QlikView For Healthcare From Top Line Strategies

Meet the new champ: Why patient care managers and financial managers go wild for QlikView 9 healthcare intelligence software.Presented By: TopLine StrategiesJune 10, 2009

Introductions & Agenda
Presenters

Bill Jentarra – EVP, IT Managed Services, TopLine Strategies
Michael Grollman – CTO, TopLine Strategies
Terry Kavouras – QlikView Technical Manager

Agenda

Webinar Objectives
Healthcare and Business Intelligence (BI)
Introduction to QlikView / QlikTech
Solution Demonstration
Client Success Stories
Discussion

Webinar Objectives

Review challenges facing the healthcare industry
What is QlikView and who is QlikTech?
Discover why QlikView and Healthcare is a perfect match
Understand how other healthcare providers are benefiting from increased data visibility
Implementation Statistics
Case Studies

QlikView, huh?Why QlikView is the new BI Champ in so many places
”QlikTech customers have consistentlyreported high praise and satisfaction with the company and its products, and are most likely to have achieved value from the purchase of the software for performance management projects. The software interface is known for its intuitiveness and this means that end-users are likely to adapt to its use quickly.” 1
2009 Aberdeen AXIS(TM) for BI/Performance Management
“Aberdeen is unique in that they ask CUSTOMERS for feedback on vendors. Customer’s raved about QlikView and the value that we created for them. In today’s economy, this is tremendous validation of our focus on fast value creation for customers.”
- Anthony Deighton, SVP Marketing, QlikTech
1Aberdeen AXIS Report for Business Intelligence/Performance Management, January 29, 2009

“On average, only 7% of data is used for analysis today in hospitals.”*
“Over the next 5 years, 50% of hospitals in the US and Western Europe will have complied with the need for increased healthcare transparency.”*
Information Overload
Numerous Underlying Clinical, Financial and Resource Planning Systems
Inability to Access, Aggregate & Explore Relevant Data
Inconsistent Information Used Across Organization
* Gartner Group, Vi Shaffer among others, “Predicts 2007: Healthcare Providers Must Improve Efficiency of Operations,” published November, 2006

Top Business & IT Priorities in Healthcare

Performance Challenges in Healthcare
Resource Constraints
“Capacity challenges are affecting service availability and limiting revenue growth. More than half of hospitals are experiencing a capacity crunch in servicing a growing population with limited resources in beds, equipment and staffing.”
Financial Strains
"One third of hospitals are losing money, and another third are just breaking even.”
“Added cost pressures will come from higher expenses, unfunded capital needs, lower reimbursement rates and increased transition to diagnostic-related-group payment methods.”
Dissatisfaction in Quality of Patient Care
“More than half of patients are dissatisfied with the quality of healthcare.”
“Less than a quarter of hospitals are fully compliant with safety practices.”
“There are ~100,000 deaths a year from preventable medical errors in the US alone.”
Inefficient Clinical Operations
“Burgeoning patient waiting times with deviations across required treatments, facilities and government regulations.”

Leading provider of next generation BI solutions
Fastest growing BI software company in the world (according to IDC)
Profitable, annual revenue growth of ~50% over the past 4 years
Over 11,000 customers in 95 countries
Adding 14.5 new customers every day
Over 500,000 live users
Shipping since 1995, now version 9

QlikTech – The Business Answers Company

QlikView for Business Answers
Simple, designed for every user
2
Any-Size
Deployments
10,000X
Enterprise
50X
Server
2X
Local
1X
Personal
Laptop
On-Premise
Mobile
Cloud
Analytics for Anyone and Everyone — Simple to use and learn.
Designed for every user (business and technical).
Instant Business Answers — Explore all of your data without limits.
Never wait for a static report again.
Rapid Time to Value — Measured in days and weeks.
Any size deployment — Meets every business need from a single
user to the largest global enterprises.
Any kind of deployment — Premise, cloud, mobile (iPhone), and laptop.
Enterprise-proven, IT-friendly — Successfully delivering business
answers in over 1,000 enterprise accounts.
Deploy
Anywhere

Select QlikView Customers in Healthcare
More Than 250 Healthcare Providers Are Leveraging QlikView

QlikView for Healthcare
Clinical Operations

Patient Administration & Medical Record
Clinical Care Process ‘Flow Model’
Six Sigma Analysis – Flow & Medical Errors
Regulatory Compliance - Quality / Safety (JCAHO, NCQA, Hedis, HIPAA, DRG, etc.)

