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Healthcare Analytics
August 2011
©Bellis-Jones Hill 2011
What if you could answerany question about your Trust?
What really affects profitability?
Providers – Physicians / Nurses / Clinicians
Hospital / Clinic
Hospital System
• Diverse user communities• Wide variety of questions• Unpredictable situations• Cumulative value
Patients & Care Givers, Payers
Putting meaningful answers at the fingertips of operational decision makers is the key to driving
performance
Healthcare Trends
Increasing compliance pressures Higher patient volumes Profitability challenges and cost reduction objectives Performance improvement – quality, efficiency & cost Improving the patient experience Hospital consolidations Mobile for clinicians, nurses, and medical technicians Trusts actively embracing Data Discovery and QlikView
to help solve problems with traditional systems and data
Common challenges•Managing to a Balanced Scorecard• Increasing and Improving Performance Management•Gain Predictive Analysis and run What-if Analysis• Implement and Assess Activity-Based Management
Executive
•Gain True Patient Level Costing•Enable Full P&L Analysis by Service Line•Optimize and Run Scenarios for Risk Management & Sustainability Reporting•Analyze and Optimize Workforce and Benefits
Finance & HR
• Improve and Optimize Demand Planning•Enable Procurement Analysis•Determine, Gauge and Track Supplier Performance•Optimize and Improve Inventory Management (Pharmacy)
Supply Chain
• Improve and Optimize Planning & Scheduling• Improve Waiting List Management•Maximize Bed Management / Usage•Streamline and Optimize Theatre Utilisation
Operations
•Analyze Clinical Outcomes•Track and Improve Patient Experience•Maximize Clinical Financial Performance•Provide Length of Stay Analysis and Minimize Patient Length of Stay
Clinical
•Track Sickness and Absence •Analyze Employee Cost / Income • Improve and Optimize Staff Utilization•Analyze and Improve Workforce Efficiency
Workforce Managemen
t
The challenges need the right toolBusiness IntelligenceBusiness Intelligence
Operational BI Reporting Predictive Modeling
How would you write a report to answer the following questions?
Who are my best-performing clinicians? What are my most costly procedures and why? Can we reduce cost and improve patient outcomes in theatre?
Traditional BI tools that use pre-aggregated information or pre-defined views do not provide answers to ad-hoc questions
A new kind of software
World’s fastest-growing BI vendor
U.S. based company, founded in 1993 in Sweden
19,000 customers in 100 countries
1,100 global partners High customer success rate 96% customer satisfaction rate
Ground breaking reporting and analysis tool Intuitive and simple user interface displays complex
information in a way that is easy to understand Wide audience can view and analyse
data from multiple sources Bellis-Jones Hill one of only 20 worldwide
Elite Partners and one of only 3 in UK
QlikView data discovery
Seeing is believing
In 2-3 days, we will build any Trust a working QlikView application using its own data
Customer satisfaction
BI Initiative Success and Satisfaction• 90% of customers are satisfied with QlikView
ROI (Return On Investment)• 85% of customers had payback in less than 1 year
Time to Value60% deployed QlikView in 1 Month
87% deployed QlikView in 3 Months
50% reduced information access + analysis time by 50–99%
-100 0 100
Findings from independent survey of QV Financial Services and Insurance customers
Over 30 NHS Trust Clients Specialists in Healthcare Analytics, Cost
Management and Performance Improvement One of only 3 Elite QlikView partners in the UK, with the experience to de-risk implementation
Sole UK distributor of the Prodacapo Service Line Management System
Why Bellis-Jones Hill
What do we do offer?
Healthcare Analytics for:Service Line Reporting Patient Level CostingAccident and EmergencyPathologyRadiologyCommissioning Data SetsPerformance ImprovementFast reporting & analysis solutions
What do we do offer?
PlusService Line Reporting & Management Patient Level CostingReference CostingTrust Management Balanced ScorecardsPerformance ImprovementReporting & Analysis solutions
Some of our Healthcare Clients
Wrightington, Wigan and Leigh NHS Foundation Trust
Royal Surrey County Hospital NHS Foundation Trust
Liverpool Heart and Chest Hospital NHS Foundation Trust
The Walton Centre NHS Foundation Trust
*Gartner: Magic Quadrant BI Platforms 2011
“Ease of use drives user adoption.”
