Healthcare User Forum & Advisory Council
Alan Eisman Director Healthcare Solutions
October 20, 2010
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The First Person to Appreciate Business Intelligence
"The only real wisdom is knowing you know nothing"
Socrates, Around 420 BC
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More Greek Philosophy and Physicians
According to Hippocrates, “A physician’s judgment
mattered more than any external measurement.” And the
practice of medicine was long organized accordingly. But
today with so many treatment approaches and our
perverse incentive system it no longer makes sense to
leave decisions only to the to the physician’s informed
intuition.
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Transparency Drives Accountability and Improvement
 Medicare spending varies from $14,000 to $5,200/Beneficiary
 40% Can be explained based on case mix, regional pricing
 60% due to other factors supply of resources and practice
patterns
 Physician down the hall - “In our own organization there is a 2
to 3 fold variation in use of tests, unaware of what colleagues
down the hall are doing.
“Chaos and Organization in Health Care”
Thomas H Lee, M.D. James J. Mongan M.D.
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HIM Pros Vital to Healthcare Performance Improvement
Tuesday September 28th
2010
ORLANDO – There is "no distinction
between information management and
healthcare," said Peter Salgo, MD,
associate director of surgical intensive
care at Presbyterian Hospital in New
York, in his rousing presentation at
AHIMA on Tuesday. And the people who
know how to synthesize, store, and
integrate medical information will lead the
massive healthcare changes of the 21st
century.
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So What Are the Imperatives?
 Data, Data, Data – Trusted, Transparent, Timely
 Alignment – Adoption - Accountability
 e nablement of Process
 e ngagement of Stakeholders
 e limination of Spreadmarts
 Sensible Strategy or Roadmap
 Leadership and Tweeners (PPI, CMIO, DSS)
 Healthcare Performance Management and Allowing MU to be
Whatever it Needs Be
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What is Healthcare Performance Management?
Healthcare Performance Management (HPM)
is a framework for merging goals, strategies,
Scorecards, measures, processes, and
initiatives in a way that makes sense not only to
management, but to every participant in the
health care value chain.
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What BI Should Be to Support HPM?
Strategic
Monitor performance and communicate strategy
-Translate strategy for the operation
-Promote continuous improvement
-Drive accountability and focus on key drivers
Direct Analytical BI towards potential problems
Analytical
Isolate and identify good and bad
- Analyze historical trends
- Mine for problems and opportunities
- Predict future potential
Direct the focus of operational initiatives
Operational
Implement Operational Initiatives To…
- Enable/Accelerate processes
- Empower employee decisions
- Improve patient flow
Monitor Performance of Initiatives
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HPM Aligns Strategic and Operational loops
Strategy Management
Plan
Strategic
Measure
Change
Operational Execution
Align
Measure
Execute
Operational
Analyze
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For Example: Closing the Gap Between Budgeting & Ops.
 What are my Strategic Financial Goals?
 Profitability,
 Solid Balance Sheet
 Growth
 What Makes up Financial Performance?
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Revenues
Costs
Cash Flow
 What makes up Revenues, Costs, Cash Flow?
 What Drives Financial Performance?
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Drivers of Financial Performance
 Profitability, Market Share, Growth
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Patient Satisfaction
S/Line Revenue Mix
Payer Mix
 Revenues
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Volumes – Census, Surgeries
Productivity – RVUs
LWOBS, Revenue Leakage, Denied Claims
 Costs
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Labor Productivity
Supplies
Asset Utilization – Medical Technology, Beds, Operating Room
 Cash Flow
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Accounts Receivable
Discharged Not Final Billed (DNFB)
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Agenda
10:00 - 10:20 a.m. Welcome, Introductions and IBI Healthcare Strategy
Alan Eisman, Director Healthcare Strategy
10:20 - 11:00 a.m. Best Practices for Clinical Research, Reporting and Analytics, Dan
Housman, Director, Analytical Apps, Recombinant Data Sys
11:00 - 11:40 a.m. Providing Exec Insight to Improve Performance Using Dashboards and
Scorecards, Mary Tedaldi Senior Director PM, and Jeff Shein BI Dev Mgr, NYU Langone MC
11:40 a.m. - 12:20 p.m. Leveraging Performance Management to Track Meaningful Use
Initiatives, Anna Twomey, Solutions Architect
12:20 - 1:00 p.m. Lunch
1:00 - 1:30 p.m. Eliminating Data Discrepancies with iWay Data Quality Center, Jessica
Spector, Senior Project Manager, Mount Sinai Hospital
1:30 - 2:10 p.m. Operationalize Budgeting and Planning with Mgt Dashboards, Megan
LaPointe, Senior Manager, deFacto Global Inc., John Sulka Senior SE, IBI
2:10 – 3:15 p.m. Roundtable Discussion Wrap-up and mtg follow-up topics
My Simplified View of Maturity Cycle
Concurrent Waves
 From Process Measures – Outcomes – Cause and Effect
 From Departmental – Service Line – Enterprise
 From Spreadsheets – Metrics Mgt. – Balanced Scorecards
 From Historical – Daily Dashboard - Operational – Predictive
 From DSS – C Sponsor/PPI – Data Mgt – BI Competency Ctr
 From Data – Information – True PPI Enablement - HPM
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Malcolm Baldridge Winner!
Modern Day Socrates
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Our Strategy Hasn’t Changed
 Drive Performance at all Levels for highest ROI
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Improve Patient Safety and Clinical Outcomes
Optimize Patient Flow – Efficiency, Patient Satisifaction
Reduce Costs – Labor, Supplies, Administrative
Increase Revenues – Rev Cycle. Grow Strategic S/Lines
 Leverage Strengths: Flexibility ,Scalability, Interoperability, Usability
 Leverage Client Experiences, Priorities, IT Investments
 Leverage Re-usable Components to Speed Time to Value
 Leverage Partnerships
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Clinical Best Practices
Business Process Transformation
Strategic and Financial Planning
Change Management
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Advantages of Information Builders Solutions
 Comprehensive Yet Flexible Solutions
 Independence
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Technology Agnostic – Access any data source (HL7, EPIC, IDX Mumps, etc…)
Top Rated for Customer Support
Emphasis on Innovation for 35 Years
 Leadership Position
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Healthcare – Highest KLAS Rating of Best of Breed BI vendors
Gartner Leader for Business Intelligence & Integration
Performance Mgt #1 Rating
Dresner, Wisdom of Crowds
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Socrates Might Say: MU Should Be Whatever It Needs to Be
My Dashboard
for KPIs , Alerts
& Drill Anywhere
Independent Layers Maximize Flexibility
Personalized Dashboards
Metrics in one
place managed
with Scorecards
for each Dept.
Trusted Performance Management Layer
Analysis with
data from any
source
Functional Analytic Applications
Holistic
integration
framework
Independent Integration Layer
ERP
Clinical
ADT
Ambulatory
ORMS
ED
DW