KSA GE BI Summit 082607


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This is a presentation that Jason Oliveira, Principal with KSA, presented at the GE Business Intelligence Summitt in Boston, August 2007. It discusses the "What Next" for maturing healthcare BI programs.

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  • Thank you Tim. It’s a pleasure to be here back in my hometown. Don’t let the Brooklyn accent confuse you – Born in Brookline and moved to Brooklyn at the wee age of two.
  • KSA GE BI Summit 082607

    1. 1. GE Healthcare Summit Jason Oliveira, MBA Principal Kurt Salmon Associates August 26, 2007
    2. 2. About Us – Me <ul><li>Twenty-three year healthcare IT professional career </li></ul><ul><li>Principal in the Health Services Division of KSA – Business Intelligence practice leader </li></ul><ul><li>Served as the Chair of the HIMSS Data Warehousing and Data Mining Special Interest Group (SIG). </li></ul><ul><li>Prior to joining KSA, the manager of decision support systems for Columbia-Presbyterian Medical Center in New York </li></ul><ul><li>Prior to Columbia, senior designer of a 11 hospital data warehouse and patient cost accounting system for NYC Health and Hospitals </li></ul>
    3. 3. About Us - HSD HEALTH SERVICES DIVISION <ul><li>Merger Implementation and Consolidation Planning </li></ul><ul><li>Patient Flow Planning/Modeling </li></ul><ul><li>Utilization and Capacity Analysis </li></ul><ul><li>Market Modeling/Forecasting </li></ul><ul><li>Master Planning </li></ul><ul><li>Functional/Space Programming </li></ul><ul><li>Operations planning </li></ul>Facilities Planning Information Technology <ul><li>Strategic IT Planning </li></ul><ul><li>System Selection/Contract Negotiation </li></ul><ul><li>Business Intelligence </li></ul><ul><li>Implementation Oversight </li></ul><ul><li>Readiness Assessment </li></ul><ul><li>IT Process Improvement </li></ul><ul><li>Infrastructure </li></ul><ul><li>Interim Leadership </li></ul><ul><li>Regulatory Preparedness </li></ul><ul><li>Outsourcing Evaluation </li></ul><ul><li>Technology Planning for New Facilities </li></ul><ul><li>RHIO Planning and Development </li></ul><ul><li>Consumer Health Automation Planning </li></ul><ul><li>Strategic Planning/ Implementation </li></ul><ul><li>Market Evaluation </li></ul><ul><li>Governance/Management Issues </li></ul><ul><li>Clinical Service/Business Line Planning </li></ul><ul><li>Merger/Acquisition Analysis </li></ul><ul><li>Integration </li></ul>Strategy Development and Implementation
    4. 4. <ul><li>Alameda County Medical Center </li></ul><ul><li>Catholic Healthcare West </li></ul><ul><li>San Mateo County </li></ul><ul><li>Santa Clara Valley Health and Hospital System </li></ul><ul><li>Stanford Hospital and Clinics </li></ul><ul><li>UCSF Medical Center </li></ul><ul><li>North Ottawa Community Hospital </li></ul><ul><li>St. Joseph’s Mercy Medical Center </li></ul><ul><li>Trinity Health </li></ul><ul><li>PROMINA Health System </li></ul><ul><li>South Fulton Medical Center </li></ul><ul><li>University Healthcare, Inc. </li></ul><ul><li>WellStar Health System </li></ul><ul><li>Mountain States Health Alliance </li></ul><ul><li>University of Kentucky </li></ul><ul><li>St. Luke’s Regional Medical Center </li></ul><ul><li>Saint Francis PHO </li></ul><ul><li>Saint Raphael Healthcare System </li></ul><ul><li>Yale New Haven Health System </li></ul><ul><li>Yale School of Medicine </li></ul><ul><li>Bloomington Hospital and Healthcare System </li></ul><ul><li>Deaconess Hospital, Inc. </li></ul><ul><li>The Methodist Hospitals, Inc. </li></ul><ul><li>Johns Hopkins Medicine </li></ul><ul><li>Albert Einstein Healthcare Network </li></ul><ul><li>Children’s Hospital of Pittsburgh </li></ul><ul><li>Flagler Hospital </li></ul><ul><li>H. Lee Moffitt Cancer Center </li></ul><ul><li>Memorial Medical Center of Jacksonville </li></ul><ul><li>Mount Sinai Medical Center, Miami </li></ul><ul><li>Community Health Partners (HMIS) </li></ul><ul><li>EMH Regional Healthcare System </li></ul><ul><li>Lake Hospital System </li></ul><ul><li>OhioHealth System </li></ul><ul><li>The Ohio State University Medical Center </li></ul><ul><li>Peace Health </li></ul><ul><li>Jewish Hospital of St. Louis </li></ul><ul><li>Columbia/St. Mary’s </li></ul><ul><li>ProHealth Care, Inc. </li></ul><ul><li>Elmhurst Memorial Health Care. </li></ul><ul><li>Ingalls Health System </li></ul><ul><li>Wheaton Franciscan Services, Inc. </li></ul><ul><li>Duke University Medical Center </li></ul><ul><li>Gaston Memorial Hospital </li></ul><ul><li>Cedars-Sinai Health System </li></ul><ul><li>Children’s Hospital and Health System </li></ul><ul><li>City of Hope Medical Center </li></ul><ul><li>LA County Health Services </li></ul><ul><li>Riverside County Health Services Agency </li></ul><ul><li>St. Joseph Health