Foundations for Clinical and Healthcare Business Intelligence
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Transcript of Foundations for Clinical and Healthcare Business Intelligence
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FOUNDATIONS FORCLINICAL AND HEALTHCAREBUSINESS INTELLIGENCE
eMids Business Intelligence ConferenceNashville, Tennessee
MAY 2012
James E. Gaston, FHIMSSSr. Dir. of Clinical & Business IntelligenceHIMSS and HIMSS [email protected] @JamesEGaston
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AGENDA
HIMSS and HIMSS Analytics Orienteering Clinical Intelligence First Steps Practical Application Pulling It All Together
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WWW.HIMSS.ORG
HIMSS Vision
Advancing the best use of information and management systems
for the betterment of healthcare.
HIMSS Mission
Lead healthcare transformation through the effective use of
health information technology.
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WWW.HIMSSANALYTICS.ORG
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http://www.ebooks.himss.org/
http://marketplace.himss.org/
http://www.apple.com/itunes/
Print, Digital, iTunes…all available
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ORIENTEERING
CLINICAL & BUSINESS
INTELLIGENCE
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ORIENTEERING
Business intelligence (BI) mainly refers to computer-based techniques used in identifying, extracting, and analyzing business data, such as sales revenue by products and/or departments, or by associated costs and incomes.
Business Intelligence supports business decision-making.
http://en.wikipedia.org/wiki/Business_intelligence
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ORIENTEERING
Clinical Intelligence (CI) mainly refers to computer-based techniques used in identifying, extracting, and analyzing healthcare data, such as lab results, medical histories, or medical records, to support a healthcare related decision.
Clinical Intelligence supports healthcare decision-making.
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ORIENTEERING
C&BI as defined by leading healthcare organizations…“Mining clinical data with an eye towards patient care”
“Access to key information to make care or business decisions that result in the best outcome for the patients and the business”
“To use currently available and create new data sources to drive all aspects of running an organization”
“Supporting clinical excellence”
“Maximizing the quality of care and minimizing the cost”
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CLINICAL INTELLIGENCE FIRST STEPS
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CLINICAL INTELLIGENCE FIRST STEPS
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CLINICAL INTELLIGENCE FIRST STEPS
2011 - 2012 2013 - 2014 2015 +
Meaningful use Drivers• Improve quality, safety, efficiency, and reduce health disparities• Engage patients and family• Improve care coordination, and population and public health• Maintain privacy and security of patient health information
http://www.healthit.gov/
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CLINICAL INTELLIGENCE FIRST STEPS
CI is about exposing the clinical decision process, turning a “gut feeling” or intuition into a revealed process that is informed, defensible and consistent
• In the moment of the care decision» Banner Health physicians have access to patient EMR and are
prompted upon a visit to provide diagnosis related care
• Retrospectively examining the circumstances (data)» Geisinger uses their patient data warehouse to identify “care gaps”
and push them to clinicians for review
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PRACTICALAPPLICATION
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PRACTICAL APPLICATION - BIDMC
“Healthcare CIOs should implement applications which filter data so that it becomes information, transform information into knowledge, and ultimately provide clinicians with wisdom based on that knowledge at the exact time they need it.”
Ten-year-old John Halamka winning the Science Fair in 4th grade with his home-built Van De Graff generator in 1972.
John D. Halamka, MD, MSChief Information Officer of Beth Israel Deaconess Med. Center
Chief Information Officer at Harvard Medical School
Chairman of the New England Healthcare Exchange Network
Co-Chair of the HIT Standards Committee
Harvard Medical School full professor
Practicing Emergency Physician
http://geekdoctor.blogspot.com
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http://geekdoctor.blogspot.com/2007/11/data-information-knowledge-and-wisdom.html
PRACTICAL APPLICATION - BIDMC
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PRACTICAL APPLICATIONBANNER HEALTH NETWORK
Payment Model + Delivery Model AlignmentTransitioning to a “Value based methodology”for physician reimbursement
Physicians spend more time with patientsNew payment codes incentivize physicians“Holistic” approach to care, including behavioral & social health
Practical ApplicationFind patients that have not recently had a visit and arrange itEnsure proper post acute care follow-upGenerate care plans, engage care managersActiveHealth technology provides registry, risk assessment
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PRACTICAL APPLICATION ATRIUS HEALTH
“We also adopted a relatively unique concept in that we wanted to take care of all of our patients exactly the same, no matter what their funding mechanisms were.”
Dr. Gene Lindsey, CEO of Atrius Health
The ACO Shared Savings application process - FierceHealthcare, http://www.fiercehealthcare.com/special-reports/atrius-ceo-interview-inside-pioneer-aco/aco-shared-savings-application-process#ixzz1ywZVYK58 , 2/24/2012
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PRACTICAL APPLICATION ATRIUS HEALTH
Multi-pronged Care StrategyCore Strategy Components
Hospital strategy
Post-acute stay facility strategy
Home care strategy
Geriatric care model design
Practical Application
Define “patient care expectations” with “Preferred Partners”
Expect all care to be delivered as defined in agreement
Monitor, benchmark and manage using CI & BI reporting
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PRACTICAL APPLICATIONCOMMON THEMES
“You just can’t over communicate what you are trying to achieve…the ongoing communication, not just the printed stuff, but the conversations and dialog, are where it happens”
Mr. Chuck Lehn, SVP and CEO of Banner Health Network
“Compensation is being based on, in part, your quality scores, or your patient satisfaction scores, or the size of the panel of patients you care for as opposed to just the numbers of visits you generated.”
Dr. Rick Lopez, Chief Physician Executive of Atrius Health
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PRACTICAL APPLICATION
Recommendations
C&BI should be positioned to enable and support and organizations mission and vision
Engage senior level support
C&BI is an active and engaging process, not a technology or application solution
Ensure physicians have a leadership role and a stake in the process
Establish strong data governance and communication
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PULLING IT ALL TOGETHER
Create the foundation, data and environment forClinical Intelligence & Healthcare Business Intelligence
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FOUNDATIONS FOR CLINICAL AND HEALTHCARE BUSINESS INTELLIGENCE
Information Management Symposium 2012Nashville, Tennessee
James E. Gaston, FHIMSSSr. Dir. of Clinical & Business Intelligence
HIMSS and HIMSS Analytics
Twitter @JamesEGaston
Healthcare BI SummitMinneapolis, Minnesota