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Agenda Introduction of the Panelist
Subject Introduction
Panelist discussion on how they use Using Business Intelligence to Drive Value Based Care.
Open discussion around how BI tools will help enhance Value based/Quality Based financial models.
Questions from the audience
Agenda Introduction of the Panelist
Subject Introduction
Panelist discussion on how they use Using Business Intelligence to Drive Value Based Care.
Open discussion around how BI tools will help enhance Value based/Quality Based financial models.
Questions from the audience
Speakers Moderator: Mark R. Anderson, CEO, AC Group, Inc.
Panelist:
Robert Lynn Ryan, Sr. Financial Consultant, Sinclair Advisory Group
S. Nicholas Desai, Chief Medical Information Officer, Houston Methodist
Today’s industry expert:
Mark Anderson, FHIMSS, CPHIMS, is a leading expert inACOs and physician practice management best practices.
• 40+ years in healthcare IT
• CIO at 4 IDNs
• Spent over $2B in HCIT
• National speaker > 1,000 sessions since 2001
• Advisor to the numerous medical societies
• Consultant to over 25,000 physicians and over 200 hospitals
• Annual survey of top hospital and physician-based EHR products by function, size, end-user satisfaction, price, and ability to affect change
• Expert witness on numerous legal cases involving HCIT software
Prior Experience with BI Developed Quality/Outcomes reporting program for a 2,300
provider IPA with 7 different EHRs – 10 hospital system in upper NY built around expanding BI tools to identify and measure gaps in care for over 500,000 cover lives.
Conducted the same type of project for a 2,000 provider IPA with 9 Hospitals and 23 EHRs in Southern Calif.
Current working with 18 different ACO/MSO/IPAs regarding enhance VBR modeling based on advanced BI tools, Care Coordination, and Patient Engagement
Panelist: Robert Lynn Ryan, Sr. Senior Financial Consultant, at Sinclair Advisory
Group based in the Washington, DC area.
Extracts intelligence from large health system databases to analyze costs, employee resource allocation across departments and other efficiency metrics that allows him and his team to streamline organizations and maximize productivity and financial performance.
Panelist: Robert Lynn Ryan, Sr. Prior to his current role, Lynn had a long career at the Veterans
Health Administration where most recently he served as
Chief Financial Officer and Deputy Network Director, for the South Central VA Health Care Network
10 medical centers and 65 free standing community based outpatient clinics spread
7 states with a budget exceeding
$4 Billion and over
20,000 employees.
Since his retirement from VA he has been a consultant both in the public and private sectors. He holds a B.S. in accounting from the University of Alabama.
Lynn RyanOverall program responsibility for:
Finance and Budget Capital Asset Investment Strategic Planning Human ResourcesEnvironment of Care Employee SafetyLogistics CompliancePurchase Care
Executive in charge of $365M purchased care program and payment center processing over one million claims annually
Member of National Finance and Capital Asset Planning Committees
Panelist: Dr. S. Nicholas Desai
15+ years healthcare administrative, IT, and clinical experience
Practicing foot & ankle surgery in the Houston Metropolitan area for over 15 years
Currently also serves as the System Chief Medical Information Officer for Houston Methodist.
Agenda Introduction of the Panelist
Subject Introduction
Panelist discussion on how they use Using Business Intelligence to Drive Value Based Care.
Open discussion around how BI tools will help enhance Value based/Quality Based financial models.
Questions from the audience
13
Chronic Diseases Specific diseases
Obesity
Diabetes
Depression and other
mental disorders
Chronic fatigue
syndrome, fibromyalgia,
and multiple chemical
sensitivity
Cardiovascular disease
Celiac disease
The changing market – moving to VBR
Fee-for-service
Episode care
0%
20%
40%
60%
80%
100%
2010 2015 2020
Source: “The View from Healthcare’s Front Lines: An Oliver Wyman CEO Survey”
Full population care
Partial population care
Condition-based care
Business Intelligent Tools Every vendor claims they have a solution
Some call in Population Health Tools
Some just call it a BI Tool
Some BI tools only analyze Historical Information
Some BI Tools analyze Historical data and have predictive modeling capability
Bottom- live
Business Intelligent Tools Need to move form the EHR Data Age,
to Information Age based on Analytics,
then to the Knowledge Age based on predictive modeling identifying Gaps in care to improve overall quality and outcomes.
