QlikView For Healthcare From Top Line Strategies

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How the Next Generation BI Tool QlikView 9 is changing the way that the heathcare business is run

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QlikView For Healthcare From Top Line Strategies

  1. 1. 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 <br />
  2. 2. Introductions & Agenda<br />Presenters<br /><ul><li>Bill Jentarra – EVP, IT Managed Services, TopLine Strategies
  3. 3. Michael Grollman – CTO, TopLine Strategies
  4. 4. Terry Kavouras – QlikView Technical Manager</li></ul>Agenda<br /><ul><li>Webinar Objectives
  5. 5. Healthcare and Business Intelligence (BI)
  6. 6. Introduction to QlikView / QlikTech
  7. 7. Solution Demonstration
  8. 8. Client Success Stories
  9. 9. Discussion</li></li></ul><li>Webinar Objectives<br /><ul><li>Review challenges facing the healthcare industry
  10. 10. What is QlikView and who is QlikTech?
  11. 11. Discover why QlikView and Healthcare is a perfect match
  12. 12. Understand how other healthcare providers are benefiting from increased data visibility
  13. 13. Implementation Statistics
  14. 14. Case Studies</li></li></ul><li>QlikView, huh?Why QlikView is the new BI Champ in so many places<br />”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<br />2009 Aberdeen AXIS(TM) for BI/Performance Management<br /> “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.” <br />- Anthony Deighton, SVP Marketing, QlikTech<br />1Aberdeen AXIS Report for Business Intelligence/Performance Management, January 29, 2009<br />
  15. 15. “On average, only 7% of data is used for analysis today in hospitals.”*<br />“Over the next 5 years, 50% of hospitals in the US and Western Europe will have complied with the need for increased healthcare transparency.”*<br />Information Overload<br />Numerous Underlying Clinical, Financial and Resource Planning Systems<br />Inability to Access, Aggregate & Explore Relevant Data<br />Inconsistent Information Used Across Organization <br />* Gartner Group, Vi Shaffer among others, “Predicts 2007: Healthcare Providers Must Improve Efficiency of Operations,” published November, 2006<br />
  16. 16. Top Business & IT Priorities in Healthcare<br />
  17. 17. Performance Challenges in Healthcare<br />Resource Constraints<br />“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.”<br />Financial Strains<br />&quot;One third of hospitals are losing money, and another third are just breaking even.”<br />“Added cost pressures will come from higher expenses, unfunded capital needs, lower reimbursement rates and increased transition to diagnostic-related-group payment methods.” <br />Dissatisfaction in Quality of Patient Care<br />“More than half of patients are dissatisfied with the quality of healthcare.”<br />“Less than a quarter of hospitals are fully compliant with safety practices.”<br />“There are ~100,000 deaths a year from preventable medical errors in the US alone.”<br />Inefficient Clinical Operations<br />“Burgeoning patient waiting times with deviations across required treatments, facilities and government regulations.”<br />
  18. 18. <ul><li>Leading provider of next generation BI solutions
  19. 19. Fastest growing BI software company in the world (according to IDC)
  20. 20. Profitable, annual revenue growth of ~50% over the past 4 years
  21. 21. Over 11,000 customers in 95 countries
  22. 22. Adding 14.5 new customers every day
  23. 23. Over 500,000 live users
  24. 24. Shipping since 1995, now version 9</li></ul>QlikTech – The Business Answers Company<br />
  25. 25. QlikView for Business Answers<br />Simple, designed for every user<br />2<br />Any-Size<br />Deployments<br />10,000X<br />Enterprise<br />50X<br />Server<br />2X<br />Local<br />1X<br />Personal<br />Laptop<br />On-Premise<br />Mobile<br />Cloud<br />Analytics for Anyone and Everyone — Simple to use and learn. <br />Designed for every user (business and technical).<br />Instant Business Answers — Explore all of your data without limits.<br />Never wait for a static report again.<br />Rapid Time to Value — Measured in days and weeks.<br />Any size deployment — Meets every business need from a single <br />user to the largest global enterprises.<br />Any kind of deployment — Premise, cloud, mobile (iPhone), and laptop.<br />Enterprise-proven, IT-friendly — Successfully delivering business <br />answers in over 1,000 enterprise accounts.<br />Deploy<br />Anywhere<br />
