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Improving Performance with Social Business
Solutions – Featuring: Premier healthcare alliance
Agenda / Speakers

                   AGENDA

PERFICIENT

•   The Future of Social & Web Experience
•   Where to Find the ROI
•   Leading with the Business
                                            Jonathan Distad
                                            Director, Portal
PREMIER HEALTHCARE                          & Social Solutions

                                              Jonathan.Distad@perficient.com
•   Industry & Business Challenges
•   Resource Prioritizing
•   Social Insights & Analysis
•   The Premier Social Solution
•   Premier’s Social Core Principles
•   Premier’s Social Value Components
                                                      Denise Hatzidakis
                                                    Chief Technology Officer
Q&A
                                              denise_hatzidakis@premierinc.com
• Chat                                             www.premierinc.com
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?




        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




                                  6
We are getting closer




                    7
Key Take Aways


• 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
                                                    8
A Healthcare Performance Improvement Alliance
Healthcare and Social Business
Challenging Issues for our Members




        Track 1                                           Track 2
        ―Push‖                                            ―Pull‖




       Cuts to Existing FFS System    Disrupt Existing System
       • Market basket reductions     • Bundled Payments
       • DSH cuts                     • Innovation Center
       • Nonpayment for anything      • Demonstrations
         preventable or unnecessary   • ACOs


                                                 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
11
The healthcare industry

      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




                                                             PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
12
How Social Business is affecting the business of healthcare

       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
                                                              *April 2012 - Health Research Institute, PwC
                                                                           PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
13
How Social Business is affecting the business of healthcare

      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
                                      *April 2012 - Health Research Institute, PwC   PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
14
Healthcare and Social Learning

      Social Learning: It allows great ideas, and expertise to be shared
      efficiently and globally.

                                         “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.

                                                              PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
15
Resource coordination and prioritization

      Capturing, linking and analyzing social content.

                             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.‖




                                                  PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
16
Innovation

       Captures and refines ideas


                        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.




                                                                PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
17
Insight

        Making better quality decisions based on better quality
       information.

               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.




                                                                          PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
18
The Premier Healthcare Alliance
             and
       PremierConnect
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




                Performance Improvement in Healthcare
      Saving Lives, Saving Money without compromising the quality
                               of care
                                                      PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
20
The problem isn’t data …


                         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

         It’s about turning data into actionable information
                                                      PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
21
                                                                                                         2
The Premier Healthcare Alliance
             and
       PremierConnect
Premier is the nation’s largest healthcare alliance

       Our mission: To improve the health of communities
                        Owned by

                        200                        83,000+
                       healthcare                                                $4.2 BILLION
                        providers                  Alternate sites               savings in 2011
                                                       of care
     2,600
     member
     hospitals                         Malcolm Baldrige
                                       Award for Quality                               $43 BILLION
                   Database
                                                                                             in group
                 representing            winner                                             purchasing
                 1 in every 4                                                                 volume
                     U.S.                                  Award-winning
                  discharges                               environmentally
                                Five-time winner             sustainable
                                 of Ethisphere’s              program
                                  most Ethical
                                   Companies
                                      award
                                                                       PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
23
Premier’s Collaborative Methodology™




     "Implementing best practice is replicating yesterday.
            Innovation is designing tomorrow.―
                           — Paul Sloane                                 ©2011 Premier, Inc.


                                             PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.   24
24
Our journey to care integration


           Value-based purchasing:                                                                            Capitation
          HACs, quality, efficiency, cuts                  Bundled payment

                                Partnership for Patients                     Shared savings



     MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK




      High-performing hospitals                   High-value episodes                 Population management
      • Most efficient supply chain               • DRG and episode targeting         • Population analytics
      • Best outcomes in quality, safety          • Care models and                   • Care management
      • Waste elimination                           gainsharing                       • Financial modeling and
      • Satisfied patients                        • Data analytics                      management
                                                  • Cost management                   • Legal
                                                                                      • Physician integration



25
25                                                                                     PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Our journey to care integration


              Value-based purchasing:                                                                                                     Capitation
             HACs, quality, efficiency, cuts                                         Bundled payment

                                                          Partnership for Patients                     Shared savings
                                                                                Evidence-based Care Improvements
                    Avg. improvement
        MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK
                  from 4Q03 to 3Q09 in
                     all clinical areas
                       (24 quarters)
                            55.7%

