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Improving Performance with Social Business Solutions – Featuring: Premier healthcare alliance
AGENDA
PERFICIENT
• The Future of Social & Web Experience• Where to Find the ROI• Leading with the Business
PREMIER HEALTHCARE
• Industry & Business Challenges• Resource Prioritizing• Social Insights & Analysis • The Premier Social Solution• Premier’s Social Core Principles• Premier’s Social Value Components
Q&A• Chat
Agenda / Speakers
Jonathan DistadDirector, Portal & Social Solutions
Denise Hatzidakis Chief Technology Officer
Perficient Profile
Ideally positioned as the GO TO Partner for IBM
• An IBM “5-Star Premier” Business Partner since 1997• SVP, SVI and VAP Authorized Reseller across all Brands in U.S.• Healthcare and Retail Industry Authorized Solution provider• IBM Lab Services (ISSL, ISSW and ISSIM) go-to market partner• IBM Education Authorized Training Partner/ATP and Training reseller
Thriving and Growing Organically and via Acquisition• Public, NASDAQ: PRFT• 2000 Colleagues• $350M 2012 Revenue Run Rate• Local Sales/Delivery offices• Offshore Development Center in Hangzhou
China
IBM Recognition• Integration Excellence Award - 2012 • Business Analytics Award Winner - 2012• IOD Best of Show “Retail Pathways – 2011• Lotus Most Distinguished Partner – 2006, 2008, 2011• 2010 IOD Industry Warehouse Pack Partner of the Year• 2010 Lotusphere Best WebSphere Portal Solution – Finalist
4
More experience, more return
5
Where is the trend and ROI?
6
Key Points:• decision is moving from
IT to CMO-suite• more focus will be on
OOB functionality and integration
• Time To Value is nearly instant for these users
• Gamification will be a key player
We are getting closer
7
Key Take Aways
8
• Focus on business needs and allow technology to follow
• OOB functionality is key – especially around mobile web and mobile application to a social platform
• Drive results around key business requirements and power users
• Look for interoperability – two/multi-way integration
• social will not replace how you do business but it will enhance and create transparency
A Healthcare Performance Improvement Alliance
Healthcare and Social Business
11 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Challenging Issues for our Members
Cuts to Existing FFS System• Market basket reductions• DSH cuts• Nonpayment for anything
preventable or unnecessary
Disrupt Existing System• Bundled Payments• Innovation Center • Demonstrations• ACOs
Track 1“Push”
Track 2“Pull”
12 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Healthcare is a very special industry because• it is personal and emotional• health is a form of public infrastructure that supports labor
stability, mobility, and productivity and defends against the ruinous societal and economic impact of pandemics
• it is highly dynamic with the continual introduction of new drugs, new treatments and protocols, and new technology.
And from a business perspective• It also doesn't behave with the same demand and supply market
behavior as most industries due to the inelasticity of demand
The healthcare industry
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Communication is shifting to public, more open forums. • Less money spent on Mailings, websites, etc• Interactions – user-generated content, community, rapid distribution, and
open/two-way dialog
Patients (or consumers) are taking a more active role in their healthcare.
• New opportunities for patients to manage their health• New avenues of communication
Increased access to information means patients are demanding more transparency.
• Increased transparency on cost, values and outcomes
More instant feedback can help both consumers and organizations. • Listening to customers and patients to adapt and create products and services• 49% of people polled expect to her from their Dr when requesting an appt of
follow up via Social media within a few hours
How Social Business is affecting the business of healthcare
*April 2012 - Health Research Institute, PwC
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Social information is impacting how and when patients select treatment and providers.
• 40% of people polled – Information found in social media would affect their healthcare experience – dealing with chronic disease, diet and exercise, physician choice
Social media allows for higher levels of trust. • Trust comes from human interactions/relationships• You want to connect with the people providing you care .. Not the institution
Social media is evolving from a marketing tool into a business strategy.• Social business extending to customer service, innovation, and service/product
development
Providers can use social media as an outcomes-based measurement.• Provides a new medium for collaboration for coordinated care
Health insurers can use social media to help focus on population.• Focus can be placed on populations and understanding the needs of existing and
potential members
How Social Business is affecting the business of healthcare
*April 2012 - Health Research Institute, PwC
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Social Learning: It allows great ideas, and expertise to be shared efficiently and globally.
