Creating a Strategy for Value Driven AnalyticsAnalytics

Danyal Ibrahim, MD, MPHChief Data and Analytics OfficerChief Data and Analytics Officer

Rob BeemanExecutive Director of Decision Support

Saint Francis Hospital and Medical CenterHartford, CT

Agenda

1. Current State of Analytics at SFHy2. Future State3 What Do we Need to Get There3. What Do we Need to Get There

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Current State of Analytics SFH

Quality and Safety

Current State of Analytics SFH

1. Do we have the Data? Patient Outcomes

Processes of Care

Ti li f C

2. Is it integrated?

3. Do we apply sound statistical Timeliness of Care

Patient Experience

Operations

pp yanalysis?

4. Do we present it in a “simple” Operations Utilization of Resources

Efficiency

and meaningful way?

5. Can we identify "where" and "who" towards answering why?

Capacity and Access

Cost and Revenue

who towards answering why?

6. Is it timely?

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F t St t I t t d A l tiFuture State: Integrated Analytics

BETTER CARE

Valid and Integrated Data

Meaningful Metrics

BETTER

Statistically Sound Analysis

Intuitive Visual BETTER

COSTBETTER HEALTH

Presentation

Actionable

Timely

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What Do We Need to Get There?

1. Break Data "People Silos"2. Build Strong Data Foundationu d St o g ata ou dat o3. Design and Adopt "Meaningful" Measurement

MetricsMetrics 4. Harness Data Presentation Capabilities

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h d G h ?What Do We Need to Get There?

1. Data "People Silos" Integration Leadership support for Integration/ ReorganizationLeadership support for Integration/ Reorganization

"Team-Sport" Quality/ Decision Support/ IT

Invest in essential skills Invest in essential skills

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h A i G h ?What Are We Doing to Get There?

1 Break Data "People Silos"1. Break Data People Silos

2. Build Strong Data FoundationData Acquisition from Various Sources Data Acquisition from Various Sources

Data Validation/ Standardization Engine

Data Integration in Data Warehouse Data Integration in Data Warehouse

Data Availability (Registries, Data Marts, etc.)

Solutions-based Interactive VisualizationsSo ut o s based te act e sua at o s

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Building Strong Data FoundationBuilding Strong Data FoundationOn demand tools provide unlimited self‐service capabilities

Other User Developed  ContentOther User Developed  ContentSELF‐DEVELOPEDCONTENT

Custom developed, stakeholder centric content

Quality KPI DashboardQuality KPI Dashboard

Service KPI DashboardService KPI Dashboard

Finance KPI 

Dashboard

Finance KPI 

Dashboard

Safety KPI DashboardSafety KPI Dashboard

Growth KPI 

Dashboard

Growth KPI 

Dashboard

CUSTOM POINTSOLUTIONS

Powerful visualized content anytime, anywhere McKesson Analytics Explorer™McKesson Analytics Explorer™SUPERIOR

VISUALS

Analytically enriched data exposed to a variety of off the shelf tools

Data Mart(s)(Measure Views)Data Mart(s)(Measure Views)

DATAAVAILABILITY

Empowers analysts to develop new measures as healthcare evolves

McKesson Performance Analytics™

McKesson Performance Analytics™

DATA MODEL/ ANALYTICENGINE

AFI

EpicClarityEpicClarity

Epic Chronicle 

Epic Chronicle  PeopleSoftPeopleSoft SunquestSunquest Other 

SourcesOther Sources

ETL for easy, source system agnostic integration

DATA IN

What Are We Doing to Get There?g

1. Break Data "People Silos"

2. Build Strong Data Foundation

3. Design and Adopt Meaningful Measurement Metrics

4. Harness Data Presentation Capabilities Role-based Integrated Analytics (physicians)

Unit-based Integrated Analytics (entities, SL, units, etc)

Integrated KPIs Dashboards

Pay-for-Performance Analytics (IQR, VBP, HRRP, HAC)