                   Clinical      Improvement
                   Area             (percentage points)




                 Heart Attack         26.0%

                 Heart Bypass         59.4%

                 Pneumonia            68.1%

                 Heart Failure        58.1%

     2003 - 2009 Hip & Knee  66.7%
        High-performing hospitals                                           High-value episodes                    Population management
        • Most efficient supply chain                                       • DRG and episode targeting            • Population analytics
        • Best outcomes in quality, safety                                  • Care models and                      • Care management
        • Waste elimination                                                   gainsharing                          • Financial modeling and
        • Satisfied patients                                                • Data analytics                         management
                                                                            • Cost management                      • Legal
                                                                                                                   • Physician integration



26
26                                                                                                                 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Our journey to care integration


              Value-based purchasing:                                                                            Capitation
             HACs, quality, efficiency, cuts                  Bundled payment

                                   Partnership for Patients                     Shared savings



        MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK
                      Evidence Based Care        Mortality                Cost of Care




     2003 - 2009
        High-performing hospitals                   High-value episodes                  Population management
        • Most efficient supply chain rate 27%• reduction in O/E
                     15% increase in EBC             DRG and episode targeting
                                                                        $906 decrease   • Population analytics
                          in quality, safety 76%•inCare models and 77% in TPT
        • Best outcomes in TPT
                     97%                             TPT                                • Care management
        • Waste elimination                           gainsharing                        • Financial modeling and
        • Satisfied patients                        • Data analytics                       management
                                                    • Cost management
                               If all hospitals achieved these results, an additional    • Legal
                               63,801 lives and $23B could be saved each year.           • Physician integration



27
27                                                                                        PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Our journey to care integration


              Value-based purchasing:                                                                            Capitation
             HACs, quality, efficiency, cuts                  Bundled payment

                                   Partnership for Patients                     Shared savings



        MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK




     2003 - 2009
        High-performing hospitals                    High-value episodes                 Population management
        • Most efficient supply chain                • DRG and episode targeting         • Population analytics
        • Best outcomes in quality, safety           • Care models and                   • Care management
        • Waste elimination                            gainsharing                       • Financial modeling and
        • Satisfied patients                         • Data analytics                      management
                                                     • Cost management                   • Legal
                                                                                         • Physician integration



28
28                                                                                        PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
Our journey to care integration


           Value-based purchasing:                                                                            Capitation
          HACs, quality, efficiency, cuts                  Bundled payment

                                Partnership for Patients                     Shared savings



     MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK




      High-performing hospitals                   High-value episodes                 Population management
      • Most efficient supply chain               • DRG and episode targeting         • Population analytics
      • Best outcomes in quality, safety          • Care models and                   • Care management
      • Waste elimination                           gainsharing                       • Financial modeling and
      • Satisfied patients                        • Data analytics                      management
                                                  • Cost management                   • Legal
                                                                                      • Physician integration



29
29                                                                                     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.”




                                                                        PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
30
The Premier Connect Platform
         Overview
Bringing new value through a unified technology platform

            Responding to members’ needs to deliver
            actionable data, best practice content, and
                        collaboration tools
                 to accelerate their performance.


        “You have all of my
                              “How can I access        “The Premier
                                 leading best        alliance is a huge
        data, tell me where
                                   practices         network, how can
         to find my quality
                                knowledge in a       I find people with
              and cost
                              simple and efficient    similar interests
           opportunities.”
                                    way?”               and issues? “




                                                          PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
32
Three core principles




             Connecting                 Connecting                   Connecting
               DATA                    KNOWLEDGE                      PEOPLE



         Actionable Information               Best Practices                  Communities



       Business          Integrated   Alliance-wide     Role-based
      analytics &       data across       content        access to   Collaboration               Business
      intelligence    the continuum    contribution       content                               networking




                                                                              PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
33
Integrated access to apps, content, and communities


                 Actions
             Access apps and
            personalized actions
                   feed


       Knowledge
      Syndicated content
       with insights from
     hundreds of members
        searchable best
           practices



             Communities
          Online communities
          supporting national
          and local collaboration

                                              PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
34
Integrated access to apps, content, and communities




              Access apps and personalized actions feed
              with new knowledge and community
              updates.

