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PATIENT INSIGHT
IS OUR CURRENCY
2
FUSION INTRODUCTION
DATABRICKS INTRODUCTION
FUSION AND DATABRICKS – FUTURE READY
OUR CAPABILITY, SOLUTIONS AND OFFERINGS
CLOSING
AGENDA
3
www.solunus.com
USA | INDIA
WHO WE ARE
Established in 2006,
Corporate Headquarters in
Dallas, Texas;
Strategic Partner with
Databricks, Tableau, Gold
Partner with SAP and
Registered partners with
Salesforce
Leadership team with 250+
years of proven industry
experience in the healthcare
market with proven and
documented results.
Vast experience in EMR, ERP
and ancillary Healthcare
sources data experience.
We are Clinicians, Architects,
Management Consultants with
deep Healthcare Expertise
A solution accelerator data models and
visualizations
“Fusion Health Advantage TM”
4
FUSION EXPERIENCE
INCLUDING 250+ YEARS OF HEALTH INFORMATICS EXPERIENCE
Clinicians
Data Engineers
& Architects
Data
Scientists
Clinical Informaticists
› Translate clinical initiatives
into technology blueprints
› Physician leadership
communication
Data Science Architects
› Architect and optimize
solutions
› Strong healthcare
background
› Domain Experts
Information Architects - Data
integration
› Intuitive dashboards – Tableau,
SAP, Power BI….
› Integrated solutions including
Sharepoint forms and
embedded interactive EMR
forms
› Row-level security for
compliance purposes
High performance
Technologists
› Database and ETL optimization
› Data virtualization techniques
› Descriptive, Diagnostic,
Predictive and Prescriptive
capabilities
EMR and ancillary Healthcare system expertise
› Source systems expertise
› Workflow optimization
› Multiple source integration – Decision support, Risk management, ancillary clinical systems..
5
FUSION HEALTH ADVANTAGETM
FUSION HEALTH ADVANTAGE
TM
• Use your existing EHR & Analytic Platforms or let us pick the best solution for you.
• Clinical and Operational Solutions for the Healthcare Industry based on national guidelines
• Leverage our extensive experience and proven data model
Trusted by over 70 healthcare organizations.
We are different
7
6
FUSION HEALTH ADVANTAGETM
› 16 years of
Healthcare
solution data
models
Data
Foundation
› Data Warehouse
› Electronic
Health Record
› Other Sources
Raw Data
› Clinical
› Operational
› Financial
› Administrative
› Marketing
› Research
Information
› Metrics
› Key
Performance
Indicators
› Clinical
Registries
Knowledge
› Patient/
Member
Engagement
› Clinical
› Operational
› Marketing
Campaigns
Actions
Comprehensive data model built on 13 years of experience
Serving hospitals and health systems, physician groups and payors.
7
We bridge the gap between clinical, data & technical resources.
Heart Failure Care Variation
› 1.5-day reduction
in length of stay
› 5.7% of eligible
patients received a
recommended
order set.
Critical Care Appropriate Utilization
› 12.6% overall reduction in labs, IV/IM/SQ medications and images
› $11.1M in direct cost savings (PICU only - implementing all critical
care in CY18)
› At the same time reducing readmissions, mortality, LOS & other
metrics
PROFESSIONAL SERVICES
Quality
&
Safety
› Enhanced Recovery After Surgery (ERAS)
› Reduce Care Variation
• Cardiology
• COPD/Asthma
• Stroke
• Spine
› Sepsis Diagnosis & Management
For specific conditions,
settings & events
Appropriate
Utilization
› Blood Management
› High-Risk/Cost Medications
› Critical Care Labs & Images
› Lines, Drains & Airways
Optimize labs, images,
meds & resources
Operational
Excellence
› Talent Management
› Patient Flow & Capacity Management
• Improve Throughput
• Reduce Wait Times
• Increase Productivity
Streamline
clinical operations
Data
&
Technology
› Data & Analytics Roadmap
› Epic Clarity, Healthy Planet Extension &
Content Development
› Epic Caboodle Extension & Use Case
Development
› BI Tool Development
› ETL Development
Maximize your
analytics investment
RECENT RESULTS
8
HEALTHCARE ANALYTICS OFFERINGS
› Custom database design, build
and support
› Custom dashboards andreports
› Epic Clarity and Caboodleoptimization
› Tableau implementation andsupport
› End user workshops and hands-ontraining
› Data/technology rationalizationand
migration
We support most major EMRs and
databases.
