Th The St State of f Analyt ytics (And How You Can Survive It It) A Complimentary Webinar From healthsystemCIO.com Your Line Will Be Silent Until Our Event Begins at 12:00 ET Thank You! Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Housekeeping • Moderator – Anthony Guerra, editor-in-chief, healthsystemCIO.com • Ask A Question • We will be holding a Q&A session after the formal presentations. • You may submit your questions at any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as “All Panelists.” • Download the Deck • Go to Download today's deck at: http://healthsystemcio.com/presentation/state-of-analytics-webinar.pdf • Shortened URL at bottom of all slides • View the Archive • You will receive an email when our archive recording is ready. • Separate registration is required. Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Agenda — Approximately 40 Minutes • 35 minutes: Gene Thomas, VP/CIO, Memorial Hospital and Memorial Physician Clinics at Gulfport • 10 minutes: Q&A w/Gene Thomas Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
By Gene Thomas Memorial Hospital and Physician Clinics Gulfport, MS Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
XXXX XXXX XXXX XXXX The State of Analytics Slide Deck: http://goo.gl/qSxjtd and How You Can Survive It Webex Support 1-866-229-3239 Event #665 551 153
Memorial Hospital and Physician Clinics • Not-for-profit community safety net provider • Established in 1946 • 445 Beds • ~ 3,200 employees • ~ 450 Medical Staff / Half Employed • 85+ Owned Memorial Clinics • Achieved Stage 1 in 2011 – I/P and EP • High Medicare / Medicaid / Un-insured Mix ~ 65+% Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Memorial Hospital and Physician Clinics Level 2 Trauma Center Annual Volume : 450,000 clinic visits 180,000 outpatient procedures 75,000 ED visits High volume of “un -managed 16,000 admissions manageable conditions”…….. Or so we believe Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Where we have come from… What Happened to Us Founded 1946 • Surrounded by for-profit • Only Behavior Health on Gulf Coast • Never closed our doors during Hurricane Katrina August 29, 2005 • Operated as both a hospital and place of refuge Slide Deck: http://goo.gl/qSxjtd • Webex Support 1-866-229-3239 Event #665 551 153
The “System” Katrina Built “The storm” wiped out most medical practices in the area. The buildings were gone, patients were gone, doctors were gone or leaving. – Memorial stepped in & offered employment to all medical staff. – By 2009, Memorial owned 46 clinics. – Today, there are 85, tomorrow… Slide Deck: http://goo.gl/qSxjtd 100+ Webex Support 1-866-229-3239 Event #665 551 153
Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Realities & Predictions Be accountable “We’re already accountable” Prepare for clinical integration and/or - use our footprint now for CI Develop and Use Analytics to Enable – Pouring the foundation Real targeted measurable quality initiatives Population Health Management Revenue Cycle Analytic Capabilities Financial Decision Support Capabilities Managing Fee for Service Transition to……? Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Where we came from… 3 Clinical Areas Live Ancillary’s Automated Limited Integration 2009 2010-2011 ED Automated June 2011 • 10 years of e-nursing • Installed Enterprise documentation Practice Management & • High Portal adoption EMR in 53 clinics • Mixed paper & electronic environment • Some Ancillary’s Automation Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
What We Wanted • Integrated Core System – One patient, one longitudinal view Data Driven: – Comprehensive analytics • Decisions • Care – Speed, performance, reliability and security • Negotiations – Extensible and scalable • Clinical Improvements – Common ancillary and support systems Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Two Key Decisions Key Decision # 1 Key Decision # 2 Integrated EMR Comprehensive EDW EMR Vendor / Partner Analytics Vendor / Partner Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Staying Focused on the Goal… Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Staying Focused on the Goals… Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 16 Event #665 551 153
CIO Role Infrastructure Foundational EHR Table Stakes Patient Portal Table Stakes Data Submission Regulatory MU Regulatory Positioning Critical Supporting C’s A Must Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
CIO’s Topics Stream of Consciousness – Supporting the Organization • Shared Risk • Fee-for-Service • Narrow Network • Bundled Payments • Clinical Integration • Quality / Outcomes • CMI • Revenue Cycle • Breakage / Leakage • DNFC / DNFB • Capture CC’s & MCC’s • A/R Days • Commercial Contracts • Commercial Volume • LOS reporting & analysis • Reimbursement Environment • Cost per Case • Readmission Topics • Transformation • Unnecessary Tests • Exchanges • Variability • Regulatory Reporting And on and on…….…………. Serious Topics But….., But Really – CIO’s / CAO’s provide data & analytics supporting decisions for: How to maintain or increase margin while decreasing I/P volume Demonstrating ability to bend cost curve Eliminate waste – target medicare cost structure?? Long List - Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Disclaimer The opinions expressed herein represent my personal opinions and not necessarily those of Memorial Hospital at Gulfport. Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Why Analytics and Why Now? Now is almost to late 1. Get ready for the real game by pouring your foundation 2. Can you measure outcomes and cost? 3. PROFITABILITY 4. Assuming obvious costs cut, can you cut your way out of margin pressure forever? National Trend: Bond Rating Downgrades Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Fallacy Inability to reconcile numbers in different applications, so difficult to plan margin improvement and quality improvement. Silos of data = Lack of coordination between quality and cost, between quality and finance. “Magical Thinking” – If we put in an EHR we got this Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Role Of Analytics Aids in answering important questions - Will we improve our margin by: 1) Reducing waste - Getting some shared savings or bonuses 2) Reducing out of network leakage to offset reductions in per capita in patient utilization 4) Help us model • If we can actually make NET savings after we pay for all of this new IT and case managers and bonus the doctors? • How long until will we experience the law of diminishing returns as the benchmark is ratcheted down Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Typical baseline scenario for community hospital analytics Finance uses legacy applications to look at cost by service line, by DRG and by cost center; as well as little to no risk adjustment, drill down, and modeling capabilities. Quality uses service that provides last year‘s risk adjusted benchmarked service line and DRG based performance, especially quality and some cost. Cannot model margin, contribution margin, or easily identify cost outliers. Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
Thoughts… Identify all data to move into EDW while you… Interfaces, Interfaces, Interfaces – lots of source marts Mapping, Mapping, Mapping Upgrade Hell Needs & Resources How to justify to leadership?? Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
The Set Up Many traditional administrators don't believe ACO’s or ACO type models are the solution Many don't understand but accept inevitability Some don't want any change and don ’ t want to believe. Most are not clinically integrated Don't have risk contracts Some are not committed mantra wise to the triple aim Slide Deck: http://goo.gl/qSxjtd Webex Support 1-866-229-3239 Event #665 551 153
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