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Surgical Analytics Driving Clinical, Operation and Financial Outcomes May 11, 2010 BI Analytics FastTrack

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Gain valuable insight into how to leverage complex dimensional analytics for improved clinical, operational & financial outcomes across your surgical operations, including: best practices for implementing a robust surgical analytics platform and approach, success stories of leading healthcare organizations that are using analytics effectively in various settings, how analytics informs and enables strategic decision-making in challenging economic times, and how implementing an analytics solution can be affordable, fast & customizable to your business.

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Page 1: FastTrack Analytics for Healthcare

Surgical Analytics Driving Clinical, Operation and Financial Outcomes

May 11, 2010

BI Analytics FastTrack

Page 2: FastTrack Analytics for Healthcare

2 [email protected]

Contents

Introductions

• Diverse Needs & Subject Areas

Healthcare Analytics

• The Need – Meeting the Challenge of Embedded Analytics• The Approach – Diverse Analytic Views• The Benefits – Delivering Bottom Line Value

Enterprise Data – Surgical Analytics

• Immediate Challenge!• Immediate Value! Low Risk! Low Cost!

Business Intelligence – Analytics FastTrack

Q & A

Page 3: FastTrack Analytics for Healthcare

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Healthcare Providers• Service Line Management

• Surgical Services Analytics

• Financial & Strategic Analysis & Planning

• Chronic & High-Cost Conditions

• Longitudinal Record of Care

• Quality of Care

• Patient Safety

• Personalized Medicine

• Performance Improvement

• Productivity

• Streamlined / Lean Processes

• Marketing Analytics

• Relationship Marketing

• Risk Management

• Epidemiology / Integration with Research

Healthcare Analytics

Healthcare Payers• Utilization & Cost

• Disease Management

• Clinical Care Services

• Sales & Marketing Analytics

• Customer Value Assessment

• Market Share / Campaign Management

• Members & Groups

• Risk & Provider Performance

• Financial

• Provider Analytics

• Provider Profiling

• Workforce & Operations

• Marketing & Competitive Context

• Claims Processing

Page 4: FastTrack Analytics for Healthcare

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Healthcare Analytics – A Common Data Foundation

Marketing Analytics

Patient Safety

Personalized Medicine

Productivity

Quality of Care

Performance

Improvement

Chronic & High Cost Conditions

Longitudinal Record of Care

Service Line

Management

Surgical Analytics

Page 5: FastTrack Analytics for Healthcare

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Surgical Analytics – Questions Answers More Questions

• How well do our surgical teams adhere to the confirmed OR schedule?

• Is this issue localized: by facility, or care setting?

0 - 14 15 - 24 25 - 34 35 - 44 45 - 54 55 - 64 65 - 74 75+

Practice B

Practice A

DOS Procedure Tooth Submit Amt MAC Paid Amt

3/30/2008 D2390 Resin-Based Composite Crown, Anterioir 05 850.00$ 710.00$ 445.00$ 3/30/2008 D2950 Core Build-Up 04 250.00$ 160.00$ 155.00$

Claim Total 1,100.00$ 870.00$ 600.00$

7/19/2008 D2390 Resin-Based Composite Crown, Anterioir 05 850.00$ 710.00$ 75.00$ 7/10/2008 D2950 Core Build-Up 04 220.00$ 142.00$ 155.00$ 7/28/2008 D2920 Recement Crown 05 130.00$ -$ -$

Claim Total 1,200.00$ 852.00$ 230.00$

9/30/2008 D2390 Resin-Based Composite Crown, Anterioir 04 850.00$ 710.00$ 445.00$ 8/15/2008 D2950 Core Build-Up 04 250.00$ 160.00$ 155.00$

11/22/2008 D2390 Resin-Based Composite Crown, Anterioir 05 850.00$ 710.00$ 75.00$ Claim Total 1,950.00$ 1,580.00$ 675.00$

12/10/2008 D2950 Core Build-Up 02 220.00$ 142.00$ 155.00$ 12/19/2008 D2390 Resin-Based Composite Crown, Anterioir 02 850.00$ 710.00$ 75.00$ Claim Total 1,070.00$ 852.00$ 230.00$

Claim Nbr: 2008-1001-00101

Claim Nbr: 2008-1310-00322

Claim Nbr: 2008-1561-00451

Claim Nbr: 2008-1833-00729

• What is the impact on outcomes, or costs?

Labor Tracking

OR Schedule, Facilities, Procedures

Materials, Implants, . Supply

Billing & Reimbursement

Page 6: FastTrack Analytics for Healthcare

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Surgical Analytics: Complex Data: Questions & Benefits

Materials Utilizatio

n& Costs

Labor Schedulin

g

Market & Competiti

ve Context

Practice Patterns

Benchmarks

Surgical Team

Composition

Profitability

Total Costof Care

On-Time Starts

• Measure adherence to OR schedule: by surgical team; by service line; by facility; blocked vs. unblocked; time of day; day of week.

• Improve scheduling accuracy and efficiency; identify and acknowledge top performers.

• Improve allocation of surgical facilities to handle patient volumes.

• Align incentives for on-time starts with access to preferred schedule time/room availability.

• Identify disruptive scheduling practices or volatility, and assess downstream impact and consequences.

• Explore relationships between schedule integrity and outcomes, complications, costs, or reimbursements.

Analytic Views

Value & Benefits

• How well do our surgical teams adhere to the confirmed OR schedule?

