Business Intelligence And Healthcare White Paper (English)


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Business Intelligence And Healthcare White Paper (English)

  1. 1. Business Intelligence and Healthcare Major Applications of Business Intelligence Software in the Healthcare Industry
  2. 2. Business Intelligence and Healthcare 1. Introduction ............................................................................................................................ 2 2. The Healthcare Industry: Finding Ways to Combat Rising Costs ............................................... 2 3. Healthcare Application Spotlight: The Advisory Board............................................................. 3 4. Industry Factors Driving Business Intelligence Solutions at Healthcare Organizations ............... 5 5. Applying Business Intelligence to the Needs of Healthcare Organizations ................................ 7 5.1. Financial Analysis ............................................................................................................. 7 5.2. Quality Performance and Safety Analysis ......................................................................... 8 5.3. Marketing Analysis ......................................................................................................... 9 5.4. Claims Analysis ............................................................................................................. 10 5.5. Clinical Data Analysis ..................................................................................................... 11 5.6. Patient Care Analysis ..................................................................................................... 12 5.7. Operational Performance and Cost Management .......................................................... 13 5.8. Resource and Human Capital Management .................................................................. 14 6. Healthcare Organization Snapshots: Henry Schein, Inc., Cancer Care Ontario, PMSI-Tmesys, and Premier, Inc. ........................................................................................... 15 7. Conclusion............................................................................................................................ 17 BUSINESS INTELLIGENCE AND HEALTHCARE
  3. 3. Business Intelligence and Healthcare Major applications of business intelligence software in the healthcare industry With skyrocketing costs in the healthcare industry and an increasingly competitive marketplace, healthcare providers need to use all the tools at their disposal to operate more efficiently and effectively to reduce costs through smart business solutions. The healthcare industry is wide-ranging, and healthcare providers must operate within a multi-tiered information structure—across the value chain from patients and physicians, to employers and insurance companies, to HMOs and hospitals. With such a far-reaching scope of services and concerns, healthcare organizations handle immense amounts of information. Since it’s hard to keep track of important information and even to know which information is valuable, healthcare providers need the tools to take advantage of the myriad information at their disposal. The information technology available today allows healthcare organizations to make better business decisions and to better target performance goals. MicroStrategy More than 400 of our clients perform intuitive Web-based offers the healthcare industry business intelligence query and reporting analyses software to report on, analyze, and monitor vast amounts that identify ways to improve clinical care processes and the of data through a business intelligence architecture that quality of outcomes. Our success helps companies reduce costs, ensure quality care, and demonstrates that MicroStrategy maximize the value of information. Organizations in every is committed to delivering the best, most comprehensive major healthcare segment, including hospital care, physician business intelligence platform services, managed care, government, and public health, in the market. take advantage of the benefits of MicroStrategy’s business Premier, inc. intelligence software. The Healthcare Industry: Finding Ways to Combat Rising Costs MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE Healthcare providers need to keep up with demanding industry challenges to stay viable and competitive. Constant and drastic increases in the cost of healthcare are having wide-ranging effects throughout the healthcare industry, evidenced by employers trying to push more healthcare responsibility onto their employees, and hospitals and healthcare providers facing intense pressure to keep costs down without sacrificing the quality of the care they provide. Complicating matters further, increasingly knowledgeable patients are demanding greater plan flexibility in choosing doctors and treatments, hospitals and health systems are having to write off record amounts of lost revenue due to default on debts, and a rapidly aging baby boomer
  4. 4. population is placing added strain on healthcare systems. More than ever, healthcare providers must find new ways to simultaneously provide quality care and control costs. Many healthcare providers are now focusing their efforts on preventive healthcare and patient education, as well as working to lower overhead costs by reducing paperwork and transaction times. The continuing movement toward electronic health information exchange is also changing the way the healthcare industry operates. The proliferation of e-health is allowing many health plans to lower their costs, as well as monitor and drive down the costs of providers in their networks. The availability of health information online is also resulting in greatly increased consumer knowledge, making patients more discerning in the providers and treatments they select, allowing patients to manage their own healthcare online, and changing the way healthcare providers disseminate information. Providers must now make available educational information about healthcare quality, patient safety, and pricing. Finally, government is having a growing influence on the healthcare industry. Recent legislation is inciting healthcare providers to offer more choices within the constraints of health plans, establish electronic prescription programs, and implement pay-for-performance initiatives. In addition, the Health Insurance Portability and Accountability Act (HIPAA) is increasing the availability of healthcare by allowing individuals to maintain insurance coverage without exclusions or waiting periods after leaving group insurance plans. Plus, growing consumer privacy concerns are putting added requirements on the healthcare industry to ensure the security and confidentiality of consumer information. All of these regulatory changes are placing additional reporting and accountability obligations on healthcare providers, who must have systems in place to monitor and report on compliance measures. healthcare application spotlight The Advisory Board Company, a health care research and professional services firm serving more than 2,600 hospitals and health systems, uses the MicroStrategy platform for its hosted BUSINESS INTELLIGENCE AND HEALTHCARE business intelligence applications. By providing hospitals with improved visibility into their business via secure Web-based performance reporting, these applications elevate hospital performance through better, faster, data-driven decision making. To date, the Advisory Board has developed targeted applications that focus squarely on issues critical to margin improvement and where the company has significant research expertise, such as Revenue Cycle, Surgery Performance, and Supply Chain Management. For example,
