Healthcare Business Intelligence for Power Users


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The Healthcare industry is accustomed to volumes of clinical and administrative data. Business intelligence helps convert these large amounts of data into actionable insights to reduce costs, streamline processes, and improve healthcare delivery. Our first webinar, “An Introduction to Business Intelligence for Healthcare,” introduces business intelligence in healthcare and common concepts.
In the second of this series of two webinars, Health BI Practice Manager, Mike Jenkins addresses:
- The BI Maturity Level
- Examples of Levels 3 and 4
- Attaining Level 5

Published in: Technology, Business

Healthcare Business Intelligence for Power Users

  1. 1. Healthcare BI for Power Users September 13, 2012
  2. 2. About PerficientPerficient is a leading information technology consulting firm serving clientsthroughout North America.We help clients implement business-driven technology solutions that integratebusiness processes, improve worker productivity, increase customer loyalty and createa more agile enterprise to better respond to new business opportunities.
  3. 3. Perficient Profile Founded in 1997 Public, NASDAQ: PRFT 2011 Revenue of $260 million Major market locations throughout North America — Atlanta, Austin, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los Angeles, Minneapolis, New Orleans, Philadelphia, San Francisco, San Jose, Southern California, St. Louis and Toronto Global delivery centers in China, Europe and India 2,000+ colleagues Dedicated solution practices 87% repeat business rate Alliance partnerships with major technology vendors Multiple vendor/industry technology and growth awards
  4. 4. Our Solutions Expertise & ServicesBusiness-Driven Solutions Perficient Services• Enterprise Portals  End-to-End Solution Delivery• SOA and Business Process Mgmt  IT Strategic Consulting• Business Intelligence  IT Architecture Planning• User-Centered Custom Applications  Business Process & Workflow• Interactive Design Consulting• CRM Solutions  Usability and UI Consulting• Enterprise Performance Management  Custom Application Development• Customer Self-Service  Offshore Development• eCommerce & Product Information  Package Selection, Implementation Management and Integration• Enterprise Content Management  Architecture & Application Migrations• Enterprise Resource Planning  Education• Management Consulting  Interactive Design• Industry-Specific Solutions• Mobile Technology Perficient brings deep solutions expertise and offers a complete set of flexible services to help clients• Security Assessments implement business-driven IT solutions
  5. 5. Our SpeakersMike Jenkins • Health BI Practice Manager for Perficient • 25+ years of experience architecting, developing, and implementing solutions for organizations in the US, Canada, Europe, and Asia. • Experienced in healthcare, finance, defense, manufacturing, training, and retail industries. • Some of Mike’s healthcare projects include: • Developing a core measures proactive monitoring system • Developing an eHealth strategy for a growing community hospital • Implementing transparent pricing and outcomes measurement solutions • Automating clinical and administrative tasks through forms automation • Connecting multiple healthcare systems through a common patient portal • Developing an electronic medical record application.
  6. 6. Our SpeakersMichael Planchart • Enterprise Healthcare Architect for Perficient • 25+ years of experience architecting, developing, and implementing healthcare solutions for organizations in the US, Latin America and Europe. • Author of the IHE Radiology Framework Profile CXCAD • Some of Michael’s healthcare projects include: • Development of an Electronic Health Care Record System for Enterprise Hospitals deployed throughout Latin America • Microsoft Amalga integration architecture • Microsoft Amalga implementations at major Healthcare Organizations in the US • Microsoft HealthVault Community Connect implementations at major Healthcare Organizations in the US • Architect and Development of advanced radiology imaging viewers applied to lung cancer detection
  7. 7. Today’s Agenda• Introduction• What is the BI Maturity Model• Maturity Model Levels• Walkthrough each Level: – Lacks, Wins and Uses – Data Sources – Case Studies or Examples 7
  8. 8. BI Maturity Model
  9. 9. BI Maturity Model Ecosystem Mindset Enterprise DepartmentIndividual
  10. 10. BI Maturity Level 1 – Many Lacks, Few UsesLevel 1 – UnawarenessMany Lacks: • Accessibility to data • Availability of departmental data and information • Coherent and structured data • Common repositories • Common vocabularies Few Uses: • Data governance and stewardship • Promoted by end-users • Extensibility and functionality • Small interested audience • Quality and trust • Informal • Retention • Non-continuous • Sponsorship and Stakeholders • Typically ends abruptly • Proper technology infrastructureNo significant wins! 10
  11. 11. BI Maturity Level 1 – Data SourcesLevel 1 – Unawareness Data Sources: • Application-based data • Desktop databases (e.g., Access, FoxPro) • Manual abstraction of documents • External sources (e.g., CMS, payers) • Reports from transactional systems Common Tools: • Spreadsheets (e.g., Excel, Visi-Calc) • Microsoft Excel • Microsoft Access • Crystal reports (basic) • Some OTS applications 11
