Session #12 – User Group Kickoff & Product Roadmap

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Session #12 – User Group Kickoff & Product Roadmap

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Poll Question

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Hotel Wi-Fi• HASummit14• PW: analytics

App Questions?• 3 app helpers• Raise hand with

mobile device• Walk to back

#HASummit14

Eric Just, Vice President, Technology, Health Catalyst

Session #12 User Group Kickoff

Eric Just is the Vice President of Technology at Health Catalyst and the Engagement Lead at Indiana University Health. Prior to joining Health Catalyst, he led the research arm of a late binding data warehouse that served to integrate clinical, operational, financial, and research data at Northwestern University.

Eric has served in a number roles at Health Catalyst including product development, business development, and client operations. He is a dedicated husband and dad, involved in school and sports, and he enjoys outdoor life in his adopted home town of Salt Lake City.

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#HASummit14

Why do we see ads like this?

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Source: Delta Sky Magazine

#HASummit14

But never like this??

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THE BEST

IN NEW YORKPILOTS

THESE PILOTS ARE AMONG

Each pilot has been included in a “Best Pilot” issue of

New York

Capt. Jimmy KirkIntergalactic

LunarNeil Armstrong,

NASA1243 Fifth Avenue , Suite 134

(212) 343-4356

Puddle JumpersOrville and Wilbur

Wright5678 Fifth Avenue , Suite 566

(212) 343-4356

IntercontinentalCaptain Charles A.

Lindburgh13 Tenth Avenue , Suite 14

(212) 343-4356

MilitaryCapt. von Richtofen

5678 Red Baron Way, Suite 44

(212) 343-4356

OrbitalCapt. John Glenn

12 First Avenue , Suite 33(212) 343-4356

Cross AtlanticAmelia Earhart

777 Second Avenue , Suite 567

(212) 343-4356

River LandingsCapt. Chesley Sullengerger

345 Hudson River Way(212) 343-4356

Pilots chosen for New York magazine’s “Best Pilots” were selected by Preferred Pilots Ltd. The nation’s leading provider of information on top pilots

All pilots are board certified

#HASummit14 5

Process Management Evolution

System of Production

“Craftsmanship”No System

“Manual” System

Airline Industry

Healthcare Industry

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If …"Every system is perfectly designed to get the results it gets.”> - Dr. Paul Batalden

Then …“Design your system to get better results”> - Health Catalyst

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How to you design your care delivery system to achieve better Outcomes:

Analytic System

Content System

Deployment System

Standard “Knowledge”

WorkStandard

“Organizational” Work

Standard “Measurement”

Work

Become experts in three key systems

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How is Health Catalyst Organized and Why?

• Content System Knowledge– Holly

Designs and builds starter set knowledge assets which deliver evidence based guidelines and standard work to accelerate change

• Deployment System Methodologies – Steve

Designs, trains and implements the Heath Catalyst improvement methodology to accelerate our customers ability to achieve Outcomes

• Analytics System Products – Tom

Designs and builds the Catalyst Analytics Platform and Analytical Applications which provide insight into cared delivery and a feedback loop to teams

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Health Catalyst’s top operating principle is to help our partners

Improve Outcomes

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#HASummit14 10

Population Health Improvement AIM

Content System Deployment System Analytic SystemKnowledge Asset Starter Sets: Sepsis Bundle- Sequence and importance

of key clinical interventions- Under what circumstances

interventions should be applied

- Sepsis and Severe Sepsis cohort inclusion and exclusion criteria

- Predictive & Prescriptive Models & Algorithms

Permanent Improvement Team:

- Role definitions and training- Team charters- Improvement methodology- Fingerprinting/Ownership

strategy training- Agile/Iterative

implementation strategy

Advanced Analytic Application:

- Outcome metrics (improved Mortality Rate)

- Process Metrics (improved compliance to 11 bundle components)

- Balanced Metrics (monitoring change in cost with Code Sepsis team investment)

- Advanced analytic visualizations

- Subject Area Mart Designer- Catalyst Platform

Infrastructure

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Sepsis Outcome Improvement ExampleDecrease Sepsis Mortality Rate from 24% to less than 10% by 1/1/2015

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What are you trying to improve?

