This session focuses on creating a plan that leverages your data, knowledge, and expertise to execute a strategic shift to a value-based care model that is tailored to support your health system.
Check out the pre-recorded webcast to:
- Learn tips on how to create or modify your data-driven road map
Review the seven main areas of assessment when developing your road map
- Hear how performing a Business Value Assessment (BVA) has helped several organizations find success to moving to value-based care models
You can find it online at http://www.informationbuilders.com/webevents/online/24635/24636#sthash.8K6wl7sn.dpuf
Transforming Healthcare: Developing A Data Driven Roadmap to Value Based Care
1. Developing a Data Driven Roadmap to Value-Based Care
Information Builder’s Healthcare Webinar Series – Part 1
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Speakers:
Fred Goldstein, CEO, Accountable Health
Kevin Mergruen, Vice President, Vertical Solutions , Information Builders
Moderator:
Frances Carroll, Healthcare Account Executive, Information Builders
2. Focus of Today’s Webinar
During to today’s webinar you will:
Hear why everyone’s roadmap is different even though the goals are
similar
No one health system is the same!
Uncover the seven main challenges that providers need to plan for in
their roadmap
Learn how you can create a roadmap that incorporates all of these key
areas through a business value assessment
Be provided with an overview of a business value assessment
How they have benefited other healthcare organizations
Have an open Q&A session with today’s speakers
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Develop your data driven roadmap to support value based care models
3. Today’s Speakers
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.
Kevin Mergruen, Vice President, Vertical Solutions, Information Builders
Kevin leads a team that addresses the healthcare business sector needs for enterprise data
integration, data integrity, and operational business intelligence to enhance overall
efficiency, modernization of legacy systems, and improved quality of care.
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5. In the new World of Value Base Care
Without Data you are just plain lost
With Data you are in the woods
With the Right Data you know where you are
With Actionable Data you know where to go
With Actionable Data over time you can measure your
impact and adjust your systems
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Data is Key for Actionable Insights
6. New World Data Requirements
There are many sources and types of data
EMR, Claims, internal clinical systems, business data, financial,
employee, social, wearables, market
All become important as we move to a Value Based System with
changing reimbursement, measurement and expectations
But their importance to you and therefor your roadmap is different
based on your organization, its mission, operations and systems
and your local/regional market
That is why a comprehensive and well planned out roadmap is
critical
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7. Ensuring Patient-Centered Care
95% of healthcare providers say that interoperability challenges
limit their capability to transfer data from one medical center to
another
Challenges impacting interoperability:
Exchanging new types of data every day
Most systems cannot be easily ‘tweaked’ to accept new data
elements
No or slow transfer of information about patients can create
potentially dangerous gaps in care
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Information is a Central Issue
8. Facing Challenges Head On
Aligning IT With the Business
Successful adoption of new strategy requires elevated level
of IT support
CIOs, IT departments also need to deliver an architecture
that easily brings in new types of data to support value-
based care
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Challenge 1
9. Facing Challenges Head On
This requires advanced tools that enable:
data stewardship, supported by history of
mastered data set
remediating conflicts, ensuring adherence to
governance polices
driving improvements in data entry
processes
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Challenge 2
Keeping Pace With the Evolving Role of Health Information
Management
10. Facing Challenges Head On
Enabling Advanced Informatics
Data must be aggregated, accurized through a solid data
management plan
A unified platform for integrating data, managing its quality, and
presenting it through intuitive views will greatly
increase the productivity of informatics
provide the insight needed to promote better patient care
improve outcomes
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Challenge 3
12. Facing Challenges Head On
Leveraging Data to Support Process and Outcome Improvement
Unified network information management platform enables:
Effective management of patient, clinical data
Will reduce the time needed to gather, analyze data
A single version of the truth
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Challenge 4
13. Facing Challenges Head On
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Challenge 5
Measuring Physician Performance From New Perspectives
Goal: support programs that drive improvements in both
quality and efficiency
Meeting this goal requires:
Solid information strategy
richer data access across multiple domains
Flexible, unified information management platform
15. Facing Challenges Head On
Adopting New Incentive and Reimbursement Models
Financial staff must be armed with harmonized data across the
continuum of care
Creates insights needed to:
generate revenue
reduce costs
identify profitable growth opportunities
Need effective information management with
integrated patient data
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Challenge 6
16. Facing Challenges Head On
Dealing With Diverse Data Infrastructures
62% of providers are challenges by data
integration*
Must implement solutions that:
Integrate data from multiple, native
sources
Design your architecture to address the
unique information needs of all your
users
Supports your data governance plan
Create a solid metadata layer
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Challenge 7
17. Creating or Updating Your Roadmap
Performing a thorough internal assessment is necessary
Determine the business value of all activities, resources, tools,
processes, etc. are accounted for
An all-encompassing roadmap will ensure:
All challenges are accounted for
Key stakeholders, business areas are involved in planning
Roadmap activities have assigned owners
Timeline, resources are aligned
Benchmarks are created to evaluate the roadmap activities
Allows for modification to be made
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I have my goals defined…how do I get there?
