Achieving Strategic Objectives
Through BI
Andrew W. Proctor, MS
Business Intelligence
• The use of information that enables
organizations to best decide,
measure, manage, and optimize
pe...
Clinic Access
• Template Management
• Appointment Days Wait
• Appointment When Wanted
• Same Day Access
Digestive Disease Access
Initiative
6
8
10
12
14
16
18
Q4 '07 Q1 Q2 Q3 Q4 '08
DaysWait
55%
60%
65%
70%
75%
80%
Apptwhenwan...
Appointment When Wanted by Days Wait
June 2010 through December 2012
Lowess Smoothed Regression
Spearman Correlation:
New ...
Executive Quarterly Review
• Align strategic objectives
• Common scorecard platform
• Transparency
• Best practice sharing...
Physician Name
Main Campus
Doctor Communication
61
0
20
40
60
80
100
2008 2009 2010 2011 Jan - Feb
'13
%tile
Peer (3) Peer (1)
Peer (2) P...
Main Campus
Overall Rating
93
0
20
40
60
80
100
2008 2009 2010 2011 Jan - Feb
'13
%tile
Peer (3) Peer (1)
Peer (2) Peer (4...
Short Cycle
• Near “real-time”
• Quicker delivery to clinical
managers
• Summarized nursing unit
performance
Smoking Cessation
%
HF Education
%
SCIP: Hair Removal
%
SCIP: Normothermia
%
SCIP: Periop Beta-blocker
%
SCIP: VTE Prophylaxis Orders
%
Physician Name
30-Day Readmission Data Flow
30 minute updates 30 minute updates
Patient readmitted to
Cleveland Clinic
ADT system capture...
ICU Operations
• ICU Ops Team created in 2006
• Expanded in 2009
- Oversight committee formed
- 30+ ICUs
- 350 beds
- 30,0...
ICU Hand Hygiene
Compliance
60%
70%
80%
90%
2007 2008 2009 2010 2011 2012
Compliance Target
ICU CLABSI Rate
0
1
2
3
4
5
2008 2009 2010 2011 2012 2013
Rate
Blood Utilization
• Scarce resource
• High cost
• Clinical risk
Physician
Names
Example Physician
Cleveland Clinic Blood Use
per 1K patient days
2008 2009 2010
150
200
250
300
350
Oct
Dec
Feb
Apr
Jun
Aug
Oct
Dec
Feb
Apr
...
Predictive Analytics
“declare the past, diagnose
the present, foretell the
future” - Hippocrates
Predicting Length of Stay for
Scheduled Surgeries
• Reliable prediction of hospital length
of stay for future patients
• G...
Modeling Perspective
Hospital
Admit
Hospital
Disch
Physiology
and clinical
Surgery
Demographics
Prob List
Population and Data
• CC Main Campus TCI cases age >18
- 2010-2012
• Data source: EPIC medical record
• Demographics, phys...
1
1
2
2
3
3
Estimating Relationships Among
Key Performance Measures
Measure
#1 is below
target
If Measure #1
meets target,
it positive...
• CIO, CFO, CMOO
• Meets monthly with Leadership Team
• Critical for executing on strategy
Executive
Team
• Executive Dire...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Clevel...
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iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Cleveland Clinic - "Presentation Achieving Strategic Objectives Through BI"

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Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Cleveland Clinic

iHT2 case studies and presentations illustrate challenges, successes and various factors in the outcomes of numerous types of health IT implementations. They are interactive and dynamic sessions providing opportunity for dialogue, debate and exchanging ideas and best practices. This session will be presented by a thought leader in the provider, payer or government space.

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iHT² Health IT Summit Seattle - Andrew Proctor, Sr. Director of Business Intelligence, Medical Operations Division, Cleveland Clinic - "Presentation Achieving Strategic Objectives Through BI"