“…architecture and go-to-market approach continue to deliver a high degree of customer satisfaction…”
QlikTech Named Leader by Gartner in2011 Magic Quadrant for BI Platforms
How does QlikView provide answers?
Explore and analyse patient length of stay, patient satisfaction, clinical performance, clinical supply chain etc
Learn from the results, make associations, and ask follow-up questions
Associative Search
Utilise across your Trust on a daily basis to drive better performance
Gain insights needed to make faster, more informed decisions
– A new paradigm for interactive data analysis that works the way your mind works
– Puts analytical power into the hands of ordinary business users
– Enabled by QlikTech’s patented in-memory associative database technology
– Driven by huge advances in computing power
Where does the real value of an application lie?
+ = Value
• Reduced license cost• Reduced consulting
spend• Reduced systems
maintenance• Reduced development
costs and timelines• Reduced reporting FTE’s
and costs• More efficient training• Improved adoption• Reduced technology risk
Technology Costs
• Increased knowledge sharing across physicians to improve patient costs
• Lower clinical supply costs and better supply management
• Improved patient outcomes
• Better, optimum staffing
Business Benefits
ROI is often measured in terms of technology cost reduction. However, the real value exists in improving performance. This can only be achieved by matching the right tools to the right types of problems.
The QlikView Difference:The Associative Experience
QlikView applications in HealthcareWaiting time analysis
Length of stay analysis and optimisation
Procedure cost analysis and optimisation
Patient-level costing
Staffing planning and optimisation
Supply and demand planning
Patient satisfaction analysis, reporting and improvement
Clinical performance analysisHealthcareApplications
The QlikView experience Delivers the big picture and deep drill-down Consolidates information rapidly from any data source Searches data with Google-like ease Visualizes data with state-of-the-art graphics Forecasts, trends and creates ‘what-if’ scenarios Self-service custom apps and dashboards Access anywhere: desktop, mobile, cloud Complementary to traditional BI and reporting
QlikView Mobile Goes Where You Go
Anytime access on iPhone, iPad, Android, and BlackBerry
Total freedom from the desktop
Delivers: Dynamic, interactive data
analysis
Visual dashboards
Associative search
GPS-sensitive filtering
What type of mobile capabilities do you need?
• A doctor walks into his patient’s room at the hospital shortly after surgery
• He has done some initial preparation for the post op consultation, but he doesn’t know what questions the patient may have
• Ultimately discussions arise around what are the next steps for recovery with rehabilitation and past history of the patient with respect to drug reactions…
Healthcare
By putting the full power of QlikView on mobile...
It’s not just about being mobile, it’s about enablingmobile data discovery
• The doctor accesses a complete set of up-to-date patient history records
• He makes a few selections and notices that the patient will need a different drug therapy, based upon historical reactions to certain drug types
• He then discusses this information and the choices with the patient, a decision is made, and the doctor sends a prescription to the pharmacy
Healthcare
Customer feedback
18% decrease in operating costs
38% increase in employee productivity
21% increase in revenue
25% increase in cash flow
2% decrease in reporting overhead
29% decrease in BI overhead
54% decrease in TCO
Business Value IT Value
Findings from independent survey of QV Financial Services and Insurance customers
Cambridge University Hospitals NHS Foundation Trust
Tightened range and increased day case range from 26% - 96% to 86% - 98%, reducing hospital overnight stays and cost.Significant improvement in patient care
Challenges• Need to make Patient Level Costing available cross-organization. • Wanted a system which would make information more easily
accessible, easier to understand and fully transparent
SolutionDeployed QlikView Patient-level Costing for:• Financial Analysis• Patient Care & Safety• Patient Satisfaction and Experience Analysis• Clinical Excellence• Costing
Results• Can now attribute resources, activity, costs to individual patients • Users can easily drill down to detailed patient and staff data and are
able to answer any questions raised, view information that people had never been able to easily access before
• Managers can respond to the needs of front line staff• Solutions was implemented in a few weeks
One of the UK’s leading teaching hospitals, a world-leader in clinical research, supporting 1,200 beds with 500,000 patients per year
Blekinge Hospital
1.1M (€ 850K ) savings in the first yearReduced wait times for patientsImproved treatments by using data
Challenges
•Decrease expenditures for prescribed medical products by increasing prescriptions for lower cost medicine•Improve the availability of services to reduce patient waiting times•Increase the capacity of the hospital to meet increasing medical demands with existing resources
SolutionDeployed QlikView to 2,400 employees, across 4 functions for:• Enterprise Risk Management• Claims Performance Analysis• Underwriting Analysis• Enrollments & Provider Relations
Results• Shortened waiting times for patients by monitoring inflow patterns• Increased operational efficiencies by benchmarking against other
hospitals• Improved treatment recommendations by analyzing survival
expectancy data• Reduced annual medical costs by 5% or €850,000 by analyzing
prescription patterns
Leading healthcare provider in Sweden supporting more than 500,000 patient visits annually, with 5,000 employees.