  5. 5. Business Intelligence and Healthcare users of the surgery application are able to track costs, revenues and profits per surgery case and to view that information by more than 50 attributes, including service line, primary surgeon, diagnosis related group (DRG), payer, and patient type. Users can also analyze up to 200 throughput and efficiency metrics to pinpoint bottlenecks and opportunities to improve Operating Room (OR) utilization. Less technical staff, who require an intuitive, graphical interface and the ability to diagnose problems efficiently, benefit from pre-packaged dashboards, scorecards, and reports. Each dashboard, scorecard, and report is the result of extensive best practices research and quickly guides staff to the most critical information. Overall, participating institutions are working to decrease supply costs per case by 5%, to increase net revenue by 1–2%, to increase prime time OR utilization by 5–10%, and to increase case volume by 5–10%. A key reason for the Advisory Board’s selection of the MicroStrategy platform was its integrated suite of products. In addition to MicroStrategy Web Professional and MicroStrategy Intelligence Server, Advisory Board applications Our research shows that top performing organizations employ MicroStrategy OLAP Services to allow users to quickly separate themselves from their add analysis-appropriate metrics and attributes, MicroStrategy peers by their ability to quickly diagnose the root cause of Report Services to facilitate dashboard drill-downs, and problems they face on a daily MicroStrategy Narrowcast Server to deliver e-mail alerts when basis. Business intelligence select metrics cross predefined thresholds. To ensure that can level the playing field. members are able to view institution-specific analyses as well The Advisory BoArd as cross-hospital benchmarking, applications support both custom and standardized calculations and attributes. The Advisory Board employs one MicroStrategy architect and one MicroStrategy administrator to support these applications (in addition to other technical operations staff), a testament to the benefits of MicroStrategy’s centralized administration and unified architecture. MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE MicroStrategy-trained Advisory Board staff with expertise in each functional area oversee each client’s site, address the majority of user change requests, and ensure high ROI for members via regular diagnostics, on-demand training, and relevant best practice research to support process and behavior change. “Hospitals have substantial opportunity to improve performance using business intelligence,” reports Dennis Shin, Executive Director at the Advisory Board. “Our research shows that top performing organizations separate themselves from their peers by their ability to quickly diagnose the root cause of problems they face on a daily basis. Business intelligence can level the playing field.”
  6. 6. Industry Factors Driving Business Intelligence Solutions at Healthcare Organizations Healthcare providers must be proactive in managing and utilizing enterprise data if they want to keep up with or stay ahead of the competition. That’s where business intelligence comes in. Business intelligence software gives healthcare organizations the ability to analyze the vast amounts of information they already have to make the best business decisions. The software allows these organizations to tap into their huge databases and deliver easy-to-comprehend insight to improve performance and maintain regulatory compliance. Healthcare agencies, payers, and hospitals can now use business intelligence software to analyze and improve operations, service quality, resource utilization, claims administration, and patient care. MicroStrategy can outfit healthcare providers with this software to maximize their information gathering and make the best use of the data to gain knowledge and improve business strategies. MicroStrategy enables organizations to reach wide and diverse user populations and to report on vast amounts of critical data across multiple business dimensions. The applications of business intelligence in the healthcare industry are far-reaching. First, healthcare organizations must manage large volumes of data, which easily reach into the multi-terabyte range. At the same time, these organizations must leverage information from multiple systems, including clinical charting systems, patient care systems, financial applications, ambulatory care systems, radiology and laboratory data, and claims data from all major payers. MicroStrategy’s foundation in relational OLAP is uniquely suited to handle this depth and breadth of information. Healthcare providers must coordinate information from many areas to improve their processes. Many healthcare organizations have previously utilized individual, isolated applications, slowing their process improvement efforts. MicroStrategy’s unified business intelligence architecture allows organizations to easily integrate and correlate vast amounts of information from multiple sources, identify relationships among the information, and learn how different factors affect each other and the company’s bottom line. In addition, a healthcare provider will have many people in different locations with different skills who need to use this information for varying purposes—everyone from administrators who need high-level executive dashboards with drill-down capabilities, to power users who need to create and design custom reports, to physicians and analysts who must analyze data to identify life-saving treatments. MicroStrategy offers a single, easy-to-use Web interface with extranet and intranet capabilities, enabling multiple users to access the information relevant to them. MicroStrategy’s unique and intuitive analytical capabilities allow different users to manipulate the data to glean the most from the information that affects their decision-making.