Outcomes Improvement

- Population Health/Quality Improvement

- Workflow/Efficiency Improvement

- Patient Injury Prevention Improvement

Shared Risk/Financial Improvement

- Leveraging appropriate payment models

Technical Efficiency Improvement

- Streamlining data gathering/provisioning

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Improvement Lines

Readiness Assessment and

Strategic Plan

Population Health Improvement

Advanced Governance

Patient Injury Prevention

Improvement

Workflow/Operational

Improvement


Payer Market Evaluation

Advanced Risk Evaluation

Network Optimization

Activity Based Costing

Improved Member Engagement

Predictive Staffing Models

Shared Risk Strategic Plan

Improved Financial

Monitoring

Improved Care Management

Leakage Reduction

Shared Risk / Financial Improvement

Infrastructure

Automated Data Provisioning

Data Capture Augmentation

(IDEA)

Adaptive Data Governance

Shared Framework

Infrastructure

Data Capture Quality

Awareness

Data Driven Prioritization

(KPA)

Pragmatic Data Integration

Comparative Analytics

Infrastructure

Efficient Information Distribution

Technology Improvement

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All paths lead to improvement

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Pop Health Improvement

Automating Data

Provisioning

Automating Data

Provisioning


Shared Risk Improvement

Automating Data

Provisioning

Start with Shared

Risk Path

Start with Technology

Path

Start with Population

Improvement Path

Time

Efficiency Improvement


Improvement






Improvement




Improvement



Time

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Session 12Top Priorities Survey, Q1While all three of these improvement areas are important, what is your organization most focused on improving first?

a) Outcomes Improvement

b) Shared Risk/Financial Improvement

c) Technology Improvement

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Session 12Top Priorities, Q2What is your organization’s 2nd priority improvement area?

a) Outcomes Improvement

b) Shared Risk/Financial Improvement

c) Technology Improvement

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Session 12Top Priorities, Q3

What other priorities does your organization have that are higher than outcomes improvement, shared risk/financial improvement or technology improvement?

(If no other higher priorities – answer “None”)

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Review Improvement Priority

Survey

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Improvement Lines Survey


Strategic Plan

Population Health Improvement

Advanced Governance


Improvement


Improvement






Improved Member Engagement



Improved Financial

Monitoring


Leakage Reduction

Shared Risk / Financial Improvement

Infrastructure



(IDEA)


Shared Framework

Infrastructure


Awareness


(KPA)



Infrastructure


Technology Improvement

#HASummit14 19

Measure the care delivery organizations readiness for outcomes improvement including evaluation of “Three Systems” readiness and Analytics Adoption Model maturity; Includes key process analysis of high volume high variation processes

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Strategic Plan

Select Session 12Select Outcomes Improvement Survey

Answer Question 1

Analytic Products

Assessment Survey Tool

Key Process Analysis

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Establishment of permanent improvement teams which leverage starter set AIMs, metrics and analytic models based on evidence based clinical guidelines to achieve and sustain clinical and quality improvement for the health of a population

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Population Health

Improvement

Answer Q2

Session 12Outcomes Improvement Survey

Population Health Content Starter Sets

Analytic Products

Population Shared Frameworks

Subject Area Mart Designer

Readmission Explorer

Population Explorer

Readmission Predictor

Mental Health

Deployment Templates

Pediatrics Specialty

Respiratory

Oncology

GI

Surgery

Women & Children

Musculoskeletal

Cardiovascular

Neuroscience

Primary Care

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Establishment of permanent improvement teams which leverage starter set AIMs, metrics and analytic models based on standard work and operational guidelines to achieve and sustain efficiency improvement for clinics and hospital departments


Improvement

Answer Q3


Workflow / Efficiency Content Starter Sets

Analytic Products

Workflow Shared Frameworks


Patient Satisfaction Explorer

Patient Flow Explorer

Labor Management Explorer

Supply Chain Explorer

A3/Value Stream Maps

Ohio Collaborative

External & Regulatory

Invasive

Acute Medical

Ambulatory

Therapeutic (Rx, Resp)

Practice Management

Diagnostic (Lab, Path)

Specialty Clinics

US News

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Establishment of permanent improvement teams which leverage starter set AIMs, metrics and analytic models based on patient safety and operational guidelines to achieve and sustain patient injury prevention improvement


Improvement

Answer Q4


Patient Injury Prevention Content Starter Sets

Analytic Products

Patient Safety Explorer


Pressure Injury

Falls (S, A, C)

Patient/Procedure Control

Glucose Management

Venous Thromboembolism

Transfusion

CLABSI

Parenteral Nutrition TPN)

Surgical Site Infections

RX: Electrolytes

CAUTI

RX: Fluids

VAP

RX: Medications

Infections

Substances

A3/Value Stream Maps

Patient Injury Prevention Shared Framework

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Implement appropriate roles, councils and steering committees which are data driven and triage/prioritize opportunities, allocate resources and approve, monitor and actively market quality, efficiency and safety outcome improvement results.