  26. 26. Select QlikView Customers in Healthcare<br />More Than 250 Healthcare Providers Are Leveraging QlikView<br />
  27. 27. QlikView for Healthcare <br />Clinical Operations<br /><ul><li>Patient Administration & Medical Record
  28. 28. Clinical Care Process ‘Flow Model’
  29. 29. Six Sigma Analysis – Flow & Medical Errors
  30. 30. Regulatory Compliance - Quality / Safety (JCAHO, NCQA, Hedis, HIPAA, DRG, etc.)</li></ul>Finance<br /><ul><li>Planning, Budgeting & Forecasting
  31. 31. Actuals / Budget Analysis by Department
  32. 32. Revenue / Cost per Patient / Room
  33. 33. Physician Profiling
  34. 34. Compliance Reporting – IFRS / GAAP</li></ul>Care Delivery<br /><ul><li>Condition, Diagnosis & Treatment Analysis
  35. 35. Evidence Based Medicine / Survivability
  36. 36. Prevention / Care / Aftercare Planning
  37. 37. Treatment & Prescription Order Tracking
  38. 38. Clinical Outcome Analysis</li></ul>Revenue Cycle<br /><ul><li>A/R / Payment Collections
  39. 39. Contract Management & Billing
  40. 40. Claims Administration / Denial Management
  41. 41. Audit and Fraud Detection
  42. 42. DRG / Pay-for-Performance Reporting</li></ul>Resource Planning<br /><ul><li>Equipment / Testing Scheduling
  43. 43. Bed / Room / ER / OR / ICU Utilization
  44. 44. Clinician Shift Scheduling & Planning
  45. 45. Staff Planning – Retirement / Shortages
  46. 46. Needs Analysis, Trending, Benchmarking</li></ul>Supply Chain<br /><ul><li>Demand Planning
  47. 47. Procurement & Material Management
  48. 48. Inventory & Care Unit Availability
  49. 49. Logistics & Fulfillment Analysis
  50. 50. Supplier Quality & Performance</li></ul>Dashboard<br />Analysis<br />Reporting<br />Real Results from Actionable Information<br /><ul><li>Increase Efficiency – Analyze historical information, patient inflow patterns, drive optimal utilization
  51. 51. Improve Cash Flow and Decrease Write Offs – AR trends, extensive drill-down
  52. 52. Control Costs – Analyze and compare hospital, practice, physician and patient care cost profiles
  53. 53. Improve Patient Care – Single version of the truth, consolidate patient information
  54. 54. Shorten Wait Times – Prioritize patients, improve patient flow, predictable patient experience</li></li></ul><li>Simplifying Analysis for Everyone<br />Everyone Else<br />“Fast Implementation”<br />“Easy-to-Use”<br />“Powerful”<br />“Flexible”<br />“Integrated”<br />“Low Cost”<br />“Risk-Free”<br />QlikView New Rules <br /><ul><li>Fast Implementation… Customers are live in less than 30 days, and most in a week
  55. 55. Easy to Use… End users require no training and enjoy “qliking” through the application
  56. 56. Powerful… Near instant response time on data volumes as high as a billion records across thousands of users
  57. 57. Flexible… Allows unlimited dimensions and measures and can be modified in seconds
  58. 58. Integrated… Dashboards, analysis and reporting in a single solution and on a single architecture
  59. 59. Low Cost… Less costly, shorter implementations result in fast return on investment
  60. 60. Risk-Free… Fully-functional free trial download, and a seeing-is-believing experience</li></ul>QlikView Value Proposition: 1/4 the Time, 1/2 the Cost, 2x the Value<br />
  61. 61. Solution Demonstration<br />Solution Demonstration<br />
  62. 62. Simplifying Analysis for Everyone<br />Everyone Else<br />“Fast Implementation”<br />“Easy-to-Use”<br />“Powerful”<br />“Flexible”<br />“Integrated”<br />“Low Cost”<br />“Risk-Free”<br />QlikView New Rules <br /><ul><li>Fast Implementation… Customers are live in less than 30 days, and most in a week
  63. 63. Easy to Use… End users require no training and enjoy “qliking” through the application
  64. 64. Powerful… Near instant response time on data volumes as high as a billion records across thousands of users
  65. 65. Flexible… Allows unlimited dimensions and measures and can be modified in seconds
