Optimizing Healthcare Performance Management (HPM) – Achieving Bottom Line Results with Effective Reporting
Alan Eisman, VP Healthcare Solutions Information Builders
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)
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
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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
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.
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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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
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Aligning Goals With Your Strategies
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
Color Coded by Contract to Identify Potential Revenue
This is the FPA Physician Revenue Cycle and Productivity Dashboard which shows 6 KPIs
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
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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And the Stakeholders are Happy
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Questions?
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