Transforming Healthcare: Developing A Data Driven Roadmap to Value Based Care

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Developing a Data Driven Roadmap to Value-Based Care

Information Builder’s Healthcare Webinar Series – Part 1

Speakers:Fred Goldstein, CEO, Accountable HealthKevin Mergruen, Vice President, Vertical Solutions , Information Builders

Moderator:Frances Carroll, Healthcare Account Executive, Information Builders

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Focus of Today’s Webinar

During to today’s webinar you will: Hear why everyone’s roadmap is different even though the goals are

similar No one health system is the same!

Uncover the seven main challenges that providers need to plan for in their roadmap

Learn how you can create a roadmap that incorporates all of these key areas through a business value assessment

Be provided with an overview of a business value assessment How they have benefited other healthcare organizations

Have an open Q&A session with today’s speakers

Develop your data driven roadmap to support value based care models

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Today’s Speakers

Fred Goldstein, Founder and President, Accountable Health, LLCFred is founder and president of Accountable Health, LLC, a consulting firm providing expert guidance in population health program design and development. He is a Certified Professional by the Validation Institute and founder and co-host of PopHealth Week, a weekly podcast.

Kevin Mergruen, Vice President, Vertical Solutions, Information BuildersKevin leads a team that addresses the healthcare business sector needs for enterprise data integration, data integrity, and operational business intelligence to enhance overall efficiency, modernization of legacy systems, and improved quality of care.

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Mapping Out Your RoadmapFred Goldstein, Accountable Health

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In the new World of Value Base Care

Without Data you are just plain lost With Data you are in the woods With the Right Data you know where you are With Actionable Data you know where to go With Actionable Data over time you can measure your

impact and adjust your systems

Data is Key for Actionable Insights

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New World Data Requirements

There are many sources and types of data EMR, Claims, internal clinical systems, business data, financial,

employee, social, wearables, market All become important as we move to a Value Based System with

changing reimbursement, measurement and expectations But their importance to you and therefor your roadmap is different

based on your organization, its mission, operations and systems and your local/regional market

That is why a comprehensive and well planned out roadmap is critical

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Ensuring Patient-Centered Care

95% of healthcare providers say that interoperability challenges limit their capability to transfer data from one medical center to another

Challenges impacting interoperability: Exchanging new types of data every day Most systems cannot be easily ‘tweaked’ to accept new data

elements No or slow transfer of information about patients can create

potentially dangerous gaps in care

Information is a Central Issue

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Facing Challenges Head On

Aligning IT With the Business Successful adoption of new strategy requires elevated level

of IT support CIOs, IT departments also need to deliver an architecture

that easily brings in new types of data to support value-based care

Challenge 1

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Facing Challenges Head On

This requires advanced tools that enable: data stewardship, supported by history of

mastered data set remediating conflicts, ensuring adherence to

governance polices driving improvements in data entry

processes

Challenge 2 Keeping Pace With the Evolving Role of Health Information

Management

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Facing Challenges Head On

Enabling Advanced Informatics Data must be aggregated, accurized through a solid data

management plan A unified platform for integrating data, managing its quality, and

presenting it through intuitive views will greatly increase the productivity of informatics provide the insight needed to promote better patient care improve outcomes

Challenge 3

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Facing Challenges Head On

Leveraging Data to Support Process and Outcome Improvement Unified network information management platform enables:

Effective management of patient, clinical data Will reduce the time needed to gather, analyze data A single version of the truth

Challenge 4

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Facing Challenges Head OnChallenge 5

Measuring Physician Performance From New Perspectives Goal: support programs that drive improvements in both

quality and efficiency Meeting this goal requires:

Solid information strategy richer data access across multiple domains Flexible, unified information management platform

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Facing Challenges Head On

Adopting New Incentive and Reimbursement Models Financial staff must be armed with harmonized data across the

continuum of care Creates insights needed to:

generate revenue reduce costs identify profitable growth opportunities

Need effective information management with integrated patient data

Challenge 6

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Facing Challenges Head On

Dealing With Diverse Data Infrastructures 62% of providers are challenges by data

integration*

Must implement solutions that: Integrate data from multiple, native

sources Design your architecture to address the

unique information needs of all your users Supports your data governance plan Create a solid metadata layer

Challenge 7

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Creating or Updating Your Roadmap

Performing a thorough internal assessment is necessary Determine the business value of all activities, resources, tools,

processes, etc. are accounted for An all-encompassing roadmap will ensure:

All challenges are accounted for Key stakeholders, business areas are involved in planning Roadmap activities have assigned owners Timeline, resources are aligned Benchmarks are created to evaluate the roadmap activities

Allows for modification to be made

I have my goals defined…how do I get there?

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Information Builder’s Business Value Assessment (BVA)Kevin Mergruen, Vice President, Vertical Solutions

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Healthcare Business Value Assessment

Our fundamental philosophy… Assessment Process

Assess your organization’s clinical and business analytical needs Conduct a series of discovery interviews with key stakeholders to ensure all

challenges are captured We have prepared a series of questions organized by audience provided by the client Typical team members interviewed include:

Executives Hospital/Clinic Leadership Department Managers Influential Care Team Members

Assessment Overview

Affiliated Stakeholders Project Managers Business Analysts IT and Analytics Teams

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Deliverables Top InfoApp ideas with Potential Business

Value and ROI Project Roadmap

Software Deliverables Projected Cost Estimate Recommended Staffing and Training

Plan Next Steps Documentation

Healthcare Business Value AssessmentAssessment Overview Continued

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Sample InfoApp Deliverable Model

Provide interactive InfoApp for executives, leaders to manage and measure clinical, financial and operational performance across the Network

Provide actual vs previous period and some forecast with variance analysis, time series analysis and interactive visualizations with drilling capabilities

Objective

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Sample InfoApp Deliverable Model

Inpatient Volumes Discharges (#,% new), Patient Days(LOS),Observation Cases (Total, w/o

extended recovery), Admissions, Discharges/Transfers, Critical Care Cases (ICU Census, ICU ALOS, Post ICU ALOS)

Surgical Volumes Outpatient Surgery, Inpatient Surgery

Outpatient Volumes Onsite Ancillary Cases, Offsite Ancillary Cases

Gross Revenue Inpatient Revenue (total, % new), Outpatient Revenue (total, % new), Total

Revenue (total, % new)

Key Metrics

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Dashboard containers should consist of monthly large metrics compared to last month with positive/negative variance (weekly line graphs)

Drill options: IP - Time, Physician Group/Physician, Service Line, IP Dept. OP – Time, Department, Site Revenues – Time, Department

Default ViewSample InfoApp Deliverable Model

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Time (week, month, quarter, year) Service line Regional/Location/Unit, Doctors, Patients (perhaps) Business Consumers 100s of consumers from Administrative and Executive Leadership Team

Key Business Dimensions for Slicing & DicingSample InfoApp Deliverable Model

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Conceptual Representation of Executive InfoApp Sample InfoApp Deliverable Model

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Assessment findings, recommendations will: Enable your organization to improve direction, delivery of actionable

information Help you prioritize opportunities, needs

Our Goal is to: Best understand impact to the business, provide you with actionable

decision making, ROI and build a meaningful partnership together

At the conclusion of the solution assessment, your organization will have a strategic outline to become more data driven and

drive solution adoption

Healthcare Business Value AssessmentAssessment Overview

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Questions for our Speakers…

Call to Action for our Attendees: Contact us to discuss scheduling an Business Value Assessment

(BVA).

Links to a recording of today’s webinar will be sent out shortly!

THANK YOU!www.informationbuilders.com