  66. 66. Integrated… Dashboards, analysis and reporting in a single solution and on a single architecture
  67. 67. Low Cost… Less costly, shorter implementations result in fast return on investment
  68. 68. Risk-Free… Fully-functional free trial download, and a seeing-is-believing experience</li></ul>QlikView Value Proposition: 1/4 the Time, 1/2 the Cost, 2x the Value<br />
  69. 69. (Unbelievably) Fast Implementations<br />1 day proof of concept<br />1 week implemented<br />4 weeks implemented pharmaceutical application with only two resources<br />4 weeks implemented four applications<br />3 weeks implemented first version of DRG analysis <br />5 days implemented <br />12 weeks implemented<br />2 weeks implemented first application<br />1 week implemented<br />
  70. 70. Delivering High Performance for Large Data Volumes and Support for Large Scale End User Deployments<br />Healthcare – Large Data Volumes <br />Healthcare – Large Scale Deployments <br />2,400 users at Blekinge Hospital (Sweden)<br />15 – 20 TB of data or 2 billion records analyzed on doctors, patients and diagnosis<br />1,000+ users across Region Skåne (Sweden)<br />Millions of records pulled from network of hospital trusts<br />600 users at Malteser (Germany)<br />Millions of records supporting 1.4 million patient visits / year<br />Millions of records with 700,000 annual patient visits - pulled from 6 hospital systems<br />265 users at Helsingborgs Hospital (Sweden)<br />5 million records with 500,000 annual patient visits analyzed on patient data and diagnoses<br />250 users at National Health Service (UK)<br />1.5 million records pulled from multiple data sources<br />125 users at KVN (Germany)<br />Millions of records analyzed on doctors, patients and diagnosis<br />
  71. 71. Real Customer Results<br />Clinical Operations & Care Delivery Benefits<br />Reduced patient wait times<br />(from a year down to a few days)<br />99% decrease in time to access patient critical information <br />(down to seconds) to assess optimal treatments for meningitis<br />Resource Planning & Supply Chain Benefits<br />$66 million in procurement cost savings over two years for North West Collaborative Hub that overseas $2.4 billion in spend<br />5% decrease in costs for prescribed medical products, saving $1.1 million annually<br />Revenue Cycle & Financial Benefits<br />65% projected decrease in write-offs of insurance claims down from $15 million to $5 million per year<br />80% reductionin audit time reporting on DRG metrics down from 3 weeks to 2-3 days to prepare for negotiations with insurance funds<br />Administrative Reporting Benefits <br />$240,000 in annual cost savings with 33% reduction in controllers due to efficiency gains in reporting<br />99% reduction in time for SIR (Swedish ICU Register) reporting down from a couple weeks to just a couple of minutes <br />
  72. 72. “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.”<br />UschiSchäfer, Medicine Controlling, Marienhospital Gelsenkirchen (Germany)<br />“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.”<br />Daniel Stålhammar - Associate Professor, Sahlgrenska University Hospital (Sweden)<br />“Patients can now come for a check-up after a few weeks. Previously it could take up to a year before patients<br />with specific eye problems could come for a check-up. With the new flow model and QlikView, patient waiting<br />times are now significantly shorter.”<br />Kerstin Sjöström, Clinic Manager, UMAS Eye Clinic, Region Skane (Sweden)<br />Driving Competitive Advantage & Strategic Value<br />
  73. 73. “These are intuitive decisions we might have made otherwise, but now they have been backed up by irrefutable data. It&apos;s not a problem for our surgeons or anesthesiologists to accept this as the data we need to act on.”<br />Kathleen Brooks, <br />Administrative Director for Perioperative Services <br />Bassett Healthcare<br />Challenges<br /><ul><li>Improve quality patient care through operational improvements to address inefficient manual processes and bottlenecks
