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Healthcare
                                   Enterprise Analytics

Yohan Vetteth
VP Healthcare Data and Analytics
Stanford Hospital and Clinics
                                                          1
Key Takeaways
  Focus
  - Data driven quality improvement
  - Integration of Lean approaches to ensure sustainability


  Approach
  - Unlike other industries, healthcare needs an agile flexible approach
  - All facets of the organization needs to be involved (Physicians, Nurses,
    Administrators, Quality, IT, Performance Excellence, Finance)
  - Analytics is a journey, not a destination




                                                                               2
Strategic, outcome driven, agile approach..

Traditional BI Approach    Practical Approach     “Late Binding” Approach


Technology driven          Need driven approach   Clinical outcomes focused
approach                                          approach

Develop data model for     Get data where you     Aggregate only relevant data to
all systems up front       can                    support the prioritized clinical
                                                  improvement efforts
Design based on            Design?                Flexibility to address specific
currently known                                   needs
information needs
Typical 3+ year start-up   Quick but not always   New functionality delivered
period                     accurate               along the journey
Involve all stakeholders in analytics approach

1                                                                                                                        2
Standardize/improve                   MD                                                             MD                  Deploy evidence-
workflow including                                                                                                       based knowledge
clinical                    RN                                                             PE              RN         assets at the point of
                                                                                                                     care (e.g. Order Sets,
                                                                                                 DA
                                       PE                                                                                       Intervention
                                                               Clinical &
                                            IS                 Business                   IS          QA                        Indications)
                                 QA
                                                               Process
                                                             Improvement



4                                                Outcomes
                                                                        Implementation                                   3
                                                  Analysis
Investigate causal                                                                                                       Define population
relationships, trends                                                                                                      criteria and key
and predictive patterns                                                                                    PE               indicators with
in clinical data,                      DA                                                             DA                   clinical artifacts
evaluate clinical                                                                               QA                       found in the data
                                                                                                                IS
relevance, and test
                                                                                                           RN
improvement                       MD               PE
hypotheses                                              FA                                       MD
                                            RN


                          MD = Physician Lead; RN = Nurse Manager; DA = Data Architect; QA = Quality Analyst;
                            PE = Performance Excellence; FA = Financial Analyst; IS= Informatics Specialist
                                                                                                                                                4
      Copyright: Stanford Hospital and Clinics; Health Catalyst
Healthcare Analytic Adoption Model – It’s an organizational journey!

  Level 8
              Cost per Unit of Health Reimbursement &         •   Contracting for & managing health
              Prescriptive Analytics

              Cost per Capita Reimbursement &             •       Taking more financial risk & managing it
  Level 7     Predictive Analytics                                proactively

              Cost per Case Reimbursement                 •       Taking financial risk and preparing your
  Level 6     & Data Driven Culture                               culture for the next levels of analytics
              Clinical Effectiveness & Population         •       Measuring & managing evidence based
  Level 5     Management                                          care

  Level 4     Automated External Reporting                •       Efficient, consistent production & agility

  Level 3     Automated Internal Reporting                •       Efficient, consistent production

              Standardized Vocabulary & Patient
  Level 2     Registries
                                                          •       Relating and organizing the core data

              Data Integration– Enterprise Data           •       Foundation of data and technology
  Level 1     Warehouse


  Level 0     Fragmented Point Solutions                 •        Inefficient, inconsistent versions of the truth



   Source : Dale Sanders, Senior Research Fellow, The Advisory Board Company

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3.yohan vetteth stanford_meetup

  • 1. Healthcare Enterprise Analytics Yohan Vetteth VP Healthcare Data and Analytics Stanford Hospital and Clinics 1
  • 2. Key Takeaways Focus - Data driven quality improvement - Integration of Lean approaches to ensure sustainability Approach - Unlike other industries, healthcare needs an agile flexible approach - All facets of the organization needs to be involved (Physicians, Nurses, Administrators, Quality, IT, Performance Excellence, Finance) - Analytics is a journey, not a destination 2
  • 3. Strategic, outcome driven, agile approach.. Traditional BI Approach Practical Approach “Late Binding” Approach Technology driven Need driven approach Clinical outcomes focused approach approach Develop data model for Get data where you Aggregate only relevant data to all systems up front can support the prioritized clinical improvement efforts Design based on Design? Flexibility to address specific currently known needs information needs Typical 3+ year start-up Quick but not always New functionality delivered period accurate along the journey
  • 4. Involve all stakeholders in analytics approach 1 2 Standardize/improve MD MD Deploy evidence- workflow including based knowledge clinical RN PE RN assets at the point of care (e.g. Order Sets, DA PE Intervention Clinical & IS Business IS QA Indications) QA Process Improvement 4 Outcomes Implementation 3 Analysis Investigate causal Define population relationships, trends criteria and key and predictive patterns PE indicators with in clinical data, DA DA clinical artifacts evaluate clinical QA found in the data IS relevance, and test RN improvement MD PE hypotheses FA MD RN MD = Physician Lead; RN = Nurse Manager; DA = Data Architect; QA = Quality Analyst; PE = Performance Excellence; FA = Financial Analyst; IS= Informatics Specialist 4 Copyright: Stanford Hospital and Clinics; Health Catalyst
  • 5. Healthcare Analytic Adoption Model – It’s an organizational journey! Level 8 Cost per Unit of Health Reimbursement & • Contracting for & managing health Prescriptive Analytics Cost per Capita Reimbursement & • Taking more financial risk & managing it Level 7 Predictive Analytics proactively Cost per Case Reimbursement • Taking financial risk and preparing your Level 6 & Data Driven Culture culture for the next levels of analytics Clinical Effectiveness & Population • Measuring & managing evidence based Level 5 Management care Level 4 Automated External Reporting • Efficient, consistent production & agility Level 3 Automated Internal Reporting • Efficient, consistent production Standardized Vocabulary & Patient Level 2 Registries • Relating and organizing the core data Data Integration– Enterprise Data • Foundation of data and technology Level 1 Warehouse Level 0 Fragmented Point Solutions • Inefficient, inconsistent versions of the truth Source : Dale Sanders, Senior Research Fellow, The Advisory Board Company