Healthcare and Social Learning
“PICU without Walls”
They are using Social Business technology to redefine education for doctors, nurses and other caregivers.
Their solution connects to doctors and caregivers in remote areas of the world to provide expert training on how to treat children with life-threatening illnesses.
They have created an interactive, virtual, education solution that replaces old apprenticeship models.
This gives them much more effective and efficient reach with a much broader impact on the health of many more children.
Putting the right information in the hands of the right people at the right time has had a significant effect on reducing infant mortality.
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Capturing, linking and analyzing social content.
Resource coordination and prioritization
Chilean Red Cross
Using a cloud-based disaster and resource management solution, “enabling employees and volunteers to coordinate and synchronize relief efforts more efficiently and respond to crises faster, exchange information across geographies using any type of device, and help mobilize rescue specialists and required emergency aid items swiftly.”
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Presbyterian Westside Healthcare
The hospital was able to quickly identify gaps and conflicts in its processes—some of which had been causing inefficiencies for years.
For example, by using the solution, the hospital was able to design a process to ensure medications were available for new procedure designs for the new hospital.
It was also able to identify where gaps existed that led to mitigation activities to ensure patient safety.
Further, the hospital gained the ability to discover gaps in scheduling and connect departments so that patients are transferred efficiently.
Innovation
Captures and refines ideas
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Making better quality decisions based on better quality information.
Insight
All of the case reports and comments that you see doctors write on those ubiquitous charts at the end of a hospital bed or dictate into a digital recorder are valuable data points.
Not only for your case but for all the other cases that may benefit from the description of the diagnosis, treatment and outcome of your case.
Other doctors and nurses, and radiologists etc. may add to comment on, and refer to that content.
A lot of this content is observational. It is unstructured all mostly social. It is kind of like a specialized blog entry.
Content that benefits not just the author but also others and almost always involves many authors who are collaborating.
All of this material is rich fodder for deep analytic engines.
The Premier Healthcare Allianceand
PremierConnect
20 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Performance Improvement in Healthcare
Saving Lives, Saving Money without compromising the quality of care
The new normal in healthcare…
Turning Data into Actionable Insight and Information
And making It available to
The right person, at the right time in the right place
21 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
The problem isn’t data …
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It’s about turning data into actionable information
The problem is not that we need more data. The issue is that we need to get a handle on all these data points and turn them into something…
Into Information, Insight and Intelligence
And to make those insights available at the right time, at the right place, for the right individuals
The Premier Healthcare Allianceand
PremierConnect
23 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Premier is the nation’s largest healthcare alliance
Our mission: To improve the health of communities
Owned by
83,000+Alternate sites
of care
$4.2 BILLIONsavings in 2011
$43 BILLIONin group
purchasing volume
2,600member hospitals
Database representing
Five-time winnerof Ethisphere’s
most Ethical Companies
award
Award-winning environmentally
sustainable program
200healthcare providers
Malcolm Baldrige
Award for Quality
winner1 in every 4
U.S. discharges
24 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 24
©2011 Premier, Inc.