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Advanced Governance

Answer Q5


Analytic Products

Key Process Analysis

Analytics Successes Portal

Executive Dashboard Integration Tool

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Review Outcomes Improvement

Survey

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Evaluate each payer in your market and prioritize the most important payer contracts to evaluate and re-negotiate for risk sharing opportunities or alternative payment methods

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Select Session 12

Select Shared Risk Survey

Answer Question 1

Analytic Products

Payer Market Analyzer

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Profile risk of patients based on episodic cohort definitions. Evaluate disease density and severity to predict Per Member Per Month (PMPM) costs. Evaluate alternative risk/reward models including reinsurance thresholds.

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Answer Q2

Session 12Shared Risk Survey

Analytic Products

Population Risk Evaluation Tool

Advanced Content

PMPM Predictive Models

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Optimize network design by evaluating defensible geographic service area, central place theory trade areas, network coverage using patient and provider geocoded addresses. Predict leakage with potential network adjustments. Draft Participating Provider Service Agreements.

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Answer Q3


Analytic Products

Network Optimization Tool

Advanced Content

Predictive Leakage Models

Reference ContentDartmouth Atlas Referral Regions

Central Place Theory Trade Areas

Geographic Coverage Areas (State Health Benefit Program Filings)

Geocoded Addresses

Participating Provider Service Agreement Templates

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Design better methods for patient/member engagement including enhanced member self-reported health data, employer engagement, member plan design, community outreach, family engagement, etc.

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Improved Member

Engagement

Answer Q4


Analytic Products

Members Satisfaction Explorer

Reference ContentHealth Plan design templates

Wellness plan design templates

Community engagement templates

Employer Wellness Designer

Member Engagement Portal

Family engagement templates

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Improve outlier care management for high risk, high cost patients combining claims, EMR clinical observations and patient demographic data to predict potentially preventable adverse events and prescribe prioritized actions and interventions.

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Answer Q5


Analytic Products

Care Management Planner

Advanced Content

Prescriptive Models

Preventable Events Predictor

Care Management Analytics

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Design a multi-year strategic organizational plan for provider network acquisitions and divestitures, wholesale contract network access agreements negotiation plans with payers, prioritized care delivery improvement initiatives, etc.

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Answer Q6


Analytic Products

Key Process Analysis (Risk Sharing Opportunity

Pareto – Bundled Payment)

Reference ContentWholesale Contract Network Access Agreement Template

Accountable Care Organizational Plan Template

Shared Accountability Executive Dashboard

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Identify out-of-network leakage or higher cost care delivery by specialty, by attributed provider, by high risk patient, or by procedure and estimate potential saving from leakage reduction.

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Leakage Reduction

Answer Q7


Analytic Products

Shared Accountability Executive Dashboard

Patient Leakage Analyzer

Advanced Content

Attribution Models

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Improve financial monitoring by identifying correlations in clinical and financial data, stratify financial performance by unit, department, clinical program, care process family, etc.

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Improved Financial

Monitoring

Answer Q8


Analytic Products

Financial Management Explorer

General Ledger Explorer

Revenue Cycle Explorer

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Evaluate true cost of care delivery with clinically driven activity based costing.

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Answer Q9


Analytic Products

Activity Based Costing Tool

Real Time Location Services Integration

Clinically Driven Revenue Cycle Explorer

Advanced Content

Activity Based Terminology

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Staff operational units based on predictive models based on historical care delivery activity rather than imputed acuities from administrative data

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Answer Q10


Analytic Products

Activity Based Staffing

Advanced Content

Activity Based Terminology


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Review Shared Risk

Survey

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Procure, configure and test infrastructure environments to support analytics including on-premise and and now available secure hosted environments

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Infrastructure

Select Session 12

Select Technology Survey

Q1

Analytic Products

Hosting Infrastructure

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Automation of provisioning data from transactional source system into source mart within the Enterprise Data Warehouse using a metadata driven approach using portable source maps (.SM files) (Newly added support for flat files, XML)

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Answer Q2

Session 12Technology Improvement Survey

Analytic Products

Atlas

Security and Auditing

Metadata Core

Source Mart Designer & Patterns

EDW Console

Source Mart GAP Analyzer

Content Mapping

Ambulatory EMR (2), Professional Billing (3), Time Card (2), Human

Resources (2), Accounts Receivable (2) , Supply Chain (2),

Claims (1)

Additional Source Marts (30+)

EMR (6), Patient Billing (6), Costing (4), General Ledger (2),

Patient Satisfaction (3)

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Instant Data Entry Application

Easily create web-based applications to augment data capture; Adding native mobile application (iOS and Android) versions.