                                                    PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
35
Knowledge aggregated from members of the alliance




            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
                                                    PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
36
Communities connect members across the alliance


     Premium Communities             Connect with Members




     Collaboration among members with social business capabilities
          Specific support for formal cohorts and collaboratives
                    Can support local private networks.

                                                    PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
37
Members relationship with PremierConnect



                          PremierConnect
                                   Select
     PremierConnect
          Alliance                 Optional programs
                                   covering many domains
                                   which include analytic
          Support for the entire   apps, subject specific
          alliance with public     knowledge, and
          content and GPO          communities
          member resources


                   ANALYTICS via APPS FOR MULTIPLE STAKEHOLDERS

           BEST PRACTICE KNOWLEDGE SHARING / DOCUMENT MANAGEMENT


         ONLINE COMMUNITIES SUPPORT LOCAL AND NATIONAL COLLABORATION

                                                            PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
38
Members relationship with PremierConnect

                                             PremierConnect
                                                 Enterprise
                          PremierConnect
                                   Select                   All-in model with Premier
     PremierConnect                                         as a key strategic
                                                            technology partner
          Alliance                 Optional programs
                                                            supporting a custom data
                                                            warehouse & knowledge
                                   covering many domains
                                                            platform
                                   which include analytic
          Support for the entire   apps, subject specific
          alliance with public     knowledge, and
          content and GPO          communities
          member resources


                   ANALYTICS via APPS FOR MULTIPLE STAKEHOLDERS

           BEST PRACTICE KNOWLEDGE SHARING / DOCUMENT MANAGEMENT


         ONLINE COMMUNITIES SUPPORT LOCAL AND NATIONAL COLLABORATION

                                                              PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
39
The Premier Data Alliance – value components



                              Premier
                              Connect

              Private
                             Enterprise
                                           Premier         •     Collaborate
             Warehouse                    Exchange         •     Innovate
                                                           •     Create
                                                           •     Accelerate
                                               Analytics
         Delivery           Premier
                                               Center of   •     Network
         Partners         Data Alliance       Excellence   •     Share
                                                           •     Connect
              Partner
                                          Premier          •     Deliver
                                          Connect
              Offerings
                             Private       Data
                              Com-
                             munities



                                                           PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
40
PremierConnect Enterprise

     Private use of the
     PremierConnect platform           Enterprise Content / Document Management

     Extensible enterprise data               Enterprise Collaboration
     warehousing, collaboration and
     content management platform.        Use of out-of-the box Premier Apps
     Mitigates issues of scarce and
     highly specialized talent to               Ad hoc analytic tools
     deploy solutions with speed and
     scale.                                   IBM/Premier Data Model
     Member ecosystem and
     marketplace for sharing assets    Extensible Enterprise Data Warehouse
     creating significant value
     acceleration.
     Data Alliance Collaborative to
     increase member-to-member
     collaboration and shared use
     case implementation.

                                                             PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
41
Data Alliance Cooperative


                                        Apps


                                        Content


                                        Communities


                                           Data / Data Model
                   PC Enterprise




                                   PC Private            PC Private
                                   Warehouse             Warehouse




                                                               PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
42
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




                                   PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
43
Premier

               Largest interconnected community
               of healthcare providers in the
               industry
               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
                                            PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
44
QUESTIONS
                Coming Up
                Exceptional Web Experience Lunch & Learns
              • 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



                       www.facebook.com/Perficient

                     www.slideshare.net/PerficientInc

                    us.linkedin.com/company/perficient
www.perficient.com/Thought-Leadership/Social-Media/Blogs

                                      Jonathan Distad
                                      Director, Portal
        Denise Hatzidakis             & Social Solutions
      Chief Technology Officer
 denise_hatzidakis@premierinc.com       Jonathan.Distad@perficient.com
      www.premierinc.com

                                                                   45

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Improving Performance with Social Business Solutions - Featuring: Premier Healthcare Alliance

