Welcome to the age of With. Tapping into Health Care Data

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1 Welcome to the age of With Tapping into Health Care Data November 2018

2 Agenda 1. Deloitte SAP Overview 2. Data & Technology 3. Use Case 1 4. Additional Use Cases 5. Wrap Up 2

3 Overview Globally positioned to be responsive Over 300,000 practitioners with 12,600 practitioners in Life Sciences and Health Care industry in 90 countries and nearly 5,000 focused on Cognitive and Analytics. Healthcare Practice Metrics Deloitte serves 95% of the top 20 U.S. health plans (AISHealth) Deloitte serves 65% of the 20 largest provider sponsored plans (Healthcare Finance) Deloitte serves 90% of the top 10 Blue Cross Blue Shield plans (AISHealth) Deloitte serves 75% of the best hospitals honor roll (U.S. News) Deloitte serves 90% of top 10 largest Catholic Health Systems (Modern Healthcare) Deloitte serves 80% of the largest non-catholic Health Systems (Modern Healthcare) Deloitte serves 6 out of 10 best children's hospitals honor roll (U.S. News) Copyright 2017 Deloitte Development LLC. All rights reserved. 3

4 Deloitte-SAP Alliance Our approach Comprehensive and business-led Our capabilities Providing end-to-end value Our leadership Repeatedly recognized for delivering results Deloitte s preconfigured solutions for SAP Rapid implementation methodology Effective Go-Live Focus on strategic processes; adopt and go for others Our strength One of the largest SAP practices in the world What Deloitte can bring: Best practices, deliverable templates, and accelerators Industry depth SAP Activate and SAP Model Company experience A reputation for combining project rigor and discipline to accelerate decisions and manage risk Data Testing Project management Service delivery Design and development Deployment Security and controls Infrastructure Organizational change management 50+ preconfigured, industrybased solutions Tier 1 global alliance with SAP since 1989 Business-case definition 2018 SAP Pinnacle Award SAP Ariba Partner of the Year Large Enterprises 2018 SAP Pinnacle Award SAP S/4HANA Partner of the Year Large Enterprises 2018 SAP Pinnacle Award SAP Leonardo Partner of the Year 2018 SAP Pinnacle Award SAP SuccessFactors Partner of the Year Large Enterprises 2018 APJ SAP Leonardo Partner of the Year 2018 APJ SAP S/4HANA Public Cloud Partner of the Year 2018 EMEA/MEE SAP Service Partner Excellence Award for High Growth 2018 North America Partner Excellence Award for SAP S/4HANA 2018 North America Partner Excellence Award for Partner Growth 2018 North America Partner Excellence Award for Value Assurance 2017 SAP Pinnacle Award SAP S/4HANA Partner of the Year 2017 SAP North America Partner Excellence Award for SAP S/4HANA 2017 SAP North America Partner Excellence Award for IVS Innovation 2017 SAP EMEA/MEE Partner Excellence Award for Net-New Business Growth 2017 SAP EMEA/MEE Partner Excellence Award for SAP HANA Cloud Platform 2017 SAP HANA Innovation Award 2017 SAP Hybris Partner of the Year for the Americas 18,200+ SAP-focused professionals worldwide 6, Deloitte named a leader in North America in SAP Application Services by Gartner Source: Gartner, Magic Quadrant for SAP Application Services, North America 2017 Deloitte named a leader in EMEA in SAP Application Services by SAP awards in Gartner the past 5 years Source: Gartner, Magic Quadrant for SAP Application Services, EMEA 2017 Deloitte named a leader in SAP Services by Forrester Source: The Forrester Wave TM : SAP Services for Next-Gen SAP Products, Q ,100 6,300 1,800 4

5 Our difference Helping clients improve their performance, identifying opportunities for growth, reducing costs, creating a more effective business, delivering value, and making an impact. This is what we are known for... that s the Deloitte difference. Our method Our people Our capabilities Our tools Copyright 2017 Deloitte Development LLC. All rights reserved. 5

6 Data & Technology Age of With 6

7 with Those who learned to collaborate and improvise most effectively have prevailed. Charles Darwin This has to be a human system we live in. Sandy Pentland on Artificial Intelligence Copyright 2017 Deloitte Development LLC. All rights reserved. 7

8 Data with impact With. Take your data to the power of understanding. With. It turns raw data into refined fuel. With. Collaboration is now a super power. Welcome to the Age of With 8

9 Action with results What with can deliver Improved ROI to 15% freeing up capital to self-fund future analytics initiatives for a national beverage manufacturer. Reduced health care spend 20% by implementing coordinated care model that gave providers actionable insights. Achieved 10% revenue growth by optimizing customer targeting strategy for a pharmaceutical company. $660M identified in additional revenue for a leading airline by Drove top- and bottom-line growth through improved pricing, cross-selling, and upselling of products while reducing claims and improving underwriting capabilities for a large national insurance company. Copyright 2017 Deloitte Development LLC. All rights reserved. 9

10 Operational Efficiencies Use Case 1 10

11 Operational Efficiencies Late Discharges WHAT IS THE IMPACT? Discharging patients happens over 35 million times a year and avoidable discharge delays is estimated to cost hospitals on average $8 million per year (Kaiser Foundation, 2017) DISCHARGE CAUSES LATE DISCHARGE IMPACTS SCHEDULING LOWER PATIENT SATISFACTION SCORES DECREASES IN REVENUE KNOWN DISCHARGE ISSUES DECREASES IN PATIENT ACCESS INCREASED COSTS DECREASES IN ASSET UTILIZATION DISCHARGE FACILITY INCREASES IN AVOIDABLE ACQUIRED ILLNESSES Copyright 2017 Deloitte Development LLC. All rights reserved. 11

