The document outlines Perficient, an IT consulting firm, and its healthcare business intelligence (BI) solutions aimed at enhancing organizational performance and productivity through data integration and analytics. It details the BI maturity model, which ranges from unawareness of BI processes to highly advanced, pervasive BI strategies used for decision-making in healthcare organizations. Additionally, the document provides case studies illustrating various organizations' experiences and challenges at different maturity levels of BI implementation.

1. Healthcare BI for Power Users
September 13, 2012

2. About Perficient
Perficient is a leading information technology consulting firm serving clients
throughout North America.
We help clients implement business-driven technology solutions that integrate
business processes, improve worker productivity, increase customer loyalty and create
a more agile enterprise to better respond to new business opportunities.

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. Our Solutions Expertise & Services
Business-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. Our Speakers
Mike 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. Our Speakers
Michael 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. 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. BI Maturity Model

9. BI Maturity Model
Ecosystem
Mindset
Enterprise
Department
Individual

10. BI Maturity Level 1 – Many Lacks, Few Uses
Level 1 – Unawareness
Many 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 infrastructure
No significant wins! 10

11. BI Maturity Level 1 – Data Sources
Level 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. BI Maturity Level 1 – Example
Level 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. BI Maturity Level 2 – Some Lacks, Some Uses
Level 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. BI Maturity Level 2 – Data Sources
Level 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. BI Maturity Level 2 – Example
Level 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. BI Maturity Level 3 – Fewer Lacks, More Uses
Level 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. BI Maturity Level 3 – Focused
Level 3 – Focused
Data 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. BI Maturity Level 3 – Case Study
Level 3 - Focused
Texas Children's 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 Children's 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: http://www.perficient.com/About/Case-Studies/2011/Texas-Childrens-Hospital
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19. BI Maturity Level 4 – Few Lacks, Many Uses
Level 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. BI Maturity Level 4 – Strategic
Level 4 – Strategic
Data 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. BI Maturity Level 4 – Example
Level 4 - Strategic
Another Children's 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. BI Maturity Level 5–No Lacks, Infinite Possibilities
Level 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. BI Maturity Level 5 – Pervasive
Level 5 – Pervasive
Data 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. BI Maturity Level 5 – Example
Level 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
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25. Questions and Answers
25

26. Questions
Thank You!
Mike Jenkins
mike.jenkins@perficient.com
On Twitter: @TechnologyChef
Michael Planchart
michael.planchart@perficient.com
On Twitter: @theEHRGuy

27. Get in Touch with Perficient
• On Twitter: @Perficient_HC
• Our Healthcare Blog:
blogs.perficient.com/healthcare/
• To register for the second webinar:
www.perficient.com/Webinars
• To download the Health BI White Paper:
www.perficient.com/WhitePapers