  • 1. Improving Performance with Social Business Solutions – Featuring: Premier healthcare alliance
  • 2. Agenda / Speakers AGENDA PERFICIENT • The Future of Social & Web Experience • Where to Find the ROI • Leading with the Business Jonathan Distad Director, Portal PREMIER HEALTHCARE & Social Solutions Jonathan.Distad@perficient.com • Industry & Business Challenges • Resource Prioritizing • Social Insights & Analysis • The Premier Social Solution • Premier’s Social Core Principles • Premier’s Social Value Components Denise Hatzidakis Chief Technology Officer Q&A denise_hatzidakis@premierinc.com • Chat www.premierinc.com
  • 3. 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. 4
  • 6. Where is the trend and ROI? 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 6
  • 7. We are getting closer 7
  • 8. Key Take Aways • 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 8
  • 9. A Healthcare Performance Improvement Alliance
  • 11. Challenging Issues for our Members Track 1 Track 2 ―Push‖ ―Pull‖ Cuts to Existing FFS System Disrupt Existing System • Market basket reductions • Bundled Payments • DSH cuts • Innovation Center • Nonpayment for anything • Demonstrations preventable or unnecessary • ACOs PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 11
  • 12. The healthcare industry 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 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 12
  • 13. How Social Business is affecting the business of healthcare 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 *April 2012 - Health Research Institute, PwC PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 13
  • 14. How Social Business is affecting the business of healthcare 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 *April 2012 - Health Research Institute, PwC PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 14
  • 15. Healthcare and Social Learning Social Learning: It allows great ideas, and expertise to be shared efficiently and globally. “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. PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 15
  • 16. Resource coordination and prioritization Capturing, linking and analyzing social content. 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.‖ PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 16
  • 17. Innovation Captures and refines ideas 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. PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 17
  • 18. Insight Making better quality decisions based on better quality information. 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. PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 18
  • 19. The Premier Healthcare Alliance and PremierConnect
  • 20. 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 Performance Improvement in Healthcare Saving Lives, Saving Money without compromising the quality of care PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 20
  • 21. The problem isn’t data … 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 It’s about turning data into actionable information PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 21 2
  • 22. The Premier Healthcare Alliance and PremierConnect
  • 23. Premier is the nation’s largest healthcare alliance Our mission: To improve the health of communities Owned by 200 83,000+ healthcare $4.2 BILLION providers Alternate sites savings in 2011 of care 2,600 member hospitals Malcolm Baldrige Award for Quality $43 BILLION Database in group representing winner purchasing 1 in every 4 volume U.S. Award-winning discharges environmentally Five-time winner sustainable of Ethisphere’s program most Ethical Companies award PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 23
  • 24. Premier’s Collaborative Methodology™ "Implementing best practice is replicating yesterday. Innovation is designing tomorrow.― — Paul Sloane ©2011 Premier, Inc. PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 24 24
  • 25. Our journey to care integration Value-based purchasing: Capitation HACs, quality, efficiency, cuts Bundled payment Partnership for Patients Shared savings MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK High-performing hospitals High-value episodes Population management • Most efficient supply chain • DRG and episode targeting • Population analytics • Best outcomes in quality, safety • Care models and • Care management • Waste elimination gainsharing • Financial modeling and • Satisfied patients • Data analytics management • Cost management • Legal • Physician integration 25 25 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
  • 26. Our journey to care integration Value-based purchasing: Capitation HACs, quality, efficiency, cuts Bundled payment Partnership for Patients Shared savings Evidence-based Care Improvements Avg. improvement MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK from 4Q03 to 3Q09 in all clinical areas (24 quarters) 55.7% Clinical Improvement Area (percentage points) Heart Attack 26.0% Heart Bypass 59.4% Pneumonia 68.1% Heart Failure 58.1% 2003 - 2009 Hip & Knee 66.7% High-performing hospitals High-value episodes Population management • Most efficient supply chain • DRG and episode targeting • Population analytics • Best outcomes in quality, safety • Care models and • Care management • Waste elimination gainsharing • Financial modeling and • Satisfied patients • Data analytics management • Cost management • Legal • Physician integration 26 26 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
  • 27. Our journey to care integration Value-based purchasing: Capitation HACs, quality, efficiency, cuts Bundled payment Partnership for Patients Shared savings MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK Evidence Based Care Mortality Cost of Care 2003 - 2009 High-performing hospitals High-value episodes Population management • Most efficient supply chain rate 27%• reduction in O/E 15% increase in EBC DRG and episode targeting $906 decrease • Population analytics in quality, safety 76%•inCare models and 77% in TPT • Best outcomes in TPT 97% TPT • Care management • Waste elimination gainsharing • Financial modeling and • Satisfied patients • Data analytics management • Cost management If all hospitals achieved these results, an additional • Legal 63,801 lives and $23B could be saved each year. • Physician integration 27 27 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
