1. Session #12 User Group KickoffEric Just, Vice President, Technology,Health CatalystEric Just is the Vice President of Technology at Health Catalyst and theEngagement Lead at Indiana University Health. Prior to joining HealthCatalyst, he led the research arm of a late binding data warehouse thatserved to integrate clinical, operational, financial, and research data atNorthwestern University.Eric has served in a number roles at Health Catalyst including productdevelopment, business development, and client operations. He is adedicated husband and dad, involved in school and sports, and heenjoys outdoor life in his adopted home town of Salt Lake City.1

2. Why do we see ads like this?2Source: Delta Sky Magazine 3. But never like this??3THESE PILOTS ARE AMONGTHE BESTPILOTSIN NEW YORKEach pilot hasbeen included in aBest Pilot issue ofNewYorkAll pilots areboard certifiedCapt. Jimmy KirkIntergalacticLunarNeil Armstrong, NASA1243 Fifth Avenue , Suite 134(212) 343-4356Puddle JumpersOrville and WilburWright5678 Fifth Avenue , Suite 566(212) 343-4356IntercontinentalCaptain Charles A.Lindburgh13 Tenth Avenue , Suite 14(212) 343-4356MilitaryCapt. von Richtofen5678 Red Baron Way, Suite 44(212) 343-4356OrbitalCapt. John Glenn12 First Avenue , Suite 33(212) 343-4356Cross AtlanticAmelia Earhart777 Second Avenue , Suite 567(212) 343-4356River LandingsCapt. ChesleySullengerger345 Hudson River Way(212) 343-4356Pilots chosen for NewYork magazinesBest Pilots wereselected by PreferredPilots Ltd. Thenations leadingprovider ofinformation on toppilots 4. 4Process Management EvolutionSystem ofProductionCraftsmanshipNo SystemManualSystemAirline IndustryHealthcare Industry 5. 5If "Every system isperfectly designedto get the results itgets.> - Dr. Paul BataldenThen Design yoursystem to get betterresults> - Health Catalyst 6. 6How to you design your care delivery systemto achieve better Outcomes:AnalyticSystemContentSystemDeploymentSystemStandardKnowledgeWorkStandardOrganizationalWorkStandardMeasurementWorkBecome expertsin three keysystems 7. 7How is Health CatalystOrganized and Why? Content System Knowledge HollyDesigns and builds starter set knowledge assetswhich deliver evidence based guidelines andstandard work to accelerate change Deployment System Methodologies SteveDesigns, trains and implements the Heath Catalystimprovement methodology to accelerate ourcustomers ability to achieve Outcomes Analytics System Products TomDesigns and builds the Catalyst Analytics Platformand Analytical Applications which provide insight intocared delivery and a feedback loop to teams 8. 8Health Catalyststop operating principleis to help our partnersImprove Outcomes 9. 9Population Health Improvement AIMSepsis Outcome Improvement ExampleDecrease Sepsis Mortality Rate from 24% to less than 10% by 1/1/2015Content System Deployment System Analytic SystemKnowledge Asset StarterSets:Sepsis Bundle- Sequence and importanceof key clinical interventions- Under what circumstancesinterventions should beapplied- Sepsis and Severe Sepsiscohort inclusion andexclusion criteria- Predictive & PrescriptiveModels & AlgorithmsPermanent ImprovementTeam:- Role definitions and training- Team charters- Improvement methodology- Fingerprinting/Ownershipstrategy training- Agile/Iterativeimplementation strategyAdvanced AnalyticApplication:- Outcome metrics (improvedMortality Rate)- Process Metrics (improvedcompliance to 11 bundlecomponents)- Balanced Metrics(monitoring change in costwith Code Sepsis teaminvestment)- Advanced analyticvisualizations- Subject Area Mart Designer- Catalyst PlatformInfrastructure 10. 10What are you trying to improve? Outcomes Improvement- Population Health/Quality Improvement- Workflow/Efficiency Improvement- Patient Injury Prevention Improvement Shared Risk/Financial Improvement- Leveraging appropriate payment models Technical Efficiency Improvement- Streamlining data gathering/provisioning 11. 