ME-PI Executive Dashboard Webinar

Transcription

1 ME-PI Executive Dashboard Webinar Executive Dashboard Webinar 101 December 12, 2008 HIMSS ME-PI Executive Dashboard Workgroup Workshop

2 Welcome to the Webinar! Welcome to the first of four ME-PI Executive Dashboard Webinars Future Webinars 102 Key Performance Indicators, Metrics & Design January 28 th 103 Dashboard Development, Data Integrity, Implementation March 27 th 104 Case Studies May Moderator: Cindy McKinney, IBM Chair ME-PI Executive Dashboard Workgroup Focus: Identification of key operational needs within the area of executive dashboard, metrics, and data warehouses to develop white papers and education materials for open dissemination. January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 2

3 What is ME-PI? ME-PI is a acronym for Management Engineering- Process Improvement Professionals with an interest in applying engineering principles to streamline business processes and practices in healthcare We focus on educating and informing members of the latest topics, tools, and best practices for improving healthcare performance January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 3

4 HIMSS Management Engineering and Process Improvement (ME-PI) Community Open to HIMSS Membership The ME-PI community provides a unique opportunity for professionals to network on the focused topic of management engineering and process improvement within the healthcare information technology environment. Chair, Jim Langabeer Co-chair, Kim Brant-Lucich Meets the 1 st Friday of the month, Noon-1pm EST, via WebEx for Networking and Education Contact: Juanita jthreat@himss.org January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 4

5 What we want to accomplish today Understanding why the use of Executive Dashboard & Business Intelligence (BI) is an important aspect to consider in healthcare. Understanding how information aids in the decisionmaking process. Defining how Return on Investment (ROI) can be determined for investment in an Executive Dashboard. Developing skills that will overcome resistance to change on the part of those who fear the use of business intelligence data as a means to assist in managing an organization. January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 5

6 Agenda Defining the Need Transforming Data into Information Determining ROI Environmental Factors January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 6

7 Welcome to the Webinar! Introduction of Speakers: Jonathan Rothman, Director Data Management Emergency Medical Associates 20 years experience focused on improving healthcare delivery and technology in the US in multiple inpatient and outpatient settings. In 1991, Mr. Rothman obtained an MBA in Risk Management from Temple University in Philadelphia and over the last 10+ years has served as the Director of Data Management for Emergency Medical Associates (EMA), a Group Practice of more than 300 Emergency Department physicians who treat over 850,000 patients a year. January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 7

8 Welcome to the Webinar! Introduction of Speakers: Brenda Mollohan, MHA, JD 17 years of healthcare operational and financial consulting experience. Her primary focus has been on efforts that improve operational efficiency, customer service and financial performance by optimizing the interaction amongst people, processes and technology. Her areas of expertise include clinical and corporate performance measurement, performance metric strategy, data and process modeling, process and quality improvement, and database design. Brenda is a licensed attorney in the State of Ohio and is registered to practice before the U.S. Patent & Trademark Office. She holds a Bachelor of Science in Industrial Systems Engineering & a Master of Health Administration from The Ohio State University and a Juris Doctor from Capital University Law School. January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 8

9 Defining the Need Jonathan Rothman January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 9

10 Are they thinking about data? January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 10

11 Or are they thinking about data? January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 11

12 We are all thinking about data We collect information process the data we have available take a course of action, and then hope for the best January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 12

13 Process of decision making January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 13

14 So many drivers create a need for BI Environmental factors Economic factors Internal factors Governmental factors January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 14

15 Real life example - External New Jersey's Health Care Premiums Rose 5.5 Times Faster than Earnings from There were 119 million emergency room visits in 2006, up 36 percent over the last 10 years. Emergency rooms are crammed across the country--and what's happening in New Jersey is a perfect example. A new study suggests overcrowding has a direct impact on care emergency departments provide, even if capacity exists. January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 15