  • 28. Our journey to care integration Value-based purchasing: Capitation HACs, quality, efficiency, cuts Bundled payment Partnership for Patients Shared savings MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK 2003 - 2009 High-performing hospitals High-value episodes Population management • Most efficient supply chain • DRG and episode targeting • Population analytics • Best outcomes in quality, safety • Care models and • Care management • Waste elimination gainsharing • Financial modeling and • Satisfied patients • Data analytics management • Cost management • Legal • Physician integration 28 28 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
  • 29. Our journey to care integration Value-based purchasing: Capitation HACs, quality, efficiency, cuts Bundled payment Partnership for Patients Shared savings MOVEMENT TO INTEGRATED CARE, NEW PAYMENT MODELS AND RISK High-performing hospitals High-value episodes Population management • Most efficient supply chain • DRG and episode targeting • Population analytics • Best outcomes in quality, safety • Care models and • Care management • Waste elimination gainsharing • Financial modeling and • Satisfied patients • Data analytics management • Cost management • Legal • Physician integration 29 29 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC.
  • 30. 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.” PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 30
  • 31. The Premier Connect Platform Overview
  • 32. Bringing new value through a unified technology platform Responding to members’ needs to deliver actionable data, best practice content, and collaboration tools to accelerate their performance. “You have all of my “How can I access “The Premier leading best alliance is a huge data, tell me where practices network, how can to find my quality knowledge in a I find people with and cost simple and efficient similar interests opportunities.” way?” and issues? “ PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 32
  • 33. Three core principles Connecting Connecting Connecting DATA KNOWLEDGE PEOPLE Actionable Information Best Practices Communities Business Integrated Alliance-wide Role-based analytics & data across content access to Collaboration Business intelligence the continuum contribution content networking PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 33
  • 34. Integrated access to apps, content, and communities Actions Access apps and personalized actions feed Knowledge Syndicated content with insights from hundreds of members searchable best practices Communities Online communities supporting national and local collaboration PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 34
  • 35. Integrated access to apps, content, and communities Access apps and personalized actions feed with new knowledge and community updates. PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 35
  • 36. Knowledge aggregated from members of the alliance 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 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 36
  • 37. Communities connect members across the alliance Premium Communities Connect with Members Collaboration among members with social business capabilities Specific support for formal cohorts and collaboratives Can support local private networks. PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 37
  • 38. Members relationship with PremierConnect PremierConnect Select PremierConnect Alliance Optional programs covering many domains which include analytic Support for the entire apps, subject specific alliance with public knowledge, and content and GPO communities member resources ANALYTICS via APPS FOR MULTIPLE STAKEHOLDERS BEST PRACTICE KNOWLEDGE SHARING / DOCUMENT MANAGEMENT ONLINE COMMUNITIES SUPPORT LOCAL AND NATIONAL COLLABORATION PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 38
  • 39. Members relationship with PremierConnect PremierConnect Enterprise PremierConnect Select All-in model with Premier PremierConnect as a key strategic technology partner Alliance Optional programs supporting a custom data warehouse & knowledge covering many domains platform which include analytic Support for the entire apps, subject specific alliance with public knowledge, and content and GPO communities member resources ANALYTICS via APPS FOR MULTIPLE STAKEHOLDERS BEST PRACTICE KNOWLEDGE SHARING / DOCUMENT MANAGEMENT ONLINE COMMUNITIES SUPPORT LOCAL AND NATIONAL COLLABORATION PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 39
  • 40. The Premier Data Alliance – value components Premier Connect Private Enterprise Premier • Collaborate Warehouse Exchange • Innovate • Create • Accelerate Analytics Delivery Premier Center of • Network Partners Data Alliance Excellence • Share • Connect Partner Premier • Deliver Connect Offerings Private Data Com- munities PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 40
  • 41. PremierConnect Enterprise Private use of the PremierConnect platform Enterprise Content / Document Management Extensible enterprise data Enterprise Collaboration warehousing, collaboration and content management platform. Use of out-of-the box Premier Apps Mitigates issues of scarce and highly specialized talent to Ad hoc analytic tools deploy solutions with speed and scale. IBM/Premier Data Model Member ecosystem and marketplace for sharing assets Extensible Enterprise Data Warehouse creating significant value acceleration. Data Alliance Collaborative to increase member-to-member collaboration and shared use case implementation. PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 41
  • 42. Data Alliance Cooperative Apps Content Communities Data / Data Model PC Enterprise PC Private PC Private Warehouse Warehouse PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 42
  • 43. 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 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 43
  • 44. Premier Largest interconnected community of healthcare providers in the industry 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 PROPRIETARY & CONFIDENTIAL – © 2012 PREMIER INC. 44
  • 45. QUESTIONS Coming Up Exceptional Web Experience Lunch & Learns • 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 www.facebook.com/Perficient www.slideshare.net/PerficientInc us.linkedin.com/company/perficient www.perficient.com/Thought-Leadership/Social-Media/Blogs Jonathan Distad Director, Portal Denise Hatzidakis & Social Solutions Chief Technology Officer denise_hatzidakis@premierinc.com Jonathan.Distad@perficient.com www.premierinc.com 45

