Preparing Your Shop To Handle Pay For Performance. a complimentary webinar from healthsystemcio.com, sponsored by Siemens Healthcare

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1 Preparing Your Shop To Handle Pay For Performance a complimentary webinar from healthsystemcio.com, sponsored by Siemens Healthcare

2 Housekeeping WebEx ActiveX Webex may need to install an ActiveX control on your computer. If so, and your pop-up blocker is on, you will need to allow this by clicking on the bar that appears across the top of your screen. Ask A Question - We will be holding a Q&A session after the formal presentations. You may submit your questions any time by clicking on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists. Download the Deck - If you would like to download today s presentation, you can also do that right from your viewing console. Just select the file from the transfer window on your screen.

3 Housekeeping View the Archive - An Archive will be available within 24 hours after the webcast has ended. You will receive an notification when it s ready. Please note that separate registration is required. Get Help If you experience difficulties, please contact WebEx Technical Support at and reference event #

4 Objectives To learn from those who through trial and error have found success To leave today s presentation with specific, actionable advice which can immediately be put into practice To absorb the underlying principles which have made a win possible, so they may be applied in your facility

5 Agenda Panelists Neal Ganguly, VP/CIO, CentraState Healthcare System Dave Gravender, VP/CIO, Kaweah Delta Hospital

6 Agenda Continued A Word from our Sponsor Neeraj Chopra, Director, Strategic Services & Healthcare Reform Practice, Siemens Healthcare Q&A With Panelists Moderated by Anthony Guerra, Editor-in-Chief, healthsystemcio.com

7 Neal Ganguly, VP/CIO, CentraState Healthcare System 282 bed acute care community hospital 123 bed skilled nursing facility 420 unit continuous care retirement community 92 unit assisted living facility Stage 1 Meaningful Use in FY 2011 Magnet facility (recertified in 2011) Most Wired Facility EMRAM Stage 6

8 Technology Background Siemens customer since 2004 Soarian Clinical v3.2 Soarian HIM Siemens Pharmacy & Medication Admin (MAK) Siemens DSS & Soarian Quality Measures (SQM) Syngo Cardiology Mix of ancillary and financial systems from multiple other vendors

9 Environmental Background May 2001 Joint Commission announces the four initial core measurement areas for hospitals Measures are grouped in 4 categories (AMI, PN, CHF, and SCIP) February 2009 ARRA adds meaningful use quality measures July 2011 CMS VPB program goes into effect (Core Measures & HCAHPS) Regulatory & Quality reporting demands will grow

10 Observations Reporting environment is highly decentralized, no central accountability over enterprise reporting Multiple databases and reporting tools in use Data definitions are not well documented and multiple feeder systems require identification of single source of truth Not all data to meet required reports is captured electronically at the source No complete catalog of current report output

11 The Project C&BI Visualize the desired end-state Take stock of existing systems & tools Create a comprehensive data dictionary with detailed field definitions Catalog current reporting from all systems and (re)evaluate and document report owner & purpose Identify technology partner(s) Establish governance structure Validate end-state vision

12 The Project C&BI Identify & detail all reporting needs across enterprise (clinical and financial) Operational (reports, dashboards & scorecards) Strategic (ad hoc queries, trend analysis, modeling) Perform analysis to identify gaps in available data Develop remediation plan for identified data gaps Perform prioritization exercises to establish realistic roadmap to define timelines and manage customer expectations

13 Prioritization Value Based Purchasing (VBP) AMI, HF, PN, SCIP Hospital Acquired Conditions VTE, Pressure Ulcers Readmissions Selected operational dashboards looking for early success Resources are Limited Prioritization is critical

14 Activities & Decisions Leverage existing investment in Siemens products including Soarian Clinicals, DSS and SQM DSS will be used as the data repository and will evolve with Siemens move to a comprehensive BI infrastructure Front end dashboard(s) are being evaluated Usability will be a key driver Governance structure established, data mapping is underway

15 Final Thoughts Analyze benchmark data with process re-engineering utilizing tools like the workflow engine to ensure the right care, with the latest guidelines are prospectively being delivered to the right patients while ensuring the data is captured accurately at the point of care As the streams of clinical and financial data flow into an Enterprise Data Warehouse, the ability to then exploit the data for the right end users (Business Leaders) across the Enterprise CEO, CFO, CMO, CxO The path to empower end users to make business decision via actionable information

16 Dave Gravender, VP/CIO, Kaweah Delta Hospital Kaweah Delta & Siemens Collaboration

17 Strategic Insights How Value Based Purchasing (VBP), amongst other Healthcare Reform initiatives fits into Kaweah Delta s key strategic goals The key executives on the Kaweah Delta VBP team and the role they play in ensuring governance and focus in this area

18 Kaweah Delta / Siemens How and why we selected Siemens as your partner to assist with your VBP metrics and improvement initiatives How the Siemens VBP Program will assist with driving quality improvement and helping to improve patient outcomes

19 Neeraj Chopra, Director, Strategic Services & Healthcare Reform Practice, Siemens Healthcare

20 THANK YOU

21 Health Care Reform, Advisory and Outcomes The path to Accountable Care and Population Health across the Care Continuum Accountable Care across the Care Continuum Meaningful Use (MU) Value Based Purchasing (VBP) Healthcare Acquired Conditions (HACs) / Healthcare Associated Infections (HAIs) Re- Admissions ICD-10 / 5010 / 4010 Bundled Payments Care Coordination and Population Health Health Home

22 How to get more information Contact your Siemens Representative Account Executive Regional Services Manager Project Manager Customer Care Executive or call Contact me directly Neeraj Chopra

23 Q&A Click on the QA panel located in the lower right corner of your screen, type in your questions in the text field and hit send. Please keep the send to default as All Panelists. Neal Ganguly, VP/CIO, CentraState Healthcare System Dave Gravender, VP/CIO, Kaweah Delta Hospital Anthony Guerra, Editor-in-Chief, healthsystemcio.com

24 Closing Within 24 hours, you will receive an notification that our archive recording is ready. (Separate registration required) As we close our event, your browser will be taken to Siemens Healthcare s Web site ( and we hope you ll take a few moments to review the additional information our sponsor has to offer on this and other related topics.

25 Thank You! We hope you will join us for more healthsystemcio.com Webinars in the future Questions/Comments Anthony Guerra