Data Management
& Custom Analytics
Fusion Health AdvantageTM
Comprehensive data model built on Fusion’s 10y of experience serving
hospitals, health systems and physician groups.
Quality & Safety
Reduce care variation
Sickle cell, ERAS, CHF,CMS
readmissions…
Appropriate Utilization
Optimize labs, images & meds.
Blood management, high-risk
medications, LDA…
Operational Excellence
Streamline clinical operations.
Periop efficiency, ED throughput, LOS…
Ambulatory Care
Build durablesystems
of care.
Diabetes, Asthma, COPD,
scheduling…
Platform agnostic data model implemented on client’s preferred
database with Tableau Visualization
Prebuilt Tableau Analytics
DiabetesPopulation
Management
› Defined and analyzed
population
› Built Epic registry to
track and stratify
patients
› Imported claims data to
close data gaps
Critical Care Labs and
Imaging
› 12.6% overall reduction in
labs, IV/IM/SQ and images
› No indications of
underutilization
› $11.1M projected savings
over 5 years
Heart Failure Care Variation
› 1.5-day LOS reduction
› 57% of eligible patientsreceived
recommended order set
BloodManagement
› 46% reduction administered
w/o clinical necessity
› 23% reduction administered
annually
› $3.3M annual costsavings
Recent results
Fusion Accelerators
Slice of FHA thataddresses
specific client need
+
Tableau visualization
=
9
WHAT WE BRING
Clinical resources: Nurse and
Physicians advisors
Clinical and operational
efficiency expertise
Clinically validated results with
peer reviewed publications
Fusion Health Advantage TM
Healthcare data model
Strategic Partner Relationships:
Vast experience in EMR, ERP, Claims
and ancillary data sources
$11.1M 5 years savings $3.3M annual cost savings
*Critical Care Labs & Imaging *Blood Management
15
1.5
Days
*Congestive Heart Failure
10
SERVICES & SOLUTIONS
10
Data Management Analytics Visualizations
Development, Support, Training & Advisory Services
Streamline clinical operations
Operational Excellence
Patient Safety and Quality
PeriOp Efficiency
Executive Dashboard
Supply Chain
Quality & Safety
Reduce avoidable variation
Care Pathway
Enhanced Recovery After Surgery (ERAS)
Vent Weening
Build systems of care
Outpatient
Physician Scorecard
Patient Flow & Scheduling
Disease Management
Appropriate Utilization
+
Optimize Cost & Care
Blood Management
High-Risk Medications
Lines, Drains and Vents
Fusion is a Tableau professional services subcontractor!
+
11
REPRESENTATIVECLIENTELE
FUSION HAS OVER 200+ ENGAGEMENTS
12
STATE OF US HEALTHCARE, QUADRUPLE AIM
• Unsustainable
system cost &
inflation
• High per capita
spending (over 60%
to nearest)
• Fee for service to
value-based
reimbursement
shift
• Technology,
wearables – growth
in big data
WHAT’S DRIVING?