11Improvement LinesOutcomes ImprovementReadinessAssessment andStrategic PlanPopulation HealthImprovementWorkflow/Operational ImprovementPatient InjuryPreventionImprovementAdvancedGovernanceShared Risk / Financial ImprovementPayer MarketEvaluationAdvanced RiskEvaluationNetworkOptimizationShared RiskStrategic PlanImprovedFinancialMonitoringActivity BasedCostingImproved MemberEngagementPredictive StaffingModelsImproved CareManagementLeakageReductionTechnology ImprovementInfrastructureAutomated DataProvisioningData CaptureAugmentation(IDEA)Data DrivenPrioritization(KPA)Pragmatic DataIntegrationAdaptive DataGovernanceSharedFrameworkInfrastructureData CaptureQualityAwarenessComparativeAnalyticsInfrastructureEfficientInformationDistribution 12. 12All paths lead to improvementPop HealthImprovementAutomatingDataProvisioningAutomatingDataProvisioningShared RiskImprovementEfficientInformationDistributionAutomatingDataProvisioningStart withPopulationImprovementPathStart withSharedRisk PathStart withTechnologyPathEfficiencyImprovementTimePatient InjuryPreventionImprovementPop HealthImprovementEfficientInformationDistributionShared RiskImprovementEfficientInformationDistributionPatient InjuryPreventionImprovementEfficiencyImprovementPop HealthImprovementPatient InjuryPreventionImprovementShared RiskImprovementTimeEfficiencyImprovement 13. 13Session 12Top Priorities Survey, Q1While all three of these improvement areas areimportant, what is your organization mostfocused on improving first?a) Outcomes Improvementb) Shared Risk/Financial Improvementc) Technology Improvement 14. 14Session 12Top Priorities, Q2What is your organizations 2nd priorityimprovement area?a) Outcomes Improvementb) Shared Risk/Financial Improvementc) Technology Improvement 15. 15Session 12Top Priorities, Q3What other priorities does your organizationhave that are higher than outcomesimprovement, shared risk/financial improvementor technology improvement?(If no other higher priorities answer None) 16. 16ReviewImprovement PrioritySurvey 17. 17Improvement Lines SurveyOutcomes ImprovementReadinessAssessment andStrategic PlanPopulation HealthImprovementWorkflow/Operational ImprovementPatient InjuryPreventionImprovementAdvancedGovernanceShared Risk / Financial ImprovementPayer MarketEvaluationAdvanced RiskEvaluationNetworkOptimizationShared RiskStrategic PlanImprovedFinancialMonitoringActivity BasedCostingImproved MemberEngagementPredictive StaffingModelsImproved CareManagementLeakageReductionTechnology ImprovementInfrastructureAutomated DataProvisioningData CaptureAugmentation(IDEA)Data DrivenPrioritization(KPA)Pragmatic DataIntegrationAdaptive DataGovernanceSharedFrameworkInfrastructureData CaptureQualityAwarenessComparativeAnalyticsInfrastructureEfficientInformationDistribution 18. 18ReadinessAssessment andStrategic PlanMeasure the care delivery organizationsreadiness for outcomes improvement includingevaluation of Three Systems readiness andAnalytics Adoption Model maturity; Includes keyprocess analysis of high volume high variationprocessesSelect Session 12Select Outcomes Improvement SurveyAnswer Question 1Analytic ProductsKey Process AnalysisAssessment Survey Tool 19. 19PopulationHealthImprovementEstablishment of permanent improvement teamswhich leverage starter set AIMs, metrics andanalytic models based on evidence based clinicalguidelines to achieve and sustain clinical andquality improvement for the health of a populationAnswer Q2Session 12Outcomes Improvement SurveyPopulation HealthContent Starter SetsPediatrics SpecialtyMental HealthRespiratoryDeployment TemplatesPrimary CareCardiovascularWomen & ChildrenGINeuroscienceMusculoskeletalSurgeryOncologyAnalytic ProductsSubject Area Mart DesignerPopulation Shared FrameworksReadmission PredictorPopulation ExplorerReadmission Explorer 20. 