Value Based Care Major Trends & Innovation in Data Analytics David Bolton Vice President, Industry Solutions
Visualization is the last mile … 3
Early Success: Sahlgrenska, Sweden Delivering Value Based Care (Orthopaedics) 4
Sahlgrenska: Delivering Value Based Care The Results!.. 5
The analytic journey marches on… Descriptive Diagnostic Predictive Prescriptive Optimization Visual Analytics Advanced Analytics BI / Reporting Corporate Guided Ad-hoc Data Advanced Statistics/ Modeling / Scenario Reporting Analytics Analysis Visualization Calculations Algorithms Mining Analysis • Prompts • Dashboard • Data Export • Data Load • Set Analysis • Distribution • Sampling • Ensemble • Static Output • Selection • Filtering • Associations • Subtotals • Regression • Decision Trees Models • Table / List • Linkage • Sorting • Aggregations • Rolling • Forecasting • Time Series • Factor Analysis • Benchmarking • Pivot Table • Stories • Correlation • Text Mining • Monte Carlo Aggregation • Trends • Frequency • Classification • Clustering • Neural Nets • Growth • Segmentation • Histogram • Random • Anomaly • Scripting • Box Plot Forests • Bar / Line Chart • Data • Sentiment Generation • Randomization • Relative Time Data Preparation + Advanced Analytics Integration Consumers Producers Business User Business Analyst Data Scientist 6
Over 3,000 global healthcare clients
Major Trend: Predictive & Advanced Analytics 8
Now integral to A&Es Day to Day Operations Used for Workforce & Demand Management Planning
Bucking the Trend…
Improved Patient Outcomes in A&E Median Waiting Time for Patients in A&E So far reduced by 30 minutes! utes! The National average has increased over the same period
Improved Patient Outcomes in A&E
Patie tient In Intelligence Insight Gap Lady Cilento Children’s Hospital wanted the ability to understand their patients estimated length of stay at the time of admission to better plan and prepare for their stay as well as providing additional pastoral support to family/carers. Analytic Transformation Using the Qlik platform and the R integration, the Hospital was able to develop an algorithm that combined historical patient record data from their electronic health system with some information entered by the nurse on admission (on iPad) to predict the patients estimated length of stay. with an accuracy of 85% within 1-day. VALUE New Customer Intelligence Understanding the patients estimated length of stay has enabled a holistic view of the care continuum (i.e. the patient, parents/carers, other family members, continuing with education, etc) driving improvements in all aspects of the patient and family experience. Business Value Delivered The Qlik solution allows the Hospital to predict the patients estimated length of stay with an accuracy of 85% within 1-day with far exceeds other predictive models in use. This in turn has increased patient and family satisfaction and increased access to care through better facility and service resource planning.
… Predictive Analytics with ‘R’ at Queensland Health
R Integration – LACE Scores 15
… Predictive Analytics for everyone
Major Trend: Embedded Insight Embedded analytics in systems & processes with actionable integration: Analytics at the ‘point of decision’ 17
more likely to 15x use data, when it’s part of your workflow
Diabetes: Embedded Cohort Analysis 20
Major Trend: Population & Geo Analytics 21
Example: Opioid Crisis
Value Sources of Data-Driven DX Customer New Business Intelligence Opportunities Reimagined Balanced Processes Risk/Reward VALUE
Reimagined Proc ocesses Business Process Combining activity data from more than 200 providers and assigning cost used to take many weeks and hundreds of man hours. The process heavily relied on manual input and created major delays in access to the data for clinicians and hospital managers. Process Transformation Using the Qlik platform, New South Wales Health completely re-imagined the process which now runs every day and processes more than 5 billion health records per year. Costing, clinical, activity unit and state prices are combined in a single analytical app for the first time ever. VALUE Analytic Insights Activity based funding data is now available to all employees in the state (130k) and has led to major findings and improvements in care. Clinicians have found and corrected variations in care, high risk patient groups have been identified and new clinical processes established. Business Value Delivered New South Wales Health have transformed into a truly data-driven health system, enabled by this re-imagined process and making the data available to all for improved decision making. Total savings now exceed $500m AUD and patient outcomes are better than ever.
Reimagined Proc ocesses Business Process Every year, over 22,000 accounting and leader labor hours were spent on finalizing the budget at Bellin Health. Typically after finalized in six months, it would take 3 more months to operationalize. They knew it was wrong, but it was set in stone. Even more time was spent writing variances and exceptions to the budget. Process Transformation Bellin Health brought together a Labor Productivity solution with Qlik to shed light on departmental and individual productivity, manage expenses, reduce expensive overtime, and to match demand and capacity. VALUE Analytic Insights Team Leaders manage capacity on a daily basis with expenses and labor to unit of service ratios. Every department has a comprehensive scorecard and is shared broadly for transparency and accountability.. Service Line Leaders can now forecast demand quarterly. Business Value Delivered Bellin Health completely eliminated their complex and resource intensive budgeting process altogether. A single percent reduction in labor costs as a percent of total revenue equates to $4 Million USD to the bottom line at Bellin.
Innovation in Health Analytics
Innovation: Smart Capabilities Where we are today? Visual data preparation Smart search Advanced analytics and profiling integration Associative exploration Geospatial calculation Natural Language and analysis Generation Smart visualizations Responsive design Embedded analytics & extensions and Mobile app 27
R&D Preview Conversational Analytics Chat for insights Use natural language to ask questions and get instant answers, and learn about new insights you didn’t’ expect, from any application. This document and Qlik‘s strategy and possible future developments are subject to change and may be changed by Qlik at any ti me for any reason without notice. 28 This document is provided without a warranty of any kind. The document may not be copied, distributed, or otherwise shared with any third party.
Success factors: 7 Habits of Data Driven Hospitals What does a data-driven health system look like?... ✓ Data first, rule of thumb second ✓ It’s not about Big Data, but combinations ✓ Doubt and questions are encouraged ✓ Governance, not dictatorship ✓ Embrace data literacy & information activists ✓ Analytics to the edge ✓ Empower your people 29 29
Thank you David.Bolton@qlik.com @ginetta27
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