13
HIMSS - Adoption Model for Analytics Maturity (AMAM)
13
Stage 0
•Organizational
Awareness of the need
Stage 1
•Accumulate & centralize
Data (ODS, EDW), MDM,
Governance
Stage 2
•Formal EDW, robust
MDM, Data Governance
initiatives
Stage 3
•Descriptive Analytics,
Predictable Data Quality
Stage 4
•Analytics in Clinical,
Financial and
Operational Programs
Stage 5
•Expanded point-of-care
Analytics, Population
Health and Economics
of Care
Stage 6
•Predictive Analytics,
Clinical support
Stage 7
•Pinnacle – Prescriptive
and personalize care
through Genomic,
Biometric data, Mass
customization
Foundational Capabilities Deployed
ODS, EDW, MDM, Governance & Quality
Move from Ad hoc reporting to
centralized capabilities, improved data
quality
Descriptive Analytics
Stewardship, Predictable Data Quality,
Centralized & Democratized Data
Clinical, Financial & Operational Analytics
Predictive Analytics
Advanced Analytics, Clinical & operational
data augmented by Biometric, Genomic
Point-of-Care Analytics, Population &
Personalized Care
14
14
Simple
Unify your data warehousing and AI
use cases on a single platform
Open
Built on open source and open standards
Multi-cloud
One consistent data platform across clouds
DATABRICKS LAKEHOUSE PLATFORM
Lakehouse Platform
Data
Warehousing
Data
Engineering
Data Science
and ML
Data
Streaming
All structured and unstructured data
Cloud Data Lake
Unity Catalog
Fine-grained governance for data and AI
Delta Lake
Data reliability and performance
15
MODERN DATAWAREHOUSING ON DATABRICS
Data Science and
Machine Learning
Databricks Machine Learning
Real time CDC
Stream Ingestion
Curated Data
Raw
Ingestion
and History
BRONZ
E
Filtered,
Cleaned,
Augmented
SILVER
Business
Aggregates &
Data Models
GOLD
Enterprise Reporting
and BI
DBSQL
Endpoints
Databricks SQL
Databricks Notebooks, Delta Live Tables
Select the Ingestion, ETL, Presentation Layer and Governance Ecosystem on the Databricks Platform
ETL Partners
Data Governance powered by Databricks Unity Catalog
EDC
AWS
DMS
16
UNITY CATALOG
17
● $8M annual spend on Teradata
& Informatica including
○ Hardware
○ Licensing
○ Data center maintenance
○ 5 Teradata administrator
FTEs now free to do
Data/ETL Engineering
● Assumes 3-year reserved
Instances and 10% Databricks
and AWS Migration Incentives
AWS spend
Databricks spend
Teradata
hardware spend
Teradata & Informatica
software spend
Teradata
maintenance costs
Data center
administrators
$5.7M
savings
Source: Databricks Benchmark Infrastructure Model (2022)
~17% of commit
TCO Reduction: Sample
Through migration from Teradata

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Fusion n Databricks - Introduction .pptx

  • 2. 2 FUSION INTRODUCTION DATABRICKS INTRODUCTION FUSION AND DATABRICKS – FUTURE READY OUR CAPABILITY, SOLUTIONS AND OFFERINGS CLOSING AGENDA
  • 3. 3 www.solunus.com USA | INDIA WHO WE ARE Established in 2006, Corporate Headquarters in Dallas, Texas; Strategic Partner with Databricks, Tableau, Gold Partner with SAP and Registered partners with Salesforce Leadership team with 250+ years of proven industry experience in the healthcare market with proven and documented results. Vast experience in EMR, ERP and ancillary Healthcare sources data experience. We are Clinicians, Architects, Management Consultants with deep Healthcare Expertise A solution accelerator data models and visualizations “Fusion Health Advantage TM”
  • 4. 4 FUSION EXPERIENCE INCLUDING 250+ YEARS OF HEALTH INFORMATICS EXPERIENCE Clinicians Data Engineers & Architects Data Scientists Clinical Informaticists › Translate clinical initiatives into technology blueprints › Physician leadership communication Data Science Architects › Architect and optimize solutions › Strong healthcare background › Domain Experts Information Architects - Data integration › Intuitive dashboards – Tableau, SAP, Power BI…. › Integrated solutions including Sharepoint forms and embedded interactive EMR forms › Row-level security for compliance purposes High performance Technologists › Database and ETL optimization › Data virtualization techniques › Descriptive, Diagnostic, Predictive and Prescriptive capabilities EMR and ancillary Healthcare system expertise › Source systems expertise › Workflow optimization › Multiple source integration – Decision support, Risk management, ancillary clinical systems..