20Workflow/OperationalImprovementEstablishment of permanent improvement teamswhich leverage starter set AIMs, metrics andanalytic models based on standard work andoperational guidelines to achieve and sustainefficiency improvement for clinics and hospitaldepartmentsAnswer Q3Session 12Outcomes Improvement SurveyWorkflow / EfficiencyContent Starter SetsDiagnostic (Lab, Path)Therapeutic (Rx, Resp)AmbulatoryAcute MedicalInvasivePractice ManagementExternal & RegulatoryOhio CollaborativeUS NewsSpecialty ClinicsA3/Value Stream MapsAnalytic ProductsSubject Area Mart DesignerWorkflow Shared FrameworksLabor Management ExplorerPatient Flow ExplorerPatient Satisfaction ExplorerSupply Chain Explorer 21. 21Patient InjuryPreventionImprovementEstablishment of permanent improvement teamswhich leverage starter set AIMs, metrics andanalytic models based on patient safety andoperational guidelines to achieve and sustainpatient injury prevention improvementAnswer Q4Session 12Outcomes Improvement SurveyPatient Injury PreventionContent Starter SetsSubstancesRX: MedicationsRX: FluidsRX: ElectrolytesParenteral Nutrition TPN)TransfusionVenous ThromboembolismPatient/Procedure ControlFalls (S, A, C)Glucose ManagementPressure InjuryInfectionsVAPCAUTISurgical Site InfectionsCLABSIA3/Value Stream MapsAnalytic ProductsSubject Area Mart DesignerPatient Safety ExplorerPatient Injury PreventionShared Framework 22. 22AdvancedGovernanceImplement appropriate roles, councils andsteering committees which are data driven andtriage/prioritize opportunities, allocate resourcesand approve, monitor and actively market quality,efficiency and safety outcome improvementresults.Answer Q5Session 12Outcomes Improvement SurveyAnalytic ProductsKey Process AnalysisExecutive DashboardIntegration ToolAnalytics Successes Portal 23. 23ReviewOutcomes ImprovementSurvey 24. 24Payer MarketEvaluationEvaluate each payer in your market and prioritizethe most important payer contracts to evaluateand re-negotiate for risk sharing opportunities oralternative payment methodsSelect Session 12Select Shared Risk SurveyAnswer Question 1Analytic ProductsPayer Market Analyzer 25. 25Advanced RiskEvaluationProfile risk of patients based on episodic cohortdefinitions. Evaluate disease density and severityto predict Per Member Per Month (PMPM) costs.Evaluate alternative risk/reward models includingreinsurance thresholds.Answer Q2Session 12Shared Risk SurveyAnalytic ProductsPopulation Risk Evaluation ToolAdvanced ContentPMPM Predictive Models 26. 26NetworkOptimizationOptimize network design by evaluating defensiblegeographic service area, central place theorytrade areas, network coverage using patient andprovider geocoded addresses. Predict leakagewith potential network adjustments. DraftParticipating Provider Service Agreements.Answer Q3Session 12Shared Risk SurveyAnalytic ProductsNetwork Optimization ToolAdvanced ContentPredictive Leakage ModelsReference ContentDartmouth Atlas Referral RegionsCentral Place Theory Trade AreasGeographic Coverage Areas (StateHealth Benefit Program Filings)Geocoded AddressesParticipating Provider ServiceAgreement Templates 27. 27ImprovedMemberEngagementDesign better methods for patient/memberengagement including enhanced member self-reportedhealth data, employer engagement,member plan design, community outreach, familyengagement, etc.Answer Q4Session 12Shared Risk SurveyAnalytic ProductsMembers Satisfaction ExplorerEmployer Wellness DesignerMember Engagement PortalReference ContentHealth Plan design templatesWellness plan design templatesCommunity engagement templatesFamily engagement templates 28. 28Improved CareManagementImprove outlier care management for high risk,high cost patients combining claims, EMR clinicalobservations and patient demographic data topredict potentially preventable adverse events andprescribe prioritized actions and interventions.Answer Q5Session 12Shared Risk SurveyAnalytic ProductsCare Management PlannerCare Management AnalyticsAdvanced ContentPrescriptive ModelsPreventable Events Predictor 29. 