12 Cognitive Insights goes beyond analytics By employing advanced data mining and machine learning techniques, we can go beyond the capabilities of traditional analytics and help employees eliminate issues before they become an issue. Big Data Traditional Data Dark Data DESCRIPTIVE ANALYTICS What happened? DIAGNOSTIC ANALYTICS Why did it happen? PREDICTIVE ANALYTICS What will happen? PRESCRIPTIVE ANALYTICS How can we make it happen? Decisions Actions Examples Descriptive Customer segmentation & Preferences Sales Patterns & Trends Operational Controls Diagnostic Margins & Costs Incidents & Opportunities Fraud and Security Breaches Predictive Planning & Forecasting Risk and Stress Testing Customer Behavior Prescriptive Sales & Marketing Strategies Operating Strategies Risk & Compliance Strategies COGNITIVE How we can optimize using Machine Learning and Artificial Intelligence? Cognitive Real Time Next Best Action Complaint Text Mining Technology Capability Human input Model build Human input Output interpretation *Dark data is a subset of big data that is not usually analyzed or processed but actually constitutes the biggest portion of the total volume of big data collected by organizations. ( Copyright 2017 Deloitte Development LLC. All rights reserved. 12

13 Example 1: Payor Discharges Mining dark data allows us to identify systemic issues with payor approvals related to procedures. Copyright 2017 Deloitte Development LLC. All rights reserved. 13

14 Example 2: Discharges to Facilities Using data collected at intake we discover that certain care facilities have known discharge delays. Copyright 2017 Deloitte Development LLC. All rights reserved. 14

15 Operational Efficiencies Use Case 2 15

16 What is the Triple Aim? Improving the U.S. health system requires simultaneous pursuit of three aims: improving the experience of care, improving the health of populations and reducing the per capita costs of health care. Health of a Population Health of a Population Patient Cohort Analytics Service Line Analytics Payor / Contract Analytics Network Efficiency Analysis Per Capita Cost Cost Accounting & DSS Rate, Volume, Mix Analysis Supply Chain Analytics Care Modality Optimization Per Capita Cost Text Experience of Care Experience of Care Care Pattern Analysis Patient Satisfaction Complication Analytics Service Rationalization Analytics are the key to enabling and achieving the Triple Aim. Triple Aim IQ provides a start anywhere solution that aligns with a widely-recognized goal for many health systems. Copyright 2017 Deloitte Development LLC. All rights reserved. 16

17 Analytics Across the Entire Continuum of Care The use-case below represents a Medicare patient complaining of knee pain. The patient visits their PCP, is referred to a specialist and then admitted to an acute facility for knee replacement where complications occur. After discharge the patient has physical therapy. Acute Care Ortho Consult MRI Rad. Consult Pre-Op Surgery Post-Op Ortho Follow- Up PT PT MARGIN PCP Visit Surg. Sched. Surg. Admit Complication Discharge Follow - Up PCP Visit Infection EMPI Ambulatory Care Ambulatory Care Copyright 2017 Deloitte Development LLC. All rights reserved. 17

18 Operational Efficiencies Use Case 3 18

19 Hospital Acquired Infections Because of the way data is presented, physicians are frequently unable to get in front of situations that increase the likelihood of an avoidable HAI instance. 01 Clinical EMR & Lab Diagnosis codes, admission dates, LOS, locations, severity score, presented with infection, providers 04 prevention CDC Surveillance Data Historical baselines, state rankings, national rankings, risk adjustments, state activities 02 CMS and HealthData Readmissions, drug utilization, cost of readmissions, site specific data 05 Patient Satisfaction Ratings for HAI patients vs non-hai patients. Ratings based on education/training. 03 Financial Cost of patients who acquire HAI, cost of patients by severity score and physician. Cost of materials, penalty impact 06 Medical Device Logs Test results, locations, cleaning log, usage log 1 out of every 20 patients in the US will contract a HAI The five most common HAI cost the US $9.8 billion annually Copyright 2017 Deloitte Development LLC. All rights reserved. 19

20 What it means to you? Age of With 20

21 The age of With With creates outsize opportunity What humans can accomplish alone What humans can accomplish together What humans can accomplish with tools What humans can accomplish with data science and technology What humans can accomplish with intelligent machines 21

22 Thank you Achieving this analytical advantage takes a level of collaboration among vendors, providers and teams. Do the people you work with recognize the boundaries between your organization and theirs? Are your problems really their problems, too? Do they feel the same exhilaration you feel when you solve a problem? Talk to us. You ll see the difference. Connect with us DeloitteBA Chris DeBeer Principal, Deloitte Consulting LLP chdebeer@deloitte.com Copyright 2017 Deloitte Development LLC. All rights reserved. 2 22

23 About Deloitte Deloitte refers to one or more of Deloitte Touche Tohmatsu Limited, a UK private company limited by guarantee ( DTTL ), its network of member firms, and their related entities. DTTL and each of its member firms are legally separate and independent entities. DTTL (also referred to as Deloitte Global ) does not provide services to clients. Please see for a detailed description of DTTL and its member firms. Please see for a detailed description of the legal structure of Deloitte LLP and its subsidiaries. Certain services may not be available to attest clients under the rules and regulations of public accounting. Copyright 2017 Deloitte Development LLC. All rights reserved.