A CIO’s View: Transforming Healthcare Using an Information-Centric Approach

1 April 10, 2023© Kalido I Kalido Confidential I April 10, 2023

A CIO’s View: Transforming Healthcare Using an Information-Centric ApproachKalido WebcastFebruary 7, 2012


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Today’s Speakers

Judy FeldmanSenior Vice President & CIO, Independent Health

Phil KlebbaArea VP, Healthcare, Oracle

Lovan ChettySenior Manager, Product Management, Kalido

Moderated by:

John EvansDirector of Product Marketing, Kalido


Discussion Topics

Independent Health Overview

Transforming Healthcare using an Information-Centric Approach

How Kalido and Oracle Exadata Enable an Agile and Scalable Foundation for Information Management

Q&A

Independent Health – A Snapshot

• Not-for-profit health plan established in 1980 – Based in Buffalo, N.Y.; 900 employees– Offers commercial group health plans; Medicare Advantage;

self-funded plan administration– More than 365,000 members in Western New York and across

the nation

• Subsidiaries include

http://www.independenthealth.com

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http://www.independenthealth.com/

Western New York market

• Serving eight western counties of New York

• Total WNY population: 1.5 M residents

• IH commercial marketshare: 30%

• IH Medicare marketshare: 49%

• Major competitors:– Blue Cross/Blue Shield of WNY– Univera Healthcare (Excellus)– MVP Healthcare

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Independent Health – A Snapshot

• Highest rated health plan in the nation for customer service: NCQA Quality Compass® 2009 and 2010

• J.D. Power and Associates ranked Independent Health “Highest in Member Satisfaction among Commercial Health Plans in the New York/New Jersey Region” (2010 and 2011)

• Named one of the best companies to work for in New York:2008 – 2012 (NYS-SHRM; Business Council of NYS)

• 2011 CMS Star Ratings:– Independent Health’s HMO and PPO Part C (Medical Plans) and

Part D (Drug Plans) are rated 4.5 out of 5 stars

Independent Health Association received the highest numerical score among commercial health plans in the New York-New Jersey region in the proprietary J.D. Power and Associates 2010 U.S. Member Health Insurance Plan Studysm. Study based on 33,986 total member responses, measuring 12 plans in the New York-New Jersey region (excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed November-December 2009. Your experiences may vary. Visit jdpower.com.

*The source for data contained in this publication is Quality Compass® 2010 and is used with the permission of the National Committee for Quality Assurance (NCQA).Quality Compass 2010 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 7

Healthcare Payor Challenges

• Managing health costs – need to bring down the trend of rising medical costs

• Increased federal and state regulations (prior approval)

• Meeting demands of health care reform (Exchanges)

• Shrinking market in Western New York

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Information Evolution

Business Drivers• Transformation from claims

processing to member-centric• Enable high quality care while

reducing administrative spend• Usage of Analytical data to make

a positive impact on the member’s quality of life

• Serve the Customer with quick and secure access of Member information

• Member Engagement to enable timely decision-making

• Reduce Time to Market of new products and services

Information-Driven Solution

• Integrate and deliver disparate data through a single source (EDW)

• Support high performance, scalable tools and appliances to meet the business need

• Stronger, more secure infrastructure to better support the systems

• Centralized data for 360 degree view of Customer

• Enable Analytics with better tools and value added information to serve customer proactively

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Tool Selection

Enterprise Data Warehouse• Agile Data Warehouse builder• Master Data Management

Oracle Exadata Database Machine• Data Warehouse• OLTP applications

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Why Kalido & Oracle Exadata

• Kalido benefits– Business driven model – JAD sessions with

business– Adaptive for quick business changes– Enable business to maintain Reference data

(MDM) to improve Data Quality, Transparency & Auditability

• Oracle Exadata benefits– Consolidation of Database, OS and Storage to

single Server– Reduction of resources for Design, Build and

Maintenance– Results in Cost Reduction– Consolidation of OLTP/OLAP databases to the

single platform– High Performance in Data Loads and Data retrieval– Compression helps reduce the disk storage– High Availability with a built in failover system– Strong Encryption

Initial tests indicate (test environment):

• Kalido runs 2.5x faster on Exadata

• Exadata with compression performs over 30% faster data loads than Exadata uncompressed.

• Storage space gain of about 20%

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© 2012 Oracle Corporation – Proprietary and Confidential

Oracle Exadata and Exalogic – Building Blocks for the 21st Century Datacenter

13© 2012 Oracle Corporation – Proprietary and Confidential

The Learning Healthcare

Organization

Accountable Care Organizations

Enterprise Quality

Standards

Clinical Effectiveness

Comparative Effectiveness

Automating “Today’s”Healthcare Enterprise

Need for Secure, Interoperable Healthcare Data and Analytics

Impact on HC Transformation /

Value to Healthcare

System

Today

Cost Transparency

This evolution has both clinical and operational implicationsImplications for the Healthcare Industry


Traditional

Optimized

EngineeredFully integrated and deployed as a complete system

Oracle Optimized Solutions/Reference Configurations

ExadataExalogic

Best of BreedOracle offers more solution choices!

Infrastructure

Platform

Applications

The Road to Engineered Solutions


Oracle’s Vision: Engineered SystemsHardware and Software. Engineered to Work to Together.