System </li></ul><ul><li>UCLA Medical Center </li></ul><ul><li>Covenant Health System </li></ul><ul><li>Louisiana State University Health Services </li></ul><ul><li>Atlantic Health System </li></ul><ul><li>Hackensack University Medical Center </li></ul><ul><li>Newton Memorial Hospital </li></ul><ul><li>Pascack Valley Hospital </li></ul><ul><li>Robert Wood Johnson University Hospital </li></ul><ul><li>Saint Barnabas Health Care System </li></ul><ul><li>Valley Health System </li></ul><ul><li>Baylor College of Medicine </li></ul><ul><li>The Methodist Hospital </li></ul><ul><li>Texas Children’s Hospital </li></ul><ul><li>University Health System </li></ul><ul><li>Baptist Hospitals and Health System </li></ul><ul><li>St. Joseph’s Hospital and Medical Center </li></ul><ul><li>HealthEast Care System </li></ul><ul><li>HealthPartners </li></ul><ul><li>North Memorial Hospital </li></ul><ul><li>WESTHealth </li></ul><ul><li>Alegent Health </li></ul><ul><li>Prairie Lakes Health System </li></ul><ul><li>McGill University Health Centre </li></ul><ul><li>Lifespan Health Corporation (RI and MA) </li></ul><ul><li>Harvard Vanguard Medical Associates </li></ul><ul><li>Massachusetts General Hospital </li></ul><ul><li>New England Medical Center </li></ul><ul><li>Hospital For Special Surgery </li></ul><ul><li>Maimonides Medical Center </li></ul><ul><li>MedAllies/THINC </li></ul><ul><li>Montefiore Medical Center </li></ul><ul><li>Mount Sinai Medical Center </li></ul><ul><li>New York Presbyterian Hospital </li></ul><ul><li>North Shore LIJ Health System </li></ul><ul><li>NYU Medical Center/School of Medicine </li></ul><ul><li>St. Francis Mercy Corporation </li></ul><ul><li>Strong Memorial Hospital/University of Rochester </li></ul><ul><li>Unity Health System </li></ul><ul><li>Weill Medical College of Cornell University </li></ul><ul><li>Winthrop University Hospital </li></ul><ul><li>The Children's Hospital, Denver </li></ul>About Us - HSD
    5. 5. Topics <ul><li>Got BI? What’s next? </li></ul><ul><li>The performance measurement movement </li></ul><ul><li>BI to the rescue </li></ul>
    6. 6. Got BI? Siemens Invision Lawson Patient Management / Patient Accounting Enterprise Resources / Administrative Clinical / Ancillary GE / ORMIS IDX PM Siemens Soarian Cerner PharmNet GE EMR Kronos WebCIS Proteomic Gentiva Home Health Data Capture Canopy GEAC HR / Payroll Charge Capture Siemens DSS Faculty Practice Data Mart(s) Eclipsys / TSI DSS Supply Chain DM HR Analytics UHC CDB P&A Analytical Application Surgery Revenue Cycle Strategic Planning Diabetes Cancer Public Health ORYX Measures Pediatrics Genomics
    7. 7. The Performance Measurement Movement <ul><li>The Institute of Medicine Reports brought an old problem into a new slick and heavily marketed light for the public. </li></ul><ul><li>Avoid Getting It Wrong </li></ul><ul><li>Getting It Right . . . Consistently </li></ul><ul><li>Patient-Centric, Coordinated Care </li></ul>98,000 Patients Killed! “ To Err is Human” IOM (2000) “ Crossing the Quality Chasm” IOM ( 2001)
    8. 8. RAND Study: Quality of Health Care Often Not Optimal <ul><li>Doctors provide appropriate health care only about half the time </li></ul>Percentage of time Alcohol dependence Hip fracture Peptic ulcer Diabetes Low back pain Prenatal care Breast cancer Cataracts 11% 23% 33% 45% 69% 73% 76% 79% E. McGlynn, S. Asch, J. Adams, et al., The Quality of Health Care Delivered to Adults in the United States, N Engl J Med , June 26, 2003, MA Medical Society
    9. 9. The Performance Measurement Movement <ul><li>Transparency </li></ul><ul><ul><li>ONC Strategic Framework </li></ul></ul><ul><ul><li>HealthGrades </li></ul></ul><ul><ul><li>CMS Hospital Compare </li></ul></ul><ul><li>Improvement </li></ul><ul><ul><li>IHI 5 Million lives </li></ul></ul><ul><ul><li>AHRQ </li></ul></ul><ul><ul><li>DOQ-IT </li></ul></ul><ul><li>Accreditation </li></ul><ul><ul><li>TJC ORYX (Core Measures) </li></ul></ul><ul><ul><li>NCQA HEDIS </li></ul></ul><ul><li>Pay for Performance </li></ul><ul><ul><li>CMS / Premier Hospital Quality Incentive Demonstration </li></ul></ul><ul><ul><li>Bridges to Excellence </li></ul></ul><ul><ul><li>CMS IPPS – 2005 Deficit Reduction Act </li></ul></ul><ul><li>Quality as Marketing </li></ul>
    10. 10. The Performance Measurement Movement Consumerism Transparency P4P Patient Safety Quality Improvement DEVISING STRATEGY BI FOUNDATION MANAGING STRATEGY Sharing Learning Innovation Disease Management Quality Management Operational Efficiency Revenue Enhancement High Performing Organization
    11. 11. How can BI Help? Independent of the perceived value of these performance measurement systems as drivers of desirable change, the reality is that they are here; they affect the bottom line; and they are now an operational reality, and burden, to provider organizations.
    12. 12. Performance Management Infrastructure MEASURE & MONITOR KPI, Dashboards, Benchmarks, Reporting EVALUATE Six Sigma, Root Cause Analysis, Fishbone IMPROVE PROCESSES Simplify, Align, Interconnect, Standardize, Stabilize, Train Data Management Methodology Decision Support Skilled People
    13. 13. This is BI Data Management Methodology Decision Support Skilled People
    14. 14. Performance Methodologies Cross-Tab Label
    15. 15. Performance Methodologies <ul><li>Six Sigma </li></ul><ul><li>Balanced Scorecard </li></ul><ul><li>CQI </li></ul><ul><li>Lean Thinking </li></ul><ul><li>Malcolm Baldridge Pillars </li></ul><ul><li>Management by Objective (MBO) </li></ul><ul><li>ISO 9000 </li></ul><ul><li>Etc. </li></ul>
    16. 16. Challenges and Barriers <ul><li>Multiple, duplicative, and conflicting measurement systems </li></ul><ul><li>Data, data everywhere – not a measure in sight </li></ul><ul><li>Healthcare Information Technology is not helping performance management today </li></ul>
    17. 17. This is BI Data Management Methodology Decision Support Skilled People
    18. 18. Data Management – Today’s Reality <ul><li>Data mart explosion </li></ul><ul><li>Spreadmarts </li></ul><ul><li>Information quality </li></ul><ul><li>Sparse clinical data capture </li></ul>
    19. 19. Data Management – Today’s Reality Health Data Model Health Data Model Medical Vocabulary Medical Vocabulary Identifiers Identifiers Medical Knowledge Medical Knowledge Clinical Operations Performance Measures Significant data barriers remain in achieving insight into clinical processes.
    20. 20. <ul><li>Enterprise Information Management </li></ul><ul><li>Data Definition standardization </li></ul><ul><li>Natural Language Processing </li></ul><ul><li>Data Integration Centers of Excellence </li></ul><ul><li>Virtual Data Warehousing </li></ul>Data Management – Future State
    21. 21. This is BI Data Management Methodology Decision Support Skilled People
    22. 22. Decision Support – Today’s Reality <ul><li>BI toolset explosion </li></ul><ul><li>Analytical applications deployed in silos - by department, funding, and politics </li></ul><ul><li>Lack of skill sets – lack of training </li></ul><ul><li>No single unified view </li></ul>
    23. 23. Decision Support – Future State Corporate Data Warehouse(s) ERP CIS PM Excel HR Performance Measures, Scorecards, Reports, Analyses, Alerts Goals & Objectives Peer Benchmarks Targets Planning Cycle Management Financial Consolidation Compliance Reporting Revenue Cycle Financial Management Research Clinical Management Revenue Modeling Revenue Cycle Contract Management Price Modeling Cost Accounting Budgeting Forecasting Product Line Management Data Management Foundation Planning Monitoring Taking Action EMR. G/L
    24. 24. This is BI Data Management Methodology Decision Support Skilled People
    25. 25. Skilled People – Today’s Reality Finance Decision Support Budgeting, Cost Accounting, P&L, Business Planning, Revenue Modeling Research Centers Cancer, Cardiology, CF, Diabetes, et al. Health Information Management (HIM) Abstracting, Billing Abstracting, Case Finding Information Services Data Integration Ad-Hoc Reporting, CIS /CDR queries Nursing Key Statistics, Nursing Informatics Medical Informatics Service Line Initiatives, Clinical analysis ? Knowledge workers typically must navigate a complex organization of support resources to gain access to information and analytical support. Is this optimal? Performance Improvement / Safety Public Reporting, Performance Measures, Patient Satisfaction, Custom DBs, Data Consolidation BioInformatics Genomix, Proteomcs, research data analysis Pharmacy Pharmacy informatics, costs, inventory User User User User User Physician Associates Faculty Plan Productivity, Revenue Analysis, PI Studies
    26. 26. Skilled People – Future State <ul><li>BI Governance </li></ul><ul><li>Knowledge management function… Knowledge Management Officer anyone? </li></ul><ul><li>BI Competency Center </li></ul><ul><li>Corporate University </li></ul><ul><li>Self-Service </li></ul>
    27. 27. Thank You!
    28. 28. Jason Oliveira 212.508.8311 [email_address]