• What is the impact of delays, cancellations, overruns, add-ons, and other issues?

• Do we have better schedule integrity with blocked vs. unblocked schedule segments? Surgeons? Service Lines? Facilities? Care Settings?

• Is good (or poor) schedule integrity localized by: Specialty? Facility? Surgical team? Procedure complexity?

• How do scheduling issues affect Patient Outcomes? Complications? Costs? Profitability?

Sample Questions

Page 7: FastTrack Analytics for Healthcare

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Integrated Health System implements SQL Server 2005, SSAS and ProClarity Analytics Server, projected to save $5 Million within first year in Material Costs, OR Utilization & Labor Resource Scheduling.

• Maximize the value of diverse data sets captured throughout the enterprise

• Create a data and system architecture able to support diverse initiatives across the extended enterprise

• Integrate operational and transactional system data with performance, revenue cycle and materials management metrics

• Source Systems Analysis,Data Quality Review,Technical Design & Build

• Integrated 5 transactionaldata sources used for Surgical Operations

• Built a multi-dimensionalSurgical Services DataMart with 30+ dynamic Analytic Views

• Launched Enterprise DataGovernance Framework and Process

• Realizing $5M in savings from better decisions on surgical materials, reduced practice variability, more efficient processes, and higher data quality

Savings in 3 Key Areas:• 50% Materials/Implants• 30% OR Utilization• 20% Labor Scheduling

• Integrated View: Clinical, Operational, Financial

“Bringing together critical data on surgical scheduling, materials, labor and outcomes into an integrated business intelligence (BI) framework is having a dramatic impact on our operational performance improvement and cost reduction programs.”- VP Reinventing & Decision Support

Surgical Analytics – Delivering Benefits

Page 8: FastTrack Analytics for Healthcare

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Business Intelligence – A Spectrum of Solutions

BI Analytics FastTrack

Data Quality or Readiness Assessmen

t

Enterprise / Subject Area Data Strategy

Focused Data Mart or

Pilot EDW Solution

Enterprise / Subject Area Implementati

on

Value & Impact to

the Organizati

on

Embedded & Predictive Analytics

Quality of Care

Service Line

Management

Surgical Analytics

Financial & Strategic Planning

Utilization & Cost

CRM / Marketing

Level of Data Integration

Best Practice Alerts

Page 9: FastTrack Analytics for Healthcare

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Business Intelligence Analytics FastTrack

What is it?

• Surgical Data Mart & Analytic Views

• Customer-Specific Solution

• “Your Data – Your Solution”

Time to Value?

• Up and Running in 90 – 100 Days

• Targeted $95,000 to $125,000

• Scoped to Finish On Time, On Budget!

• Extensible to Diverse Subject Areas

Page 10: FastTrack Analytics for Healthcare

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Solution Details: High Level Architecture

Source Data

Data Integration

Data Storage

Metadata

User Interface / Presentation

Source Data

Extract files will provide the source data on which the defined presentation and analytics capabilities will ultimately be based.

Data Integration

Load utilities will be used to load extracted source data into the primary data storage structures and components, which will be

accessed by the presentation and analytics capabilities.

Data Storage

Star schemas with flattened hierarchies will structure the underlying data to enable and facilitate the defined analytics capabilities.

Metadata

Metadata and dictionary will provide the business rules and other metadata needed to enable the defined analytics capabilities.

User Interface / Presentation

A basic interactive interface for end-user access, capable of integrating later with an enterprise portal or intranet.

Graphical and tabular presentation of data. Ability for end-user to “drill-down” to deeper, underlying levels of granularity.

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Solution Details: Accelerator Approach & Components

Extract Specs

BaseMappings

Integration Library

Subject Areas

Fact Groupings

Key Metrics

Dimensions

Attributes Hierarchies

Analytic View• Hierarchies• Dimensions• Key Metrics• Reference Data

Analytic View• Hierarchies• Dimensions• Key Metrics• Reference Data

Dashboard/ Interface Templates

Analytic Component Library

Access Component Library

Business Dimensions

Subject Area Based Groupings & Metrics

Data Integration Framework

Business Focused Analytic Views

Data Presentation & User Analytics Capabilities

Page 12: FastTrack Analytics for Healthcare

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Solution Details – Benefits vs. Risks

Page 13: FastTrack Analytics for Healthcare

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Solution Details

Focuses on …

Data analytics and data visualization capabilities to enable

informed decisions

Subject area data is organized, integrated, and optimized to

support analytics

Direct impact of the client’s own data to gain immediate and

valuable insight on current issues and challenges

Not intended to be …

Bulletproof production implementation

Some data “plumbing” is incomplete

“Mock-up” or “Throw away” All components can be built out

for production, or manual execution

Comprehensive across multiple complex subject areas

A Working Analytics Solution …

Page 14: FastTrack Analytics for Healthcare

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Why Edgewater?

• We have the capability and flexibility to meet specific client needs

• Not a “shrink-wrapped” product, but an accelerator-based solution

Solution-Based Approach

• We have deep industry knowledge and experience to leverage for your specific solution

• We understand the client’s problem and can tailor an effective and high-impact solution

Healthcare Expertise

• We have demonstrable experience in all aspects of the solution implementation lifecycle

• We bring technical, business and process expertise to the engagement

“ End to End ” Solution

Page 15: FastTrack Analytics for Healthcare

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Q & A

Questions?

Thank You!