A Health Catalyst Overview: An Introduction to Healthcare Data Warehousing and Analytics

© 2014 Health Catalyst

www.healthcatalyst.comProprietary and Confidential#TimeForAnalytics


www.healthcatalyst.comProprietary and Confidential

This presentation contains forward-looking statements concerning Health Catalyst, including, among other things, the timing, availability, features, and

functionality of Health Catalyst’s current and roadmap products. This presentation and its contents are intended for information purposes only, and may

not be incorporated into any contract. It is not a commitment to deliver any products or functionality, and should not be relied upon in purchasing

decisions. The timing, development, and release of any products or functionality described herein remains at the sole discretion of Health Catalyst.

November 20, 2014

Introducing Health Catalyst



Medicare Knee Replacements

Las Vegas, NVSun City, AZ

Boswell Medical Center

$49,927Spring Valley Hospital

$115,376

12.2Per 1,000 enrollees

per year

Source: Dartmouth Atlas, Centers for Medicare and Medicaid Services

Do Things

Right

Do the Right

Things

7.0Per 1,000 enrollees

per year

Quality/Affordable Healthcare

+



What does Health Catalyst offer?

3

Late-Binding™Data Warehouse Platform

Data Warehouse, Architecture, Metadata Management,

Security, and Auditing

Analytic ApplicationsKey Process Analysis,

Dashboards, Advanced Analytics

ServicesInstallation Services,

Clinical Improvement Services

Integrates and organizes data

Accelerate insight

Install technology and ignite change


www.healthcatalyst.comProprietary and Confidential#TimeForAnalytics 4

• 2% reduction in total salaries

and benefits

• 500% increase in using data

to drive staffing decisions

• 66% increase in speed of

data availability

Labor CostsEarly-Term Deliveries

• 75% reduction in elective

early-term deliveries

• Earned $200,000 payer

bonus payment

In 12 months:

• 22% reduction in sepsis

mortality

• $1.3M cost savings

Sepsis Heart Failure Readmits

• 21% lower 30-day readmits

• 14% lower 90-day readmits

• 63% increase in med rec within

48 hours of discharge

• 2X phone call follow up



Success Stories (continued)

5

• 67% reporting cost reduction

(from 97 to 30 hours)

• 25% faster reporting

turnaround

Data and Reporting DemandsStreamline Operations

• Gained $1M est. billable

charges by minimizing

procedure referral leakage

• Automated reporting with an

est. $400K savings

• Decreased LOS by 11 hours

• Decreased X-ray by 49%

• 67% increase in order set use

• 90% use of asthma action plan

Improve Asthma Outcomes Improved Appendectomy Outcomes

• 36% reduced LOS

• 19% reduced direct costs

• 36% increased order set use

• 53% increased recommended

antibiotic usage



Roadblocks to Success

My analysts spend way too much

time collecting data and not

enough time interpreting data.

6

We have all kinds of

dashboards but they

are not helping me

improve care. We are

not looking at relevant

data.

We seem to be able to

improve care, but it isn’t

sustainable. As soon as

we move to our next

project, the last

improvement suffers.



Poll Question

Which common roadblock resonates the most with

you? 51 responses

• Analysts spend too much time gathering data –

39%

• Reports and dashboards not showing relevant

data – 33%

• Difficulty sustaining improvements – 28%

7



Three Critical Elements of Success

8

My analysts spend way too much

time collecting data and not

enough time interpreting data.

We have all kinds of

dashboards but they

are not helping me

improve care. We are

not looking at relevant

data.

We seem to be able to

improve care, but it isn’t

sustainable. As soon as

we move to our next

project, the last

improvement suffers.

It’s more than just analytics



Agenda

• Platform Discussion

• Demo: Key Process Analysis

• Demo: Heart Failure Readmissions

• Additional Applications Overview

• Conclusion

9


www.healthcatalyst.comProprietary and Confidential#TimeForAnalytics10

Subject Area Data Marts

Linking & StandardizationCommon Linkable Identifiers, Patients, Labs, Encounters, Diagnoses, Medications, etc.

ContentPopulation Definitions (800+), Hierarchies, Comorbidities, Risk Stratification, Attribution

Source Marts

EMR

EMR Financial Patient Sat. HR Administrative Claims

Late-BindingTM Data Warehouse PlatformFast-tracking Analytics and Content

FinancialPatient

Sat.HR Administrative Claims

e.g. Epic, Cerner

NextGen

e.g. EPSi,

Peoplesoft,

Lawson

e.g. Press Ganey,

NRC Picker

e.g. Lawson,

Peoplesoft,

Ultipro

e.g. API Time

Tracking

e.g. Medicare

Private Payers

10

Subject Area Mart Designer

Create and manage content

Source Mart Designer

Accelerate analytics with

single source of truth

Applications

Present actionable data to

deployment teams

Atlas

Provide insight into

analytics system source

metadata

Atlas

View content definitions and

lineage

Heart FailureFinancial Management

Explorer

Community Care

Dashboard





Where Do We Start?Key Process Analysis



Clinical HierarchyOrganize codes into a clinically meaningful hierarchy

Care Process Familyi.e. Heart Failure

92

Care Processi.e. AMI

455

CodesAPRDRG, ICD PX, ICD DX, CPT

Tens of

thousands

12Clinical Programi.e. Cardiovascular

Content



Dr. J.