But how and where do we start?
Agenda Introduction of the Panelist
Subject Introduction
Panelist discussion on how they use Using Business Intelligence to Drive Value Based Care.
Open discussion around how BI tools will help enhance Value based/Quality Based financial models.
Questions from the audience
Lynn Ryan
Senior Financial Consultant and Leadership Coach
Sinclair Advisory Group
Financial expert advising and assisting healthcare systems to integrate, synthesize, and analyze data in a structured model to improve operational efficiency and clinical outcomes.
Integrating Big Data for Strategic and Business Planning
Data NOT IntelligenceHealth systems have lots of data scattered across different systems.
© 2017 Proprietary & Confidential
Demand
Utilization
Financial
Productivity
UM
Clinical
Outcomes
Satisfaction
Scores
Data Refined Into Intelligence It is difficult to integrate data in meaningful way to
solve complex problems, plan smarter, make informed decisions and plan/budget strategically.
The 4Cast Planning System pulls all of these elements together for integrated planning, budgeting, and monitoring.
Result measurable improvements in operational efficiency and clinical outcomes.
© 2017 Proprietary & Confidential
The 4Cast Planning Model Strategic Analytics and Data Mining Encompasses:
Demand forecasting
Clinical performance informatics
Operations data (FTE, Fiscal and Cost Data)
Benchmarking with similar hospitals and health systems
Analysis, Results, Strategic Recommendations
Business Planning and Budgeting Model
Results include improved clinical, operations, and fiscal performance
Implemented at more than a dozen hospitals and health systems to-date
Strategic and Business Analytics Strategic Analysis uses a business analytics approach
that drives strategic initiatives designed to improve both patient and business outcomes.
Business analytics consists of:
Descriptive analytics: analyzing current trends and benchmarking
Predictive analytics: predicting what will happen in the future assuming a “status quo” approach
Prescriptive analytics: recommending potential strategic initiatives that will result in improved performance
Examples of Strategic Themes Although population is declining, unique patient users are growing
slowly.
Revenue per patient is not keeping pace with growth in unique patients.
Demand for acute beds is declining Existing beds are not managed efficiently. Demand for most ambulatory services is increasing.
Cost and/or Length of Stay for most acute services are higher than benchmark facilities.
Cost and FTE are generally high compared to benchmark facilities.
Planning Initiatives,
Action Plans
Performance Metrics
Department /
Service Level
Internal and
External Analysis
SWOC
Analysis
Workload
Analysis / Forecast
Resource
Analysis
Department /
Service Line
Business Plan
&
Budget /
Resource
Allocation
Business Planning Process
Corporate
Strategic
Plan
For More In-depth Information
R. Lynn Ryan
Senior Financial Consultant
Plan 4 Healthcare
Phone: (601) 317-1772
Email: [email protected]
www.plan4hc.com
28
Houston Methodist RoadmapBusiness Intelligence & Analytics
Dr. S. Nicholas Desai, CMIO Houston Methodist
January 27, 2016
patientsclinicians
treatments
symptoms
responses
Put another way: How do we get from this…
change
agents
technolo
gy / IS
informati
cs
“big
data”
analytic
s
To This:
Mission
To deliver simple, intuitive, insightful analytics
Vision
Enhance healthcare through analytics
Vision & Mission
insightful analytics
34
Strategy - RoadmapBusiness Intelligence & Analytics Maturity Model
Nonexistent
Spreadsheets
Extracts
Initial
Operational
Reports
What is
happening?
Developing
Standard
Ad-hoc
Reports
What
happened?
Defined
Dashboards
Scorecards
Drill-down
Why did it
happen?
