This document summarizes a webinar on achieving lower costs and greater usability through tailored software platforms for healthcare organizations. The webinar addressed the problems of overloaded niche systems, advocated for a "buy and build" approach using a flexible architecture. Speakers discussed their experiences with both building custom software and using off-the-shelf systems. They emphasized testing vendors' claims about system capabilities and establishing open communication during interactive development and deployment processes to ensure projects meet organizations' needs.

1. Build vs Buy: Achieving Lower Costs, Greater Usability
Through a Tailored Platform
Information Builder’s Healthcare Webinar Series – Part 3
1
Speakers:
Colt Hubbartt, Manager of Health and Life Sciences, Information Builders
Fred Goldstein, CEO, Accountable Health
Moderator:
Frances Carroll, Healthcare Account Executive, Information Builders

2. Focus of Today’s Webinar
 What we will be covering today:
 Addressing ‘niche system’ overload
 Why best of breed build
 Buy + Build
 Reducing costs through tailored systems
 Lessons learned from experience in the field
 Our Approach to Building
 IB Overview
 Healthcare Success Stories
 Wrap up discussion:
 Seeing the Value from your Data
2

3. Today’s Speakers
 Colt Hubbartt, Manager of Health and Life Sciences, Information Builders
Colt works with organizations across the country on designing solution-oriented
implementation plans. He has the unique ability to see challenges in both the payer and
provider levels across the country. His seven years of EMR implementation experience allows
him to help drive a solution towards your organizational initiatives.
 Fred Goldstein, Founder and President, Accountable Health, LLC
Fred is founder and president of Accountable Health, LLC, a consulting firm providing expert
guidance in population health program design and development. He is a Certified
Professional by the Validation Institute and founder and co-host of PopHealth Week, a
weekly podcast.
3

4. Why ‘one stop’ is not always your ‘shop’
4
Fred Goldstein, Accountable Health

5. System Overload
 Today’s health systems…
 Spend $40 billion annually on IT programs
 Plan an average of six major IT investments per year*
 Single system or multiple?
 How much time do you spend in multiple, siloed systems per day?
 Survey carried out by eHealth Initiative revealed that of the
nearly 200 providers surveyed; 70 of them were required to
connect to 10 different systems
5
How many systems do you access a day?

6. Unbreak Siloed Software
[Siloed] Software is killing health systems. It’s expensive.
It’s inefficient. It can’t keep pace with industry change.
One survey showed that 94% of “struggling” hospital
CFOs blame failed or delayed IT projects*
6

7. Specific Data Challenges
 AHIMA survey of 815 HIM pros with 12 different EHRs most wrestle with
duplicate medical records on a regular basis:
 Key takeaways from the survey:
 57% spend time sorting through duplicates "regularly."
 72% said they work to mitigate duplicate patient records at least weekly
 47% said they lack resources to correct dups & quality assurance step in their
registration or post-registration process to identify dups.
 55% communicate duplicate medical records rates with their orgs., but report lack
of standard definitions re. how duplicate rates are calculated.
 Inadequate information governance policy support
7
Patient Matching Problems Plague HIM Pros Beckers 1/7/2016
The fact there are duplicates is only the tip of the iceberg re. data problems.

8. Build vs Buy
8
Why not Buy + Build?
BUY
PROS
Covers most of the requirements
Vendor does enhancements/upgrades
NEED
BUILD
PROS
Addresses all your requirements best
Full control and flexibility
Control over costs
Integrated platform that enables:
 Complete customization to
your needs
 Removal of ‘home grown’
labeling
 Best control over costs
 In-house application
maintenance
 Knowledge transfer

9. Land and Expand Model
 You can start small and add capabilities over time…
9

10. Cons to Build
 According to some…
 Learning lessons that others have already learned– that’s the
reason for working with an experienced company that has done it
and can assist you in the process…
 Find a vendor that helps you build!
 Software
 Services
 Education
 ...and YOU!
10

11. Building off a Framework
 We’re not talking about writing the system from scratch
but using qualified best of breed applications combined
with external and internal expertise and support and
current bought and or built systems….
 Flexible architecture
 Multiple product offerings on a single platform
11
The Assembly Model

