Transforming Healthcare: Developing A Data Driven Roadmap to Value Based Care
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Transcript of Transforming Healthcare: Developing A Data Driven Roadmap to Value Based Care
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Developing a Data Driven Roadmap to Value-Based Care
Information Builder’s Healthcare Webinar Series – Part 1
Speakers:Fred Goldstein, CEO, Accountable HealthKevin Mergruen, Vice President, Vertical Solutions , Information Builders
Moderator:Frances Carroll, Healthcare Account Executive, Information Builders
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Focus of Today’s Webinar
During to today’s webinar you will: Hear why everyone’s roadmap is different even though the goals are
similar No one health system is the same!
Uncover the seven main challenges that providers need to plan for in their roadmap
Learn how you can create a roadmap that incorporates all of these key areas through a business value assessment
Be provided with an overview of a business value assessment How they have benefited other healthcare organizations
Have an open Q&A session with today’s speakers
Develop your data driven roadmap to support value based care models
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Today’s Speakers
Fred Goldstein, Founder and President, Accountable Health, LLCFred is founder and president of Accountable Health, LLC, a consulting firm providing expert guidance in population health program design and development. He is a Certified Professional by the Validation Institute and founder and co-host of PopHealth Week, a weekly podcast.
Kevin Mergruen, Vice President, Vertical Solutions, Information BuildersKevin leads a team that addresses the healthcare business sector needs for enterprise data integration, data integrity, and operational business intelligence to enhance overall efficiency, modernization of legacy systems, and improved quality of care.
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Mapping Out Your RoadmapFred Goldstein, Accountable Health
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In the new World of Value Base Care
Without Data you are just plain lost With Data you are in the woods With the Right Data you know where you are With Actionable Data you know where to go With Actionable Data over time you can measure your
impact and adjust your systems
Data is Key for Actionable Insights
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New World Data Requirements
There are many sources and types of data EMR, Claims, internal clinical systems, business data, financial,
employee, social, wearables, market All become important as we move to a Value Based System with
changing reimbursement, measurement and expectations But their importance to you and therefor your roadmap is different
based on your organization, its mission, operations and systems and your local/regional market
That is why a comprehensive and well planned out roadmap is critical
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Ensuring Patient-Centered Care
95% of healthcare providers say that interoperability challenges limit their capability to transfer data from one medical center to another
Challenges impacting interoperability: Exchanging new types of data every day Most systems cannot be easily ‘tweaked’ to accept new data
elements No or slow transfer of information about patients can create
potentially dangerous gaps in care
Information is a Central Issue
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Facing Challenges Head On
Aligning IT With the Business Successful adoption of new strategy requires elevated level
of IT support CIOs, IT departments also need to deliver an architecture
that easily brings in new types of data to support value-based care
Challenge 1
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Facing Challenges Head On
This requires advanced tools that enable: data stewardship, supported by history of
mastered data set remediating conflicts, ensuring adherence to
governance polices driving improvements in data entry
processes
Challenge 2 Keeping Pace With the Evolving Role of Health Information
Management
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Facing Challenges Head On
Enabling Advanced Informatics Data must be aggregated, accurized through a solid data
management plan A unified platform for integrating data, managing its quality, and
presenting it through intuitive views will greatly increase the productivity of informatics provide the insight needed to promote better patient care improve outcomes
Challenge 3
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Facing Challenges Head On
Leveraging Data to Support Process and Outcome Improvement Unified network information management platform enables:
Effective management of patient, clinical data Will reduce the time needed to gather, analyze data A single version of the truth
Challenge 4
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Facing Challenges Head OnChallenge 5
Measuring Physician Performance From New Perspectives Goal: support programs that drive improvements in both
quality and efficiency Meeting this goal requires:
Solid information strategy richer data access across multiple domains Flexible, unified information management platform
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Facing Challenges Head On
Adopting New Incentive and Reimbursement Models Financial staff must be armed with harmonized data across the
continuum of care Creates insights needed to:
generate revenue reduce costs identify profitable growth opportunities
Need effective information management with integrated patient data
Challenge 6
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Facing Challenges Head On
Dealing With Diverse Data Infrastructures 62% of providers are challenges by data
integration*
Must implement solutions that: Integrate data from multiple, native
sources Design your architecture to address the
unique information needs of all your users Supports your data governance plan Create a solid metadata layer
Challenge 7
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Creating or Updating Your Roadmap
Performing a thorough internal assessment is necessary Determine the business value of all activities, resources, tools,
processes, etc. are accounted for An all-encompassing roadmap will ensure:
All challenges are accounted for Key stakeholders, business areas are involved in planning Roadmap activities have assigned owners Timeline, resources are aligned Benchmarks are created to evaluate the roadmap activities
Allows for modification to be made
I have my goals defined…how do I get there?
