Using Analytics to Make Effective Real Estate Decisions
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1 Using Analytics to Make Effective Real Estate Decisions
2 Speakers Christopher M. Bowen Vice President Irgens David M. Luketic Director, Contract Facility Services Cleveland Clinic Scott Mason Principal ECG Management Consultants Austin Tyler Director of Real Estate Management Mission Health System Moderator: Mark Johnson Executive Vice President, Healthcare Services Avison Young
3 Scott Mason Principal ECG Management Consultants
4 Analytics is to data as storytelling is to words. The IHI Triple Aim P O P U L A T I O N H E A L T H» Patients need access to follow-up and preventive care.» Access to clinicians and health information helps engage patients. POPULATION HEALTH P E R C A P I T A C O S T» Managing patient health by providing timely care keeps patients out of high-cost settings.» Optimizing patient access and throughput increases efficiency and utilization of existing resources. EXPERIENCE OF CARE PER CAPITA COST E X P E R I E N C E O F C A R E» Lack of access is the chief complaint reported by patients who switch providers.» Utilizing multiple avenues for patients to access care is key to a patient-centric care model. 4
5 Population Health Management focuses on high risk patients.
6 Regarding the value of patient analytics IBM to acquire Truven Health Analytics for $2.6B Written by Akanksha Jayanthi (Twitter Google+) February 18, 2016 IBM Watson Health plans to acquire Truven Health Analytics for $2.6 billion, a deal which upon completion will aggregate health-related data of approximately 300 million patient lives. Truven Health Analytics provides cloud-based healthcare data, analytics and insights for more than 8,500 clients, including U.S. federal and state government agencies, employers, health plans, hospitals, clinicians and life science companies. The acquisition is IBM Watson's fourth health-related agreement since the Watson Health unit was launched in April Additionally, more than 5,000 Truven employees will join the IBM business unit, including clinicians, epidemiologists, statisticians and more. "With this acquisition, IBM will be one of the world's leading health data, analytics and insights companies, and the only one that can deliver the unique cognitive capabilities of the Watson platform," said Deborah DiSanzo, general manager for Watson Health. "Truven's impressive team, extensive client roster and expansive data sets complement Watson Health's broad-based team, capabilities and offerings. Together, we're well positioned to scale globally and to build first-in-class offerings designed to help our clients apply cognitive insights in a value-based care environment." 6
7 The New Core Ambulatory Enterprise Performance Executive Dashboard E N T E R P R I S E TA R G E T S 1,200 Monthly Clinic Visits Compared to Budget 7.5 Days to Next New Appointment 75% Patient Satisfaction Percentile 45 Ambulatory Vacancies 40 Enterprise Days in A/R $80 Enterprise Cost Per Visit Source: ECG Management Consultants \357213(pptx)-E2 DD
8 David M. Luketic Director, Contract Facility Services Cleveland Clinic
9 Natural Gas Market Bigger Picture
10 Back testing natural gas prices explained the need why we wanted to change strategy to minimal hedging 10 year historical chart shows few times when hedging worked to advantage (12 month settlements) Blue line below green line indicates benefits
11 Most Recent Natural Gas Market Assessment Support and resistance zones $1.75 to $3.10 Evaluated every Spring for Upcoming Procurement Period
12 Recommended Framework for Market Exposure on Natural Gas Purchasing decision based on market conditions using 18 month look back period Determine the support levels (swing lows) and resistance levels (swing highs) within 18 month periods Pre-establish desire: How much hedged at each level? Current: 0-30% in between $1.75 and $3.10
13 Electricity Market Bigger Picture
14 How did the Cleveland Clinic respond? Develop Energy Groups similar to diversified investment portfolio We broke down our demand requirement into 3 distinct groups Goal - where can we assume some risk to maximize potential reward?
15 Electrical Supply - factors we considered in our strategy assessment Baseline costs directly correlated to natural gas market Minimal volatility over the past few years due to abundance of natural gas production and storage Weather has the largest impact on short term volatility, both up and down Energy markets are expected to remain relatively flat
16 Groups Overview
17 Demand Load Profile Variability by Occupancy Type
18 At % fixed, our strategy fell within the middle range of what has worked historically from a costing perspective
19 Facilities maintenance staffing model standards
20 Facilities maintenance staffing model applied to the Cleveland Clinic campuses
21 Austin Tyler Director of Real Estate Management Mission Health System
22 Real Estate Optimization Strategy Centralization of Real Estate Management Portfolio Inventory & Utilization Database Selection Reporting and Dashboards Strategic Facility Master Planning Clinical and Administrative Functions
23 Dashboards
24 Reporting
25 Strategic Facility Master Plan
26 Christopher M. Bowen Vice President Irgens
27 An Integrated Platform would be nice to Host all of this stuff! Service Line Metrics, Simulation & Financial Analysis Real Estate Strategy and Development, Feasibility & Financial Analysis Market Demographic Data & GIS Tools Project Management, Design, Construction Healthcare Market Data & GIS Tools Quality, Procurement, Property, Facility, Asset
28 Patient Modeling and Market Segmentation
29 Patient Modeling and Market Optimization
30 Medical Market Analysis
31 Market Dashboards: A Picture is Worth a Thousand Words
32 At A Glance Gap Analysis
33 No More Cardboard Walls In Warehouses To Test New Concepts Make Way For GIS and Simulation Analytics
34 Questions? Christopher M. Bowen Vice President Irgens David M. Luketic Director, Contract Facility Services Cleveland Clinic Scott Mason Principal ECG Management Consultants Austin Tyler Director of Real Estate Management Mission Health System Moderator: Mark Johnson Executive Vice President, Healthcare Services Avison Young
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