12.  Particularly in the end user data analytics area a build approach is
better
 You have multiple data sources and may have even more in the
future – Building them all into one configurable warehouse
platform is the best approach
 Flexibility to add future data as you need it, not when they can
get around to it
 Customize reports and dashboards to meet the needs of the
individual users from different areas with the same data
 You know your work flows
 You know where the data came from, its not a black box
12
A Single Data Analytics and Reporting System
Building off of a Framework

13. My Experience with Software Development
 I have both built and bought systems to do population health and
other provider specific
 Building provided greater flexibility
 Able to meet unique needs simply
 Quicker turnaround for custom designs
 Easier handoffs to others as we knew system inside and out
 Bought
 Limited by their development capabilities
 Costs for development were higher
13
Learn from, work with those that know

14. Our system can do that!
 How many times have you heard that?
 The horror stories…
 A vendor with a custom platform system
 Costs went through the roof
 Changes took forever we were queued up with their
other clients
 Data extracts were difficult,
 Had to supplement with outside analytics, reporting
14
Test the Facts!

15. Working on a 30 day readmit program
 Vendor selected by a client before I was involved
 Yes you can add fields, we can change workflows, you can have mobile
access, reporting
 All proved to be problematic
 Ran out of field types
 Dates and numeric field would be entered as text only
 Work flows were more fixed than explained
 Access was not as needed and updates were inconsistent
 Could not put out reports in the required format to bill
 Activity monitoring was not as needed
 Fortunately got them out for only a portion of their deposit.
15

16. Establishing, Executing Deployments
16
Colt Hubbartt

17. IBI Customers
300+ Case Studies at ibi.com

18. Portal Embedded InfoApps™
ApplicationsLegacy Systems Relational/Cubes Big Data Columnar/In Memory Unstructured Social Media Web Services Trading Partners
Enterprise Integration
Mobile Write-Back
Data Discovery Reporting Dashboards
High-Performance
Data Store
Data
Quality
Data
Governance
Master Data
Management
Batch ETL Real-Time ESB
Data Integrity & Preparation
Business Analytics
Location
Analytics
Casting
and Archiving
In-Document
Analytics
SearchPredictive
Analytics
Sentiment and
Word Analytics
Performance
Management
Social
Hot
Bad
Feedback
3i Platform – Intelligence, Integrity & Integration
Governed Self-Service Analytics

19. Understanding organizational needs helps establish a value driven roadmap
Business Value Assessment
• Executives and leadership
• Clinical leaders
• Business managers
• Business analysts
• IT and analytics
• Stakeholders
Understand Organizational Needs

20. What to Expect
 Findings overview with value based InfoApp ideas
 Customized demonstration
 Suggested roadmap for implementation
 Data profiling (where applicable)
20
Assessment Deliverables

21. Interactive Development and Deployment Process
21
Communication is key

22. Decision
Management
Value
High
Low
Raw Data Integrated and
Enriched Data
Analyzed
Information
Repurpose data for
Strategic Growth &
Transformation
Land of
Opportunities
Analytical ToolsIT Tools InfoApps™
(Analytic Apps.)
External Facing
InfoApps™
Network Wide Harmonized Data and Business Analytics
Increased Value Across Care Settings Combined with External Data
Butler wins lab
work w/BI that IDs
optimal antibiotics
St. Luke’s IDs gaps
in care for better
outcomes & fewer
readmits.
NYU Langone
improves Labor
Productivity to
optimize staff
saving $5M/yr.
Memorial Health
"Omni-Patient
provides complete
demographics &
histories, remediates
records, & monitor
data lineage."

23. Getting More from Your Data
23
Frances Carroll

24. Value Adds: Reducing Costs
 Deploy a solution that would prevent the need to pay for additional
developers
 Enabling self-service capabilities to end business users
 Flexible enough to enable development of your own applications
 No need to purchased third-party programs
 Scalability for future growth
 Support greater number if users, applications, integration types
24
Where can you reduce costs now and in the future?

25. Value Adds: Increasing Revenue
 Dig deep into data to uncover processes or operations where
income could be generated
 Increase admissions
 Add new revenue streams
 Qualify for new types of funding
 Identify market trends
25
Monetizing Your Data and Strengths

26. Questions for our Speakers…
 Links to a recording of today’s webinar will be sent out shortly!
THANK YOU!
www.informationbuilders.com
26