  7. 7. Business Intelligence and Healthcare Healthcare organizations are on task to eliminate manual reviews and modernize record keeping. MicroStrategy’s self-service reporting capabilities enable individuals to easily produce reports without iterative back-and-forth requests with IT. Healthcare managers can develop one report template that results in an unlimited number of automatically personalized reports for each user, including remote users in a physician network who have instant access over a secure extranet. MicroStrategy’s extensive reporting capabilities enable healthcare organizations to eliminate manual reviews of medical records, resulting in quality improvements, increased efficiency, and reduced costs. Also, healthcare organizations are establishing standards for key performance indicators based on standards from the Centers for Medicare and Medicaid Services (CMS) and the Joint Commission on Accreditation of Healthcare Organizations. CMS, the federal agency within the U.S. Department of Health and Human Services responsible for the Medicare and Medicaid programs and the State Children’s Health Insurance Program (SCHIP), leverages MicroStrategy for its healthcare analysis and reporting needs. MicroStrategy’s BI software offers healthcare organizations a complete range of services, including reporting on volumes of patient records, monitoring quality and safety, and analyzing market data and dynamics, all while assuring compliance with patient privacy and data security regulations. MicroStrategy’s unique business intelligence architecture simultaneously accesses disparate information, enabling analysis from many sources at once and providing the most thorough and integrated reporting solutions. MicroStrategy then presents this information in user-friendly reports, scorecards, and dashboards and allows users to drill into the information to discover new insights, offering the most intuitive and useful ways to analyze the information to get the desired results — business strategies that ensure effective resource management and improve the quality of healthcare. Healthcare Organizations Use MicroStrategy to Report on Performance Metrics Across a Wide Variety of Business Dimensions, Including: MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE • Academic Institution • Member • Quality Level • Brand • Patient • Referral Source • Business Unit • Payer • Rehabilitation • Claim • Prescription • Research Type • Clinical Trial • Pricing • Service • Customer • Procedure • Staff • Diagnosis Related Group • Product • Therapeutic Class • Employee • Promotion • Time • Geography • Protocol • Treatment • Major Diagnostic Category • Provider • Vendor
  8. 8. Applying Business Intelligence to the Needs of Healthcare Organizations Healthcare providers can use business intelligence in many ways, creating smart business solutions across the myriad challenges in the healthcare industry. FInAncIAl AnAlySIS Healthcare organizations need visibility into the full scope of their financial operations. MicroStrategy’s single Web interface uniquely provides full transparency, analysis, and delivery of financial and operational data. MicroStrategy enables healthcare providers to drill from reports into detailed analyses of costs and revenues, view data underlying cash flow statements, and compare planned versus actual income and margin. MicroStrategy’s analytical capabilities allow providers to analyze current care practice patterns to identify unnecessary or under-utilized services, execute cash flow analysis, forecast collections, and monitor underwriting requirements. In addition, MicroStrategy’s reporting capabilities enable healthcare organizations to meet statutory reporting requirements and ensure accountability from financial analysts to business unit management, executives, and directors. • Accounts payable • Current asset turnover • Percent of in-patient capitated • Accounts receivable • Current ratio revenue • Accrued expenses • Customer plan migration • Percent of in-patient commercial • Assets in current vs. prior period • Net assets revenue • Bad dept as percent of net revenue • Net income • Percent of in-patient HMO revenue • Budget variance analysis • Operating margin • Percent of in-patient Medicaid revenue • Capital expenditure growth rate • Percent of capital expenses • Percent of in-patient revenue • Cash and equivalents • Percent of cash flow to total debt • Percent of in-patient self-pay revenue • Cash collected vs. target • Percent of cash flow to total liabilities • Percent of out-patient Medicaid • Cash on hand • Percent of charitable revenue revenue • Outstanding claims receivables • Percent of debt to capitalization • Percent of out-patient revenue IncOME STATEMEnT ($000S) Last Year This Year Annual Growth Rate (%) Revenues Net patient revenue $44,104 $49,705 12.7% Other operating revenue $2,056 $2,360 14.8% Total operating revenue $46,160 $52,065 12.8% Operating expenses Interest $1,397 $1,491 6.7% Depreciation $2,563 $2,847 11.1% BUSINESS INTELLIGENCE AND HEALTHCARE Other operating expenses $41,315 $46,524 12.5% Total operating expenses $43,315 $50,862 17.4% Income (Loss) Operating income $845 $1,126 33.3% Nonoperating income $1,075 $1,147 6.7% Extraordinary items -$47 -$79 68.8% Excess of revenue over expenses $1,873 $2,194 17.1% Financial reporting is essential for healthcare organizations – to meet statutory requirements, but also to create greater transparency within the organization at the executive level and other key roles in the company. MicroStrategy delivers financial reporting from the same platform that enables advanced analysis, dashboards, and anomaly detection of enterprise-wide data.