Editor's Notes

  1. The report outlined nine additional ways social media is impacting the business side of healthcare.  1. Communication is shifting to public, more open forums. Which means less money spent on mailings, websites, and other marketing initiatives.According to the report, four characteristics of social media have altered the nature of interactions among people and organizations: user-generated content, community, rapid distribution, and open, two-way dialogue. "In the past, a company would connect with its customers via mail or a website, but today's dialogue has shifted to open, public forums that reach many more individuals," read the report. "Early adopters of social media in the health sector are not waiting for customers to come to them." Ed Bennett, who oversees social media efforts at the University of Maryland Medical Center, agreed. "If you want to connect with people and be part of their community, you need to go where the community is," he said. "You need to be connecting before you are actually needed." 2. Patients (or consumers) are taking a more active role in their healthcare. Social media presents new opportunities for how individuals manage their health, the report noted, whether researching a certain illness or joining a support group. "The virtual aspect of social media enhances communications by creating a comfortable, often anonymous, environment for engaging and exchanging information." In addition, patients are using tools like Facebook, Twitter, and Youtube to better educate themselves. When faced with an important health decision, the report read, social media can provide a new avenue of information and dialogue. "Some may share a health goal to generate support or engage in a patient community to interact with other patients," it read.[See also: Social media becomes a business intelligence strategy .]3. Increased access to information means patients are demanding more transparency.  Laura Clapper, MD, CMO of the online community OneRecovery, compared healthcare's use of social media with that of a bank's. "As more people go online to interact with their banks and make purchases, they want to do this with their doctors, health plans, and condition and disease management as well," she said. According to the report, many industry insiders referenced social media site PatientsLikeMe, an eight-year-old health data-sharing platform, as an example of how more than 140,000 patients are connecting with each other. "Social networks will peel back every corner of the health system and drive transparency on cost, value, and outcomes," said Jamie Heywood, co-founder and chairman of PatientsLikeMe. "The information asymmetry that patients experience will be leveled, allowing the average patient to evaluate and improve his or her conditions, as well as the system's performance."4. More instant feedback can help both consumers and organizations. With patients more actively taking to social media to express opinions, grievances, and experiences, they expect faster response times from organizations, the report read. "Truly social brands will listen to what customers are saying and feeling and use that insight to adapt and create products and services," said Kelly Colbert, director of strategic advertising at insurer WellPoint. In addition to improving services and creating products to better meet the needs of patients, social media has taken on a more practical approach to basic, day-to-day operations within an organization. For example, according to the report, 49 percent of those polled expect to hear from their doctor when requesting an appointment or follow-up via social media within a few hours. 
  2. 5. Social information is impacting how and when patients select treatment and providers. It's no secret consumers are increasingly turning toward social media to make healthcare-related decisions, like what physician to see and when to seek a second opinion. For example, according to the report, 40 percent of those polled said information found in social media would affect the way they coped with a chronic condition, their approach to diet and exercise, and their selection of a specific doctor. "Across the health industry, consumers seem to value information and services that will help them make their healthcare easier to manage," the report read. 6. Social media allows for higher levels of trust. According to the report, consumer survey respondents said they would be most likely to trust information posted via social media (from doctors, hospitals, etc.) and, they'd be most likely to share information with providers via social media. The reason individuals trust their doctors the most? Human relationships, the report detailed. "You want to trust and connect with the people providing you the care," said Kathryn Armstrong, senior producer of web communications at Lehigh Valley Health Network. "It's easier to trust a person than an organization." Healthcare providers have the ability to form human relationships and connect with their patients, the report added, which ultimately leads to increased trust.