From Data to Intelligence Enhancing Evidence-Based Decision-Making and Organizational Insight

Transcription

1 From Data to Intelligence Enhancing Evidence-Based Decision-Making and Organizational Insight Presented by Irene Blais, Director, Decision Support CAPHC-CPDSN Symposium October 16, 2011 Ottawa, ON

2 The Hospital for Sick Children (SickKids) Toronto, ON Established in 1875 Annual Volumes 14,000 Inpatient Cases 18,000 Day Care Visits 200,000 Clinic Visits 12,000 OR Cases Inpatient and Day Surgery Academic Health Sciences Centre linked to University of Toronto Canada s most research intensive hospital Ontario provincial resource for a number of paediatric specialties Healthier Children. A Better World.

3 Agenda Information Management Business Intelligence SickKids Enterprise Performance Measurement Project

4 Evidence-Based Decision Making You cannot manage what you cannot measure Michael Decter

5 Organizational Information Needs Access to Consistent, Accurate, Relevant and Timely Internal and External information Knowledge Management Policy Accountability Research Performance Measurement Stra t Plan egic ning Internal & External Information Operat io Manag ns ement Education Operational Planning Perfo Impro

6 Current State of Information Management Organizations have large amounts of data available Lack of integration between systems Lack systems to readily turn data into reliable, meaningful information Lack common definitions between different data sources Data overload too much raw data to be useful

7 Information Management Enterprise Evolution Improve decision confidence with reliable views of past and future performance. TOWARDS OPERATIONAL EFFECTIVENESS Intelligence Insight Continuous process of optimization, process Improvement and accountability Information Build a foundation for effective decision making Gain a deeper understanding of business drivers and operations Data Source: The Logical Organization, Gail La Grow,

8 Business Intelligence

9 Business Intelligence (BI) A Business Intelligence Strategy is about delivering the right information in the right format to the right people at the right time so they can make effective and timely business decision. The goal is a BI solution/tool as an enabler that reduces latency at one or more levels of the decision cycle data collection, analysis and action and results in better, faster decisions based on up-to-date operational data. Source: Using Operational BI for Intra-Day Analysis and Decision Making, Business Intelligence Network, Powell Medica, LLC, and Judith R. Davis,

10 SickKids BI Solution Microsoft Industry Alignment Business Intelligence Portal

11 The Drivers of Healthcare BI

12 What systems the top health care providers in US are using for BI data?

13 Key Success Factors

14 SickKids BI Vision and Strategy Performance Measurement

15 Typical Business Intelligence Model Data Sources Data Preparation Data Storage Data Analysis Data Access Extract Portals Transform Database Database Filter Cleanse Database Data Mining Load Schedule Business Intelligence Data Mart Reports/Que ries - Tablix - Drill - Visualisations Graphs - Charts - Ad-hoc - Dynamic OLAP In-Memory Analytics Dashboar d - Mash-up - Collaborate - Search

16 Business Intelligence Key Enablers Data Mining Analytics On the fly Reporting User friendly Faster

17 Why Business Intelligence? Enhanced use of current tin data Get value from stored data Added insight to organization Enhance organizational awareness and nimbleness Enhanced accountability Internally and externally Enhanced efficiencies Linked data enhances process and outcome analytics and measurement Enhanced patient outcomes

18 Key Success Factors Relevance making too much information or irrelevant information means important information will get lost in clutter Timeliness delay in data availability impacts the organization s decision-making agility and proactiveness Culture - an acceptance by the organization of the value of their data in managing performance Accountability - roles and responsibilities for Data Custodians and Application Administrators Glossary centralized Data Dictionary/Glossary describing data elements and indicators to enhance standardization and interpretation Thresholds and Notifications timely notification of indicator results that fall outside pre-determined thresholds Drill Down understanding enterprise information by focusing on more detailed data Communication and Education timely communication and education strategy 18

19 Enterprise Performance Measurement Reporting

20 Workplan Decision Support Advisory Work Group Vision Content Development Prioritization recommendations Tool deployment strategy including: Look and feel User friendliness Communication and education advisory role Deployment months Enterprise Dashboards Portfolio and Program Scorecards

21 Deployment Years 1-2 Enterprise Dashboards Access and Patient Flow inpatient, ED, ambulatory Quality and Safety Workload/Productivity Financial Human Resources Health Information Accountability Agreements Nursing Learning Research

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23 Registration and Utilization Information Linked to Episodes

24 BI Cube Example Dimensions populated from raw data ADT Cube Age Postal Code Admit Date Discharge Date Most Responsible Physician Admission Type

25 Deployment Years 3-5 Cause and Effect Research Academic

26 Deployment Process Education/Training Tool Selection/ Tool Selection/ Development Development Solu n/des ig Solutiotino/D esign n Deployment Deploym ent Information Needs Assessment Reporting: Key Indicators Scorecards Dashboards Reports Queries 26

27 Irene Blais, CGA, MBA Director, Decision Support The Hospital for Sick Children (416)