  • 5. 5 FUSION HEALTH ADVANTAGETM FUSION HEALTH ADVANTAGE TM • Use your existing EHR & Analytic Platforms or let us pick the best solution for you. • Clinical and Operational Solutions for the Healthcare Industry based on national guidelines • Leverage our extensive experience and proven data model Trusted by over 70 healthcare organizations. We are different 7
  • 6. 6 FUSION HEALTH ADVANTAGETM › 16 years of Healthcare solution data models Data Foundation › Data Warehouse › Electronic Health Record › Other Sources Raw Data › Clinical › Operational › Financial › Administrative › Marketing › Research Information › Metrics › Key Performance Indicators › Clinical Registries Knowledge › Patient/ Member Engagement › Clinical › Operational › Marketing Campaigns Actions Comprehensive data model built on 13 years of experience Serving hospitals and health systems, physician groups and payors.
  • 7. 7 We bridge the gap between clinical, data & technical resources. Heart Failure Care Variation › 1.5-day reduction in length of stay › 5.7% of eligible patients received a recommended order set. Critical Care Appropriate Utilization › 12.6% overall reduction in labs, IV/IM/SQ medications and images › $11.1M in direct cost savings (PICU only - implementing all critical care in CY18) › At the same time reducing readmissions, mortality, LOS & other metrics PROFESSIONAL SERVICES Quality & Safety › Enhanced Recovery After Surgery (ERAS) › Reduce Care Variation • Cardiology • COPD/Asthma • Stroke • Spine › Sepsis Diagnosis & Management For specific conditions, settings & events Appropriate Utilization › Blood Management › High-Risk/Cost Medications › Critical Care Labs & Images › Lines, Drains & Airways Optimize labs, images, meds & resources Operational Excellence › Talent Management › Patient Flow & Capacity Management • Improve Throughput • Reduce Wait Times • Increase Productivity Streamline clinical operations Data & Technology › Data & Analytics Roadmap › Epic Clarity, Healthy Planet Extension & Content Development › Epic Caboodle Extension & Use Case Development › BI Tool Development › ETL Development Maximize your analytics investment RECENT RESULTS
  • 8. 8 HEALTHCARE ANALYTICS OFFERINGS › Custom database design, build and support › Custom dashboards andreports › Epic Clarity and Caboodleoptimization › Tableau implementation andsupport › End user workshops and hands-ontraining › Data/technology rationalizationand migration We support most major EMRs and databases. Data Management & Custom Analytics Fusion Health AdvantageTM Comprehensive data model built on Fusion’s 10y of experience serving hospitals, health systems and physician groups. Quality & Safety Reduce care variation Sickle cell, ERAS, CHF,CMS readmissions… Appropriate Utilization Optimize labs, images & meds. Blood management, high-risk medications, LDA… Operational Excellence Streamline clinical operations. Periop efficiency, ED throughput, LOS… Ambulatory Care Build durablesystems of care. Diabetes, Asthma, COPD, scheduling… Platform agnostic data model implemented on client’s preferred database with Tableau Visualization Prebuilt Tableau Analytics DiabetesPopulation Management › Defined and analyzed population › Built Epic registry to track and stratify patients › Imported claims data to close data gaps Critical Care Labs and Imaging › 12.6% overall reduction in labs, IV/IM/SQ and images › No indications of underutilization › $11.1M projected savings over 5 years Heart Failure Care Variation › 1.5-day LOS reduction › 57% of eligible patientsreceived recommended order set BloodManagement › 46% reduction administered w/o clinical necessity › 23% reduction administered annually › $3.3M annual costsavings Recent results Fusion Accelerators Slice of FHA thataddresses specific client need + Tableau visualization =