15 Cases

$15,000 Avg. Cost Per Case

Mean Cost per Case = $10,000

$5,000 x 15 cases =

$75,000 opportunity

Total Opportunity = $75,000Total Opportunity = $175,000

$4,000 x 25 cases =

$100,000 opportunity

Total Opportunity = $500,000Total Opportunity = $1,200,000

Cost Per Case, Vascular Procedures

KPA: Measuring OpportunityUsing provider variation to calculate the potential financial impact of

improving and standardizing care processes

Content





Demo: Key Process Analysis

14



Poll Question

What is the care process that you think consumes

the majority of healthcare dollars in your system? 57

responses

• Diabetes – 47%

• Mental Health – 16%

• Heart Failure – 23%

• Cancer treatment – 15%

15



cKey Process Analysis

Uses data warehouse and relevant content to determine the greatest opportunity for quality improvement/cost reduction

Uses clinical hierarchy to stratify according to classifications that match care delivery

Uses calculations that identify variability

Deployment teams use this to prioritize improvement

efforts

Content

Analytic

Deployment



c

Implementation workgroup is comprised of both clinical

and technical people. Implementation workgroup

defines:

• Improvement Aim Statement

• Population Definition

• Interventions to Support Aim

Data Mart and Visualization allow visualization of metrics

and stratification by risk

Deployment

Content

Analytic

Heart Failure ReadmissionsIntroduction





Demo: Heart Failure Readmissions



cHeart Failure ReadmissionsConclusion

Baseline readmission metrics presentation with drill-down

to patient-level intervention reports ranked by predictive

risk score

Multiple cohort definitions, risk stratification models, and

evidence-based metrics focused on aim of reducing

readmissions

Care improvement teams use agile improvement

methodology to incorporate content and use application

reports to identify high-risk patients for intervention

Content

Analytic

Deployment



Health Catalyst Product Lines

20

Financial

Management

Accountable

Care

Population

Health

Management

Operational

and Workflow

Improvement

Patient Injury

Prevention

Essentials Applications

Late Binding™ Data Warehouse

HF

Readmissions

KPA



Population ExplorerExplore metrics across the continuum of care for 800 pre-defined populations

21



Community CareScreening and chronic disease management

22



Financial Management ExplorerAnalyze costing, billing, and payment information alongside financial and volume metrics.

23



Implementation

24

1 Year 2 Years 3 Years6 Months

Achievement Level

Atlas

Instant Data Entry App (IDEA)

3 Source Marts

5 Foundational Apps

2 Discovery Apps (incl. KPA)

1

Achievement Level

+5 Source Marts

+Source Mart Designer

+4 Foundational Apps

+3 Discovery Apps

1 Population Module

1 Workflow/Operational Module

2

Achievement Level

+SAM Designer

+All Platform Components

+All Foundational

+4 Discovery

+5 Population Modules

+3 Workflow/Operational Modules

+2 Patient Safety Modules

3

Achievement Level + 10 Improvement Apps/Year

4



Three Systems of Care DeliveryOptimized care requires excellence in all three

25

ContentIdentify high-risk

and rising-risk

patients

Define clinically

driven patient

populations

Use latest

evidence- based

medicine to identify

waste

Organize for

scalable

improvement

Apply agile

principles to care

improvement

Workgroups

focused on defining

content and acting

on data

Create a single

source of truth

Automate the

broad distribution

of information

Discover patterns

in data

Deployment

Analytics



Poll Question

In which area do you think your organization needs

the most improvement? 59 responses

Select one:

• Analytics – 39%

• Content – 26%

• Deployment – 35%

26



Thank You

For Information Contact:[email protected]

[email protected]

You can also find more details about data warehouses in our free eBook,

The Healthcare Data Warehouse: Why an EDW is Critical For Success.

In it you will learn what each type does best, which one addresses your

specific needs, how to select the right vendor, and more.

You can find it here:

https://www.healthcatalyst.com/ebooks/healthcare-data-warehouse-ebook/

mailto:[email protected]

mailto:[email protected]

http://www.healthcatalyst.com/ebooks/healthcare-data-warehouse-ebook/



Thank You

Upcoming Educational Opportunities

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Date: December 10, 1-2pm, EST

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Register at http://healthcatalyst.com/

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the Future of Predictive Analytics in Healthcare

Date: December 17, 1-2pm, EST

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