HNHB LHIN Integrated Decision Support (IDS) Business Intelligence (BI) Solution The “Art of the Possible” November 2010
Overview • Background and Groundwork • The “Art of the Possible” • HNHB LHIN IDS Strategy Map • HNHB LHIN IDS Current State • Where do we go from here? Next Steps • HNHB LHIN IDS BI Portal Demonstration (selected Screen Shots included in your presentation) • Appendix IDS Architecture and Infrastructure IDS Project Team
Background and Groundwork • The IDS Data Warehouse and Business Intelligence (BI) Solution is an HNHB LHIN eHealth project, jointly funded by the HNHB LHIN (startup) and HNHB participating organizations (POs) in a cost sharing model • Initiative approved by the HNHB LHIN CEO‟s, LHIN CFO‟s, and LHIN eHealth and leveraged the HNHB LHIN Memorandum of Understanding for Shared Initiatives signed by LHIN CEO‟s • Data Sharing and Data Warehousing agreement signed by all HNHB LHIN hospitals, CCAC, CHC‟s and Cambridge Hospital (WW LHIN #3) • Governance Structure: HNHB LHIN CFO IDS Steering Committee, HNHB LHIN DSS Operations Committee, with various HNHB IDS working groups. Host site is Hamilton Health Sciences (HHS) • Infrastructure and system implemented in phases by HHS Decision Support (DSS) Project Team and ICT, under the direction of HNHB LHIN Decision Support Operations Committee • Project team at HHS and vendor partners secured: – HHS Decision Support Services (DSS) – HHS ICT – Farid Kassam, 3Terra and Dapasoft Strategic Vendor Partners – Subject Matter Experts (SME) from participating organizations • Built upon knowledge gained having a Hamilton-Wentworth shared data warehouse between HHS, SJH and Hamilton CCAC , hosted by HHS
The Art of the Possible • HNHB LHIN IDS expanded the HHS Enterprise Microsoft arrangement and purchased the Microsoft Suite of BI Tools (SQL Server, ProClarity Analytics, OLAP Cubes, Performance Point Dashboards and Scorecards, and Advanced Reporting) to enable decision makers to view data at appropriate security levels • IDS built with the ability to link the patient level data across multiple data sources and multiple episodes to track the flow of patients • Timely data across the HNHB LHIN depending on data source (CIHI, ALC- IS, CCAC, CHC, Source System ADT, etc.) • LHIN Office can see a consolidated view of Hospitals, CCAC, CHC on indicators • Use innovative analytics and visualization techniques to link and view data • Once infrastructure and data warehouse (DW) established, new participating organizations (POs), new providers, new data sources, other healthcare sectors, and new LHINs can be added easily • Service Level Agreements (SLA) can then be negotiated with each PO in a cost sharing manner • Technical infrastructure and DW architecture is built for scalability and capacity • Secure and intuitive web-based access through a user-friendly portal accessible via eHealth network (SSHA).
HNHB LHIN IDS Strategy Map
IDS Production Site Current State • Late November 2009, the IDS BI Portal was launched in beta as „Software as a Service‟ with 60 users that provided: – Secure access to a HNHB LHIN centralized data warehouse containing current patient level data, linked by a unique identifier per patient, for all hospitals, CCAC, and CHC in HNHB LHIN: • CIHI Acute Inpatients (DAD) from April 1, 2008 forward • CIHI ER, SDS, MDC (NACRS) from April 1, 2008 forward • CCAC CHRIS Client Data and RAI CCAC Assessment Data (2005 forward) • MIS Trial Balances (2007/08 forward) with over 150 benchmarking reports, including LHIN #4, and CAHO Teaching Hospitals • 7 Community Health Centres (CHC) client and provider data (go-live November 2010) • Stats Canada 2006 Census data tables at FSA level • HAY Level of Care Tables (Primary, Secondary, Tertiary/Quaternary) • HNHB LHIN real time ALC-IS cube level data and reports – WW LHIN #3 Cambridge included CIHI DAD, NACRs and MIS (October 2010) – Out of the box „ standard‟ reports, dashboards and analytical views – BI reporting and analytical tools for ad-hoc analysis and reporting – Secure file submission capability – BI tools training and USER GROUP workshops – Role based user access to different portal functionality and artifacts • User base now around 140 users (75 analytical and remainder “readers”)
