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Major Applications of Business Intelligence
Software in the Healthcare Industry
Business Intelligence and Healthcare
1. Introduction . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
2. The Healthcare Industry: Finding Ways to Combat Rising Costs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .2
3. Healthcare Application Spotlight: The Advisory Board . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
4. Industry Factors Driving Business Intelligence Solutions at Healthcare Organizations . . . . . . . . . . . . . . . 5
5. Applying Business Intelligence to the Needs of Healthcare Organizations . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
5.1. Financial Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .7
5.2. Quality Performance and Safety Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8
5.3. Marketing Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9
5.4. Claims Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10
5.5. Clinical Data Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11
5.6. Patient Care Analysis . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .12
5.7. Operational Performance and Cost Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13
5.8. Resource and Human Capital Management . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14
6. Healthcare Organization Snapshots: Henry Schein, Inc., Cancer Care Ontario, PMSI-Tmesys, and Premier, Inc. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15
7. Conclusion . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17
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Business Intelligence and HealthcareBusiness Intelligence and Healthcare
Major applications of business intelligence software
in the healthcare industry
With skyrocketing costs in the healthcare industry and an increasingly competitive marketplace,
healthcare providers need to use all the tools at their disposal to operate more efficiently and
effectively to reduce costs through smart business solutions. The healthcare industry is wide-ranging,
and healthcare providers must operate within a multi-tiered information structureacross the
value chain from patients and physicians, to employers and insurance companies, to HMOs and
hospitals. With such a far-reaching scope of services and concerns, healthcare organizations
handle immense amounts of information. Since its hard to keep track of important information
and even to know which information is valuable, healthcare providers need the tools to take
advantage of the myriad information at their disposal.
The information technology available today allows
healthcare organizations to make better business decisions
and to better target performance goals. MicroStrategy
offers the healthcare industry business intelligence
software to report on, analyze, and monitor vast amounts
of data through a business intelligence architecture that
helps companies reduce costs, ensure quality care, and
maximize the value of information. Organizations in every
major healthcare segment, including hospital care, physician
services, managed care, government, and public health,
take advantage of the benefits of MicroStrategys business
intelligence software.
The Healthcare Industry: Finding Ways to
Combat Rising Costs
Healthcare providers need to keep up with demanding industry challenges to stay viable and
competitive. Constant and drastic increases in the cost of healthcare are having wide-ranging
effects throughout the healthcare industry, evidenced by employers trying to push more
healthcare responsibility onto their employees, and hospitals and healthcare providers facing
intense pressure to keep costs down without sacrificing the quality of the care they provide.
Complicating matters further, increasingly knowledgeable patients are demanding greater plan
flexibility in choosing doctors and treatments, hospitals and health systems are having to write
off record amounts of lost revenue due to default on debts, and a rapidly aging baby boomer
More than 400 of our clients perform intuitive Web-based
query and reporting analyses
that identify ways to improve
clinical care processes and the
quality of outcomes. Our success
demonstrates that MicroStrategy
is committed to delivering the
best, most comprehensive
business intelligence platform
in the market.
Premier, inc.
Business Intelligence and Healthcare
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Business Intelligence and Healthcare
population is placing added strain on healthcare systems. More than ever, healthcare providers
must find new ways to simultaneously provide quality care and control costs. Many healthcare
providers are now focusing their efforts on preventive healthcare and patient education, as well
as working to lower overhead costs by reducing paperwork and transaction times.
The continuing movement toward electronic health information exchange is also changing the
way the healthcare industry operates. The proliferation of e-health is allowing many health
plans to lower their costs, as well as monitor and drive down the costs of providers in their
networks. The availability of health information online is also resulting in greatly increased
consumer knowledge, making patients more discerning in the providers and treatments
they select, allowing patients to manage their own healthcare online, and changing the way
healthcare providers disseminate information. Providers must now make available educational
information about healthcare quality, patient safety, and pricing.
Finally, government is having a growing influence on the healthcare industry. Recent legislation
is inciting healthcare providers to offer more choices within the constraints of health plans,
establish electronic prescription programs, and implement pay-for-performance initiatives.
In addition, the Health Insurance Portability and Accountability Act (HIPAA) is increasing the
availability of healthcare by allowing individuals to maintain insurance coverage without
exclusions or waiting periods after leaving group insurance plans. Plus, growing consumer
privacy concerns are putting added requirements on the healthcare industry to ensure the
security and confidentiality of consumer information. All of these regulatory changes are
placing additional reporting and accountability obligations on healthcare providers, who must
have systems in place to monitor and report on compliance measures.
The Advisory Board Company, a health care research and professional services firm serving
more than 2,600 hospitals and health systems, uses the MicroStrategy platform for its hosted
business intelligence applications. By providing hospitals with improved visibility into their
business via secure Web-based performance reporting, these applications elevate hospital
performance through better, faster, data-driven decision making.
To date, the Advisory Board has developed targeted applications that focus squarely on issues
critical to margin improvement and where the company has significant research expert