What Is Business Intelligence?

Transcription

1 Which procedures deliver the best outcomes? What does care delivery really cost? Which hospitalacquired conditions occur most often, and why? How can we improve resource utilization and workforce productivity? What Is Business Intelligence? Are we unlocking the value of your information all of it? ACTION ITEM: Think about who else might benefit from seeing this presentation? 1

2 Agenda: BJC Landscape Challenges BJC BI Architecture Project Examples 2

3 BJC Landscape Hospitals 13 Employees 27,970 Physicians 4,205 Staffed Beds 2,850 Hospital Admissions 150,000 Home Health Visits 222,867 Emergency Dept Visits 490,000 Net Revenue $3.6 billion Charity and Unreimbursed $252.3 million 3

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5 Challenges: Effects of Poor Data Management The cost of poor data management is hidden in business processes and data maintenance and integration costs. For example Problem Areas: Dispersed Master Data Lack of consolidated data Heavy data cleansing after the fact Unclear Ownership Failure to create data in timely manner Failure to address changes effectively Diverging Data Definitions What is a Unit, Length of Stay, Admit? Significant data transformation (hidden in code) Lack of proper tools Dictionary / metadata Extensive impact analysis Failure of replication Hidden Costs: Reconciliation Creation of corporate master Maintenance of cleansing rules Business Delays For building & introducing solutions KPI Design and Management Agreement on definition (semantics) Maintenance of cleansing rules Manual Effort Rely on expert culture Inspect every application Fix after end-user called Multiple groups building same 5

6 Challenges: How d we get here? Lack of Standards & Enforcement? Compliance Monitoring & Air Cover 100% Chargeback Model Extracts & Disparate Sources Mergers & Autonomy Rogue Efforts 6

7 Promoting Programs: Information is an Asset BI Marketing Roadshow, BI Community, & Partnerships Data Governance Identify & Partner Data Owners & Data Stewards Establish User Groups Committees Establish Policies, Standards, & Procedures (PSP) for: Data Modeling ETL Report Writing Master Report Inventory Establish Compliance Checkpoints/Peer Reviews for PSP Adherence Master Data Management Utilize EDW versus source system extracts Data Quality Leverage EDW & BI for reporting data issues back to Data Stewards 7

8 BI includes both Unstructured & Structured Data Website & Portals Patient Forms Twitter, Blogs, Forums, etc Written Orders Paper based records Claims and Case Mgmt Patient History, symptoms and nonsymptoms s and Correspondence Physician Notes Pathology reports Patient Accounting & Accounts Payable HR Financial Controller Admit Screening, Lab Orders, Med Best-In-Class (BIC) ED Visit Patient Satisfaction Surveys General Ledger Purchase Orders Over 80% of stored health information is unstructured* Unstructured Data NLP Rules Engine EDW Derived Values 8 *AIIM website, accepted industry percentage

9 IBM provided slide

10 Example of Unstructured Data Ejection Fraction WHAT: Cardiac physicians today capture this data as a narrative (unstructured data). The discrete values are made available via NLP with an end result of a real-time query capability against CIDER that helps identify high risk patients. WHY: Eliminate manual reading and abstraction of information. Enable easy, query-able, real-time analysis of data that was once unattainable real-time; which enables better decision making and eventually to predict and intervene preventing readmissions. WHO: Center for Clinical Excellence (CCE). HOW: Primary Data sources(s): Cardiac reports 10

11 BJC Report Examples Front Page 11

12 Best-In-Class (BIC) live 2002 WHAT: a statement style report that compares performance of measures against benchmarks (nationwide comparisons with hospitals of similar size, CMS regulation, some are established in-house). Is tied to executive bonus structure. 312 Unique measures 45 Inter-related supporting drill thru reports WHY: focused on improving clinical outcomes WHO: BIC scorecards are sent to PI contacts on the 10 th of each month, distributed to BJC executives, typically around the 20 th of each month; allowing a 10 day window for PI contacts to review results and request modifications/corrections. HOW: Primary Data sources(s): Quantros (3rd party abstractor), Patient Registration (Trendstar, Soarian), 837 (claims), and manual entry through UI applications. Example Measures Standardized infection ratio for catheter-related bloodstream infection Color coding is as follows: Blue Top 10%, Green Target, Light Green Top 25%, Yellow Top 50% Red Below minimum 50%. 12

13 BIC Overall Process Measure Goals Achieved % 10% 20% 30% 40% 50% 60% 70% 80% 90% 100% Maximum (Top 10%) Target Threshold (Top 25%) Minimum (Top 50%) Below Minimum (Top 50%) *Based on current national benchmark data 13

14 BJC BI Interesting Facts & Figures Size ETL Facts Report Writing Facts Unstructured Data Analysis NLP Content Analytics ~ Terabyte size 671 job definitions 716 BI Cognos Reports 2 completed projects 1,335 Tables 20,156 Columns 351 distinct workflows 2301 BI Cognos Users 14 NLP annotators in use Daily Process: 727 Data Mappings ~78M Rows Read ~25M Rows Inserted/Updat ed 1 fully dedicated ES BJC resource 14

15 Wrap-Up / Questions Information is the oxygen of the modern age. Ronald Reagan 15