Applications

Independent Integration Layer

Clinical ADT Ambulatory ORMS ED DW