HNHB IDS Portal Presentation November 23 2010_LHIN Board
1. HNHB LHIN Integrated Decision
Support (IDS) Business Intelligence
(BI) Solution
The “Art of the Possible”
November 2010
2. Overview
• Background and Groundwork
• The “Art of the Possible”
• HNHB LHIN IDS Strategy Map
• HNHB LHIN IDS Current State
• Where do we go from here? Next Steps
• HNHB LHIN IDS BI Portal Demonstration
(selected Screen Shots included in your
presentation)
• Appendix
IDS Architecture and Infrastructure
IDS Project Team
3. Background and Groundwork
• The IDS Data Warehouse and Business Intelligence (BI) Solution is an HNHB
LHIN eHealth project, jointly funded by the HNHB LHIN (startup) and HNHB
participating organizations (POs) in a cost sharing model
• Initiative approved by the HNHB LHIN CEO‟s, LHIN CFO‟s, and LHIN eHealth
and leveraged the HNHB LHIN Memorandum of Understanding for Shared
Initiatives signed by LHIN CEO‟s
• Data Sharing and Data Warehousing agreement signed by all HNHB LHIN
hospitals, CCAC, CHC‟s and Cambridge Hospital (WW LHIN #3)
• Governance Structure: HNHB LHIN CFO IDS Steering Committee, HNHB
LHIN DSS Operations Committee, with various HNHB IDS working groups.
Host site is Hamilton Health Sciences (HHS)
• Infrastructure and system implemented in phases by HHS Decision Support
(DSS) Project Team and ICT, under the direction of HNHB LHIN Decision
Support Operations Committee
• Project team at HHS and vendor partners secured:
– HHS Decision Support Services (DSS)
– HHS ICT
– Farid Kassam, 3Terra and Dapasoft Strategic Vendor Partners
– Subject Matter Experts (SME) from participating organizations
• Built upon knowledge gained having a Hamilton-Wentworth shared data
warehouse between HHS, SJH and Hamilton CCAC , hosted by HHS
4. The Art of the Possible
• HNHB LHIN IDS expanded the HHS Enterprise Microsoft arrangement and
purchased the Microsoft Suite of BI Tools (SQL Server, ProClarity
Analytics, OLAP Cubes, Performance Point Dashboards and Scorecards,
and Advanced Reporting) to enable decision makers to view data at
appropriate security levels
• IDS built with the ability to link the patient level data across multiple
data sources and multiple episodes to track the flow of patients
• Timely data across the HNHB LHIN depending on data source (CIHI, ALC-
IS, CCAC, CHC, Source System ADT, etc.)
• LHIN Office can see a consolidated view of Hospitals, CCAC, CHC on
indicators
• Use innovative analytics and visualization techniques to link and view
data
• Once infrastructure and data warehouse (DW) established, new participating
organizations (POs), new providers, new data sources, other healthcare
sectors, and new LHINs can be added easily
• Service Level Agreements (SLA) can then be negotiated with each PO in a
cost sharing manner
• Technical infrastructure and DW architecture is built for scalability and
capacity
• Secure and intuitive web-based access through a user-friendly portal
accessible via eHealth network (SSHA).
6. IDS Production Site Current State
• Late November 2009, the IDS BI Portal was launched in beta as „Software as
a Service‟ with 60 users that provided:
– Secure access to a HNHB LHIN centralized data warehouse containing current
patient level data, linked by a unique identifier per patient, for all hospitals,
CCAC, and CHC in HNHB LHIN:
• CIHI Acute Inpatients (DAD) from April 1, 2008 forward
• CIHI ER, SDS, MDC (NACRS) from April 1, 2008 forward
• CCAC CHRIS Client Data and RAI CCAC Assessment Data (2005
forward)
• MIS Trial Balances (2007/08 forward) with over 150 benchmarking reports,
including LHIN #4, and CAHO Teaching Hospitals
• 7 Community Health Centres (CHC) client and provider data (go-live
November 2010)
• Stats Canada 2006 Census data tables at FSA level
• HAY Level of Care Tables (Primary, Secondary, Tertiary/Quaternary)
• HNHB LHIN real time ALC-IS cube level data and reports
– WW LHIN #3 Cambridge included CIHI DAD, NACRs and MIS (October 2010)
– Out of the box „standard‟ reports, dashboards and analytical views
– BI reporting and analytical tools for ad-hoc analysis and reporting
– Secure file submission capability
– BI tools training and USER GROUP workshops
– Role based user access to different portal functionality and artifacts
• User base now around 140 users (75 analytical and remainder “readers”)
7. IDS Test Site Current State and next Steps
– Beta Testing by HHS, CCAC and Joseph Brant on Microsoft “Report Builder”
prior to full scale launch into production and training to all current users
– Additional out of the box „standard‟ reports, dashboards and analytical views
– Additional BI reporting and analytical tools for ad-hoc analysis and reporting
– Enhanced MIS Benchmarking Reports
– Expanded/Enhanced Infrastructure improvements including improvements in
Active Directory and password management
– Exploration with 2 large FHT‟s to include their physician table and present their
patient‟s journey within HNHB LHIN
– Improved ALC-IS functionality
– Exploration in warehousing Inpatient Rehabilitation, Inpatient Adult Mental
Health and Complex Continuing Care data
– Roll-out for general availability to “reader” (Consumer) community at
organizations
– Signed agreements with Waterloo-Wellington LHIN, in addition to Cambridge,
and adding their data to IDS
8. IDS Current Resources
• Implementation and Further Development:
– 0.7 FTE Project Manager
– 0.4 FTE Business Architect
– 1.2 FTE BI Developer
– 0.2 Analyst
– Subject Matter Experts within HHS and from participating
organizations as required
– HHS ICT resources on an opportunity request basis
– Strategic partner consultants as required
• Operations and Maintenance:
– 0.3 FTE Project Manager
– 1.0 FTE BI Developer/DBA
– 0.2 Analyst
– Subject Matter Experts within HHS and from participating
organizations as required
– Strategic partner consultants as required for operational support
• Not included is the time dedicated by the Lead HNHB LHIN IDS
and Executive Sponsor (up to 0.3 FTE on some weeks)
14. Report For CCAC/Hospital Readmissions
Preset Filters for selection
Export to a variety of
Report formats:
pdf, excel, etc
15. Report For ED Frequent Visitors
Select a facility or ALL for entire LHIN
Unique LHIN identifier
When “click” on - more
detail about this patient
journey is available
78 ED visits in last 12 months,
126 overall, and to 11 Unique EDs
Not on CCAC admission
