Primary Care Ambulatory Access. HANA in Healthcare Consortium November 14, 2017 J.D. Whitlock, Taryn Swygart, Bryan Martin

Transcription

1 Primary Care Ambulatory Access HANA in Healthcare Consortium November 14, 2017 J.D. Whitlock, Taryn Swygart, Bryan Martin

2 Overview Mercy Health (Cincinnati) Large IDN, 7 markets, 22 hospitals, 1,300 employed providers Single instance of EPIC (but only 50% of hospitals are on Epic Acute RevCycle) Decentralized analytics teams and BI tools Invested in HANA (3 units) and BOBJ (80 concurrent seats) due in large part to YOU! Agenda Mercy enterprise scorecard strategy Demo of Ambulatory Access KPI dashboard HANA / Lumira geekery 2

3 Mercy Health Enterprise Scorecard Development Leadership heavily involved in developing and setting performance targets for 30 KPIs Most KPIs also have self-service drilldowns Each KPI is assigned a clinical and operational owner in each region, as well as a system leader and data analyst Deployment Reported at the system and (7) region levels Distributed to >2,500 managers and physicians on a monthly basis Each KPI has a dedicated SharePoint site to encourage sharing of best practices and other collaboration

4 Mercy Health Enterprise Scorecard 30 KPIs including 6 Strategic Initiatives Clinical and business lead for each KPI Best practices and drilldowns can be explored in SharePoint communities linked to from report

5 SharePoint KPI Collaboration Site

6 Six Strategic Initiative KPIs* 1. Net Revenue Growth 2. Joint Replacement SNF Utilization 3. Clinical Focus Group Readmissions 4. Primary Care Ambulatory Access 5. Primary Care 6 (Ambulatory Quality Measures) 6. Opioid Epidemic *Bonuses ride on these KPIs 6

7 Primary Care Ambulatory Access KPI Composite KPI with five components / targets Percent Slots Restricted 20% or less Slots/Hour At least 3.5 Office Visits/Hour At least 2.5 Avg 3rd Next Available No more than 3 days CG-CAHPS Access Domain At least 84.3% Goal for each practice is meeting target for 3 of 5 components Goal for each market is a specific number of their practices meeting 3 of 5 targets 7

8 Primary Care Ambulatory Access Improvement 8

9 Demo 9

10 Demo 10

11 Demo 11

12 Lumira Build for Access KPI 11 Data sets (HANA queries) 50+ individual visualizations 14 final story pages ~65 users (Regional Mercy Health Physician COO s, Directors, Managers) 12

13 HANA Environment 3 units of HANA (192 GB), Cisco Appliances (C460 s) DEV/TST co-resident on two RHEL VM s (6.7) PRD dedicated, bare metal, RHEL (7.2) HANA 1 SPS 12 ( ) ETL using SAP Data Services 4.2 ( ) Lumira

14 Data Sources Primary Data Sources: Epic Clarity 40 to 50 core tables 40 to 50 category tables Patient Satisfaction (Press Ganey XML) Semi-static master data Data Sources under testing and review: Cisco UCCX Call Center Data (Informix) KontactIntelligence Recruiting Software (XML feed) McKesson financials & clinical data 14

15 Physical Model & ETL Minimal early binding via ETL light and flexible Nightly refreshes Full refresh for small to moderately large tables For larger Clarity tables: SQL Server CDC logging via Data Services to propagate changes into HANA Handful of materialized views and derived columns for maximal responsiveness for Lumira interactivity and/or to economize on memory usage at run time 15

16 Logical and Semantic Models Employing a hybridized approach of database-level SQL views and Calculation Views Simple denormalization or more complex SQL code in the database views Calculation Views in two layers: Core Layer to expose all the content and apply any standard semantic context (e.g. universal hierarchies or naming conventions) Data-provider layer to apply use-case-specific filters, formulas, counters, parameters, security, etc. 16

17 Looking Ahead 2018 version of Ambulatory Access KPI HANA v2 & Lumira v2 upgrade Standup and deploy Dynamic Tiering WebI against HANA New / current projects Call Center Physician Recruitment Detailed MyChart activation reporting No-Shows Leverage advanced HANA functionality Geospatial Predictive Analytics Graph Database 17

18 Questions?