19. Healthcare Business Value Assessment
Our fundamental philosophy…
Assessment Process
Assess your organization’s clinical and business analytical needs
Conduct a series of discovery interviews with key stakeholders to ensure all
challenges are captured
We have prepared a series of questions organized by audience provided by the
client
Typical team members interviewed include:
Executives
Hospital/Clinic Leadership
Department Managers
Influential Care Team Members
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Assessment Overview
Affiliated Stakeholders
Project Managers
Business Analysts
IT and Analytics Teams
20. 20
Deliverables
Top InfoApp ideas with Potential Business
Value and ROI
Project Roadmap
Software Deliverables
Projected Cost Estimate
Recommended Staffing and Training
Plan
Next Steps Documentation
Healthcare Business Value Assessment
Assessment Overview Continued
21. Sample InfoApp Deliverable Model
Provide interactive InfoApp for executives, leaders to manage and measure
clinical, financial and operational performance across the Network
Provide actual vs previous period and some forecast with variance analysis, time
series analysis and interactive visualizations with drilling capabilities
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Objective
23. Dashboard containers should consist of monthly large metrics compared to last
month with positive/negative variance (weekly line graphs)
Drill options:
IP - Time, Physician Group/Physician, Service Line, IP Dept.
OP – Time, Department, Site
Revenues – Time, Department
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Default View
Sample InfoApp Deliverable Model
24. Time (week, month, quarter, year)
Service line
Regional/Location/Unit,
Doctors, Patients (perhaps)
Business Consumers
100s of consumers from Administrative and Executive Leadership Team
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Key Business Dimensions for Slicing & Dicing
Sample InfoApp Deliverable Model
26. Assessment findings, recommendations will:
Enable your organization to improve direction, delivery of actionable
information
Help you prioritize opportunities, needs
Our Goal is to:
Best understand impact to the business, provide you with actionable
decision making, ROI and build a meaningful partnership together
At the conclusion of the solution assessment, your organization will have
a strategic outline to become more data driven and
drive solution adoption
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Healthcare Business Value Assessment
Assessment Overview
27. Questions for our Speakers…
Call to Action for our Attendees:
Contact us to discuss scheduling an Business Value Assessment
(BVA).
Links to a recording of today’s webinar will be sent out shortly!
THANK YOU!
www.informationbuilders.com
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Editor's Notes
In other words, successful adoption of value-based care – or any other new strategies and business
models – requires a new level of IT support. Close alignment between IT and the business is key to
ensuring a smooth transition to value-based care. However, bringing these two groups together is
challenging for healthcare organizations, particularly for their CIOs.
IT organizations can use business intelligence (BI) and analytics to bridge the gap with business
users, but these vehicles can’t be successful unless stakeholders are confident that the underlying
data is trusted, timely, and complete. CIOs and IT departments also need to rapidly deliver an
architecture that easily brings in new types of data to support value-based care and shifting
business models. Furthermore, data harmonization must be secure and governable – something
existing application-only vendors do not address.
But IT cannot work alone; they must facilitate collaboration among all areas of the business to
ensure success. The platform chosen to support any information management strategy must
provide business users with consumable views of patient data.
“By truly integrating our IS/IT talent with healthcare strategy, we can begin using our energy
towards discovering new, better ways to achieve patient-centeredness and value rather than
simply implementing IT tools to avoid payment penalties,” Hawkins concludes.
Challenge #1: Aligning IT With the Business
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Healthcare facilities’ systems have become more diverse and distributed
Data quality must be improved early in the process
A mastering process allows for a single version of the truth
Data management is a critical challenge for enabling deep and precise analytics for providers
Insights provided through longitudinal view of the patient’s continuum of care
“Healthcare organizations generate increasing amounts of electronic data, as more and more of
the process becomes digitized – for example, through e-prescribing, electronic medical records
(EMRs), digital imaging scans, pharmacy data, lab data, admissions systems, billing systems,
insurance claims data, and regional health information exchanges,” according to American Sentinel
University.5 “Yet, information collected in different formats by systems that are not interoperable is
likely to yield few insights.”
Today’s healthcare professionals need to address questions that are multi-dimensional in nature.
How do we reduce readmissions? Can we close gaps in care? The answers to such complex
questions call for longitudinal views of patient information at both the individual and patient
registry level across the continuum of care.
Furthermore, data is not truly actionable until it is fit for purpose. Once information is collected
and aggregated from various sources, providers must ensure its accuracy, completeness, and
consistency. They need a plan and supporting solutions that promote sound data management.
A unified platform for integrating data, managing its quality, and presenting it through intuitive
views will greatly increase the productivity of informatics professionals, and will provide the insight
needed to promote better patient care and improve outcomes.
Extensive breadth, depth of data needed to understand the complex cause/effect relationships between variations in clinical processes, outcomes, and costs
Clinicians, administrators to receive metrics and insights in a timely way, based on standardized definitions with trusted data
Moving beyond measuring physician contributions, performance across different perspectives
patient satisfaction, clinical outcomes
Costs, reducing waste