• Innovation delivered faster• Better performance, reliability, security• Shorter deployment times• Easier to manage and upgrade• Lower cost of ownership• Reduced change management risk• One-stop support


Exalogic• Optimized

deployment platform for Middle-tier Application workloads

• Best for Application Performance

• Best for Middle-tier Consolidation

Exadata• Optimized

system for Database and Storage workloads

• Best for DataWarehousing

• Best for OLTP

• Best for DatabaseConsolidation

Engineered Systems Exadata and ExalogicBest Oracle Applications-to-Disk Ownership Experience


Hybrid Columnar Compression

• Speed-optimized query mode (10x)

• Space-optimized archival mode (15-50x)

Intelligent Storage Grid

• Smart Scan offloads complex operations to storage servers

Smart Flash Cache

• >1.5M IO/sec for SQL

• Sub-millisecond response times

Oracle Exadata PerformanceExtreme Performance


Start Small and GrowField Upgradeable

Full Rack

Half Rack

Balanced, Incremental, Predictable Scaling

Quarter Rack


Why Oracle? Differences in our approach

• Engineered Systems • Integrated and optimized - not bundled• Immediate and lasting time to value• Best in class platforms across the stack• Lowest total cost


What Does It Take To Support Decision-Making?

Business Event

Time to Deliver

Make Decision

Requirements & Analysis

Testing

Release to Production

Modeling & Design

Data Integration

BusinessValue

Data Access/BI

Traditi

onal

Traditional


Shorten the Cycle, Maximize Business Value

Business Event

Time to Deliver

Make Decision


Testing

Modeling & Design

Data Integration

Traditi

onal

Kalid

o

Time to ValueBenefit

BusinessValue

Business ValueBenefit

Data Access/BI


Kalido

Traditional


A Traditional Warehouse Takes 12-18 Months

Source: customer benchmark

Data Warehouse Approach

80% of the project effort is invested in Requirements, Modeling & Design, Data Integration, Testing, BI Development and Release to Production processes

Tim

e &

Mo

ney


Kalido Vs Traditional

Kalido Savings:• 50% on

Modeling & Design

• 65% on Data Integration

• 30% on Data Access/BI

• 20% on Testing

• 30% on Release to Production

Source: customer benchmark

Data Warehouse Approach

Tim

e &

Mo

ney

KalidoTime To Value Zone


Kalido Information Engine Version 9.0

The Kalido Information Engine Version 9.0 simplifies the warehouse architecture from landing zone to Business Intelligence metadata.

Kalido V9 accelerates time to value by removing dependency on data sourcing tasks.

The integrated high performance loaders deliver faster overall load performance resulting in smaller batch windows.


Healthcare Business Information Model


Kalido Enables Delivery In 90 Days or Less

Data Integration

Data Validation

Suspense and Exception Handling

Data Sourcing and Field Mapping

Delta Detection

System Key Management

Code Management and Lookup

Currency and Units of Measure

Contra Processing

Data Export & Purging Post Processing Housekeeping

OperationsProcess AutomationTask Execution & Monitoring

Deployment and Migration Archiving

Restore for Model and Data Undo Loads

Audit and Logging Job Definition with Dependency

BI Delivery

Metadata Management for BOBJ

Native XLS Pivot Table Generation

Native QlikView Generation

Metadata Management for MSAS

Metadata Management for COGN

Report-Time Formula Management

Testing

Built-in Integrity Checking

Aggregate Task Results

Excel Integration for User reconciliation

Data rollback and batch reload for system test

User Interface for data browsing & troubleshooting


Version Management

Object level Change Management

Model Migration

Generic Export/ Import for Data Migration

Object Level Dependencyfor Migration Versions

Model Comparison Report

Business Information Model Driven Automation

Modeling

Star and Snowflake Schema

Physical Schema Management

Slowly Changing Dimensions

Data Mart and Aggregates

Data Load and Index Management

Rollup Path Awareness

Incremental Summary Generation

Convert Existing Logical Models

Name & Label Management


The Result: Maximize Business Value

Business Event

Time to Deliver

Make Decision


Testing

Modeling & Design

Data Integration

Traditi

onal

Kalid

o

Time to ValueBenefit

BusinessValue

Business ValueBenefit

Data Access/BI


Kalido

Traditional


Kalido Information Engine v9 Benefits

Delivers fastest time to business value – Eliminates or automates repetitive data sourcing tasks

Lowest cost– Significantly reduces need for separate, purpose-built ETL tools– Simpler architecture that reduces the number of tools required

from landing zone to business metadata

Most agile data foundation for analytics– Integrated high performance loaders reduce batch windows for

loading of data at the speed of business


Q&A


Engagement ModelIdentify, Education, Explore

IdentifyMeet with the account team to discuss the Exa-Series solution to a greater depth.

EducationMeet with the technical team to get a greater technical understanding of the solution.

Explore1. A business assessment of how Oracle’s Series could

enhance your business2. An architecture assessment to determine precisely how you

could leverage Oracle technology in your current IT environment

3. A joint execution plan, roadmap, and action items for the highest-priority opportunities


Next Steps

Attendees will receive our whitepaper on “The Next Generation of Data Integration for Data Warehousing”

Download Kalido Business Information Modeler http://www.kalido.com/business-modeling-community.htm

Read our blog about Kalido Information Engine http://blog.kalido.com/category/information-engine/

Visit us at HIMSS! Join our sessions on Tuesday or Wednesday. http://info.kalido.com/himss_sessions.html

Contact us! +1.781.202.3200, press 1

http://www.kalido.com/business-modeling-community.htm

http://www.kalido.com/business-modeling-community.htm

http://blog.kalido.com/category/information-engine/

http://info.kalido.com/himss_sessions.html


Thank you for attending!

Technology

A CIO’s View: Transforming Healthcare Using an Information-Centric Approach