Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective...

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Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information Builders

Transcript of Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective...

Page 1: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting

Alan Eisman, VP Healthcare Solutions Information Builders

Page 2: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Preparing for the New World of Healthcare Reform

Alignment of organization structure, business model (ACO), goals, initiatives, measures and incentives to strategy

A Strategic & Operational Framework that balances Financial, Clinical, Quality and Operational Efficiency Goals

A Integrated, Trusted and Transparent model to support Sevice Line (IPU) strategies in support of Enterprise Strategy X-functional Areas: OR, ED, Quality, Rev. Cycle, Supply Chain etc… Deep Analytic & Operational access to enable business processes &

decision making that support goals Collaborative, Closed Loop and Integrated for Continuous Improvement

Measurement without the opportunity to improve is Harassment – W. Edwards Deming (Father of Quality)

Page 3: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Do you have Slogan and Buzzword Fatigue?

“Meaningful Use”

“We want to become data driven”

JCAHO, P4P, PQRI, OPPE. RAC

RVUs, FTE/AOB, LWOBS, LOS

EMR, EHR, PHR, CPOE, HIE,

ACO

These issues are dealt with in disconnected ways with incomplete and old information using esoteric tools in information and organizational silos

Copyright 2007, Information Builders. Slide 3

Page 4: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

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Page 5: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Getting Everyone Focused on Common Goals Requires

Enablement of ProcessEnablement of Process

Engagement of StakeholdersEngagement of Stakeholders

Extreme Ease of Use and FlexibilityExtreme Ease of Use and Flexibility

Elimination of Manual Steps and SpreadmartsElimination of Manual Steps and Spreadmarts

Page 6: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Transparency Drives Accountability and Improvement

Medicare spending varies from $14,000 to $5,200/Beneficiary 40% Can be explained based on case mix, regional pricing 60% due to other factors supply of resources and practice

patternsPhysician down the hall - “In our own organization there is a 2

to 3 fold variation in use of tests, unaware of what colleagues down the hall are doing.

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“Chaos and Organization in Health Care” Thomas H Lee, M.D. James J. Mongan M.D.

Page 7: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

How Do I Get Started

My Simplified View of Maturity Cycle

From Process Measures – Outcomes – Cause and Effect

From Departmental – Service Line – Enterprise

From Spreadsheets – Metrics Management – Balanced Scorecards

From Historical – Daily Dashboard - Operational - Predictive

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Page 8: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

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Need for Better Metrics Management

• Metrics are an aggregated way of planning and tracking performance improvement

• Managing measures: tolerances, attributes, history, and auditing is all part of metrics management

• Many Healthcare Metric definitions and formulas have been standardized

• Using Metric benchmark data is now a common practice of competitive businesses

Page 9: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Copyright 2007, Information Builders. Slide 9

Aligning Goals With Your Strategies

Page 10: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Operational

Analytical

Strategic

How Business Intelligence Should Work?

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Monitor performance and communicate strategy-Translate strategy for the operation

-Promote continuous improvement-Drive accountability and focus on key drivers

Direct Analytical BI towards potential problems

Isolate and identify good and bad- Analyze historical trends

- Mine for problems and opportunities- Predict future potential

Direct the focus of operational initiatives

Implement Operational Initiatives To… - Enable/Accelerate processes - Empower employee decisions

- Improve patient flow

Monitor Performance of Initiatives

Page 11: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.
Page 12: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Color Coded by Contract to Identify Potential Revenue

Page 13: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

This is the FPA Physician Revenue Cycle and Productivity Dashboard which shows 6 KPIs

Page 14: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Meaningful Use Should Be Whatever It Needs to Be

ERP

Trusted Performance Management Layer

Personalized Dashboards

My Dashboardfor KPIs , Alerts& Drill Anywhere

Analysis withdata from any

source

Metrics in oneplace managed with Scorecards for each Dept.

Holisticintegrationframework

Functional Analytic Applications

Independent Integration Layer

Clinical ADT Ambulatory ORMS ED DW

Page 15: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Excellence with BI - You know you have it when there is

Democratization of Information - Everyone uses it Credibility

Everyone believes the numbers and the numbers are the same You can drill to what makes up the number

Context – Understand numbers by any relevant dimension Cause and effect drill paths to answer Why?

The Ability to Drill anywhere to get the next answer Easily discover patterns and anomalies with visual analysis Make decisions to improve revenue cycle, patient flow, quality etc.

Sharing information to support decision making is effortless

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Page 16: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

And the Stakeholders are Happy

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Page 17: Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting Alan Eisman, VP Healthcare Solutions Information.

Questions?