29Shared RiskStrategic PlanDesign a multi-year strategic organizational planfor provider network acquisitions and divestitures,wholesale contract network access agreementsnegotiation plans with payers, prioritized caredelivery improvement initiatives, etc.Answer Q6Session 12Shared Risk SurveyAnalytic ProductsKey Process Analysis(Risk Sharing OpportunityPareto Bundled Payment)Shared AccountabilityExecutive DashboardReference ContentWholesale Contract NetworkAccess Agreement TemplateAccountable CareOrganizational Plan Template 30. 30LeakageReductionIdentify out-of-network leakage or higher cost caredelivery by specialty, by attributed provider, byhigh risk patient, or by procedure and estimatepotential saving from leakage reduction.Answer Q7Session 12Shared Risk SurveyAnalytic ProductsShared AccountabilityExecutive DashboardPatient Leakage AnalyzerAdvanced ContentAttribution Models 31. 31ImprovedFinancialMonitoringImprove financial monitoring by identifyingcorrelations in clinical and financial data, stratifyfinancial performance by unit, department, clinicalprogram, care process family, etc.Answer Q8Session 12Shared Risk SurveyAnalytic ProductsFinancial Management ExplorerRevenue Cycle ExplorerGeneral Ledger Explorer 32. 32Activity BasedCostingEvaluate true cost of care delivery with clinicallydriven activity based costing.Answer Q9Session 12Shared Risk SurveyAnalytic ProductsActivity Based Costing ToolClinically Driven RevenueCycle ExplorerReal Time Location ServicesIntegrationAdvanced ContentActivity Based Terminology 33. 33PredictiveStaffing ModelsStaff operational units based on predictive modelsbased on historical care delivery activity ratherthan imputed acuities from administrative dataAnswer Q10Session 12Shared Risk SurveyAnalytic ProductsActivity Based StaffingAdvanced ContentActivity Based TerminologyPredictive Staffing Models 34. 34ReviewShared RiskSurvey 35. 35InfrastructureProcure, configure and test infrastructureenvironments to support analytics includingon-premise and and now available secure hostedenvironmentsSelect Session 12Select Technology SurveyQ1Analytic ProductsHosting Infrastructure 36. 36Automated DataProvisioningAutomation of provisioning data from transactionalsource system into source mart within theEnterprise Data Warehouse using a metadatadriven approach using portable source maps (.SMfiles) (Newly added support for flat files, XML)Answer Q2Session 12Technology Improvement SurveyAnalytic ProductsSource Mart Designer & PatternsMetadata CoreAtlasSecurity and AuditingEDW ConsoleSource Mart GAP AnalyzerContent MappingEMR (6), Patient Billing (6),Costing (4), General Ledger (2),Patient Satisfaction (3)Ambulatory EMR (2), ProfessionalBilling (3), Time Card (2), HumanResources (2), AccountsReceivable (2) , Supply Chain (2),Claims (1)Additional Source Marts (30+) 37. 37Data CaptureAugmentation(IDEA)Instant Data Entry ApplicationEasily create web-based applications to augmentdata capture; Adding native mobile application(iOS and Android) versions.Answer Q3Session 12Technology Improvement SurveyAnalytic ProductsIDEAIDEA Mobile 38. 38SharedFrameworkInfrastructureReusable tools that accelerate outcomesimprovement and advanced applicationdevelopment (SAMs)Answer Q4Session 12Technology Improvement SurveyAnalytic ProductsWorkflow FrameworkPopulation Health FrameworkComorbidity Analyzer & ContentPatient-Provider AttributionModelerStatistical/Metric CorrelationFrameworkEDITExecutive DashboardIntegration ToolPatient Injury PreventionFrameworkVisualization & ArchitecturalFrameworksAdvanced ContentSeverity Risk/ComorbidityModelsClinical HierarchiesAttribution ModelsPredictive Models 39. 39ComparativeAnalyticsInfrastructureComparable foundational analytics across caredelivery organizations a framework to sharecomparative benchmarks.Answer Q5Session 12Technology Improvement SurveyAnalytic Products*CAFEComparative AnalyticsFramework and ExchangeCAF De-identificationInfrastructureAdvanced ContentEssentials Layer Mapping 40. 