[See also: Social media for hospitals: Without it, 'you don't exist'.]7. Social media is evolving from a marketing tool into a business strategy.Although 82 percent of respondents said their social media efforts are managed by their marketing department, the report showcased how social media's use is extending into customer service, innovation, and service/product development. "As people go through life events and their health journey, they have changing interests in health," said Ann Sherry, senior director of Kaiser Permanente's Internet services. "They want and need different tools and different interactions." Having a social media strategy isn't' enough, she added. "It's about social strategy."8. Providers can use social media as an outcomes-based measurement.The industry is shifting toward outcomes-based measurement, due in part to provisions in the Affordable Care Act, like Medicare's Value-Based Purchasing and accountable care, read the report. "Social media can offer a unique mechanism for collaborating with other organizations/partners to coordinate care," it read. The report advised using social media to support meaningful use efforts, all while defining a digital strategy and clear usage guidelines. "A hospital's or physician's first encounter with a patient is often through its online presence," it read. "Providers should take advantage of the trust consumers have for them over other health companies."9. Health insurers can use social media to help focus on population health.According to the report, health insurers understand that focusing on the individual population will be key, as more partnerships in population health are formed and insurance exchanges bring in 12 million newly insured individuals in 2014, and up to 28 million by 2019. By casting your company as a "patient advocate," it continued, you'll get a jump start on understanding the needs of potential members and determining which needs can be met through social media. Additionally, it noted, organizations should begin to determine an approach to data aggregation and understanding the direct and indirect benefits of social media. 
  3. Drug Shortages.. We have heard a lot about drug shortages of late .. And in fact our COO, Mike Alkire, recently testified before the senate committee on exactly that….If you look at almost any issue in American healthcare today, you’ll find that lack of scale is a big part of the problem.But what happens with the inverse of that problem? When there’s so much scale, so much of a particular supply, that it overwhelms us. And that’s the challenge we face with data. We’re overwhelmed with data. We have more than we even know what to do with and the amount of data grows every day as more and more of our lives get cataloged through technology. 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 into insight into intelligence for every stakeholder across the healthcare community. And to make those insights available at the right time, at the right place, for the right individuals. As we all know, this is not the world we live in today.
  4. - Database representing 1 in every 4 U.S. discharges- Five-time winner of Ethisphere’s Most Ethical Companies award- Award-winning environmentally sustainable programs
  5. Headline: Premier’s Collaborative Methodology was designed with three core principles in mind - insight, innovation, and execution - to drive industry-leading results time and again.Orient/key points: Those core principles form the foundation for QUEST.1) We leverage insight through our common set of measures, expert advisory panel along with analytic tools and rich data from each of our participating hospitals. Together, we ensure that our goals are aligned and tracked appropriately.2) We generate innovation and transparency which ultimately drives healthy competition. Through transparency, innovative ideas are generated through extensive collaboration among all our participants who work together with us.3) We work with you to define a clear, custom path of execution by identifying and scaling best practicesTransition: Perhaps equally important, its goals and measures are based on current national initiatives.
  6. Library: robust folder structure for organizing, sharing and collaborating on documentsBlog: authoring and publishing capabilities for sharing any information that would be of interest to the community. Supports multiple blogs simultaneously, as well as selection of a “featured” blog to appear on the community home page. Forums & Discussions: ad-hoc collaboration between users that can be grouped by topic. For example, a forum centered around the topic of ‘Quality Outcomes’ could have multiple discussions inside of it going on simultaneously. Events: notify community members of upcoming meetings and eventsMembers: easily find and connect with all members of the community to build out users list of ‘Connections’.