PI-focused Analytics

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Success Measures

Initiative Measure Outcome

Success Measures

Quality Medication ReconcilationCompliance Rate

Readmission due to ADE

Utilization Top 50 High Utilizer PatientsED Visits and

Admission RatesRates

Efficiency Discharge before Noon Bed Capacity

OR S l C t V i ti iCost OR Supply Cost Variation in Surgical Patients Standardization

Benefits of Investment: Triple AimBenefits of Investment: Triple AimQuality Analytics

Pay For PerformancePhysician Analytics

Surgery AnalyticsBETTER

COST Surgery Analytics

Patient Flow Analytics

COST BETTER CARE

Predicting Readmissions

Patient Flow Analytics

PanoramaBETTER HEALTH

Physician Focused AnalyticsAnalyticsVery effective visualizations for Providers (OPPE) allowing for the organization to understand Drivers of Physician performance

from both a Quality and Utilization/Cost perspectiveUtilization/Cost perspective

Combining data from Core Measures, Patient Satisfaction,Measures, Patient Satisfaction, and AHRQ with data from additional Quality and Cost Metrics to give our organizationg g Comprehensive view into both

quality and financial measures by physician

Enables compliance with The Joint Enables compliance with The Joint Commission OPPE process

Quality Analytics

360o view across a multitude of quality domains integrated to help answer where and who towards figuring out the whywhy

P4P Analytics

Gain insight into how your organization is performingorganization is performing under Medicare Pay for Performance with the ability tto: View Performance by Service

Line, physician, Specialty, and Nursing UnitNursing Unit

Model impacts of measure improvement on penalty/incentive $spenalty/incentive $s

See exactly where your performance opportunities exist for targeted improvement g pefforts

Financial Dashboard

Consolidated views across McKesson Performance Analytics and General LedgerAnalytics and General Ledger providing Multi-measure dashboard view Utilization/Volumes Income Statement GL Transaction Detail Service Line Profitability with

ability to view by Payorability to view by Payor, Physician and Market Location (using Geospatial Analytics)

Ability to perform high level modeling by Service Line using modifications to Volume, Payment and Cost

Patient Flow

Gain powerful insight into the throughput of our organization by combining ADT data with data from McKesson PerformanceMcKesson Performance Analytics to Identify Peak busy times Bogged down unitsBogged down units Potential bottlenecks in

process Downstream impact on ED p

and ICU Areas of outstanding

performance

Future State: Integrated AnalyticsFuture State: Integrated Analytics

V lid d I t t d D t BETTER CARE

Valid and Integrated Data

Meaningful Metrics

BETTER COST

BETTER HEALTH

Statistically Sound Analysis

Intuitive Visual P t tiPresentation

Actionable

Timely

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Key ChallengesKey Challenges

E t Engagement McKesson

Physician Physician

Team

Endurance Endurance

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Ortho-Trauma DashboardOrtho Trauma Dashboard

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Ortho-Trauma Dashboard - StatisticsOrtho Trauma Dashboard Statistics

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Ortho-Trauma Dashboard – Patient FocusOrtho Trauma Dashboard Patient Focus

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Cholecystectomy StatisticsCholecystectomy Statistics

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Cholecystectomy Case StatisticsCholecystectomy Case Statistics

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Cholecystectomy Patient FocusCholecystectomy Patient Focus

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Cholecystectomy Patient Focus w/AHRQC y y / Q

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Cholecystectomy – AHRQ PSI RatesC y y Q

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Surgery Analytics - Executive Summaryg y y y

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Surgery Analytics - VolumeSurgery Analytics Volume

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Surgery Analytics – On-Time-Startsg y y

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Surgery Analytics – DelaysSurgery Analytics Delays

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Surgery Analytics – Turn Around TimeSurgery Analytics Turn Around Time

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Admission Med Rec

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Med Rec by Specialty & Physicianby p y & y

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Med Rec Deep Divep

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CHF – Registry - InpatientsCHF Registry Inpatients

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CHF – Registry - OutpatientsCHF Registry Outpatients

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CHF – Registry – Patient FocusCHF Registry Patient Focus

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