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Danielle Micciantuono, MSN, RN
Clinical Application Analyst
InterSystems
consolidation:
greasing the skids
with interoperability
© 2014 InterSystems Corporation. All Rights Reserved.
goals
© 2014 InterSystems Corporation. All Rights Reserved.
agenda
• background
• current state of interoperability
• how can interoperability help?
© 2014 InterSystems Corporation. All Rights Reserved.
what’s going on?
from 2007 to June 2013:
607 hospitals involved in M&A activity
(American Hospital Association)
© 2014 InterSystems Corporation. All Rights Reserved.
who?
• large
• Ascension Health ($15 B)
• Trinity Health ($12 B)
• Tenet ($11 B)
• small (avg. acquisition 1.7 hospitals)
• inpatient and ambulatory
• for-profit and not-for-profit (roughly 50/50)
• acute and sub-acute (Kindred-Gentiva-
Centerre)
© 2014 InterSystems Corporation. All Rights Reserved.
an interesting trend
provider payor
© 2014 InterSystems Corporation. All Rights Reserved.
why?
• capitalization
• economies of scale
• increase market power
• optimize service lines
• defensive
© 2014 InterSystems Corporation. All Rights Reserved.
how can we succeed?
complementary offerings
interoperability
cultural fit
© 2014 InterSystems Corporation. All Rights Reserved.
interoperability is a big deal
Royal Philips, “The New Healthcare Enterprise”
© 2014 InterSystems Corporation. All Rights Reserved.
interoperability is a big deal
Royal Philips, “The New Healthcare Enterprise”
© 2014 InterSystems Corporation. All Rights Reserved.
where do we fall short?
© 2014 InterSystems Corporation. All Rights Reserved.
where do we fall short?
© 2014 InterSystems Corporation. All Rights Reserved.
where do we fall short?
© 2014 InterSystems Corporation. All Rights Reserved.
where do we fall short?
© 2014 InterSystems Corporation. All Rights Reserved.
is it any surprise?
within two years of consolidation:
• roughly 1 in 5 hospitals start to lose money
• 59% fail to outperform market peers
© 2014 InterSystems Corporation. All Rights Reserved.
how can interoperability help?
• optimize current operations
• reduce onboarding/transition time
• keep patients and providers engaged
© 2014 InterSystems Corporation. All Rights Reserved.
how can interoperability help?
• optimize current operations
• reduce onboarding/transition time
• keep patients and providers engaged
stronger
quicker
happier
© 2014 InterSystems Corporation. All Rights Reserved.
stronger
© 2014 InterSystems Corporation. All Rights Reserved.
• 178 beds
• $225 million annual revenue
• problem: lab tests performed out of
network
stronger
© 2014 InterSystems Corporation. All Rights Reserved.
stronger
© 2014 InterSystems Corporation. All Rights Reserved.
quicker
© 2014 InterSystems Corporation. All Rights Reserved.
quicker
© 2014 InterSystems Corporation. All Rights Reserved.
quicker
© 2014 InterSystems Corporation. All Rights Reserved.
happier
© 2014 InterSystems Corporation. All Rights Reserved.
happier
© 2014 InterSystems Corporation. All Rights Reserved.
happier
© 2014 InterSystems Corporation. All Rights Reserved.
how can interoperability help?
• optimize current operations
• reduce onboarding/transition time
• keep patients and providers engaged
stronger
quicker
happier
© 2014 InterSystems Corporation. All Rights Reserved.
wrap-up
• background
• current state of interoperability
• how can interoperability help?
© 2014 InterSystems Corporation. All Rights Reserved.
Danielle Micciantuono, MSN, RN
danielle.micciantuono@intersystems.com
questions

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Health IT Summit San Francisco 2015 Case Study "Consolidation: Greasing the Skids With Interoperability"

  • 1. Danielle Micciantuono, MSN, RN Clinical Application Analyst InterSystems consolidation: greasing the skids with interoperability
  • 2. © 2014 InterSystems Corporation. All Rights Reserved. goals
  • 3. © 2014 InterSystems Corporation. All Rights Reserved. agenda • background • current state of interoperability • how can interoperability help?
  • 4. © 2014 InterSystems Corporation. All Rights Reserved. what’s going on? from 2007 to June 2013: 607 hospitals involved in M&A activity (American Hospital Association)
  • 5. © 2014 InterSystems Corporation. All Rights Reserved. who? • large • Ascension Health ($15 B) • Trinity Health ($12 B) • Tenet ($11 B) • small (avg. acquisition 1.7 hospitals) • inpatient and ambulatory • for-profit and not-for-profit (roughly 50/50) • acute and sub-acute (Kindred-Gentiva- Centerre)
  • 6. © 2014 InterSystems Corporation. All Rights Reserved. an interesting trend provider payor
  • 7. © 2014 InterSystems Corporation. All Rights Reserved. why? • capitalization • economies of scale • increase market power • optimize service lines • defensive
  • 8. © 2014 InterSystems Corporation. All Rights Reserved. how can we succeed? complementary offerings interoperability cultural fit
  • 9. © 2014 InterSystems Corporation. All Rights Reserved. interoperability is a big deal Royal Philips, “The New Healthcare Enterprise”
  • 10. © 2014 InterSystems Corporation. All Rights Reserved. interoperability is a big deal Royal Philips, “The New Healthcare Enterprise”
  • 11. © 2014 InterSystems Corporation. All Rights Reserved. where do we fall short?
  • 12. © 2014 InterSystems Corporation. All Rights Reserved. where do we fall short?
  • 13. © 2014 InterSystems Corporation. All Rights Reserved. where do we fall short?
  • 14. © 2014 InterSystems Corporation. All Rights Reserved. where do we fall short?
  • 15. © 2014 InterSystems Corporation. All Rights Reserved. is it any surprise? within two years of consolidation: • roughly 1 in 5 hospitals start to lose money • 59% fail to outperform market peers
  • 16. © 2014 InterSystems Corporation. All Rights Reserved. how can interoperability help? • optimize current operations • reduce onboarding/transition time • keep patients and providers engaged
  • 17. © 2014 InterSystems Corporation. All Rights Reserved. how can interoperability help? • optimize current operations • reduce onboarding/transition time • keep patients and providers engaged stronger quicker happier
  • 18. © 2014 InterSystems Corporation. All Rights Reserved. stronger
  • 19. © 2014 InterSystems Corporation. All Rights Reserved. • 178 beds • $225 million annual revenue • problem: lab tests performed out of network stronger
  • 20. © 2014 InterSystems Corporation. All Rights Reserved. stronger
  • 21. © 2014 InterSystems Corporation. All Rights Reserved. quicker
  • 22. © 2014 InterSystems Corporation. All Rights Reserved. quicker
  • 23. © 2014 InterSystems Corporation. All Rights Reserved. quicker
  • 24. © 2014 InterSystems Corporation. All Rights Reserved. happier
  • 25. © 2014 InterSystems Corporation. All Rights Reserved. happier
  • 26. © 2014 InterSystems Corporation. All Rights Reserved. happier
  • 27. © 2014 InterSystems Corporation. All Rights Reserved. how can interoperability help? • optimize current operations • reduce onboarding/transition time • keep patients and providers engaged stronger quicker happier
  • 28. © 2014 InterSystems Corporation. All Rights Reserved. wrap-up • background • current state of interoperability • how can interoperability help?
  • 29. © 2014 InterSystems Corporation. All Rights Reserved. Danielle Micciantuono, MSN, RN danielle.micciantuono@intersystems.com questions