Enterprise Healthcare BI

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1 Enterprise Healthcare BI Fresenius Medical Care North America The comments in this presentation are the personal thoughts of the presenter, and not those expressed by FMCNA, its directors or shareholders Healthcare BI Summit May 3,2012

2 FMC North America q National healthcare provider of dialysis services q Vertically Integrated q Several acquisitions q 2,000 clinics q 130K patients / year q Multi-billion services revenue q Medicare, Medicaid, Commercial q Clinical and Revenue Management Systems q Research and Deep Analytics 2

3 Clinical and Revenue Management Systems - Transition Clinical System #1 1,400 Clinics Billing System #1 25 Billing Groups Data WH #1 One database per clinic Nightly process to aggregate into data warehouse Patient is defined per clinic has a different identifier in each clinic Clinical System #2 400 Clinics Billing System #2 8 Billing Groups Data WH #2 Acquired by FMC in databases for the 400 clinics Nightly process to aggregate into data warehouse Patient is defined per database shares the same identifier for all clinics that are in the same database 3

4 Clinical and Revenue Management Systems - Transition Clinical System #1 1,400 Clinics Data WH #1 Billing System #1 25 Billing Groups New Clinical System New Billing System New Warehouse Billing System #2 8 Billing Groups Clinical System #2 400 Clinics Data WH #2 4

5 BI Roadmap Strategic Value Tactical Value 2011 Operational Content YEAR OF THE LEGACY RETIREMENTS & ANALYTICS YEAR OF THE PLATFORM PRODUCTIONIZATION & REPORTING YEAR OF THE DEEP ANALYTICS & INFORMATICS Strategic Content 5

6 Common BI Challenges q Patient Identification q Security q Compliance, including HIPAA and SOX q Align BI with business priorities q Deliver incremental value balance short-term and long-term q Balance integrated data vs federated 6

7 BI Architecture ELT Services Warehouse Information Delivery Data Sources FMC Source Systems FMC Reference Data External Systems Internet Load S T A G I N G D B External Staging Web Services Transformations De-Dupe Standardize / Harmonize Cleansing/Validation Cross Reference Patient Identification Physician Identification Location Identification Name and Address Standardization Meds Validation Master Data Mgt Hub System of Record (Patient, Physician, Facility) Data Maintenance Terms & Conditions Clinical Content Exchange Services (Registry, Audit, Subscription) Load Enterprise Content Enterprise History Reference Data Master Data Common Content Domain Content Set of domain-specific datastores / datamarts Web Services M E T A D A T A R E P O S I T O R Y Analytics Forecast Data Mining Predictive Business Simulation Bundle, Process Optimization Reports and Extracts On-Demand Scheduled Ad Hoc Query/Report Dashboards Extended Services PQRI Meaningful Use Compliance EHR Outcome Analysis Behavior Models Exchange Services PHR GH Individuals MH Mobile Devices Clinical Data Exchange T o o l s A p p s a n d P o r t a l s Business Vocabulary & Metadata Management Data Governance Security, Audit, Compliance 7

8 Conceptual Model May be related to other Has benefits under Has (if party is a patient) Party A person or organization participating in events and/or transactions. May participate in Has (if party is a patient) Are derived from Utilization, Outcomes, Quality Measures Payers and Plans Payers, Health Plans, Contracts and other information needed for billing and revenue management Patient Characteristics Inherent characteristic of a person or an object closely associated with a person. Inform Observations and Results Specific data gathered about a patient or treatment or a calculation based on existing results. Are derived from Generates data for Orders and Treatment Plan Treatment Plans, Orders, Prescriptions and similar information relevant to patient care. May authorize Are derived from May be related to other Event An occurrence or happening between one or more parties at a point in time or a span of time. May lead to Clinical Events Influences Administrative Events Influences Impacts Impacts Revenue Management Charges to Claims to Cash for services provided to patients. Health Plan Contract Resp Billing Party Service Are provided during Additional domains Systems and permissions Inventory and equipment Medical knowledge and treatment protocols Marketing Data 8

9 BI Examples q Progressive Adoption Dashboard ; LogiInfo; Warehouse q Pharmacy Forms Form; LogiInfo; Portal Integration q Clinical Reports Report; LogiInfo; Clinical System OLTP DB q Doctors Corner Portal Content; ADF; Warehouse q Quality Status Reports Multiple report series; Business Objects; Warehouse q Revenue Mgmt Analytics BI App; LogiInfo; Warehouse 9

10 Progressive Adoption xxxx xxxx xxxx xxxx xxxx xxxx xxxx 10

11 Progressive Adoption Drill Down and Filters xxxx xxxx xxxx xxxx xxxx 11

12 Pharmacy Form 12

13 Rounding Report 13

14 Rounding Report (continued) 14

15 Rounding Report - Filters 15

16 Bone Mineral Report 16

17 Bone Mineral Report (continued) 17

18 Physician Portal 18

19 Physician Portal 19

20 Physician Portal 20

21 Quality Status Reports 21

22 Quality Status Reports 22

23 Quality Status Reports 23

24 Quality Status Reports 24

25 Revenue Management Analytics 25

26 Revenue Management Analytics 26

27 Revenue Management Analytics 27

28 Revenue Management Analytics 28

29 Summary q Various application / uses of BI q Migration from legacy to next generation q Common platform and technologies 29

30 LogiXML q Founded in 2000 q First to market with web-based BI q High customer ratings in Gartner BI Platforms User Survey q Over 700 customers worldwide q Over 50% are ISVs and SaaS companies Overall Customer Experience

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