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Automated, Standardized Reporting ofPatient Safety and Quality Measures to  Enable Faster Action and Time to             I...
Today’s Presenters    ‣ Ryan Hayden        Healthcare Principal        315-380-0672        rhayden@edgewater.com    ‣ Neil...
Agenda    ►   University of Pennsylvania Health System (UPHS) Overview    ►   Edgewater Corporate Overview    ►   Objectiv...
Edgewater Corporate OverviewConsulting firm that brings a blend of advisory services and product-basedtechnology solutions...
Summary of Edgewater’s Healthcare Practice                          BI & Technology Experience                        • ED...
Penn Medicine Overview    ►   Perelman School of Medicine and The University of Pennsylvania        Health System    ►   C...
Patient Safety and Quality Integrated Data Solution
Penn Medicine                     Blueprint for Quality and Patient SafetyPenn Medicine will eliminate preventable deaths ...
Three-Way Partnership is Penn’s “Swiss ArmyKnife” for Managing Quality on the Hospital Units    Three-Way Partnership     ...
Vision: Advanced Analytics for Quality Data                                                                               ...
Enterprise Objective: Work Smarter                                                    Decision Making & &                 ...
Organizational Deployment:  Communication & Execution                             Change                              Mgmt...
Health System Dashboard     Health System Dashboard is where Penn Medicine Team Goals are highlighted on the front     pag...
Dashboard Tabs                                      With more timely data, metrics will     Patient level detail available...
Spark Line View of Data Spark Line: presents users with a more advanced view of metrics in a condensed space. This view pr...
Reporting Template                                                             Patient level detail availableReports allow...
Built In Graphing Capability Trending graphs default to Statistical Process Control (SPC) charts to help promote the  proc...
Project Statistics►    Requirements gathering and build approximately 6 months►    136 Quality Metrics from various existi...
Next Frontier►    Benchmarking data (in process)►    ICU specific measures (in process)►    Outpatient data mart (start Q3...
Discussion                     Questions?                                                 Thank You!     Download a copy o...
APPENDIXTechnical Description ofSolution & Architecture
Technical Description►    The Database and Platform      – Oracle 11g running on Linux      – Three separate instances: De...
Data Flow & Architecture     Source             Enterprise                                           Additional Sources no...
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Automated, Standardized Reporting of Patient Safety and Quality Measures to Enable Faster Action and Time to Improvement.

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Edgewater and UPenn presented on "Moving from Volume to Value Based Care" at The World Congress 10th Annual Healthcare Quality Congress, August 2-3, 2012.

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Automated, Standardized Reporting of Patient Safety and Quality Measures to Enable Faster Action and Time to Improvement.