16 Real life example Internal Patient Walks-In Patient Arrives by Ambulance Triage Assessment and Entry Patient placed in room Patient Registration Bed-side Registration Patient Status and Room Assigned Nurse Exam Indicator Changed Physician Examines Patient Physician Note Created Labs and/or X-rays are Ordered Lab Report(s) Returned via EDIM Physician Consults with Patient Physician Note Completed Prescription(s) Written Patient Referred for Follow-up Care Discharge Instructions Created Patient Discharged Patient Leaves ED Electronic Chart is Completed History File is Created EDIM Reports Created/ Printed January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 16

17 So many tools, so much data Triage Labs X-rays Pharmacy Orders Registration The Patient Nursing Patient Tracking Billing and Collections Physician Notes January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 17

18 Transforming Data into Information Brenda Mollohan, MHA, JD January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 18

19 Transforming Data into Information The beginning is the most important part of the work. Plato Strategic Planning Establishes Foundation Defines Boundaries January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 19

20 Transforming Data into Information The best way to predict the future is to create it. Peter Drucker Identify elemental relationships by studying historical data Tie relationships to strategy Define Key Performance Indicators Set actionable targets Monitor current performance Forecast future outcomes Determine appropriate intervention January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 20

21 Transforming Data into Information Form a stream of information by harnessing the power of a cascade of data Strategy Boundaries KPI Monitor, Forecast, Take Action Financial Cost per Surgery Cardio Ortho Establish Surgical Services Center of Excellence Quality Rate of Surgical Site Infection Cardio Ortho Operations Block Utilization Cardio Ortho I/P Bed Placement Wait Time January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 21

22 Determining ROI Brenda Mollohan, MHA, JD January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 22

23 Determining ROI An investment in knowledge always pays the best interest. Benjamin Franklin Traditional formula: ROI = Total Benefit Total Cost January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 23

24 Determining ROI Implementation Cost Factors Time of internal & external resources Software purchase v. development Maintenance Hardware Training Initial Ongoing January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 24

25 Determining ROI Benefits are both quantitative and qualitative. Tangible Intangible Reduced time to consolidate disparate data reports Time saved preparing for regulatory reporting Process improvements through elimination of duplicate processing of the same data set Improved productivity as a result of having improved access to data Cost savings associated with elimination of report printing and distribution Ease of monitoring change Ability to assess more complex interrelated processes Improved visibility and accountability Ability to align operations with strategic goals Improved decision making ability Increased flexibility to act on real-time operations Benchmark against industry standards, and regulatory requirements Discover previously unknown or unnoticed relationships between various indicators Empowered front-line User satisfaction with the tool and access to information Elimination of multiple report development January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 25

26 Environmental Factors Jonathan Rothman January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 26

27 Environmental/Cultural Factors The most difficult part most organizations face in implementing Business Intelligence is not in defining the technological, data/kpis, or presentation requirements, but rather is pushing back against the tide of political resistance and resiliency of those who fear change. January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 27

28 So Why Didn t They Come? January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 28

29 Importance of Understanding Culture Doctors & nurses treat patients not spreadsheets Doctors are use to getting things STAT Doctors don t like spending money on things they cannot see or touch Data is your problem, not mine January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 29

30 An Organizational Balance Culture Delivery January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 30

31 An Organizational Balance Speed Output Quality Cost January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 31

32 Suggested Best Practices Get business people and clinical leaders involved early Obtain senior management and physician/nurse buy-in and backing Listen to users concerns and apprehensions There is no room for ego January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 32

33 Suggested Best Practices Do not expect change to just happen Focus on small wins and build off of them Always make it about the patient January 14, 2009 HIMSS ME-PI Executive Dashboard Workgroup Workshop 33

34 Executive Dashboard Webinar 102 January 28 th Understanding key performance indicators (KPI s) & their development Defining metrics for use Identifying data sources that will assist in dashboard design Dashboard design Technology & data infrastructure definition Sign Up: HIMSS ME-PI Executive Dashboard Workgroup Workshop

35 Question & Answers Evaluation Polling please complete! CPHIMS Certification Forms will be ed to attendee list for 1.2 hrs To join the HIMSS ME-PI Community Contact Juanita jthreat@himss.org HIMSS ME-PI Executive Dashboard Workgroup Workshop