  74. 74. Gain insight into utilization and performance of surgical rooms to increase coverage, on-time starts and surgeon satisfaction</li></ul>Solution<br /><ul><li>Deployed to ~15 users across 5 functions in US:</li></ul>Executive Analysis: Develop MIS system and balanced scorecard in next wave for insight across organization<br />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<br />Resource Planning Analysis: Monitor utilization of surgical departments in main hospital and rural facilities to ensure staffing and availability<br />Financial Analysis: Monitor utilization of surgery rooms on a rolling 3 month basis by CFO to assess future cash flow<br />Quality Assurance Analysis: Assess historical data to gauge whether hospital had enough trauma-related orthopedics cases each day to warrant a dedicated operating room<br /><ul><li>Rapid implementation in just days with pre-built views with SIS Analytics powered by QlikView
  75. 75. Leveraged SIS Analytics (QlikView) to integrate data across the primary systems for finance, materials and clinical</li></ul>About Bassett Healthcare<br /><ul><li>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
  76. 76. Headquartered in Cooperstown, New York
  77. 77. Achieved ~ $300 million in revenue with 3,500 employees
  78. 78. Industry: Healthcare</li></ul>Benefits<br /><ul><li>Improved process to drive on-time case starts from 48% to 85%
  79. 79. Increased charge capture by 30%
  80. 80. Increased surgical throughput with streamlined processes
  81. 81. Green lighted the opening of a dedicated trauma room
  82. 82. Gained the freedom to analyze data without the need for IT</li></ul>QlikView Customer Snapshot – Bassett Healthcare<br />
  83. 83. QlikView Customer Snapshot – Children’s Healthcare<br />“QlikView will mine a data warehouse and present managers with a graphical view of the information they need to improve quality and safety.”<br />Allana Cummings, Vice President & CIO<br />Children’s Healthcare Services<br />Challenges<br /><ul><li>Gain visibility into operations to improve the quality of care
  84. 84. Access, integrate and analyze data across disparate systems - clinical, financial and administrative systems</li></ul>Solution<br /><ul><li>Deployed QlikView to ~ 50 users across 3 functions in US:</li></ul>Clinical Operations & Care Delivery Analysis: Measure patient flow and throughput to identify bottlenecks to streamline operations, reduce medical errors and improve patient quality<br />Resource Planning Analysis: Monitor physician and surgical facility utilization and scheduling<br />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<br /><ul><li>Leveraged QlikView as the delivery system to aggregate data from its data warehouse in combining information from its clinical, financial and administrative systems including:
  85. 85. Patient care information from Sunrise Clinical Manager System
  86. 86. Ambulatory care information from Epic Systems
  87. 87. Radiology and laboratory data from Misys Healthcare Systems</li></ul>About Children’s Healthcare Services<br /><ul><li>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
  88. 88. Headquartered in Omaha, Nebraska
  89. 89. Industry: Healthcare</li></ul>Benefits<br /><ul><li>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
  90. 90. Improved processes to help prevent adverse events and improve the quality of patient care</li></li></ul><li>QlikView Customer Snapshot – NHS<br />“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.”<br />Jan Nangle, IS Manager, Procurement Hub, NHS<br />Challenges<br /><ul><li>Pull together, format and present financial data from a range of applications throughout the Hub’s Trust sponsor bodies
  91. 91. Identify areas across trust network to reduce contract spend as part of supply chain excellence program within the CPH</li></ul>Solution<br /><ul><li>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:</li></ul>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<br />Spend / Cost Analysis: Analyze spend data on cost per item by volume across regional hospitals to identify opportunities for savings<br />Supplier and Purchaser Analysis: Monitor supplier database and performance with purchaser hierarchies <br />Benchmarking Analysis: Establish cross trust and inter-hub communication and collaboration with performance benchmarking<br />Category Management Analysis: Ensure no outliers in costs by category and ensure materials are in right place at right time<br /><ul><li>Deployed in <12 weeks - NW Hub; <3 months - Life Source Hub