  9. 9. Business Intelligence and Healthcare QUAlITy PERFORMAncE AnD SAFETy AnAlySIS Providing safe, quality care is a top priority for healthcare organizations. MicroStrategy allows providers to improve performance by leveraging evidence-based performance data, tracking variations in quality, providing patient dashboards, setting alerts, and checking drug interactions. Providers use MicroStrategy to monitor the quality of their care according to the Health Plan Employer Data and Information Set (HEDIS) standards established by the National Committee for Quality Assurance to allow for performance comparisons across quality, patient access, patient satisfaction, utilization, and financials. Additionally, MicroStrategy’s executive dashboards, a best practice for improving quality at healthcare organizations, empower managers to make more timely decisions and participate in on-the-spot quality improvements. MicroStrategy’s advanced analytics also allow providers to identify the presence or absence of interventions recommended by evidence- based medicine. For instance, more than 40,000 users at the European Medicines Agency, including regulators, pharmaceutical companies, and healthcare professionals, use MicroStrategy to analyze safety information for drugs before and after they are introduced to the market. • Adherence • Number of hospitalizations • Patient satisfaction • Compliance • Number of order sets • Quality of life • Dose • Number of patients admitted to • Refills • Frequency of attacks emergency departments • Reliability • Handling costs • Number of patients admitted to hospitals • Severity of attacks • Length of stay • Number of patients referred outside of • Usability • Length of visit with nurse practitioner the network • Utilization rate • Length of visit with physician • Number of patients with infections • Validity • Medication errors • Number of patients with vaccinations • Wait Time • Monthly drug cost • Number of physicians’ visits • Number of emergency room visits • Packaging costs RISk AnAlySIS FOR PATIEnTS By AgE AnD BMI 4 Ages 25-59 Years Old Ages 60-69 Years Old Ages 70 Years Old 3 Relative Risk 2 MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE 1 0 18.5 18.5 to 25 25 to 30 30 to 35 35 18.5 18.5 to 25 25 to 30 30 to 35 35 18.5 18.5 to 25 25 to 30 30 to 35 35 BMI Survey I Survey 2 Survey 3 Survey 4 Providers take advantage of MicroStrategy’s advanced analytical capabilities, analyzing an individual’s history and risk profile to determine the likelihood of increased resource consumption based on information such as accelerated use of healthcare services, co-morbidites, drug use, and patient demographics.
  10. 10. MARkETIng AnAlySIS As patients become more knowledgeable with more information available to them, healthcare providers must place a greater focus on their marketing efforts to stay competitive. Providers use MicroStrategy to analyze the success of marketing efforts designed to demonstrate the clinical effectiveness of their products and services, create an increased feeling of overall wellness, and reduce workplace absenteeism. MicroStrategy’s advanced analytics also allow providers to determine the most cost-effective marketing techniques by tracking campaign costs against budget, calculating the return on investment for campaigns, and comparing performance against goals. In addition, MicroStrategy’s integrated reporting and analysis architecture allows healthcare providers to use dashboards to show which products and services are profitable in specific patient segments and measure how their marketing efforts and corporate communications alter brand perception and affect brand performance. • Acquisition • Customer segmentation • Number of visits to Website • Advertising budget per procedure • Demographic analysis • Patient satisfaction • Average visit length to Website • Loyalty programs • Physician practices • Brand management • Market share by business • Preferences and permissions • Churn analysis • Market share by customer bundling • Customer profitability • Market share by patient • Retention • Customer scorecards • Marketing focus group scores • Service and transaction history PATIEnT SATISFAcTIOn By HOSPITAl, BASED On RATIngS FOR SERVIcES REcEIVED 100% 90% 80% 70% Percent of Patients Fair or Poor 60% Good 50% 40% Excellent or 30% Very Good 20% 10% 0% Hospital 1 Hospital 2 Hospital 3 Hospital 4 Hospital 5 BUSINESS INTELLIGENCE AND HEALTHCARE Reporting on patient satisfaction supports the goal within healthcare organizations for increased accountability among healthcare providers, and it can also be leveraged for marketing purposes. Users from Marketing and Specialized Care Services find value in accessing key performance indicators on Patient Satisfaction from MicroStrategy reports and dashboards over an easy-to-use Web interface.
  11. 11. Business Intelligence and Healthcare clAIMS AnAlySIS By analyzing and monitoring claims, business intelligence can help healthcare providers and payers determine the biggest risk areas and devise the most effective rate structures. Properly managing claims information also allows healthcare organizations and payers to optimize pricing, improve response time to claims, and thwart fraudulent claims. MicroStrategy’s advanced analytical capabilities offer predictive analysis that enables healthcare organizations to analyze risk across the network, detecting anomalies tied to errors or fraudulent claims, increasing predictability of claims-payment flows, and identifying loss potentials for specific geographical areas. In addition, MicroStrategy software is used for call center solutions, with analysis down to the individual call detail record, helping ensure high levels of patient support while controlling costs. Claims administrators use MicroStrategy to monitor for deliberate deceit by providers seeking payment for services not actually rendered or by beneficiaries claiming program eligibility. In addition, MicroStrategy’s