IDS Test Site Current State and next Steps – Beta Testing by HHS, CCAC and Joseph Brant on Microsoft “Report Builder” prior to full scale launch into production and training to all current users – Additional out of the box „standard‟ reports, dashboards and analytical views – Additional BI reporting and analytical tools for ad-hoc analysis and reporting – Enhanced MIS Benchmarking Reports – Expanded/Enhanced Infrastructure improvements including improvements in Active Directory and password management – Exploration with 2 large FHT‟s to include their physician table and present their patient‟s journey within HNHB LHIN – Improved ALC-IS functionality – Exploration in warehousing Inpatient Rehabilitation, Inpatient Adult Mental Health and Complex Continuing Care data – Roll- out for general availability to “reader” (Consumer) community at organizations – Signed agreements with Waterloo-Wellington LHIN, in addition to Cambridge, and adding their data to IDS
IDS Current Resources • Implementation and Further Development: – 0.7 FTE Project Manager – 0.4 FTE Business Architect – 1.2 FTE BI Developer – 0.2 Analyst – Subject Matter Experts within HHS and from participating organizations as required – HHS ICT resources on an opportunity request basis – Strategic partner consultants as required • Operations and Maintenance: – 0.3 FTE Project Manager – 1.0 FTE BI Developer/DBA – 0.2 Analyst – Subject Matter Experts within HHS and from participating organizations as required – Strategic partner consultants as required for operational support • Not included is the time dedicated by the Lead HNHB LHIN IDS and Executive Sponsor (up to 0.3 FTE on some weeks)
HNHB LHIN IDS BI Portal Demonstration
Secure, User Specific Access Citrix Icon https://ids.lhin4apps.ca/ids
LNHB LHIN IDS Home Page Drill into scorecard Updates, Events and “Functionality Pipeline”
LNHB LHIN IDS Submission Submitter have “button” to bring up submission entry screen
Reports – Organized in a Library, real-time, direct to the warehouse
Report For CCAC/Hospital Readmissions Preset Filters for selection Export to a variety of Report formats: pdf, excel, etc
Report For ED Frequent Visitors Select a facility or ALL for entire LHIN 78 ED visits in last 12 months, 126 overall, and to 11 Unique EDs Not on CCAC admission Unique LHIN identifier When “click” on - more detail about this patient journey is available
Mapping Dashboard – Acute InPatient Market Share by Patient‟s FSA
Mapping Dashboard – Acute InPatient Market Share Drill into Dundas (L9H) Pick a region Get details
Clinical Utilization Dashboard – Acute InPatient Measures Visually Displayed
Advances Analytics – using the Cubes to answer analytical questions Unique Features Instructions User/Analyst Group Updates
Advances Analytics – using the Cubes to answer analytical questions Features Cube
CHC Mapping Dashboard Example
CHC Drill Down Example IDS Drill Downs allow users to see granular information that make up aggregate counts
Advances Analytics – Online Training and Education In addition to attending User Group Training sessions we provide “elearning”
Appendix HNHB LHIN IDS Architecture HNHB LHIN IDS Infrastructure “The IDS Project Team”
IDS System Architecture
IDS Data Architecture
IDS Network Infrastructure
Finance & Integrated Health Information Services Decision Support Services Wendy Gerrie Director of Decision Support HNHB LHIN IDS & HHS ATC CIO Bonnie Strus Patti Pitkeathly Program Administration Program Administration 1.0 0.5 Manager: Nancy Henderson Manager: Farid Kassam Manager: Lillian Vasilic Manager: Julie Bosworth DSS Regional Cancer Manager: Iveta Amova Manager: Karen Orescanin HNHB LHIN Wait Times Infomatics & DSS Business Intelligence DSS Corporate Reporting IDS Project Information & Reporting DSS Integrated Analytics Reporting Solutions Marketed Services (Temporary) • Information Controllers • MIS Reporting Specialist Business Intelligence • Financial Controllers • CIHI Specialist Project Coordinator JCC Developers Subject Matter Experts • Program Analysts Program Analysts • MIS/Financial Analyst CIU Database Administrator IDS Team • Budget Specialist • Case Costing Specialist • Position Control
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