Finance

Planning, Budgeting & Forecasting
Actuals / Budget Analysis by Department
Revenue / Cost per Patient / Room
Physician Profiling
Compliance Reporting – IFRS / GAAP

Care Delivery

Condition, Diagnosis & Treatment Analysis
Evidence Based Medicine / Survivability
Prevention / Care / Aftercare Planning
Treatment & Prescription Order Tracking
Clinical Outcome Analysis

Revenue Cycle

A/R / Payment Collections
Contract Management & Billing
Claims Administration / Denial Management
Audit and Fraud Detection
DRG / Pay-for-Performance Reporting

Resource Planning

Equipment / Testing Scheduling
Bed / Room / ER / OR / ICU Utilization
Clinician Shift Scheduling & Planning
Staff Planning – Retirement / Shortages
Needs Analysis, Trending, Benchmarking

Supply Chain

Demand Planning
Procurement & Material Management
Inventory & Care Unit Availability
Logistics & Fulfillment Analysis
Supplier Quality & Performance

Dashboard
Analysis
Reporting
Real Results from Actionable Information

Increase Efficiency – Analyze historical information, patient inflow patterns, drive optimal utilization
Improve Cash Flow and Decrease Write Offs – AR trends, extensive drill-down
Control Costs – Analyze and compare hospital, practice, physician and patient care cost profiles
Improve Patient Care – Single version of the truth, consolidate patient information
Shorten Wait Times – Prioritize patients, improve patient flow, predictable patient experience

Simplifying Analysis for Everyone
Everyone Else
“Fast Implementation”
“Easy-to-Use”
“Powerful”
“Flexible”
“Integrated”
“Low Cost”
“Risk-Free”
QlikView New Rules

Fast Implementation… Customers are live in less than 30 days, and most in a week
Easy to Use… End users require no training and enjoy “qliking” through the application
Powerful… Near instant response time on data volumes as high as a billion records across thousands of users
Flexible… Allows unlimited dimensions and measures and can be modified in seconds
Integrated… Dashboards, analysis and reporting in a single solution and on a single architecture
Low Cost… Less costly, shorter implementations result in fast return on investment
Risk-Free… Fully-functional free trial download, and a seeing-is-believing experience

QlikView Value Proposition: 1/4 the Time, 1/2 the Cost, 2x the Value

Simplifying Analysis for Everyone
Everyone Else
“Fast Implementation”
“Easy-to-Use”
“Powerful”
“Flexible”
“Integrated”
“Low Cost”
“Risk-Free”
QlikView New Rules

Fast Implementation… Customers are live in less than 30 days, and most in a week
Easy to Use… End users require no training and enjoy “qliking” through the application
Powerful… Near instant response time on data volumes as high as a billion records across thousands of users
Flexible… Allows unlimited dimensions and measures and can be modified in seconds
Integrated… Dashboards, analysis and reporting in a single solution and on a single architecture
Low Cost… Less costly, shorter implementations result in fast return on investment
Risk-Free… Fully-functional free trial download, and a seeing-is-believing experience

QlikView Value Proposition: 1/4 the Time, 1/2 the Cost, 2x the Value

(Unbelievably) Fast Implementations
1 day proof of concept
1 week implemented
4 weeks implemented pharmaceutical application with only two resources
4 weeks implemented four applications
3 weeks implemented first version of DRG analysis
5 days implemented
12 weeks implemented
2 weeks implemented first application
1 week implemented

Delivering High Performance for Large Data Volumes and Support for Large Scale End User Deployments
Healthcare – Large Data Volumes
Healthcare – Large Scale Deployments
2,400 users at Blekinge Hospital (Sweden)
15 – 20 TB of data or 2 billion records analyzed on doctors, patients and diagnosis
1,000+ users across Region Skåne (Sweden)
Millions of records pulled from network of hospital trusts
600 users at Malteser (Germany)
Millions of records supporting 1.4 million patient visits / year
Millions of records with 700,000 annual patient visits - pulled from 6 hospital systems
265 users at Helsingborgs Hospital (Sweden)
5 million records with 500,000 annual patient visits analyzed on patient data and diagnoses
250 users at National Health Service (UK)
1.5 million records pulled from multiple data sources
125 users at KVN (Germany)
Millions of records analyzed on doctors, patients and diagnosis

