Driving Clinical Best Practices with Business Intelligence to Improve Patient Outcomes

Transcription

1 Driving Clinical Best Practices with Business Intelligence to Improve Patient Outcomes

2 HCA: US states and England 165 Hospitals 115 Free-standing surgery centers 42,000 beds; 23,000 average census 1.8 Million inpatient admissions 8 Million emergency room visits 500,000 inpatient surgeries 900,000 outpatient surgeries $34 Billion revenue 215,000 Employees 2

3 HCA Business Strategy We are committed to providing the communities we serve with high quality, cost-effective health care while growing our business, increasing our profitability and creating long-term value for our stockholders. To achieve these objectives, we align our efforts around the following growth agenda: Grow our presence in existing markets Achieve industry-leading performance in clinical and satisfaction measures Recruit and employ physicians to meet the need for high quality health services Continue to leverage our scale and market positions to enhance profitability Selectively pursue a disciplined development strategy 3

4 HCA Business Strategy We are committed to providing the communities we serve with high quality, cost-effective health care while growing our business, increasing our profitability and creating long-term value for our stockholders. To achieve these objectives, we align our efforts around the following growth agenda: Grow our presence in existing markets Achieve industry-leading performance in clinical and satisfaction measures Recruit and employ physicians to meet the need for high quality health services Continue to leverage our scale and market positions to enhance profitability Selectively pursue a disciplined development strategy 4

5 Clinical Excellence Overview Data Driven Physician Led Team Patient Focused Results Clinical Business Intelligence 5

6 Clinical Excellence Overview Clinical Excellence is about Reducing Negative Clinical Variation CE is our approach to clinical performance improvement that asks a physician led team to use clinical evidence to change physician practice choices and behavior to reduce negative clinical variation 6

7 Clinical Excellence Overview Clinical Performance 1) currently published research of established best evidence based prac<ces 2) HCA Best Demonstrated Prac<ce 1) Tracking outcomes to understand impact and Value 2) BeFer visualiza<on of data to affect behavior 7

8 HCA Business Intelligence Background Mature operating and financial reporting Standard on MEDITECH in hospitals But don t want to be locked in Non-hospital sources will become more important over time Flexibility required to support facility acquisition and divestiture Operations at each facility are historically autonomous, shared support services delivered through 15 divisions Disproportionate effort between data acquisition and reporting 8

9 Clinical Data Management: Overview The Clinical Data Management program was established in Fall of The main objectives were to: Expand and Normalize the data set within the Clinical Data Warehouse Reduce the time to acquire data into the Clinical Data Warehouse Integration of financial, supply chain, and clinical data to better measure and manage operations across the continuum of care Identify Business Intelligence (BI) reporting needs and gaps in current BI tools. Evaluate BI industry to determine the best tool fit 9

10 Clinical Data Management: History The Clinical Data Management program was established in Fall of HCA is currently beginning the third phase of development that will take us to the end of Phase & 2012 Bought and implemented seven new technologies for HCA IT&S, cecare and Surgical Pilots, Reduced latency from 48 hours to 6 hours in Clinical Data Warehouse Phase Developed a dimensional model, established short term monitoring, Upgraded Technologies to latest versions Phase New Data sources, Transac<on Life Cycle Management, Reduce some latency to 5 minutes Phase Big Data and Advanced Analy<cs, Predic<ve, Real Time Analy<cs, Master Data Management Phase 4 The sky is the limit 10

11 Clinical Business Intelligence Business Intelligence Add what we just learned to what we already knew to help determine what we do next. Clinical BI Applications Clinical Excellence Surgical Services Sepsis TrackED 11

12 BI Launch Page 12

13 cecare: Care Line Dashboard 13

14 Surgical Services Dashboard 14

15 cecare: Sepsis Dashboard 15

16 TrackED 16

17 TrackED - Mobile 17

18 TrackED - Mobile 18

19 Clinical Business Intelligence Business Intelligence Add what we just learned to what we already knew to help determine what we do next. Clinical BI Applications Clinical Excellence Surgical Services Sepsis TrackED Coming Applications Physician Excellence Blood Utilization Ad hoc 19

20 Looking Back: Collaborate Include the right people on one team Involve multiple areas of expertise In addition to vendor partners include expertise on staff for all technologies at the beginning Include people using the operational systems as well as those that will use the BI solutions 20

21 Looking Back: Know Your Data Not just the BI layer Understand the workflow that creates the data and how it is organized in the operational systems Learn how BI data relates to each other (VDs (PF) and KPIs (clinical) ) Get into the data as deep as you can, as fast as you can, as soon as you can 21

22 Looking Back: Start Small Complexity in the data directly impacts speed and agility in delivering BI capability Deliver something meaningful, quickly, to the end user Then deliver more incrementally Make the details available to the end users 22

23 Questions 23

24 THANK YOU Jessica Grigsby Brian Johnson 24