Business Intelligence: The Wow Factor

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1 Business Intelligence: The Wow Factor A MedeAnalytics Presentation 1

2 MedeAnalytics Vision for Healthcare PHYSICIAN HOSPITAL PAYER Patient Access Revenue Cycle Clinical Operations Compliance Patient Access Revenue Cycle Clinical Operations Compliance Medical Management Network Management Operational Transparency Employer Reporting Hospital-Physician Alignment Payer-Provider Transparency ACO Technology Infrastructure Common Technology Platform 2

3 Healthcare Performance Management Framework CEO CFO BOARD OF DIRECTORS COO CIO Increase Operating Margins Increase Cash Reduce Clinical Costs Reduce Compliance Risk EVPS & VPS EXECUTIVE SCORECARDS INTERACTIVE DASHBOARDS BEST PRACTICE EXECUTION PLANS WORKFLOW INTELLIGENCE PEER BENCHMARKING FINANCIAL ANALYST DEPT DIRECTORS & LINE MANAGERS Quantity Growth Finance Ad Hoc Spreadsheets and Data Marts HEALTHCARE PERFORMANCE MANAGEMENT SOLUTIONS LINE STAFF Patient Patient Self Self Revenue Revenue Access Access Pay Pay Cycle Cycle Intelligence Intelligence Analytics Analytics Intelligence Intell. Payer Payer Performance Performance Analytics Analytics Clinical Clinical Performance Performance Manager Manager Staff Staff Productivity Productivity Analytics Analytics Compliance Compliance & Revenue Revenue Integrity Integrity Hospital Hospital Physician Physician Alignment Alignment CLIENT SUCCESS SERVICES PERFORMANCE MANAGEMENT CONSULTING ANALYTIC ENGINEERING SERVICES Healthcare Domain Expertise CLIENT DATA STORE Enterprise Data DATA Warehouse HOSTING SERVICES OLAP MODELING SERVICES PREDICTIVE SCIENCES SERVICES ETL, Data Integration & Hosting Services Patient Accounting Registration (ADT) 837 Claim Submissions Decision Support Contract Management Time & Attendance Coding Benchmarks Physician Practice Mgmt. Core Measures Patient Satisfaction Collector Workstation Credit Bureaus Eligibility Databases Charge Master Scheduling System 835 Remittances 3

4 In the beginning Data stores power report writing, analytics, and business intelligence Clients often started by asking Can you create this report I have in Excel? 4

5 Performance Management Business Intelligence is no longer just analytics or flexible reporting it transforms into Performance Management Don t just monitor your numbers, drive them Performance Measurement Performance Management 5

6 Scorecards 6 6

7 Key Performance Indicators 7 7

8 Robust Analytics 8 8

9 Robust Analytics 9 9

10 Robust Analytics 10 10

11 Historical Analysis 11 11

12 Historical Analysis 12 12

13 Proactive Alerts 13 13

14 Proactive Alerts 14 14

15 Proactive Alerts 15 15

16 Predictive Analytics 16 16

17 Predictive Analytics 17 17

18 Online Collaboration 18 18

19 Online Collaboration 19 19

20 Process Management Business Intelligence now used to inform and empower business process management with actionable data Creates an operational footprint, including patient access, compliance audit tracking, population management, etc + = Business Process Business Intelligence Pimp My Ride 20 20

21 Example 1: RAC Audit Workflow 21

22 Result: New Audit Workflow 22

23 Example 2: Registration Process 23

24 Result: Next Gen Registration Worklist 24

25 Organizational Alignment 25 25

26 Real-time Performance Management 26

27 Next Gen Key Performance Indicators 27 27

28 Next Gen Key Performance Indicators 28 28

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