Carolinas healthcare system

1. Carolinas Healthcare System
Assignment
Submitted by: Group A
Members:
Vinod Maliyekal
Sanmeet Dhokay
Mandar Risbud

2. Q1: Why has CHS invested in DA2?
CHS invested in DA for following reasons:
• US Healthcare landscape was undergoing key changes like fee-for-value
instead of just fee-for-service. Rather than increase just the revenue (size),
focus of CHS was to improve outcomes. CHS firmly believed that deploying
analytics could help improve outcomes. Thus, instead of relying on various
analytics skills scattered across the organization, it decided to create a
centralized group to manage Analytics needs.
• Secondly, other important reason for investing into DA2 was to use it to
communicate strategy to outside world.
• Thirdly, CHS Information Services leadership rightly anticipated that cost of
data storage would plummet and hence generous DW can be built to
support new analytics

3. Q2: How successful has DA2 been so far? Why?
DA2 was enormously successful. Soon after it’s launch, DA2 received twice as many
requests as its capacity. DA2 served not only external customers (like CHS-affiliated
hospitals, Payers, Patients and Government), but also internal customers whose demand
for analytics quickly outstripped the team’s capacity. This shows the success rate of DA2. So
much so, that many saw the potential for DA2 to become an additional revenue stream by
outsourcing its analytics services to third parties in future.
The reasons for success of DA2 are as follows:
• Till now, 1/3rd of clinical work was non-standard (that is, decisions were taken in ad-hoc
manner, not backed by data). But since the healthcare industry was moving to fee-for-
value approach, more and more data-driven decisions were required
• Though DA2 operated as a cost-centre, it undertook all the strategic initiatives. Thus, this
group was part of corporate strategy
• The key to success of DA2 was continuing commitment to build strong relationships with
the physicians and nurses.

4. Q3: What are Dulin’s most important challenges
going forward?
Dulin faced following important challenges:
• Working of DA2 had been attracting huge investments which had to
be recovered. However, the work pipeline for DA2 had more demand
from internal requirements (that is, non-revenue earning work). This
constrained Dulin to test DA2’s ability in external marketplace
• DA2 generated lot of insights through interactive reports. But the
challenge was to translate these insights into actionable items

5. Q4: Which organizations are best-placed to provide integrated
data management for individual patients?
Organizations that have following capabilities are best-placed to
provide integrated data management:
 A distributed data system, integrated through right touchpoints
 A corporate data warehouse
 A scalable data model
 Having high quality data
 Right data governance policies
 Having patient segmentation data (based on risk, spend potential etc)