  1. 1. Achieving Strategic Objectives Through BI Andrew W. Proctor, MS
  2. 2. Business Intelligence • The use of information that enables organizations to best decide, measure, manage, and optimize performance to achieve efficiency and financial benefit (Gartner) • Focus on operational process improvement and business use of information In 1989 Howard Dresner popularized "BI" as an umbrella term to describe a set of concepts and methods to improve business decision-making by using fact- based support systems.
  3. 3. Clinic Access • Template Management • Appointment Days Wait • Appointment When Wanted • Same Day Access
  4. 4. Digestive Disease Access Initiative 6 8 10 12 14 16 18 Q4 '07 Q1 Q2 Q3 Q4 '08 DaysWait 55% 60% 65% 70% 75% 80% Apptwhenwanted Days wait Appt when wanted
  5. 5. Appointment When Wanted by Days Wait June 2010 through December 2012 Lowess Smoothed Regression Spearman Correlation: New Visits: -0.181, p < 0.001; Established Visits : -0.098, p < 0.001; New Institute Visits: -0.192, p < 0.001;
  6. 6. Executive Quarterly Review • Align strategic objectives • Common scorecard platform • Transparency • Best practice sharing • Continuous Improvement
  7. 7. Physician Name
  8. 8. Main Campus Doctor Communication 61 0 20 40 60 80 100 2008 2009 2010 2011 Jan - Feb '13 %tile Peer (3) Peer (1) Peer (2) Peer (4) CC 50th
  9. 9. Main Campus Overall Rating 93 0 20 40 60 80 100 2008 2009 2010 2011 Jan - Feb '13 %tile Peer (3) Peer (1) Peer (2) Peer (4) CC 50th
  10. 10. Short Cycle • Near “real-time” • Quicker delivery to clinical managers • Summarized nursing unit performance
  11. 11. Smoking Cessation %
  12. 12. HF Education %
  13. 13. SCIP: Hair Removal %
  14. 14. SCIP: Normothermia %
  15. 15. SCIP: Periop Beta-blocker %
  16. 16. SCIP: VTE Prophylaxis Orders %
  17. 17. Physician Name
  18. 18. 30-Day Readmission Data Flow 30 minute updates 30 minute updates Patient readmitted to Cleveland Clinic ADT system captures readmission Web application captures readmission for review Aggregate monthly reports Short Cycle dashboard reports readmission in “real-time”
  19. 19. ICU Operations • ICU Ops Team created in 2006 • Expanded in 2009 - Oversight committee formed - 30+ ICUs - 350 beds - 30,000 admissions/year
  20. 20. ICU Hand Hygiene Compliance 60% 70% 80% 90% 2007 2008 2009 2010 2011 2012 Compliance Target
  21. 21. ICU CLABSI Rate 0 1 2 3 4 5 2008 2009 2010 2011 2012 2013 Rate
  22. 22. Blood Utilization • Scarce resource • High cost • Clinical risk
  23. 23. Physician Names
  24. 24. Example Physician
  25. 25. Cleveland Clinic Blood Use per 1K patient days 2008 2009 2010 150 200 250 300 350 Oct Dec Feb Apr Jun Aug Oct Dec Feb Apr Jun Aug Oct Dec Units 2 2.1 2.2 2.3 2.4 2.5 CMI Blood use per 1K pt days Case Mix Index Linear (Case Mix Index)
  26. 26. Predictive Analytics “declare the past, diagnose the present, foretell the future” - Hippocrates
  27. 27. Predicting Length of Stay for Scheduled Surgeries • Reliable prediction of hospital length of stay for future patients • Generalizable framework for similar initiatives • Downstream strategic operational impact - Occupancy forecasting - Clinical decision support
  28. 28. Modeling Perspective Hospital Admit Hospital Disch Physiology and clinical Surgery Demographics Prob List
  29. 29. Population and Data • CC Main Campus TCI cases age >18 - 2010-2012 • Data source: EPIC medical record • Demographics, physiology, labs, comorbidities, CPTs, work RVU, readmit - All data ≤90 days prior to procedure • Surgical CPTs grouped using validated taxonomies (NSQIP)
  30. 30. 1 1
  31. 31. 2 2
  32. 32. 3 3
  33. 33. Estimating Relationships Among Key Performance Measures Measure #1 is below target If Measure #1 meets target, it positively influences Measure #2 and 3
  34. 34. • CIO, CFO, CMOO • Meets monthly with Leadership Team • Critical for executing on strategy Executive Team • Executive Directors from IT, Finance, Medical Operations • Meets with Executive Team & Strategic Council • Manages BI resources & BI program overall Leadership Team • Representation from several clinical & operational areas • Meets with Leadership Team • Provides project ranking recommendations Strategic Council EBI Governance

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