  12. 12. BI Maturity Level 1 – ExampleLevel 1 – Unawareness A small community hospital in rural Ohio decided to expand its medical imaging services offerings beyond the limited radius of the town they were serving at the moment. They had acquired a couple of high-tech Computer Aided Detection (CAD) products for lung cancer and mammography and they were certain that they would be able to provide better care to their at-risk patients and provide their radiologists with tools that would allow to increase their bandwidth thus resulting in more diagnostic readings. Tools Used: But they ran into some challenges. The radiologists were complaining that they • Microsoft Excel wouldn’t be able to handle more cases without getting tired and that would increase patient safety risks. • Microsoft Access • Crystal reports (basic) The people in charge of delivering the imaging services option didn’t have the data to challenge or confirm the radiologists assertions. • Some OTS applications to extract data from the RIS The IT department was tasked to assist them in gathering the data. The IT team leveraged the RIS in order to obtain the scheduling information and the PACS to and the PACS extract the study information and reconcile these with the radiologists claims. Once the management team had the data they were then able to work in harmony with the radiologists’ team and come up with creative solutions to the problems. They were able to increase their offerings and they were also able to identify that they would need one more radiologist in order to avoid over-working the existing ones. 12
  13. 13. BI Maturity Level 2 – Some Lacks, Some UsesLevel 2 – Tactical Big Win: BI is acknowledged as crucial for the enterprise Wins: • Accessibility to data within a department • Some reporting tools • Some visualization tools Some Uses: Some Lacks: • Promoted by IT Executives and end • Accessibility to data across departments users • Availability of interdepartmental data • Fairly interested audience • Coherent and Structured data • Typically implemented in the financial or operational • Data Governance and Stewardship departments • Enterprise –scale repositories • Some departmental formality • Common vocabularies across domains • Some departmental metrics • Quality and trust beyond a department • Some departmental reporting • Sponsorship 13
  14. 14. BI Maturity Level 2 – Data SourcesLevel 2 – Tactical Data Sources: • Desktop databases (e.g., Access, FoxPro) • Manual abstraction of documents • Report Generators (e.g., Crystal reports) • Reports from transactional systems Common Tools: • Source Systems (e.g., MEDITECH, Eclipsys, Epic) • Microsoft Excel • Spreadsheets (e.g., Excel, Multiplan) • Microsoft Access • SQL Databases (e.g., SQL Server, MySQL) • SQL Server Reporting Services • Stove-piped applications data • SQL Server Integration Services • Proprietary BI (e.g., Eclipsys) 14
  15. 15. BI Maturity Level 2 – ExampleLevel 2 – Tactical A large healthcare enterprise in the United States, has been growing organically and through acquisitions. The rate of growth is so fast that it is nearly impossible to merge processes together. They have to deal with myriad EHRs and many other types of systems per facility. The average number of applications per facility is over 200, this number is typical across the industry. Due to the pressure of the external forces that are transforming healthcare and in the best interest to stay ahead of the pack they have seriously considered Business Intelligence as the move forward strategy. Their overwhelming size does not allow them to implement Health BI in a “Big-bang” style so they have decided to approach the endeavor tactically with the vision of reaching Level 4 within 5 – 7 years. Tools Used: They are currently using some well-known tools to achieve this. They still haven’t • Industry standard SQL laid out the foundation but they are able to report analytics at the finance and quality Databases departments and for certain facilities and ancillaries. • SQL Server Integration The goals they seek to accomplish in the immediate future are the formation of a Services (SSIS) Data Governance structure. The next steps are the design and architecture of an Operational Data Store/Atomic Data Store that will be the first steps towards a solid • SAP – Business objects Extract, Transform and Load (ETL) layer and a Trusted Data Layer (TDL). • Eclipsys Clinical Analytics 15
  16. 16. BI Maturity Level 3 – Fewer Lacks, More UsesLevel 3 – Focused Big Win: BI is being used across the enterprise Some Wins: • Some Data Governance and Stewardship • Availability of coherent departmental data • Some ETL and data aggregation (ODS, ADS) • Some trusted data layer • Some sponsorship More Uses: • Some Master Data Management (e.g., EMPI) • Promoted by Business Units • Large interested audience Fewer Lacks: • Formal Processes within BU • Accessibility to data across enterprise • BU metrics • Availability of enterprise data • BU reporting • Coherent and structured data • BU Analytics • Enterprise-wide repositories • Common vocabularies across enterprise 16
  17. 17. BI Maturity Level 3 – FocusedLevel 3 – FocusedData Sources: • Integration Services (e.g., SSIS) • Report Generators (e.g., SSRS) • Reports from stove-piped systems • Reports from transactional systems • SQL Databases (e.g., Oracle, SQL Server) Common Tools: • Basic Enterprise Data Warehouse • SQL Server Reporting • Enterprise Master Person Index Services • SQL Server Integration • Source Systems Services • Proprietary BI (e.g., Eclipsys) 17