Advanced
Self-Service
Predictive
What will
happen?
Optimized
Prescriptive
Semantic
How to make
it happen?Level 0
Level 1
Level 2
Level 3
Level 4
Level 5
User
Application
Team
Data
Management
Team
Business
Intelligence
Team
Business
Intelligence
Analytics
Team
Enterprise
Analytics
Competency
Center
Completed
In Progress
Future
2004/2007 2008/2011 2012/2016Prior 2004 2016/2018 2018 Forward
Business Intelligence Focus Analytics FocusReporting Focus
35
Epic First
User education & training
Agile team
Advanced Analytics
Plan 2016 - 2018
36
Epic First
Compile EPIC-HM Definitions Glossary
Deploy Epic delivered Universes
Patients, Accounts, Transactions, Visits(Hospital, ED, Outpatient)
Admissions, Billing
Deploy new HM developed Universes
Costs, Patient Satisfaction, Claims
Load historical (legacy HM)
SlicerDicer, Others
Provide user education & training
Plan 2016-2018
37
Deploy Epic Universes
Plan 2016-2018
38
User Education & Training
Training for Epic Universes & Analytics
o Patients, Accounts, Transactions, Visits (Hospital, ED, Outpatient)
o Admissions, Billing, cost, patient satisfaction
Plan 2016-2018
39
Informatics
- Self-Service
- Exploration
- Data Science
Technical
- Architecture
- Tools
- Database
Operations
- Daily Support
- Break-fix
- Incidents
http://www.agilescrumbcit.com
/wp-content/uploads/2014/01/agile.j
peg
Team
Request Triage
- Review
- Resolve
- Re-direct
Build an Agile Team
Plan 2016 - 2018
Delivery
- Approved Projects
- Focused Teams
- Multiple work streams
40
How to get to Advanced Analytics
Extend the current infrastructure/architecture
Hadoop - Data Lake
Add additional data
Social, Genomic
Complement with EPIC Cogito STAR
Build an agile team to support the next maturity level
Add specialized tools for Predictive/Prescriptive/Big Data
Deploy Analytics & Big Data use cases
Provide user education & training
Insight Strategy
41
EPIC
Legacy
External
Patient Satisfaction
Claims
ED Visits Admissions
Accounts Transactions
Insight Data Warehouse
I n s i g h
t P o
r t a l
EPIC
Legacy
External
Insight Data Lake
Master Data Management
QualityExecutive
Pillar
Bu
sine
ss Layer
Slicer Dicer Meteor
Standard
Reports
Exploration
Discovery
De-identified
Data
Enterprise
Dashboards
Interactive
Drill-down
Self-Service
Analysis
Insight Apps
Platform for Advanced Analytics
Plan 2016-2018
42
Advanced Analytics Apps
Plan 2016-2018
Agenda Introduction of the Panelist
Subject Introduction
Panelist discussion on how they use Using Business Intelligence to Drive Value Based Care.
Open discussion around how BI tools will help enhance Value based/Quality Based financial models.
Questions from the audience
Questions for the Panel How important is BI tools as we move to the new Value Based
Reimbursement model?
If VBR is expected to exceed 50% of healthcare payments by 2018, when should hospitals start collecting and evaluating their financial and clinical data with BI tools?
Everyone is talking about “Population Health”. Is Pop Health a BI tool?
So now I have the data, what do I do with all of this clinical and financial data?
Questions for the Panel
What are the five major issues I should consider before buying a new BI tool?
Can my current EHR vendor provide everything I need in a BI tool?
How easy will it be to integrate clinical and financial data from multiple financial and EHR applications?
Can a BI tool meet all of the requirements to thrive in VBR financial models? If not, what else is needed.
Agenda Introduction of the Panelist
Panelist discussion on how they use Using Business Intelligence to Drive Value Based Care.
Subject Introduction
Open discussion around how BI tools will help enhance Value based/Quality Based financial models.
Questions from the audience
Poll and questions for the Panel…