Real Customer Results
Clinical Operations & Care Delivery Benefits
Reduced patient wait times
(from a year down to a few days)
99% decrease in time to access patient critical information
(down to seconds) to assess optimal treatments for meningitis
Resource Planning & Supply Chain Benefits
$66 million in procurement cost savings over two years for North West Collaborative Hub that overseas $2.4 billion in spend
5% decrease in costs for prescribed medical products, saving $1.1 million annually
Revenue Cycle & Financial Benefits
65% projected decrease in write-offs of insurance claims down from $15 million to $5 million per year
80% reductionin audit time reporting on DRG metrics down from 3 weeks to 2-3 days to prepare for negotiations with insurance funds
Administrative Reporting Benefits
$240,000 in annual cost savings with 33% reduction in controllers due to efficiency gains in reporting
99% reduction in time for SIR (Swedish ICU Register) reporting down from a couple weeks to just a couple of minutes

“With QlikView we can identify related issues and solve problems, which would have previously been completely lost in the mass of data. QlikView developed into a strategic tool for us and allows us, by means of data controlled company management, to be successful in the long-term despite the high pressures associated with managing costs.”
UschiSchäfer, Medicine Controlling, Marienhospital Gelsenkirchen (Germany)
“The most important thing is to make the right decision quickly, it can be the difference between life and death. When I receive a patient, I can place myself in front of the computer screens and get the information I need immediately. It’s completely fantastic. Now I have the total picture in front of me, and I don’t have to search in different databases and waste precious minutes before still guessing something in the end.”
Daniel Stålhammar - Associate Professor, Sahlgrenska University Hospital (Sweden)
“Patients can now come for a check-up after a few weeks. Previously it could take up to a year before patients
with specific eye problems could come for a check-up. With the new flow model and QlikView, patient waiting
times are now significantly shorter.”
Kerstin Sjöström, Clinic Manager, UMAS Eye Clinic, Region Skane (Sweden)
Driving Competitive Advantage & Strategic Value

“These are intuitive decisions we might have made otherwise, but now they have been backed up by irrefutable data. It's not a problem for our surgeons or anesthesiologists to accept this as the data we need to act on.”
Kathleen Brooks,
Administrative Director for Perioperative Services
Bassett Healthcare
Challenges

Improve quality patient care through operational improvements to address inefficient manual processes and bottlenecks
Gain insight into utilization and performance of surgical rooms to increase coverage, on-time starts and surgeon satisfaction

Solution

Deployed to ~15 users across 5 functions in US:

Executive Analysis: Develop MIS system and balanced scorecard in next wave for insight across organization
Clinical Operations Analysis: Measure day-to-day surgical department operations. Measure surgical benchmarks, such as type of cases, number of cases by surgeon, after-hours cases, and turnaround time
Resource Planning Analysis: Monitor utilization of surgical departments in main hospital and rural facilities to ensure staffing and availability
Financial Analysis: Monitor utilization of surgery rooms on a rolling 3 month basis by CFO to assess future cash flow
Quality Assurance Analysis: Assess historical data to gauge whether hospital had enough trauma-related orthopedics cases each day to warrant a dedicated operating room

Rapid implementation in just days with pre-built views with SIS Analytics powered by QlikView
Leveraged SIS Analytics (QlikView) to integrate data across the primary systems for finance, materials and clinical

About Bassett Healthcare

Regional health system of four hospitals and 23 community health centers serving residents of an eight-county region in central New York, USA. The centerpiece of Bassett Healthcare is The Mary Imogene Bassett Hospital, an 180-bed acute care, inpatient teaching facility. Supports 7 operating rooms and conducts roughly 7,000 surgeries per year
Headquartered in Cooperstown, New York
Achieved ~ $300 million in revenue with 3,500 employees
Industry: Healthcare

Benefits

Improved process to drive on-time case starts from 48% to 85%
Increased charge capture by 30%
Increased surgical throughput with streamlined processes
Green lighted the opening of a dedicated trauma room
Gained the freedom to analyze data without the need for IT

QlikView Customer Snapshot – Bassett Healthcare

QlikView Customer Snapshot – Children’s Healthcare
“QlikView will mine a data warehouse and present managers with a graphical view of the information they need to improve quality and safety.”
Allana Cummings, Vice President & CIO
Children’s Healthcare Services
Challenges

Gain visibility into operations to improve the quality of care
Access, integrate and analyze data across disparate systems - clinical, financial and administrative systems

Solution

Deployed QlikView to ~ 50 users across 3 functions in US:

Clinical Operations & Care Delivery Analysis: Measure patient flow and throughput to identify bottlenecks to streamline operations, reduce medical errors and improve patient quality
Resource Planning Analysis: Monitor physician and surgical facility utilization and scheduling
Financial Analysis: Assess cash flows from surgical utilization; Profile surgeons with revenue, cost and profit per surgery with breakdowns for surgery costs and post surgery cost and outcomes

Leveraged QlikView as the delivery system to aggregate data from its data warehouse in combining information from its clinical, financial and administrative systems including:
Patient care information from Sunrise Clinical Manager System
Ambulatory care information from Epic Systems
Radiology and laboratory data from Misys Healthcare Systems

About Children’s Healthcare Services

Leading non-profit organization caring for children is the only pediatric specialty healthcare center in Nebraska. Patients are referred from throughout the region for the treatment of complex or unusual diseases in addition to pediatric primary care. Supports 142-bed facility and roughly 50,000 patients per year
Headquartered in Omaha, Nebraska

Benefits

Time savings from not spending hours combing through medical records, but now being able to analyze data and focusing all energy on the ultimate goal of quality improvement
Improved processes to help prevent adverse events and improve the quality of patient care

QlikView Customer Snapshot – NHS
“We’ve developed QlikView for supplier database and purchaser hierarchies. By being able to include this level of data, we have managed to give ourselves a level of insight into potential scales of economy that has not been available before. This is an invaluable ability for an organization that’s entire existence is based on reducing costs through purchasing in bulk.”
Jan Nangle, IS Manager, Procurement Hub, NHS
Challenges

Pull together, format and present financial data from a range of applications throughout the Hub’s Trust sponsor bodies
Identify areas across trust network to reduce contract spend as part of supply chain excellence program within the CPH

Solution

Deployed QlikView to ~250 users (consisting of category managers in the hubs and financial personnel at the hospital trusts) focused on Supply Chain analysis throughout the UK:

Benefits Reporting: Measure savings from contract bulk purchasing and communicate savings to hospital trust bodies; Financial directors within each hospital trust can assess savings down to the invoiced line item
Spend / Cost Analysis: Analyze spend data on cost per item by volume across regional hospitals to identify opportunities for savings
Supplier and Purchaser Analysis: Monitor supplier database and performance with purchaser hierarchies
Benchmarking Analysis: Establish cross trust and inter-hub communication and collaboration with performance benchmarking
Category Management Analysis: Ensure no outliers in costs by category and ensure materials are in right place at right time

Deployed in <12 weeks - NW Hub; <3 months - Life Source Hub
Leveraged QlikView (64-bit) to aggregate data from the data systems within the Hub and across the trust bodies

About The National Health Service (NHS)

The NHS is the publicly funded health care system of England. providing the majority of healthcare in England, from general practitioners to hospitals, long-term healthcare, dentistry and ophthalmology
NHS launched the Collaborative Procurement Hubs (CPH) project which works with trusts and confederations in a phased approach to develop CPHs across the NHS that provide a regional procurement focus
Headquartered in London, England
Budget of $210 billion with 1.3 million employees

Benefits

Garnered $66 million in procurement cost savings over 2 years for North West Collaborative Hub that manages $2.4 billion in spend
Improved Hub performance by delivering insights into data
Saved hours of management time in reporting and analysis
Delivered project ahead of time and on budget

QlikView Customer Snapshot – Prince William Health
Quality of patient care and operational performance driven from dashboards and scorecards measuring physician performance, facility utilization, and revenue cycle metrics.
Challenges

Lack real-time visibility into AR process given outsourcing of management and tracking and limited reporting
Reduce write-offs for insurance claims
Assess physician performance for contract renewal process

Solution

Deployed QlikView to ~15 users across 3 functions in US:

Financial Analysis: Analyze physician scorecards – tracking by physician, what facilities operate in, # of patients, # of visits and operations, and revenue/cost/profitability by operations; Identify top performing physicians
Revenue Cycle Analysis: Manage AR collections and claims processing with health insurance funds and patients; Measure cycle time of collection
Resource Planning Analysis: Monitor utilization of facilities and corresponding staffing to optimize coverage and capture previously lost revenue due to capacity constraints

Rapid implementation in less than 5 days
Leveraged QlikView to aggregate data from disparate systems spanning clinical, financial and administrative systems

About Prince William Health System

Prince William Hospital is a 170-bed, not-for-profit hospital focused on providing exceptional, quality healthcare for the inhabitants in the Manassas, Virginia area
Headquartered in in Manassas, Virginia

Benefits

Projected decrease in write-offs of insurance claims by 65% down from $15 million to $5 million per year
Reduced revenue cycle costs by bringing AR tracking, monitoring and collection internally (previously outsourced)
Improved revenue by analyzing physician scorecards to extend contract renewals to the high performing physicians
Increased capacity of facilities through streamlined processes and optimized scheduling

The Power of Simplicity
Conclusion & Next Steps