Children’s Healthcare of Atlanta
65% reduction in reporting timeReduced cost and improved quality & outcomesEliminated 10-12 wait days per query
Challenges• Enable exploration and understanding of data for informed and
precise decision making • Fulfill user requests for dimensional analysis, self-service data, user-
oriented queries, data mashups and interactive dashboards
SolutionDeployed QlikView to 500 employees for:• Revenue management• Service line spending• Research hypotheses • Waste reduction & cost effectiveness
Results• Gained visibility of the answers needed to reduce costs, increase
quality, ensure compliance and improve outcomes• Reduced reporting time by more than 65%• Decreased constant reliance on IT for reporting and analysis• Eliminated 10-12 day waiting period for research-related queries
One of the largest clinical care providers for children in the U.S. ranked among the top children’s hospitals by U.S. News & World Report, managing more than half a million patient visits annually at 3 hospitals and 16 locations.
Quotes and Testimonials
“It is very easy to review operational data in QlikView. In fact, all of the applications even become part of our quality check. Between 2003 and 2004 we lowered our costs for prescribed medical products by €850,000 or 5% of the total cost. It is a great advantage to us that we, who know the business, are able to design the applications ourselves. ” Leif Fransson, IT Analyst, Blekinge County Council
“These are intuitive decisions we might have made otherwise, but now they have been backed up by irrefutable data. It's not a problem for our surgeons or anesthesiologists to accept this as the data we need to act on.”
Kathleen Brooks, Administrative Director for Perioperative Services Bassett Healthcare
“QlikView goes beyond traditional BI tools to provide our users with direct access to intelligence that can immediately impact quality of care, influence clinical research and improve operational efficiencies. In four months of using QlikView, we developed more applications and dashboards than we had in two years with other BI tools.” Michael Thompson, Director of Business Intelligence, Children’s Healthcare of Atlanta
“We can easily drill down to detailed patient and staff data which means resources, activity, costs and income can be attributed to individual patients wherever possible. We have never before had that level of valuable information across our key priority areas at our fingertips, all accessible from one central portal. It has changed the way we work!”
Joe Ghosh, Head of Performance Intelligence, Cambridge University Hospital
Quotes and Testimonials
“QlikView dramatically reduces the time to answer business and clinical questions. It’s helping ThedaCare transition from standard static reporting to a truly analytical environment where any information can be rapidly accessed, analyzed and viewed exactly as needed.”
Brian Veara, Manager of Decision Resources,ThedaCare
“QlikView not only allows us to cut reporting time to a third of what it was in the past, but it gives our end users the true visibility they’ve wanted for so long. I’ve been working with BI tools for over 20 years, and this is the first time I’ve seen business users embrace the technology instead of avoiding it.”Michael Thompson, Director of Business Intelligence, Children’s Healthcare of Atlanta
“We had the option of adding an FTE to address the mounting reporting requirements. Implementing QlikViewhas allowed us to keep up with the current reporting needs and begin answering questions once deemed impossible or impractical.”
Bill Cole, Senior Manager Finance, Sibley Heart Center Cardiology
“I think most healthcare CEOs are always sceptical about IT, IS solutions, but in 20 years as a CEO I have never seen a better investment from information systems, it’s as simple as that. So the return on investment is the best I’ve ever seen in a healthcare environment.”
Dr. Gareth Goodier, CEO, Cambridge University Hospital