Data in Business Analytics Perspective for Indian Healthcare Market

1
Data in Business Analytics Perspective for
Indian Healthcare Market

• Debashis Basu
• Partner and Leader Enterprise Intelligence and
  Analytics
• EY India
• September 7, 2013

2
Challenges with Data Analytics in Healthcare

• Data available in healthcare can be segregated
  along the following lines
• Structured Data EMR systems, Claims systems,
  Revenue cycle systems
• Unstructured Data Doctor notes, Images
• Focus has been on the "volume" end of analytics,
  namely Data Management and Governance
• Descriptive analytics, while Advanced Analytics
  and Predictive Modelling usage is limited
• Most Hospitals are understaffed for the most
  basic reporting and analytical needs

4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
3
Emerging markets/India Specific Challenges

• Lack of country wide hospital KPI data
• No adequate survey-based data
• No administrative reporting system that provide
  basic hospital service statistics
• Healthcare organizations are wary of technology
  integration due to cost burden caused by
  requirement of IT infrastructure and technical
  expertise

4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
4
Silver lining for Data Analytics for Indian
Healthcare providers

• According to Gartner, India's healthcare
  providers plan to spend US 1.05 billion on IT
  products and services in 2013
• As the health care industry moves to electronic
  health records, the storage of data is
  increasingly going to be on the cloud.

4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
5
The healthcare business intelligence / EPM
landscape

• Healthcare decision support is usually
  workflow-specific
• Provided within functional systems of enterprise
  HCIT vendors
• And is not cross-application or cross-enterprise
• Enterprise-level BI solutions in healthcare are
  scarce
• Enterprise software vendors (McKesson, Siemens,
  Cerner, GE, Eclipsys, Epic)
• Offer data warehouses and OLAP tools specific to
  their applications
• But are not an effective enterprise solution,
  particularly for revenue cycle
• Technology vendors (BEA, Cognos, Business
  Objects, Hyperion, Qulikview Microsoft)
• Offer tools to create BI/EPM solutions but must
  be custom-developed
• Are costly to implement and maintain most
  hospitals physicians cant afford them

Performance Management
Business Intelligence
Data Warehouse
Functional Systems
4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
6
The healthcare business intelligence / EPM
landscape

• Pure healthcare BI companies (limited number -
  Avega, Precision.BI, MedeAnalytics, Craneware,
  Advisory Board, Premier, Thompson Reuters,
  Healthcare Management Council, CareMedic)
• Provide subscription-based solutions
• But technology is not leading edge
• They are usually retrospective reporting and
  benchmarking services
• Rather than EPM
• The industry still lacks an affordable
  healthcare-specific EPM solution that can be
  easily implemented

Performance Management
Business Intelligence
Data Warehouse
Functional Systems
4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
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Key Problems Inefficiency lack of visibility
My housekeeping staff finds out about discharged
patients by checking a handwritten log.
My surgeries are being canceled for want of an
inpatient bed
Unmonitored bed turnaround
Delayed visibility of empty beds
Unseen capacity
Transport delays
Equipment/pharmacy req
Test results
We are having difficulty in tracking quality of
care. Our CMS scores are low and we are not
getting full reimbursements
Patients are being sent to other hospitalswe
cant find room
News State of NY cut Medicaid reimbursements
to hospitals by 8. For a mid-size hospital, this
is an impact of about 20M in revenue loss. The
only way for hospitals to deal with this cut is
to be more efficient in their services using
technologies that make them address this, cut
operational costs increase productivity
4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
8
Integrating Information Across Silos in Real time
Operational Financial
Clinical Quality
IT Security
Health Metrics
4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
9
Hospital EPM Solutions Landscape
4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
10
Benefits - Increased Admissions ROI Gain for
Hospitals

• Executive Objectives
• CXOs are looking for ways to increase patient
  throughput
• Increasing throughput is increasing the number of
  admits at a hospital
• Through making processes in the hospital more
  efficient
• Roadmap to improved bed utilization
• By optimizing latency between discharge
  occupancy
• By creating visibility at the time of admissions
• By improving the discharge process
• Estimated Increased Admissions Revenue
• An average 400 bed hospital can expect the
  following benefits

Performance Level Conservative Moderate Aggressive
Bed Turns Gained per Year 3.12 5.32 10
Admissions Gained 905 1542 2899
Revenue Opportunity 4,070,658 6,940,993 13,046,980
4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
11
Illustrative out come

• Bed Turnaround Time
• 20 reduction in Bed Assignment Time (request to
  assignment)
• 15-30 reduction in Bed Occupancy Time (request
  to occupied)
• 30-40 reduction in Bed Occupancy Time for
  evening and night
• Bed Occupancy Capacity Improvement
• 8-10 improvement in bed occupancy (inpatient
  conversions)
• 10-13 improvement in ED Admissions (improved bed
  utilization)
• 8-10 improvement in ED utilization (better
  resource management)
• Nursing Clinical
• 25-40 reduction in outpatient conversions
• 30 reduction in outpatient conversions for
  interventional radiology
• 20 reduction in overall outpatient conversions
• 3 improvement in early discharges (before 200
  PM as) of total

ACTUAL PERFORMANCE25 Improvement in Bed
Requested vs. Bed Assigned
ACTUAL PERFORMANCE10 Improvement in Inpatient
Conversions
4th International Conference on Transforming
Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India
12
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