bullet- proof security protects sensitive provider and patient information as required by law. • Allowable charges • Complaint logs • Outpatient paid per member • Amount of reimbursements • Co-pay • Percent of first-time accurate claims • Average length of stay • Enrollment • Percent of fraudulent claims • Average paid per admission • Inpatient paid per employee • Percent paid out-of-network • Balance • Inpatient paid per member • Plan comparison • Benefits paid as percent of allowable • Number of reimbursements • Prescription utilization • Call times • Opt-outs • Response times • Call volumes • Outpatient paid per employee • Staff time spent on reviewing claims clAIMS cOST MODEl By BEnEFIT cATEgORy Benefit Category Utilization Units Average Average % Billed Allowed Discount Charge Charge Off Billed Hospital Hospital Inpatient Medical / Surgical 76,347 Days $ 9,249 $ 2,447 73.5% Psychiatric Alchohol Drug Abuse 7,904 Days $ 1,889 $ 726 61.5% Even the most novice users Skilled Nursing Facility 2,402 Days $ 877 $ 441 49.7% are able to run claims Maternity 12,290 Days $ 5,358 $ 1,470 72.6% reports easily and begin Hospital Inpatient Subtotal 98,943 $ 7,975 $ 2,139 73.2% to perform simple analysis with MicroStrategy. More Hospital Outpatient MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE Emergency Room 41,042 Cases $ 1,472 $ 460 68.7% advanced claims analysis can Surgery 34,838 Cases $ 6,344 $ 1,615 74.5% yield insights into preventive Radiology 121,232 Services $ 755 $ 298 60.5% treatments and improved Pathology 494,786 Services $ 75 $ 28 61.4% quality of life, such as a Cardiovascular 12,738 Services $ 659 $ 217 67.0% recent analysis that found PT / OT / ST 70,422 Services $ 161 $ 69 57.3% correlations between disability Other 52,502 Services $ 506 $ 241 52.2% claims and depression. Cardiac Rehab 3,758 Services $ 189 $ 123 34.7% Dialysis 9,441 Services $ 797 $ 274 65.6% OP Psych Facility 5,999 Services $ 346 $ 212 38.7% Blood / Pharmacy 30,757 Services $ 530 $ 240 54.6% Maternity Non-Deliveries 1,803 Services $ 555 $ 290 47.8% Hospital Outpatient Subtotal 879,318 $ 550 $ 179 67.3% 10
  12. 12. clInIcAl DATA AnAlySIS Healthcare providers can improve clinical quality and resource utilization by effectively monitoring and measuring clinical performance and outcomes data. By delivering analysis from multiple sources at once, MicroStrategy enables organizations to track large amounts of information stemming from clinical activities and identify the most efficient practices. MicroStrategy’s in-depth analytical capabilities also help providers identify trends and anomalies, and analyze risk in clinical care. Furthermore, physicians, hospitals, and healthcare organizations are discovering that they cannot provide the best care by operating autonomously as independent silos. With MicroStrategy, all constituents can work from the same data over a secure extranet with information personalized based on security credentials. MicroStrategy’s unique centralized administration and bullet-proof security assure that healthcare providers have industry-leading security measures at every layer of the architecture. With secure, essential clinical information, individual practitioners can diagnose and prescribe more quickly and provide top quality care with greater peace of mind. • Average cost per case • Patient safety and staffing • Clinical outcomes • Performance reporting • Cost and clinical data • Population risk • Cost effectiveness • Resource consumption vs. benchmark • Disease management • Response times • In-patient admission rates • Treatments • Investment in research programs • Number of procedures vs. benchmark clInIcAl DATA DASHBOARD ACE Inhibitor Therapy in Congestive Heart Failure Increasing Adoption Rates of Proven Techniques 100% Last Year This Year Received Treatment 80% Ace Inhibitors 65% 75% 60% Beta Blockers 72% 82% Glycated Hemoglobin 71% 86% 40% Potassium 69% 83% 20% Anticoagulation 59% 71% 0% Mammography 76% 79% Rates BUSINESS INTELLIGENCE AND HEALTHCARE Peer previous Peer current Physicians current The MicroStrategy architecture provides a unified framework for clinical data analysis to facilitate information sharing and collaboration. MicroStrategy’s Web interface is specifically designed for intuitive and convenient use by users of all levels and is ideally suited for reaching individual practitioners accessing clinical data dashboards and analysis over a secure extranet. 11
  13. 13. Business Intelligence and Healthcare PATIEnT cARE AnAlySIS Healthcare providers want to offer the highest-quality patient care in the most efficient way possible with improved patient access to care. MicroStrategy enables the right people to access the right information at the right time, delivering a single platform to healthcare providers for sharing information with patients for better decision-making and connecting patients across hospital, nursing home, physician office, and community social support settings. By providing easy, secure access to crucial information, MicroStrategy supports safe care delivery, assists clinicians in evidence-based clinical decision-making, and facilitates seamless care coordination across clinical settings. Providers use MicroStrategy to monitor and forecast patient diagnoses and use of healthcare services in order to improve patient care, reduce wait times, and administer more effective treatments. In addition, MicroStrategy’s foundation in relational OLAP enables analysis of performance metrics to determine cause-and-effect relationships, providing information that facilitates the best possible outcomes. By increasing information sharing with patients and offering patients self-service functions, organizations using MicroStrategy allow patients to take ownership of their own care, leading to improved outcomes. • Attention to needs • Patient functionality • Service complaints • Clinical outcomes • Patient wait time in admissions • Service level agreement (SLA) • Days to next appointment • Patient wait time in pharmacy reporting • Dispatch request and monitoring • Percent care inpatient vs. outpatient • Services performed • Interventions provided • Questions reporting • Timeliness of services • Overall satisfaction with patient care • Satisfaction with physical • Trouble ticket resolution MEDIAn WAIT TIME BETWEEn REFERRAl AnD TREATMEnT Median Wait Time 25 20 Number of Weeks 15 10 MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE 5 0 n nd ia ec ia ick d rta ba io wa lan mb ot tar eb ito Isla sw be Sc nd he On Qu olu an Al un ard va atc ou M hC Br No dw wf sk w itis Sa Ne Ne eE Br nc Pri Last Year Current Year Wait times between referral from a general practitioner and treatment, particularly for specialties with high mortalities, are a metric of key concern to hospitals. MicroStrategy provides an easy-to-use Web interface with integrated reporting and analysis, enabling analysts to drill from a graph on wait times immediately into underlying drivers. 1
  14. 14. OPERATIOnAl PERFORMAncE AnD cOST MAnAgEMEnT Healthcare organizations can respond to the intense pressure to cut costs by employing information solutions that monitor opportunities to improve operations, spotlighting inefficient uses of resources and unnecessary overhead costs. By providing a single view into data from clinical trials, accounting systems, clinic management systems, and other enterprise data, MicroStrategy enables providers to identify areas that are underperforming and need immediate action. In addition, with so much emphasis on controlling costs, healthcare providers need to closely monitor expenditures and determine the best allocation of funds. MicroStrategy’s in-depth analytical capabilities allow providers to drill down into unusual costs, ascertain best practices of the most profitable business units, and identify utilization patterns. MicroStrategy’s Web-based reports enable providers to measure employee and physician performance and productivity, while dashboards allow them to track the success of pay-for-performance initiatives. • Average daily census • Case mix adjusted utilization rate • Outpatient visits • Payer contract development vs. plan • Inpatient days • Percent of board certified surgeons • Cost of medications prescribed • Strategic skill rating • Cost of procedures employed • Percent of staff received Six Sigma training • Cycle times • Employee satisfaction survey • Labor utilization • Employee productivity • Supplies utilization • Forecast capacity and staffing DIScHARgE InFORMATIOn By clInIcAl cOnDITIOn 3.0 Standardized Discharge Ratio 2.0 (Log Scale) 1.0 0.5 0.2 ir my my s t ery my sty ss my en as pa pa pla yp rg to cto to to em Re By Su lec rec tec yB gio ste lac re ity Co rte sta ck ter tu An cy ep em Ba da rac Pro Ar ole BUSINESS INTELLIGENCE AND HEALTHCARE pR ary xtr En pF ary Ch al Hi rE ron id dic Hi ron we rot Co Ra Co Lo Ca Healthcare organizations may start with a single application and evolve to enterprise-wide use of MicroStrategy for all business intelligence needs. The above clinical reporting example shows how critical data on discharge planning has relevancy for managers in other departments, including Operations Managers forecasting capacity and staffing and Financial Managers projecting general and administrative expenses. 1
  15. 15. Business Intelligence and Healthcare RESOURcE AnD HUMAn cAPITAl MAnAgEMEnT Effective resource management is a key opportunity for healthcare providers to reduce costs and increase efficiency. Healthcare organizations must ensure proper management of resources, including personnel, equipment, supplies, and transportation. By monitoring inventory and managing supply chains, MicroStrategy allows providers to eliminate waste, better allocate insufficient resources, and make better decisions regarding supplier usage. In addition, labor costs are one of the largest expenses for most healthcare organizations, making human capital management a critical application of business intelligence in this industry. Healthcare organizations use MicroStrategy for strategic analysis of compensation, performance benchmarks, workforce productivity, turnover and retention, staffing and employee relations, and employee recruitment and development. A CFO at a specialty healthcare organization has indicated that using MicroStrategy has improved their internal resource utilization and helped save millions of dollars. • Advertising costs • Outside labor as percent of total • Salaries and benefits • Cost of hires by source • Overtime costs • Search fees • FTE utilization • Part-time FTEs as percent of total FTEs • Staff satisfaction • Number of new hires per day • Percent of positions filled by on- • Time-to-fill (or time-to-hire) • Number of online job applications site vs. off-site recruiters • Turnover per manager • Number of physician FTEs • Percent of voluntary staff turnover • Turnover per tenure • Number of pre-qualified candidates • Replacement viability • Vacancy rate • Number of requisitions • Return on sourcing • Weekly payroll RESOURcE UTIlIzATIOn AnD AccESS By InSURAncE STATUS 75 Reporting Problems Percent of Adults 50 25 0 Did Not Fill a Did Not See Skipped Had Medical Any of the Four Prescription Specialist When Medical Test, Problem, Did Access Needed Treatment, or Not See Doctor Problems Follow-up or Clinic MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE Uninsured Now Uninsured Now, Time Uninsured in Past Year Insured All Year With healthcare spending representing an ever-increasing percent of the gross domestic product, and salaries and benefits representing one of the most significant expenses incurred by companies, healthcare providers are on task to optimize resource utilization and improve human capital management. MicroStrategy delivers integrated reporting and analysis from a single platform with centralized administration and low overhead. 1