  • 9. 9 WHAT WE BRING Clinical resources: Nurse and Physicians advisors Clinical and operational efficiency expertise Clinically validated results with peer reviewed publications Fusion Health Advantage TM Healthcare data model Strategic Partner Relationships: Vast experience in EMR, ERP, Claims and ancillary data sources $11.1M 5 years savings $3.3M annual cost savings *Critical Care Labs & Imaging *Blood Management 15 1.5 Days *Congestive Heart Failure
  • 10. 10 SERVICES & SOLUTIONS 10 Data Management Analytics Visualizations Development, Support, Training & Advisory Services Streamline clinical operations Operational Excellence Patient Safety and Quality PeriOp Efficiency Executive Dashboard Supply Chain Quality & Safety Reduce avoidable variation Care Pathway Enhanced Recovery After Surgery (ERAS) Vent Weening Build systems of care Outpatient Physician Scorecard Patient Flow & Scheduling Disease Management Appropriate Utilization + Optimize Cost & Care Blood Management High-Risk Medications Lines, Drains and Vents Fusion is a Tableau professional services subcontractor! +
  • 12. 12 STATE OF US HEALTHCARE, QUADRUPLE AIM • Unsustainable system cost & inflation • High per capita spending (over 60% to nearest) • Fee for service to value-based reimbursement shift • Technology, wearables – growth in big data WHAT’S DRIVING?
  • 13. 13 HIMSS - Adoption Model for Analytics Maturity (AMAM) 13 Stage 0 •Organizational Awareness of the need Stage 1 •Accumulate & centralize Data (ODS, EDW), MDM, Governance Stage 2 •Formal EDW, robust MDM, Data Governance initiatives Stage 3 •Descriptive Analytics, Predictable Data Quality Stage 4 •Analytics in Clinical, Financial and Operational Programs Stage 5 •Expanded point-of-care Analytics, Population Health and Economics of Care Stage 6 •Predictive Analytics, Clinical support Stage 7 •Pinnacle – Prescriptive and personalize care through Genomic, Biometric data, Mass customization Foundational Capabilities Deployed ODS, EDW, MDM, Governance & Quality Move from Ad hoc reporting to centralized capabilities, improved data quality Descriptive Analytics Stewardship, Predictable Data Quality, Centralized & Democratized Data Clinical, Financial & Operational Analytics Predictive Analytics Advanced Analytics, Clinical & operational data augmented by Biometric, Genomic Point-of-Care Analytics, Population & Personalized Care
  • 14. 14 14 Simple Unify your data warehousing and AI use cases on a single platform Open Built on open source and open standards Multi-cloud One consistent data platform across clouds DATABRICKS LAKEHOUSE PLATFORM Lakehouse Platform Data Warehousing Data Engineering Data Science and ML Data Streaming All structured and unstructured data Cloud Data Lake Unity Catalog Fine-grained governance for data and AI Delta Lake Data reliability and performance
  • 15. 15 MODERN DATAWAREHOUSING ON DATABRICS Data Science and Machine Learning Databricks Machine Learning Real time CDC Stream Ingestion Curated Data Raw Ingestion and History BRONZ E Filtered, Cleaned, Augmented SILVER Business Aggregates & Data Models GOLD Enterprise Reporting and BI DBSQL Endpoints Databricks SQL Databricks Notebooks, Delta Live Tables Select the Ingestion, ETL, Presentation Layer and Governance Ecosystem on the Databricks Platform ETL Partners Data Governance powered by Databricks Unity Catalog EDC AWS DMS
  • 17. 17 ● $8M annual spend on Teradata & Informatica including ○ Hardware ○ Licensing ○ Data center maintenance ○ 5 Teradata administrator FTEs now free to do Data/ETL Engineering ● Assumes 3-year reserved Instances and 10% Databricks and AWS Migration Incentives AWS spend Databricks spend Teradata hardware spend Teradata & Informatica software spend Teradata maintenance costs Data center administrators $5.7M savings Source: Databricks Benchmark Infrastructure Model (2022) ~17% of commit TCO Reduction: Sample Through migration from Teradata