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(IDEA)

Answer Q3


Analytic Products

IDEA Mobile

IDEA

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Reusable tools that accelerate outcomes improvement and advanced application development (SAMs)

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Shared Framework

Infrastructure

Answer Q4


Advanced Content

Analytic Products

Comorbidity Analyzer & Content

EDIT—Executive Dashboard Integration Tool

Population Health Framework

Severity Risk/Comorbidity Models

Attribution Models

Clinical Hierarchies

Visualization & Architectural Frameworks

Statistical/Metric Correlation Framework

Workflow Framework

Patient Injury Prevention Framework

Patient-Provider Attribution Modeler

Predictive Models

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Comparable foundational analytics across care delivery organizations – a framework to share comparative benchmarks.

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Infrastructure

Answer Q5


Advanced Content

Analytic Products

CAFÉ De-identification Infrastructure

Essentials Layer Mapping

*CAFE—Comparative Analytics Framework and Exchange

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Prioritization of opportunities derived from care process size and variability based on clinically and operational defined mappings (e.g. ICD9, ICD10, CPT, APRDRG, etc.)

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(KPA)

Answer Q6


Advanced Content

Analytic Products

Clinical Hierarchies

Key Process Analysis (Pareto Tool)

Operational Hierarchies

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Pragmatic Master Data Management including common linkable identifiers (e.g. Patient, Provider, Location) and Common Components (e.g. Meds, Labs, Encounters) which integrate data from multiple sources of the same source type (e.g. multiple EMRs)

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Answer Q7


Advanced Content

Analytic Products

Matching Algorithms (with Threshold Settings)

Common Linkable Identifiers (pragmatic master data management - e.g. PatientID, ProviderID, LocationID, Vocabulary)

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Tools and processes to guide organizations in the three pillars of data governance: data exploitation, data literacy and data stewardship.

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Answer Q8


Reference Content

Analytic Products

Starter Set Standard Definitions/Calculations

Security and Auditing (EDW Console & IDERA)

ATLAS: Data Stewardship Module

Analytics Services Triage Group Charter

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Tools to profile data capture quality including timeliness, accuracy and completeness of data capture

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Awareness

Answer Q9


Analytic Products

Data Profiling Tool

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Tools to inventory report and analytic usage to identify wasteful practices and pruning opportunities (e.g. replace 10 manual reports with 1 self service dashboard)

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Answer Q10


Analytic Products

Report Queue Analyzer

Advanced Content

Common/Global metrics repository (e.g. Case count, LOS, Readmission counts and rate, cost center definitions)

#HASummit14 46

Review Technology Improvement

Survey

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Catalyst Coming Attractions

• Detailed Comparative Analytics

• Mobile IDEA (Instant Data Entry Application)

• Geospatial Analytics – Network Optimization

• Activity Based Costing

• Prescriptive and Predictive Modeling Framework

• Anatomy of Healthcare SAM Designer support

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#HASummit14 48

User Group Design Survey

1. What is the most important thing you expect to get out of a User Group?

2. Would you prefer the User Group be done in conjunction with HAS?

3. How frequently would you like the User Group to be held in person?

4. On a scale from 1 to 5, how interested would you be in more frequent User Group tele-conferences between in-person user group meetings?

5. How frequently would you prefer the incremental user group tele-conferences?

6. How would you prefer the User Group be organized?

7. What have you seen work well with other user groups?

8. On a scale from 1 to 5, how interested are you in learning about new features/content in the Outcomes Improvement Line?

9. On a scale from 1 to 5, how interested are you in learning about new features/content in the Shared Risk / Financial Improvement Line?

10. On a scale from 1 to 5, how interested are you in learning about new features/content in the Technology Improvement Line?

#HASummit14

Analytic Insights

AQuestions &

Answers

Healthcare Analytics Summit 14 50

Session Feedback Survey

1. On a scale of 1-5, how satisfied were you overall with this session?

1) Not at all satisfied

2) Somewhat satisfied

3) Moderately satisfied

4) Very satisfied

5) Extremely satisfied

2. What feedback or suggestions do you have?

Healthcare Analytics Summit 14 51

Upcoming Keynote Sessions3:45 PM – 4:40 PM

13. Healthcare Reform 2.0: Anticipating What’s NextGovernor Mike Leavitt Founder and Chairman of Leavitt PartnersFormer Secretary of the Department of HHS

4:45PM – 5:15PM - Speakers Corner

5:15PM – 6:00 PM - Reception

6:00PM – 7:00 PM - Dinner

7:00PM – 8:00 PM

14. The Acceleration of Technology In The 21st Century: Impacts on Healthcare and Ray KurzweilChairman, Kurzweil TechnologiesDirector of Engineering, Google

8:15 – 9:00 PM - Entertainment

Location

Main Ballroom

Date post:	03-Jan-2016
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Session #12 – User Group Kickoff & Product Roadmap

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