KEVIN P. DURGEE, CMPE MANAGER, BUSINESS INTELLIGENCE

Transcription

1 BUSINESS INTELLIGENCE AND DATA ANALYTICS - CHANGING CULTURE THROUGH VISUAL DATA DISCOVERY KEVIN P. DURGEE, CMPE MANAGER, BUSINESS INTELLIGENCE HOLLY CONWAY, CMPE SENIOR ADMINISTRATIVE DIRECTOR DEPARTMENT OF SURGERY AND ONEONTA SPECIALTY SERVICES Objectives Discuss the value of business intelligence in making evidence-based business decisions Characterize the professionals in the business intelligence team Demonstrate the power of visual data used in decision making associated with referral leakage 1

2 Bassett Medical Center, the foundation for the Bassett Healthcare Network, is a 180-bed, acute care inpatient teaching facility in Cooperstown, New York. Bassett offers 24-hour emergency and trauma care, comprehensive cancer and heart care, dialysis, and most medical and surgical specialties. The medical center also provides postgraduate residency training programs in Medicine and Surgery and maintains a strong academic program through its affiliation with Columbia University College of Physicians and Surgeons. In 2009, Bassett became a medical school campus of Columbia University. The Bassett Research Institute, located on the medical center campus, conducts programs in clinical science, and population and public health studies. Statistics Total Employees 5,000 Physicians 284 Advanced Practice Clinicians 201 Total Revenues $450 Million Admissions 12,800 ED & Office Visits 762,000 Business (BI) Intelligence Structure Move towards Evidenced Based Bassett Initiated by Past CEO Dr. William F. Streck BI Steering Committee Members CEO - Physician CMIIO - Physician CCO - Physician COO CIO CFO VP Data Analytics Manager BI Charter Align BI Projects with Annual Operating Plan Set Priorities Aligning BI Dashboards with the Strategic AOP Quality Healthcare Incentives Practice Management Finance Information Technology Revenue Cycle Business APPS Chronic Conditions Inpatient Analytics Ambulatory Care Measures EPIC APPS MU Stage 1 Tracker MU Stage 2 Tracker MyBassett Patient Portal Upcoming Visits EPIC APPS Business APPS Referral Analysis Coding Analysis Open Encounters Lag Days & Inpatient Open Orders Charges Business APPS (Finance staff trained Provider on QlikView Compensation & Development) Productivity Direct Access Convenient Care Visits Self Service BI Appointment Timing Access Scorecard Referral Timing Schedule Analysis Transition of Care Provider Panel Business APPS Help Desk Tracker BI DB Analysis BI DB Monitor Business APPS Hospital Facility Utilization Member Attribution New Patient Downstream Revenue* Denials* Focus Review & Monitoring* * In Development 2

3 Business Intelligence Supporting the Physician and Administrator Dyad Culture Change Agents Physician Leader Administrative Leader Information Business Intelligence Patient Access Scorecard Visual Data Discovery Understanding Patient Access Physical Medicine and Interventional Pain Management 1. Business Intelligence displays the median number of days from the date a new appointment is requested to the date the appointment will occur. 2. Allows a visual trend of New E&M visits to the specialty over time 3

4 Visual Data Discovery Ophthalmology referrals made to Out of Network Providers 1. Allows Division and Department Chiefs to view the % of referrals made to their specialty that are sent out of network from our organization. 2. Clinical Leaders work closely with Administrative Leaders using QlikView during routine meetings. 3. We can see the impact of changes made in April 2015 to increase referral capture. Visual Data Discovery Geographic Representation of Referral Leakage Heat map incorporated into QlikView Dashboard Open Encounters Daily Monitoring 1. Change in 2015 to link open encounters to provider compensation 2. Early identification 3. Allows the leadership dyad to allocate an EPIC EMR Educator to the provider 4. Possible identification of technical barriers 4

5 Open Encounters Physician A 1. Visual display of open encounters over time 2. Behavior influenced by compensation 3. Blue trend line reflects a decrease of open encounters Open Encounters Physician B 1. Visual display of open encounters over time 2. Discovered opportunities for provider education with EMR templates for notes and smart phrases. 3. Physician Leader Administrator Dyad worked with the provider to optimize administrative time 4. Average number of days the encounters are open have decreased Open Encounters Physician C 1. Long Term Project 2. Various resources deployed by the Physician Leader Administrator Dyad 3. Visual display conveys improvement from action steps taken 5

6 Meaningful Use Stage II Success Meaningful Use Business Intelligence App Intranet Delivery to Physician Leader Administrator Dyad Daily Refresh Changes and additions are seen the next day Operational changes can be monitored and measured near realtime Trend Analysis by provider and MU measure Sets the framework for all MU future reporting Visual Tracking for Meaningful Use Users can hover over each measure for a quick definition Each Physician, Specialty, and Department is selectable with a click 6

7 Meaningful Use Trend Analysis Select Core Measure P230 Secure Messaging Trend Analysis by provider and measure Engage the provider and staff to promote secure messaging to patients Team Effort to pass Meaningful Use Meaningful Use Transparency Global report cards are sent to the Department Chiefs & Division Chiefs Each BI End User can view all departments, divisions, and individual provider performance If others can achieve meaningful use, we can achieve meaningful use. Meaningful Use Attestation is PUBLIC information Our Gateway to BI Examples of other dashboards Provider Compensation & Productivity Schedule Analysis with No Show Rates Booked Ratio Referral Timing Provider Panel Chronic Conditions And more 7

8 Conclusion Business Intelligence gives you near real time data at your fingertips Data transparency eliminates the myth and misperception of our experiences and bias Leaders use data to make evidence based decisions and change culture The most effective approach to change is the Physician Leader Administrator Dyad Questions? Holly Conway, CMPE Kevin Durgee, CMPE 8