  16. 16. healthcare organization snapshots TRAckIng SAlES AnD MARkETIng TREnDS AT HEnRy ScHEIn, Inc. Henry Schein, Inc. is using MicroStrategy to gain better insight into its sales and marketing operations. With the technology, New York-based Henry Schein is able to track sales of its more than 80,000 products and analyze buying trends across its customer base. Currently, Henry Schein employees are able to perform sales and marketing analyses against a centralized IBM DB2 data warehouse. End users can, for example, track the performance of a prior sales promotion or analyze the buying trends of a particular product on a given day to determine who is buying what items and at what times. “MicroStrategy is the platform upon which the entire company is accessing product, customer, and sales information. The crux of our business is our customers and our products, and MicroStrategy enables Henry Schein to track sales over time for all of our medical, dental, and veterinary products. We selected MicroStrategy for its platform’s superior analytics, flexibility, and impressive information delivery capabilities. Thus far, we have received excellent feedback from our end-user community.” – Henry Schein, Inc. STATISTIcAl AnAlySIS AnD REPORTIng AT cAncER cARE OnTARIO Cancer Care Ontario is an umbrella organization, and an agency of the Ontario Ministry of Health and Long-Term Care, that steers and coordinates Ontario’s cancer services and prevention efforts. As the provincial government’s chief cancer advisor, Cancer Care Ontario directs over $500-million in public health care funding for cancer prevention, detection and care. The agency also operates research, screening and prevention programs; collects, monitors and reports information about cancer and cancer system performance; develops evidence-based standards and guidelines for health care providers; and works with regional providers to plan and improve cancer services. As part of CCO’s information management strategy, an Enterprise Data Warehouse (EDW), and a unique Web-based analytic component, iPort™, were created using MicroStrategy 8.0, to provide instant, reliable cancer information to cancer planners, managers and policy makers. Today, iPort™ provides electronic population data and provincial and region-based cancer surveillance statistics and cancer services delivery. The EDW contains historic, current and year 2020 projected incidence, prevalence, mortality and survival data, as well as historic and current monthly radiation, systemic services and cancer surgery treatment activity at Regional Cancer Centres and hospitals across the province. When fully developed, the EDW and iPort™ will provide “one window” access to authoritative information about every aspect of the cancer continuum from prevention through to palliative care. BUSINESS INTELLIGENCE AND HEALTHCARE Currently rolled out to more than 200 cancer planners, managers, and other healthcare providers in Ontario, iPort™ enables these end users to view existing high level reports, or to create their own detailed reports using the comprehensive BI technology provided through MicroStrategy. While the majority of CCO’s users work with iPort™ over the Web, CCO’s internal Informatics team uses the MicroStrategy Desktop to create more complex reports for other data users not as comfortable with using the software themselves, or who may not have access. “The introduction of iPort™ has changed the way that CCO gathers, stores, manages, and disseminates information in a highly positive way, empowering users to get the data they need quickly and easily.” – cancer care Ontario 1
  17. 17. Business Intelligence and Healthcare SElF-SERVIcE ExTRAnET REPORTIng AT PMSI-TMESyS PMSI-Tmesys, one of the nation’s leading workers’ compensation service providers, selected MicroStrategy to support its Web portal that provides timely, self-service reporting capabilities for its clients. PMSI-Tmesys expected more than 5,000 workers’ compensation claims professional clients to use the Web portal in the first year. With the portal, PMSI-Tmesys clients can generate user-friendly reports on medications prescribed to a particular claimant, top-prescribed drugs, top- dispensing pharmacies, and payer-specific savings, among other criteria. Using MicroStrategy, the users have the flexibility to drill down into the data, analyze it, export it, customize it, and present it in a number of different ways. In addition, different types of reports are available to different job functions as set by PMSI-Tmesys’ clients. “We selected MicroStrategy because of its exceptional scalability, core reporting, and analytic functionality. MicroStrategy positions us to provide better quality and more timely information to our clients, giving them critical insights to make analytically based decisions.” – PMSI-Tmesys IMPROVIng PERFORMAncE AnD HIgH QUAlITy HEAlTHcARE AT PREMIER, Inc. The MicroStrategy Business Intelligence Platform is providing critical support for an important project between Premier, Inc., and the U.S. Department of Health Human Services (HHS) to improve hospital performance nationwide. Premier, Inc. is a strategic U.S. healthcare alliance owned by 200 of the nation’s leading not-for-profit hospitals and healthcare systems. MicroStrategy’s platform supports Premier’s data applications, helping its healthcare system clients make informed decisions on clinical quality and patient safety, business and market strategy, clinical resource utilization, operational performance, and productivity. More than 400 of Premier’s clients use the MicroStrategy platform through the Perspective Online tool to monitor and measure their clinical and cost performance. In 2003, the U.S. announced a new joint project between the Centers for Medicare Medicaid Services (CMS) and Premier to use financial incentives to encourage hospitals to continuously improve the quality of their in-patient care. Hospitals that participate in the project are eligible for increased Medicare payments for delivering high-quality care to patients who are being treated for specific clinical conditions. MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE “MicroStrategy’s business intelligence software supports this important demonstration project and the ongoing applications we need. Premier has spent many years establishing a capability on a scale required for this project, as well as our clients’ needs. We rely on many partners, including MicroStrategy, to help us create a comprehensive solution for the industry.” – Premier, Inc. 1