"Implementing best practice is replicating yesterday. Innovation is designing tomorrow.“
— Paul Sloane
Premier’s Collaborative Methodology™
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MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK
Population management• Population analytics• Care management• Financial modeling and
management• Legal• Physician integration
High-value episodes• DRG and episode targeting• Care models and
gainsharing• Data analytics• Cost management
High-performing hospitals• Most efficient supply chain• Best outcomes in quality, safety• Waste elimination• Satisfied patients
Bundled payment
Shared savings
Value-based purchasing:HACs, quality, efficiency, cuts
Our journey to care integration
Capitation
Partnership for Patients
26 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.26
MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK
Population management• Population analytics• Care management• Financial modeling and
management• Legal• Physician integration
High-value episodes• DRG and episode targeting• Care models and
gainsharing• Data analytics• Cost management
High-performing hospitals• Most efficient supply chain• Best outcomes in quality, safety• Waste elimination• Satisfied patients
Bundled payment
Shared savings
Value-based purchasing:HACs, quality, efficiency, cuts
Our journey to care integration
Capitation
Partnership for Patients
2003 - 2009
Avg. improvement from 4Q03 to 3Q09 in
all clinical areas(24 quarters)
55.7%
Evidence-based Care Improvements
CMS/Premier HQID Project Participants Appropriate Care Score: Trend of Quarterly Median (5th Decile) by Clinical Focus Area
October 1, 2003 - June 30, 2009 (Year 1, 2, 3, and 4 Final Data; Year 5 and 6 Preliminary)
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Heart Attack Heart BypassSurgery
Pneumonia Heart Failure Hip and Knee SCIP Stroke
Clinical Focus Area4Q03 1Q04 2Q04 3Q04 4Q04 1Q05 2Q05 3Q05 4Q05 1Q06 2Q06 3Q06 4Q06 1Q07 2Q07 3Q07 4Q07
1Q08 2Q08 3Q08 4Q08 1Q09 2Q09 3Q09
Clinical Area
Improvement(percentage points)
Heart Attack 26.0%
Heart Bypass 59.4%
Pneumonia 68.1%
Heart Failure 58.1%
Hip & Knee 66.7%
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MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK
Population management• Population analytics• Care management• Financial modeling and
management• Legal• Physician integration
High-value episodes• DRG and episode targeting• Care models and
gainsharing• Data analytics• Cost management
High-performing hospitals• Most efficient supply chain• Best outcomes in quality, safety• Waste elimination• Satisfied patients
Bundled payment
Shared savings
Value-based purchasing:HACs, quality, efficiency, cuts
Our journey to care integration
Capitation
Partnership for Patients
2003 - 2009
15% increase in EBC rate
97% in TPT
27% reduction in O/E
76% in TPT
$906 decrease
77% in TPT
If all hospitals achieved these results, an additional 63,801 lives and $23B could be saved each year.
Evidence Based Care Mortality Cost of Care
28 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.28
MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK
Population management• Population analytics• Care management• Financial modeling and
management• Legal• Physician integration
High-value episodes• DRG and episode targeting• Care models and
gainsharing• Data analytics• Cost management
High-performing hospitals• Most efficient supply chain• Best outcomes in quality, safety• Waste elimination• Satisfied patients
Bundled payment
Shared savings
Value-based purchasing:HACs, quality, efficiency, cuts
Our journey to care integration
Capitation
Partnership for Patients
2003 - 2009
29 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.29
MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK
Population management• Population analytics• Care management• Financial modeling and
management• Legal• Physician integration
High-value episodes• DRG and episode targeting• Care models and
gainsharing• Data analytics• Cost management
High-performing hospitals• Most efficient supply chain• Best outcomes in quality, safety• Waste elimination• Satisfied patients
Bundled payment
Shared savings
Value-based purchasing:HACs, quality, efficiency, cuts
Our journey to care integration
Capitation
Partnership for Patients
30 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
PremierConnect
The PremierConnect (PC) Platform was created in response to feedback from members across the alliance:
• “You have my data; tell me where I have opportunities to improve my performance.”
• “Help me easily connect with other members across the alliance who have similar interests and challenges – or who have solved the issue I currently face.”
• “Highlight best practices that I can use to address my performance opportunities and provide staff a searchable repository of content to properly resource and jump-start our strategic initiatives.”
• “Help me leverage all of our data so that we are less reliant on more one-off solutions requiring more interfaces, more staff to support, and more fragmented data sources.”
The Premier Connect Platform Overview
32 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Bringing new value through a unified technology platform
“You have all of my data, tell me where to find my quality
and cost opportunities.”
“How can I access leading best
practices knowledge in a
simple and efficient way?”
“The Premier alliance is a huge network, how can I find people with similar interests and issues? “
Responding to members’ needs to deliver actionable data, best practice content, and
collaboration tools
to accelerate their performance.
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Three core principles
ConnectingDATA
ConnectingKNOWLEDGE
ConnectingPEOPLE
Business analytics & intelligence
Integrated data across
the continuum
Alliance-wide content
contribution
Role-based access to
contentCollaboration Business
networking
Actionable Information Best Practices Communities
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Integrated access to apps, content, and communities
Knowledge
Communities
Actions
Access apps and personalized actions
feed
Syndicated content with insights from
hundreds of members searchable best
practices
Online communities supporting national and local collaboration
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Access apps and personalized actions feed with new knowledge and community updates.