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Information Builder’s Business Value Assessment (BVA)Kevin Mergruen, Vice President, Vertical Solutions
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Healthcare Business Value Assessment
Our fundamental philosophy… Assessment Process
Assess your organization’s clinical and business analytical needs Conduct a series of discovery interviews with key stakeholders to ensure all
challenges are captured We have prepared a series of questions organized by audience provided by the client Typical team members interviewed include:
Executives Hospital/Clinic Leadership Department Managers Influential Care Team Members
Assessment Overview
Affiliated Stakeholders Project Managers Business Analysts IT and Analytics Teams
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Deliverables Top InfoApp ideas with Potential Business
Value and ROI Project Roadmap
Software Deliverables Projected Cost Estimate Recommended Staffing and Training
Plan Next Steps Documentation
Healthcare Business Value AssessmentAssessment Overview Continued
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Sample InfoApp Deliverable Model
Provide interactive InfoApp for executives, leaders to manage and measure clinical, financial and operational performance across the Network
Provide actual vs previous period and some forecast with variance analysis, time series analysis and interactive visualizations with drilling capabilities
Objective
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Sample InfoApp Deliverable Model
Inpatient Volumes Discharges (#,% new), Patient Days(LOS),Observation Cases (Total, w/o
extended recovery), Admissions, Discharges/Transfers, Critical Care Cases (ICU Census, ICU ALOS, Post ICU ALOS)
Surgical Volumes Outpatient Surgery, Inpatient Surgery
Outpatient Volumes Onsite Ancillary Cases, Offsite Ancillary Cases
Gross Revenue Inpatient Revenue (total, % new), Outpatient Revenue (total, % new), Total
Revenue (total, % new)
Key Metrics
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Dashboard containers should consist of monthly large metrics compared to last month with positive/negative variance (weekly line graphs)
Drill options: IP - Time, Physician Group/Physician, Service Line, IP Dept. OP – Time, Department, Site Revenues – Time, Department
Default ViewSample InfoApp Deliverable Model
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Time (week, month, quarter, year) Service line Regional/Location/Unit, Doctors, Patients (perhaps) Business Consumers 100s of consumers from Administrative and Executive Leadership Team
Key Business Dimensions for Slicing & DicingSample InfoApp Deliverable Model
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Conceptual Representation of Executive InfoApp Sample InfoApp Deliverable Model
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Assessment findings, recommendations will: Enable your organization to improve direction, delivery of actionable
information Help you prioritize opportunities, needs
Our Goal is to: Best understand impact to the business, provide you with actionable
decision making, ROI and build a meaningful partnership together
At the conclusion of the solution assessment, your organization will have a strategic outline to become more data driven and
drive solution adoption
Healthcare Business Value AssessmentAssessment Overview
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Questions for our Speakers…
Call to Action for our Attendees: Contact us to discuss scheduling an Business Value Assessment
(BVA).
Links to a recording of today’s webinar will be sent out shortly!
THANK YOU!www.informationbuilders.com