  18. 18. BI Maturity Level 3 – Case StudyLevel 3 - Focused Texas Childrens Hospital is an internationally recognized full-care pediatric hospital located in the Texas Medical Center in Houston. One of the largest pediatric hospitals in the United States, Texas Childrens Hospital (TCH) is dedicated to providing the finest possible pediatric patient care, education and research. Nurse researchers, cardiology physicians and researchers created spreadsheets to manage their day-to-day activities – a practice which resulted in more than 450 spreadsheets along with various other disparate sources. These clinicians were responsible for providing outcomes and research reports for consumption by the Tools Used: medical and surgical groups that often used different approaches to data • Microsoft SQL Server management. The complexity of this data management infrastructure began to manifest into several issues including loss of productivity, low quality of data, • SQL Server Integration increased costs and inefficient use of time. Services (SSIS) Perficient created a data warehousing solution using Microsoft SQL Server as a • Microsoft Office Suite backend with web/Windows-based data collection tools. This data was collected, • .NET extracted and transformed using complex workflows to produce a single system of record using SQL Server Integration Services, SQL Server, .NET and Microsoft Office suite. This baseline system quickly processes 100,000 rows of data from multiple systems resulting in a business benefit of cost avoidance hours and new visibility to patient outcomes and research data by providing the users with a trusted single source for data needs. Further information can be obtained here: 18
  19. 19. BI Maturity Level 4 – Few Lacks, Many UsesLevel 4 – Strategic Big Win: BI is a key part of the enterprise Wins: • Enterprise Data Governance and Stewardship • Master Data Management • BI is used daily to manage the business • Enterprise data aggregation (ODS, ADS) • Enterprise Data Warehouse Many Uses: • Trusted Data Layer • Promoted by C-Level • Sponsorship • Very large interested audience • Very Formal Few Lacks: • Enterprise metrics • Accessibility to data across departments • Predictive Analytics and Modeling • Availability of interdepartmental data • Coherent and structured data • Enterprise-wide repositories • Common vocabularies across enterprise 19
  20. 20. BI Maturity Level 4 – StrategicLevel 4 – StrategicData Sources: • Enterprise Data Warehouse • Information Delivery Applications • Enterprise SQL Databases (e.g., Oracle, IBM) Common Tools: • SAP – Business Objects • IBM Cognos • Oracle OBIEE • SQL Server Reporting Services • SQL Server Integration Services 20
  21. 21. BI Maturity Level 4 – ExampleLevel 4 - Strategic Another Childrens Hospital in Texas made the strategic decision to connect it’s Emergency Department with it’s community provider network to improve it’s delivery of services and thus save patient lives by having the right information at the right time, and near real time, at the point of care. In order to achieve this they had to aggregate the data of their patients into a common repository supported by Microsoft Amalga which acted as an ODS/ADS. Data that was originated at the community physician office was sent to the ODS via CCD documents that were also aggregated and atomized in the ADS. Tools Used: • Microsoft SQL Server The use case would allow the emergency physicians to immediately view all the clinical relevant information of the patient. • SQL Server Integration Services (SSIS) • SQL Server Reporting Services • Microsoft Amalga • SharePoint 2010 • PowerPivot 21
  22. 22. BI Maturity Level 5–No Lacks, Infinite PossibilitiesLevel 5 – Pervasive Big Win: BI is shared outside the enterprise Wins: • Pervasive access to enterprise data • Availability of enterprise data • Enterprise master data management • Enterprise-wide repositories Infinite Possibilities: • Common vocabularies across enterprise • Corporate sponsored • Pervasive Data Governance and Stewardship • Corporate audience • Availability of coherent enterprise data • Analytics Embedded in • A very happy and healthy organization! Processes • Clinical Intelligence No Lacks! • Decision Support Systems • Population Health Management 22
  23. 23. BI Maturity Level 5 – PervasiveLevel 5 – PervasiveData Sources: • Enterprise Data Warehouse • Information Delivery Applications • Enterprise SQL Databases (e.g., Oracle, IBM) • Artificial Intelligence processing of Common Tools: unstructured data • SAP – Business Objects • IBM Cognos • IBM Watson • Oracle OBIEE • SQL Server Reporting Services • SQL Server Integration Services 23
  24. 24. BI Maturity Level 5 – ExampleLevel 5 - Pervasive Achieving level 5 is not an easy task. Although some payers have been able to initiate level 5 maturity most healthcare provider organizations fall below this level. Blue Cross / Blue Shield of Kansas City was able to create an enterprise business intelligence strategy and a data governance model in order to integrate 20 major mission critical source systems in order to better serve their member patients. They decided that information had to be enterprise-wide accessible, reliable and accurate. Their information was trapped in silos. They then created the Data Integrated Health Management Platform. They were able to bring in outsourced disease management applications and helping them save millions of dollars a year. With their Enterprise Data Warehouse they were also able to deploy a self-service business intelligence reporting application to large employer group customers and brokers with which they could access and perform their own online analytics. Data was exposed to almost 5000 physician offices. Other noteworthy organizations that have achieved high-levels of maturity are: • Kaiser Permanente • Mayo Clinic • Healthcare Partners 24
  25. 25. Questions and Answers 25
  26. 26. Questions Thank You! Mike Jenkins On Twitter: @TechnologyChef Michael On Twitter: @theEHRGuy
  27. 27. Get in Touch with Perficient• On Twitter: @Perficient_HC• Our Healthcare Blog:• To register for the second webinar:• To download the Health BI White Paper: