“Preparing Your Shop To Handle Pay For Performance”

a complimentary webinar from

healthsystemCIO.com,

sponsored by Siemens Healthcare

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Objectives

• To learn from those who – through trial and error – have found success

• To leave today’s presentation with specific, actionable advice which can immediately be put into practice

• To absorb the underlying principles which have made a “win” possible, so they may be applied in your facility

Agenda – Panelists

Neal Ganguly, VP/CIO, CentraState Healthcare System

Dave Gravender, VP/CIO, Kaweah Delta Hospital

Agenda – Continued

A Word from our Sponsor – Neeraj Chopra, Director, Strategic Services & Healthcare Reform Practice, Siemens Healthcare

Q&A With Panelists – Moderated by Anthony Guerra, Editor-in-Chief, healthsystemCIO.com

Neal Ganguly, VP/CIO, CentraState Healthcare System

• 282 bed acute care community hospital

• 123 bed skilled nursing facility

• 420 unit continuous care retirement community

• 92 unit assisted living facility

• Stage 1 Meaningful Use in FY 2011

• Magnet facility (recertified in 2011)

• Most Wired Facility

• EMRAM Stage 6

Technology Background

• Siemens customer since 2004

• Soarian Clinical v3.2

• Soarian HIM

• Siemens Pharmacy & Medication Admin (MAK)

• Siemens DSS & Soarian Quality Measures (SQM)

• Syngo Cardiology

• Mix of ancillary and financial systems from multiple other vendors

Environmental Background

• May 2001 – Joint Commission announces the four initial core measurement areas for hospitals

• Measures are grouped in 4 categories (AMI, PN, CHF, and SCIP)

• February 2009 – ARRA adds meaningful use quality measures

• July 2011 – CMS VPB program goes into effect (Core Measures & HCAHPS)

• Regulatory & Quality reporting demands will grow

Observations

• Reporting environment is highly decentralized, no central accountability over enterprise reporting

• Multiple databases and reporting tools in use

• Data definitions are not well documented and multiple feeder systems require identification of ‘single source of truth’

• Not all data to meet required reports is captured electronically at the source

• No complete catalog of current report output

The Project – C&BI

• Visualize the desired end-state

• Take stock of existing systems & tools

– Create a comprehensive data dictionary with detailed field definitions

– Catalog current reporting from all systems and (re)evaluate and document report owner & purpose

• Identify technology partner(s)

• Establish governance structure

• Validate end-state vision

The Project – C&BI

• Identify & detail all reporting needs across enterprise (clinical and financial)

– Operational (reports, dashboards & scorecards)

– Strategic (ad hoc queries, trend analysis, modeling)

• Perform analysis to identify gaps in available data

• Develop remediation plan for identified data gaps

• Perform prioritization exercises to establish realistic roadmap to define timelines and manage customer expectations

Prioritization

• Value Based Purchasing (VBP)

– AMI, HF, PN, SCIP

• Hospital Acquired Conditions

– VTE, Pressure Ulcers

• Readmissions

• Selected operational dashboards

– looking for early success

• Resources are Limited – Prioritization is critical

Activities & Decisions

• Leverage existing investment in Siemens products including Soarian Clinicals, DSS and SQM

• DSS will be used as the data repository and will evolve with Siemens move to a comprehensive BI infrastructure

• Front end dashboard(s) are being evaluated – Usability will be a key driver

• Governance structure established, data mapping is underway

Final Thoughts

• Analyze benchmark data with process re-engineering utilizing tools like the workflow engine to ensure the right care, with the latest guidelines are prospectively being delivered to the right patients while ensuring the data is captured accurately at the point of care

• As the streams of clinical and financial data flow into an Enterprise Data Warehouse, the ability to then exploit the data for the right end users (Business Leaders) across the Enterprise – CEO, CFO, CMO, CxO…

• The path to empower end users to make business decision via actionable information

Dave Gravender, VP/CIO,

Kaweah Delta Hospital

Kaweah Delta

&

Siemens

Collaboration

Strategic Insights

• How Value Based Purchasing (VBP), amongst other Healthcare Reform initiatives fits into Kaweah Delta’s key strategic goals

• The key executives on the Kaweah Delta VBP team and the role they play in ensuring governance and focus in this area

Kaweah Delta / Siemens

• How and why we selected Siemens as your partner to assist with your VBP metrics and improvement initiatives

• How the Siemens VBP Program will assist with driving quality improvement and helping to improve patient outcomes

Neeraj Chopra, Director, Strategic

Services & Healthcare Reform Practice, Siemens Healthcare

THANK YOU

Health Care Reform, Advisory and Outcomes The path to Accountable Care and Population Health across the Care Continuum

Care

Coordination

and

Population

Health

Meaningful

Use

(MU)

Healthcare

Acquired

Conditions

(HACs) /

Healthcare

Associated

Infections

(HAIs)

Value

Based

Purchasing

(VBP)

Bundled

Payments ICD-10 /

5010 / 4010

Health

Home

Accountable Care

across the Care Continuum

Re-

Admissions

How to get more information

Contact your Siemens Representative

Account Executive

Regional Services Manager

Project Manager

Customer Care Executive

or call 1-888-826-9702

Contact me directly

Neeraj Chopra

732.672.1570 ©

neeraj.chopra@siemens.com

Q&A

Neal Ganguly, VP/CIO, CentraState Healthcare System

Dave Gravender, VP/CIO, Kaweah Delta Hospital

Click on the QA panel located in the lower right corner of your screen, type in your

questions in the text field and hit send. Please keep the send to default as “All Panelists.”

Anthony Guerra, Editor-in-Chief, healthsystemCIO.com

Closing

• Within 24 hours, you will receive an email notification that our archive recording is ready. (Separate registration required)

• As we close our event, your browser will be taken to Siemens Healthcare’s Web site (http://www.usa.siemens.com/HealthcareIT), and we hope you’ll take a few moments to review the additional information our sponsor has to offer on this and other related topics.

Thank You!

We hope you will join us for more

healthsystemCIO.com Webinars in the future

Questions/Comments – Anthony Guerra

aguerra@healthsystemCIO.com 201-638-2727