  18. 18. MicroStrategy: The Choice of Leading Healthcare Organizations At MicroStrategy, we are fully dedicated to helping healthcare providers stay competitive in a challenging industry. We believe that business intelligence properly applied to enterprise data provides healthcare organizations with the insight they need to increase revenue, reduce costs, and comply with industry regulations and standards. Today, nine of the top ten Fortune 500 healthcare and pharmaceutical companies rely on MicroStrategy’s business intelligence architecture for their reporting, analysis, and monitoring of wide-ranging healthcare data. MicroStrategy’s unified architecture offers healthcare providers far-reaching opportunities for ever-expanding business intelligence. Whether starting with one or several applications, healthcare providers can evolve to utilize MicroStrategy’s unique competencies: an easy-to-use unified Web interface with extranet and intranet capabilities, access for thousands of users, reporting and analysis of tremendous amounts of data across multiple sources, graphical dashboards and boardroom-quality reports, unconstrained analytical flexibility, and industry-leading security architecture. With the increasing challenges the healthcare industry is facing, providers need to stay one step ahead of the competition. MicroStrategy equips healthcare organizations with the tools they need to make the best use of the vast amounts of information available to them, allowing them to operate more efficiently and improve patients’ well-being. At MicroStrategy, we are committed to helping your organization increase its competitive advantage by devising smart business solutions and making better business decisions every day. BUSINESS INTELLIGENCE AND HEALTHCARE 1
  19. 19. All Contents Copyright © 2007 MicroStrategy Incorporated. All Rights Reserved. MicroStrategy, MicroStrategy 6, MicroStrategy 7, MicroStrategy 7i, MicroStrategy 7i Evaluation Edition, MicroStrategy 7i Olap Services, MicroStrategy 8, MicroStrategy Evaluation Edition, MicroStrategy Administrator, MicroStrategy Agent, MicroStrategy Architect, MicroStrategy BI Developer Kit, MicroStrategy Broadcast Server, MicroStrategy Broadcaster, MicroStrategy Broadcaster Server, MicroStrategy Business Intelligence Platform, MicroStrategy Consulting, MicroStrategy CRM Applications, MicroStrategy Customer Analyzer, MicroStrategy Desktop, MicroStrategy Desktop Analyst, MicroStrategy Desktop Designer, MicroStrategy eCRM 7, MicroStrategy Education, MicroStrategy eTrainer, MicroStrategy Executive, MicroStrategy Infocenter, MicroStrategy Intelligence Server, MicroStrategy Intelligence Server Universal Edition, MicroStrategy MDX Adapter, MicroStrategy Narrowcast Server, MicroStrategy Objects, MicroStrategy OLAP Provider, MicroStrategy SDK, MicroStrategy Support, MicroStrategy Telecaster, MicroStrategy Transactor, MicroStrategy Web, MicroStrategy Web Business Analyzer, MicroStrategy World, Alarm,,, Angel,, Application Development and Sophisticated Analysis, Best In Business Intelligence, Centralized Application Management, Changing The Way Government Looks At Information, DSSArchitect, DSS Broadcaster, DSS Broadcaster Server, DSS Office, DSSServer, DSS Subscriber, DSS Telecaster, DSSWeb, eBroadcaster, eCaster, eStrategy, eTelecaster, Information Like Water, Insight Is Everything, Intelligence Through Every Phone, Your Telephone Just Got Smarter, Intelligence To Every Decision Maker, Intelligent E-Business, IWAPU, Personal Intelligence Network, Personalized Intelligence Portal, Query Tone, Quickstrike, Rapid Application Development,, Telepath, Telepath Intelligence, Telepath Intelligence (and Design), The E-Business Intelligence Platform, The Foundation For Intelligent E-Business, The Integrated Business Intelligence Platform Built For The Enterprise, The Intelligence Company, The Platform For Intelligent E-Business, The Power Of Intelligent eBusiness, The Power Of Intelligent E-Business, The Scalable Business Intelligence Platform Built For The Internet, Industrial-Strength Business Intelligence, Office Intelligence, MicroStrategy Office, MicroStrategy Report Services, MicroStrategy Web MMT, MicroStrategy Web Services and Pixel Perfect are all registered trademarks or trademarks of MicroStrategy Incorporated. All other products are trademarks of their respective holders. Specifications subject to change without notice. MicroStrategy is not responsible for errors or omissions. MicroStrategy makes no warranties or commitments concerning the availability of future products or versions that may be planned or under development. This product is patented. One or more of the following patents may apply to the product sold herein: U.S. Patent Nos. 6,154,766, 6,173,310, 6,260,050, 6,263,051, 6,269,393, 6,279,033, 6,501,832, 6,567,796, 6,587,547, 6,606,596, 6,658,093, 6,658,432, 6,662,195, 6,671,715, 6,691,100, 6,694,316, 6,697,808, 6,704,723, 6,707,889, 6,741,980, 6,765,997, 6,768,788, 6,772,137, 6,788,768, 6,792,086, 6,798,867, 6,801,910, 6,820,073, 6,829,334, 6,836,537, 6,850,603, 6,859,798, 6,873,693, 6,885,734, 6,888,929, 6,895,084, 6,940,953, 6,964,012, 6,977,992, 6,996,568, 6,996,569, 7,003,512, 7,010,518, 7,016,480, 7,020,251, 7,039,165, 7,082,422, 7,113,993, 7,127,403 and 7,174,349. Other patent applications are pending. COLL-0683 0307 MicroStrategy Incorporated • 1861 International Drive McLean, VA 22102 • 888.537.8135 • •