40Data DrivenPrioritization(KPA)Prioritization of opportunities derived from careprocess size and variability based on clinically andoperational defined mappings (e.g. ICD9, ICD10,CPT, APRDRG, etc.)Answer Q6Session 12Technology Improvement SurveyAnalytic ProductsKey Process Analysis(Pareto Tool)Advanced ContentClinical HierarchiesOperational Hierarchies 41. 41Pragmatic DataIntegrationPragmatic Master Data Management includingcommon linkable identifiers (e.g. Patient, Provider,Location) and Common Components (e.g. Meds,Labs, Encounters) which integrate data frommultiple sources of the same source type (e.g.multiple EMRs)Answer Q7Session 12Technology Improvement SurveyAnalytic ProductsCommon Linkable Identifiers(pragmatic master datamanagement - e.g. PatientID,ProviderID, LocationID,Vocabulary)Advanced ContentMatching Algorithms(with Threshold Settings) 42. 42Adaptive DataGovernanceTools and processes to guide organizations in thethree pillars of data governance: data exploitation,data literacy and data stewardship.Answer Q8Session 12Technology Improvement SurveyAnalytic ProductsSecurity and Auditing (EDWConsole & IDERA)ATLAS: Data StewardshipModuleReference ContentStarter Set StandardDefinitions/CalculationsAnalytics Services TriageGroup Charter 43. 43Data CaptureQualityAwarenessTools to profile data capture quality includingtimeliness, accuracy and completeness of datacaptureAnswer Q9Session 12Technology Improvement SurveyAnalytic ProductsData Profiling Tool 44. 44EfficientInformationDistributionTools to inventory report and analytic usage toidentify wasteful practices and pruningopportunities (e.g. replace 10 manual reports with1 self service dashboard)Answer Q10Session 12Technology Improvement SurveyAnalytic ProductsReport Queue AnalyzerAdvanced ContentCommon/Global metricsrepository (e.g. Case count,LOS, Readmission counts andrate, cost center definitions) 45. 45ReviewTechnology ImprovementSurvey 46. 46Catalyst Coming Attractions Detailed Comparative Analytics Mobile IDEA (Instant Data Entry Application) Geospatial Analytics Network Optimization Activity Based Costing Prescriptive and Predictive Modeling Framework Anatomy of Healthcare SAM Designer support 47. 47User Group Design Survey1. What is the most important thing you expect to get out of a User Group?2. Would you prefer the User Group be done in conjunction with HAS?3. How frequently would you like the User Group to be held in person?4. On a scale from 1 to 5, how interested would you be in more frequent User Grouptele-conferences between in-person user group meetings?5. How frequently would you prefer the incremental user group tele-conferences?6. How would you prefer the User Group be organized?7. What have you seen work well with other user groups?8. On a scale from 1 to 5, how interested are you in learning about newfeatures/content in the Outcomes Improvement Line?9. On a scale from 1 to 5, how interested are you in learning about newfeatures/content in the Shared Risk / Financial Improvement Line?10. On a scale from 1 to 5, how interested are you in learning about newfeatures/content in the Technology Improvement Line? 48. AnalyticInsightsQuestions &AAnswers 49. Session Feedback Survey491. On a scale of 1-5, how satisfied were you overall withthis session?1) Not at all satisfied2) Somewhat satisfied3) Moderately satisfied4) Very satisfied5) Extremely satisfied2. What feedback or suggestions do you have? 50. Upcoming Keynote Sessions3:45 PM 4:40 PM13. Healthcare Reform 2.0: Anticipating Whats NextGovernor Mike LeavittFounder and Chairman of Leavitt PartnersFormer Secretary of the Department of HHS4:45PM 5:15PM - Speakers Corner5:15PM 6:00 PM - Reception6:00PM 7:00 PM - Dinner7:00PM 8:00 PM14. The Acceleration of Technology In The 21st Century:Impacts on Healthcare andRay KurzweilChairman, Kurzweil TechnologiesDirector of Engineering, Google8:15 9:00 PM - Entertainment50LocationMain Ballroom