  92. 92. Leveraged QlikView (64-bit) to aggregate data from the data systems within the Hub and across the trust bodies</li></ul>About The National Health Service (NHS)<br /><ul><li>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
  93. 93. 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
  94. 94. Headquartered in London, England
  95. 95. Budget of $210 billion with 1.3 million employees
  96. 96. Industry: Healthcare</li></ul>Benefits<br /><ul><li>Garnered $66 million in procurement cost savings over 2 years for North West Collaborative Hub that manages $2.4 billion in spend
  97. 97. Improved Hub performance by delivering insights into data
  98. 98. Saved hours of management time in reporting and analysis
  99. 99. Delivered project ahead of time and on budget</li></li></ul><li>QlikView Customer Snapshot – Prince William Health<br />Quality of patient care and operational performance driven from dashboards and scorecards measuring physician performance, facility utilization, and revenue cycle metrics.<br />Challenges<br /><ul><li>Lack real-time visibility into AR process given outsourcing of management and tracking and limited reporting
  100. 100. Reduce write-offs for insurance claims
  101. 101. Assess physician performance for contract renewal process</li></ul>Solution<br /><ul><li>Deployed QlikView to ~15 users across 3 functions in US:</li></ul>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 <br />Revenue Cycle Analysis: Manage AR collections and claims processing with health insurance funds and patients; Measure cycle time of collection<br />Resource Planning Analysis: Monitor utilization of facilities and corresponding staffing to optimize coverage and capture previously lost revenue due to capacity constraints<br /><ul><li>Rapid implementation in less than 5 days
  102. 102. Leveraged QlikView to aggregate data from disparate systems spanning clinical, financial and administrative systems</li></ul>About Prince William Health System<br /><ul><li>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
  103. 103. Headquartered in in Manassas, Virginia
  104. 104. Industry: Healthcare</li></ul>Benefits<br /><ul><li>Projected decrease in write-offs of insurance claims by 65% down from $15 million to $5 million per year
  105. 105. Reduced revenue cycle costs by bringing AR tracking, monitoring and collection internally (previously outsourced)
  106. 106. Improved revenue by analyzing physician scorecards to extend contract renewals to the high performing physicians
  107. 107. Increased capacity of facilities through streamlined processes and optimized scheduling</li></li></ul><li>The Power of Simplicity<br />Conclusion & Next Steps<br /><ul><li>Discussion
  108. 108. Follow-Up & Additional Information
  109. 109. Summary email
  110. 110. Learning more about QlikView’s capabilities
  111. 111. Detailed demonstration
  112. 112. Software trial
  113. 113. Seeing is Believing (SiB)
  114. 114. Contact Us
  115. 115. TopLine Strategies – www.toplinestrategies.com
  116. 116. Bill Jentarra – bjentarra@toplinestrategies.com
  117. 117. Michael Grollman – mgrollman@toplinestrategies.com</li></li></ul><li>Who to Call<br />
  118. 118. Next Step – Seeing is Believing<br />You Provide<br />We Engage<br />You Receive<br />Agreement on project scope:<br /><ul><li>Scoping document
  119. 119. Sample reports
  120. 120. Checklist</li></ul>Onsite setup prior to SiB:<br /><ul><li>Hardware configured
  121. 121. Internal data identified</li></ul>Development scope:<br /><ul><li>Software installation
  122. 122. Data connections
  123. 123. Application layout </li></ul>Participation scope:<br /><ul><li>Actively engage in 2-3 day workshop
  124. 124. User experience evaluation</li></ul>Deliverables:<br /><ul><li>QlikView application prototype
  125. 125. Immediate results from the data analysis
  126. 126. User evaluations to assess areas of improvement
  127. 127. No risk opportunity to assess business value</li>

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