  1. 1. Automated, Standardized Reporting ofPatient Safety and Quality Measures to Enable Faster Action and Time to Improvement August 2nd, 2012
  2. 2. Today’s Presenters ‣ Ryan Hayden Healthcare Principal 315-380-0672 rhayden@edgewater.com ‣ Neil Ravitz Chief Operating Officer (COO) for the Chief Medical Officer (CMO) Neil.ravitz@uphs.upenn.edu2
  3. 3. Agenda ► University of Pennsylvania Health System (UPHS) Overview ► Edgewater Corporate Overview ► Objectives for Patient Safety and Quality Dashboard Project ► Case in Point – – Project Overview – Brief Technical Description – Primary Business Benefits ► Dashboard and Report Live Demonstration ► Ongoing Learning and Development ► Appendix: Technical Description of Solution & Architecture3
  4. 4. Edgewater Corporate OverviewConsulting firm that brings a blend of advisory services and product-basedtechnology solutions to assist our clients with improving profitability, drivingperformance improvements, and accelerating growth► Founded in 1992► Focus on upper-middle and global 2000 markets► 420+ employees► 800+ clients► 3,100+ projects completed to date► 95% client retention rate► Large North American footprint – New UK presence► Publicly traded (NASDAQ: EDGW) – Public in 2002► Co-founders still with the Company4
  5. 5. Summary of Edgewater’s Healthcare Practice BI & Technology Experience • EDW/BI Strategies & Roadmaps Sample Clients • Data Quality, Architecture • Data Governance • Tool Evaluation & Selection • Data Marts/EDW Implementation • Reporting, Dashboards, & Analytics Implementation and Planning Functional Experience • Quality of Care, Patient Safety • Surgical Analytics • Service Line Analytics • Utilization & Cost • Patient Panel and Physician Relationships • CRM in Healthcare • Finance Budgeting, and Strategic Planning5
  6. 6. Penn Medicine Overview ► Perelman School of Medicine and The University of Pennsylvania Health System ► Comprised of three hospitals with more than 1,700 beds ► More than 78,000 admissions per year ► More than 2 million outpatient visits ► More than 2,200 physicians and more than 21,000 employees ► HUP – USNWR Honor roll hospital ► Located in the heart of Philadelphia!6
  7. 7. Patient Safety and Quality Integrated Data Solution
  8. 8. Penn Medicine Blueprint for Quality and Patient SafetyPenn Medicine will eliminate preventable deaths and preventable 30-day readmissions byJuly 1, 2014Imperatives Priority Actions “Always” events - strive to provide perfect careAccountability For Perfect Implement clear lines of accountability that span inpatient andCare ambulatory environments Provide consistent and thorough communication with families & patient regarding plan of care Increase patient and family involvement in UPHS forums that addressPatient and issues relevant to quality, safety and service excellenceFamily-Centered Care Enhance patient-provider partnership through better exchange of information Ensure all UBCLs implement redesign care processes related to:Transitions In Care / – Risk stratificationCoordination Of Care – Interdisciplinary rounding – Discharge hand-off to outpatient care Eliminate variations in care processes where evidence exists Balance conformity in practice with needs for personalized careReducing UnnecessaryVariations In Care Set goals that are positive and proactive Strengthen organizational capacity and capability for continuousProvider Engagement, improvementLeadership, And Advocacy Increase involvement of house staff in quality, safety and service excellence efforts8
  9. 9. Three-Way Partnership is Penn’s “Swiss ArmyKnife” for Managing Quality on the Hospital Units Three-Way Partnership We needed a on the Hospital Units multi-purpose solution on the units to handle almost any Quality problem. “ This isn’t a project, it’s a way of doing things. You can bolt different strategies onto it. We call these trios “UBCLs,” for “Unit Based —UPHS CFO ” Clinical Leadership.”9
  10. 10. Vision: Advanced Analytics for Quality Data - Coordination of Care - ALOS Highly Aggregated/ - Quality Compliance C-Level • Alignment with Quality Blue Print objects • Improve resource utilization; patient satisfaction - Core Measures • Align quality improvement / PI with industry reform - HCAHPS - HAI’s - QI / PI Executive CEQI, Quality Department User • Reduce costs by automating report development • Improve compliance with regulatory mandates • Targeted education for units / clinicians underperforming Functional User Power User Analyst/Informaticist • Analytic & reporting tools - SCIP, PN, AMI • Report development and distribution - Falls • Monitor data quality; standardize vocab. - Satisfaction - Events, ErrorsThe Right Information. To the Right People. At the Right Time.10
  11. 11. Enterprise Objective: Work Smarter Decision Making & & Decision Making Analyze Action Action Decision Making & Information Action Where Where We We’re % % Time Spent WERE GOING Time Spent Analyze Analyze Information Information Collect Data Analyze Analyze Information Information Collect Data Collect Data Collect Data Collect Data Basic / Classic Reporting BI & Analytic Tools Less Mature More Mature11
  12. 12. Organizational Deployment: Communication & Execution Change Mgmt Provide Support & Process Project Mgmt Analysis Change Steering Committee Identify Establish / Update Alerts & Priorities Dashboards Entities Analysts Justify Implement Patient Safety & Quality PI Champions PI Analysts Identify Design Pilot StandardJustify Implement Reports PI Design Pilot Local Response to Q&S Metrics Data Mart PS&Q Analytics UBCL Data Mart Identify IT / EDW Support Surgeons Nursing Justify Implement Safety & Quality Data Collection PI Design Pilot Implement & Physicians Capture & Improve Analyze Clinical Care 12
  13. 13. Health System Dashboard Health System Dashboard is where Penn Medicine Team Goals are highlighted on the front page and performance against those goals are depicted in Green / Yellow / Red13
  14. 14. Dashboard Tabs With more timely data, metrics will Patient level detail available update throughout the month14
  15. 15. Spark Line View of Data Spark Line: presents users with a more advanced view of metrics in a condensed space. This view provides the Start Point, Low Point, High Point, and directional arrow based on a three month average. It is an efficient way to view and compare trends of several metrics at one time.15
  16. 16. Reporting Template Patient level detail availableReports allow the user to select measures by Entity, Unit,Department and Service according to a desired date range 16
  17. 17. Built In Graphing Capability Trending graphs default to Statistical Process Control (SPC) charts to help promote the process improvement techniques that are being taught throughout the organization17
  18. 18. Project Statistics► Requirements gathering and build approximately 6 months► 136 Quality Metrics from various existing sources: – Mortality (8) – Transitions / Readmissions (8) – Patient Safety Indicators (18) – Healthcare Acquired Infections (8) – Core Measures (57) – HCAHPS Patient Satisfaction (31) – VTE/DVT/PE (6)► Two (2) dashboards and nine (9) reports► More than 350 users across the Health System18
  19. 19. Next Frontier► Benchmarking data (in process)► ICU specific measures (in process)► Outpatient data mart (start Q3 2012)► Merging data from different BusinessObjects universes (2013) – Finance and Quality – Inpatient to Outpatient – Executive View19
  20. 20. Discussion Questions? Thank You! Download a copy of this presentation here20
  21. 21. APPENDIXTechnical Description ofSolution & Architecture
  22. 22. Technical Description► The Database and Platform – Oracle 11g running on Linux – Three separate instances: Development, QA, and Production► The ETL (Extract, Transform, Load) tools – IBM InfoSphere (an integrated solution) • IBM Data Stage, Quality Stage, Information Analyzer, and FastTrack – Two separate instances: Development and Production► Business Intelligence Solution – BusinessObjects and Xcelsius – Three separate instances: Development, QA, and Production► Issue Tracking solution – Microsoft SharePoint custom developed issue tracking site22
  23. 23. Data Flow & Architecture Source Enterprise Additional Sources not part of Clinical Systems the PDS architecture Repository HDM HUP Press AHRQ HDM PMC Ganey UHC ClinTrac ETL Penn TheraDoc Transformation Quality ETL Data ETL ETL Store Layer Data Mart Sunrise EPIC Cardiac Surgery MedView Cerner Lab23

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