Foundations for Clinical and Healthcare Business Intelligence

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Foundations forClinical and HealthcareBusiness
Intelligence

• eMids Business Intelligence Conference
• Nashville, Tennessee

James E. Gaston, FHIMSS Sr. Dir. of Clinical
Business Intelligence HIMSS and HIMSS
Analytics James.Gaston_at_HIMSSAnalytics.org Twitter
_at_JamesEGaston

• MAY 2012

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Agenda

• HIMSS and HIMSS Analytics
• Orienteering
• Clinical Intelligence First Steps
• Practical Application
• Pulling It All Together

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www.HIMSS.org

• HIMSS Vision
• Advancing the best use of information and
  management systems
• for the betterment of healthcare.
• HIMSS Mission
• Lead healthcare transformation through the
  effective use of
• health information technology.

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www.HIMSSAnalytics.org
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Print, Digital, iTunesall available
http//marketplace.himss.org/
http//www.ebooks.himss.org/
http//www.apple.com/itunes/
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OrienteeringClinical Business
Intelligence
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Orienteering

• Business intelligence (BI) mainly refers to
  computer-based techniques used in identifying,
  extracting, and analyzing business data, such as
  sales revenue by products and/or departments, or
  by associated costs and incomes.
• Business Intelligence supports business
  decision-making.

http//en.wikipedia.org/wiki/Business_intelligence
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Orienteering

• Clinical Intelligence (CI) mainly refers to
  computer-based techniques used in identifying,
  extracting, and analyzing healthcare data, such
  as lab results, medical histories, or medical
  records, to support a healthcare related
  decision.
• Clinical Intelligence supports healthcare
  decision-making.

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Orienteering

• CBI as defined by leading healthcare
  organizations
• Mining clinical data with an eye towards patient
  care
• Access to key information to make care or
  business decisions that result in the best
  outcome for the patients and the business
• To use currently available and create new data
  sources to drive all aspects of running an
  organization
• Supporting clinical excellence
• Maximizing the quality of care and minimizing
  the cost

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Clinical Intelligence First Steps
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Clinical Intelligence First Steps
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Clinical Intelligence First Steps

• Meaningful use Drivers
• Improve quality, safety, efficiency, and reduce
  health disparities
• Engage patients and family
• Improve care coordination, and population and
  public health
• Maintain privacy and security of patient health
  information

2011 - 2012
2013 - 2014
2015
http//www.healthit.gov/
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Clinical Intelligence First Steps

• CI is about exposing the clinical decision
  process, turning a gut feeling or intuition
  into a revealed process that is informed,
  defensible and consistent
• In the moment of the care decision
• Banner Health physicians have access to patient
  EMR and are prompted upon a visit to provide
  diagnosis related care
• Retrospectively examining the circumstances
  (data)
• Geisinger uses their patient data warehouse to
  identify care gaps and push them to clinicians
  for review

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PracticalApplication
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Practical Application - BIDMC

• John D. Halamka, MD, MS
• Chief Information Officer of Beth Israel
  Deaconess Med. Center
• Chief Information Officer at Harvard Medical
  School
• Chairman of the New England Healthcare Exchange
  Network
• Co-Chair of the HIT Standards Committee
• Harvard Medical School full professor
• Practicing Emergency Physician
• http//geekdoctor.blogspot.com

Ten-year-old John Halamka winning the Science
Fair in 4th grade with his home-built Van De
Graff generator in 1972.

• Healthcare CIOs should implement applications
  which filter data so that it becomes information,
  transform information into knowledge, and
  ultimately provide clinicians with wisdom based
  on that knowledge at the exact time they need it.

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Practical Application - BIDMC
http//geekdoctor.blogspot.com/2007/11/data-inform
ation-knowledge-and-wisdom.html
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Practical ApplicationBanner health Network

• Payment Model Delivery Model Alignment
• Transitioning to a Value based methodologyfor
  physician reimbursement
• Physicians spend more time with patients
• New payment codes incentivize physicians
• Holistic approach to care, including behavioral
  social health
• Practical Application
• Find patients that have not recently had a visit
  and arrange it
• Ensure proper post acute care follow-up
• Generate care plans, engage care managers
• ActiveHealth technology provides registry, risk
  assessment

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Practical Application Atrius Health

• We also adopted a relatively unique concept in
  that we wanted to take care of all of our
  patients exactly the same, no matter what their
  funding mechanisms were.
• Dr. Gene Lindsey, CEO of Atrius Health
• The ACO Shared Savings application process -
  FierceHealthcare, http//www.fiercehealthcare.com/
  special-reports/atrius-ceo-interview-inside-pionee
  r-aco/aco-shared-savings-application-processixzz1
  ywZVYK58 , 2/24/2012

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Practical Application Atrius Health

• Multi-pronged Care Strategy
• Core Strategy Components
• Hospital strategy
• Post-acute stay facility strategy
• Home care strategy
• Geriatric care model design
• Practical Application
• Define patient care expectations with
  Preferred Partners
• Expect all care to be delivered as defined in
  agreement
• Monitor, benchmark and manage using CI BI
  reporting

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Practical ApplicationCommon Themes

• You just cant over communicate what you are
  trying to achievethe ongoing communication, not
  just the printed stuff, but the conversations and
  dialog, are where it happens
• Mr. Chuck Lehn, SVP and CEO of Banner Health
  Network
• Compensation is being based on, in part, your
  quality scores, or your patient satisfaction
  scores, or the size of the panel of patients you
  care for as opposed to just the numbers of visits
  you generated.
• Dr. Rick Lopez, Chief Physician Executive of
  Atrius Health

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Practical Application

• Recommendations
• CBI should be positioned to enable and support
  and organizations mission and vision
• Engage senior level support
• CBI is an active and engaging process, not a
  technology or application solution
• Ensure physicians have a leadership role and a
  stake in the process
• Establish strong data governance and communication

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Pulling it All Together
Create the foundation, data and environment
forClinical Intelligence Healthcare Business
Intelligence
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Foundations for Clinical and Healthcare Business
Intelligence
Healthcare BI Summit Minneapolis, Minnesota
Information Management Symposium 2012 Nashville,
Tennessee
James E. Gaston, FHIMSS Sr. Dir. of Clinical
Business Intelligence HIMSS and HIMSS
Analytics James.Gaston_at_HIMSSAnalytics.org Twitter
_at_JamesEGaston