Integrated access to apps, content, and communities
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Connect to syndicated content with insights from hundreds of members and thought leaders across the nation Searchable best practices from top performers
and Premier Collaboratives
Knowledge aggregated from members of the alliance
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Communities connect members across the alliance
Premium Communities Connect with Members
Collaboration among members with social business capabilitiesSpecific support for formal cohorts and collaboratives
Can support local private networks.
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Members relationship with PremierConnect
PremierConnect
Alliance
PremierConnect
Select
Support for the entire alliance with public content and GPO member resources
Optional programs covering many domains which include analytic apps, subject specific knowledge, and communities
ANALYTICS via APPS FOR MULTIPLE STAKEHOLDERS
BEST PRACTICE KNOWLEDGE SHARING / DOCUMENT MANAGEMENT
ONLINE COMMUNITIES SUPPORT LOCAL AND NATIONAL COLLABORATION
39 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Members relationship with PremierConnect
PremierConnect
Alliance
PremierConnect
Select
Support for the entire alliance with public content and GPO member resources
Optional programs covering many domains which include analytic apps, subject specific knowledge, and communities
PremierConnect
Enterprise
All-in model with Premieras a key strategic technology partner supporting a custom data warehouse & knowledge platform
ANALYTICS via APPS FOR MULTIPLE STAKEHOLDERS
BEST PRACTICE KNOWLEDGE SHARING / DOCUMENT MANAGEMENT
ONLINE COMMUNITIES SUPPORT LOCAL AND NATIONAL COLLABORATION
40 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
The Premier Data Alliance – value components
PremierData Alliance
Premier Exchange
AnalyticsCenter of
Excellence
Premier Connect
Enterprise
Delivery Partners
Partner Offerings
Private Com-
munities
Premier Connect
Data
Private Warehouse
• Collaborate• Innovate• Create• Accelerate• Network• Share• Connect• Deliver
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Extensible enterprise data warehousing, collaboration and content management platform.
Mitigates issues of scarce and highly specialized talent to deploy solutions with speed and scale.
Member ecosystem and marketplace for sharing assets creating significant value acceleration.
Data Alliance Collaborative to increase member-to-member collaboration and shared use case implementation.
PremierConnect Enterprise
Private use of the PremierConnect platform
Primary
Care
Physicians
Post Acute
Care
Specialists
Ancillary
Pro
viders
Pharmacy
Hospice
Long Term C
are
Home Care
Public H
ealth
Hospital(s
)
Ad hoc analytic tools
IBM/Premier Data Model
Extensible Enterprise Data Warehouse
Enterprise Content / Document Management
Enterprise Collaboration
Use of out-of-the box Premier Apps
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PC Enterprise
Data Alliance Cooperative
PC Private Warehouse
PC Private Warehouse
Data / Data Model
Communities
Content
Apps
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PremierExchange
Means to access shareable assets from Premier, 3rd parties, & other alliance members
Envisioned content• Finished Apps• Processes• Designs• Rules & algorithms• Data Model extensions• Code • Data
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Largest interconnected community of healthcare providers in the industry
Premier
The platform allows us to meet our members where they are with a personalized experience to:
• Connect staff with our members, and our members to each other
• Engage in best practice and knowledge-sharing
• Participate in communities of interest and stay connected to Premier’s formal collaboratives
• Stay informed on industry insights like healthcare reform activity
• Access Premier apps and associated value-added content
• Leverage integrated data which highlight new types of opportunities, with the ability to be alerted to new content
45
QUESTIONS
www.slideshare.net/PerficientInc
www.facebook.com/Perficient
www.perficient.com/Thought-Leadership/Social-Media/Blogs
• San Francisco, Tuesday, December 4th at Morton’s Steak House
• Chicago, Tuesday, December 11th at Ruth’s Chris Steak House
• Minneapolis, Thursday, December 13th at SEVEN Steak House
Jonathan DistadDirector, Portal & Social Solutions
Denise Hatzidakis Chief Technology Officer
us.linkedin.com/company/perficient
Coming UpExceptional Web Experience Lunch & Learns