Best Practice Standard Reports and Enterprise Reporting
Enterprise Reporting Scott Baumann, Spectrum Health Scott Carter, LifePoint Hospitals CONFIDENTIAL PROPERTY OF MEDASSETS. MedAssets is a registered trademark of MedAssets, Inc. Copyright MedAssets, 2010. All rights reserved. Spectrum Health System Overview Integrated delivery network based in Grand Rapids, Michigan Hospital Group: 7 hospitals; 1,820 beds; 100+ service sites 4 Pending Affiliations Medical Group: 100+ multi specialty providers 2 Large Practice Acquisitions Priority Health: 500,000 members 14,500 employees; 1,500 physicians; 2,000 volunteers Multiple healthcare networks Partnerships 2 1
Our Service Area Spectrum Health Service Areas Priority Health Primary Service Area Secondary Service Area Additional HDVCH Service Area Emmet Cheboygan Presque Isle Charlevoix Spectrum Health Montmorency Alpena Grand Rapids Area Facilities Antrim Otsego Spectrum Health Medical Center Butterworth Hospital Leelanau Helen DeVos Children's Hospital Lemmen-Holton Cancer Pavilion Grand Kalkaska Meijer Heart Crawford Oscoda Alcona Center Benzie Traverse Spectrum Health Blodgett Hospital Spectrum Health - Kent Community Campus SH Surgical Center - South Pavilion SH Surgical Center - East Paris Manistee Wexford Missaukee Roscommon SH Surgery Center - Lake Drive Ogemaw Iosco Mason Lake Osceola Clare Gladwin Arenac Spectrum Health Reed City Hospital Huron Bay Oceana Newaygo Mecosta Isabella Midland Spectrum Health Kelsey Hospital Tuscola Sanilac Muskegon Montcalm Gratiot Saginaw Kent Spectrum Health United Hospital Lapeer Ottawa Ionia Genesee Clinton Shiawassee St. Clair Allegan Barry Eaton Ingham Livingston Oakland Macomb Van Buren Kalamazoo Calhoun Jackson Washtenaw Wayne Berrien Cass St. Joseph Branch Hillsdale Lenawee Monroe 0 25 miles 50 County Boundaries 3 Continuum of Care Primary Care Emergency Care Inpatient Hospital Care Outpatient Care Ambulatory Surgery Centers Laboratory Occupational Health Radiology Rehabilitation Sleep Disorders Urgent Care Continuing Care Hospice Infusion Pharmacy Services Neuro Rehabilitation Rehab & Nursing Centers Special Care Hospital Visiting Nurse Association 4 2
Challenges for Spectrum Health Healthcare Reform Electronic Health Records Outcomes Measurement Transparency Providing Access to Care Economic Environment Predicting Volumes Metric Guided Management Data based Planning 5 Spectrum Health Business Intelligence Enterprise Reporting Strategy Where are we now? Future Direction 6 3
Enterprise Financial Reporting Strategy Linking Reporting Process to Decision Making Simple Consistent Timely Value added information Lead to action Communicate a message Delivery via proper channel Financial DSS Portal Strategy One stop shopping for financial reporting and decision support needs Daily information publication Limit the clicks Gain traction by sharing with non finance KPI development teams Patient Satisfaction Marketing Quality Employee Satisfaction 7 Enterprise Business Intelligence Program Enterprise Data Strategy Clinical/Financial/Operational Updated daily Feeds downstream analytic applications Self service reporting and analysis 13 IT Data Management Resources Tools Reporting Business Objects Dashboards Xcelsius Distribution InfoBurst Statistics/Advanced Analytics SPSS 8 4
Financial Decision Support Financial Decision Support Department Costing, Contracting, Profitability Updated Monthly Fed from Enterprise Data Warehouse 4 Dedicated Resources Tools and Technology Alliance Decision Support v4.2 Crystal Reports XI myalliance and Key Indicators Data Warehouse Business Objects 9 Reports and Analysis Crystal Reports Self Service Strategy Periodic published reports Prompted reports Ad hoc reports Ease of Use Integration with ADS suite Minimal technical skills required Limitations ADS specific data Timeliness tied to ADS loads and calcs 10 5
Decision Support Crystal Reports 11 Decision Support Prompted Reports 12 6
Crystal Reports Challenges ADS Templates Data fields too restrictive Prompts too expansive Too Complex to customize Controlled Ad Hoc Profitability Focused Report Library for End Users Central construction of prompted reports UDF look ups pull across all UDFs? 4 Departments currently leveraging Self Service Reporting Tool versus Query Tool Daily and Market Data Data Warehouse Daily Volume and Activity Miscellaneous and External Data Sources 13 Decision Support Portal myalliance 14 7
Executive Financial Dashboard 15 Executive Financial Dashboard 16 8
Enterprise Data Warehouse 17 V4 Opportunities & Challenges Opportunities Budget and Planning Integration Auto Aggregation Pre packaged Metrics Better KI Formatting Active Directory / Single Sign on Challenges Multiple Clicks to Dashboards Non Alliance content integration Prepackaged metrics limited to Alliance data Limited Dimensionality Management of Test and Production Environments Future support of myalliance portal 18 9
47 acute care hospitals in non urban communities 19 5,552 licensed beds 44,000 admissions 222,000 ER visits 3 million encounters $3 billion in revenue DSS Department Includes director and 3 analysts Fills adhoc report requests to all levels of managementwithin corporate office and facilities 1000 data requests per year Also responsible for managed care logging 20 10
Patient Accounting System 34 facilities on HCA Patient Accounting system 12 facilities using HMS system 1 facility on Meditech/BAR Standardized General ledger across all facilities Standardized department numbers and structure across all facilities 2 standardized charge masters (one for PA and one for HMS) All facilities are currently loaded into a single schema of ADS Monthly Loads Loaded from single source data warehouse 21 22 11
23 24 12
25 Opportunities Budget integration Physician practice data Ongoing acquisitions Further development of reports and additional fields A picture is worth a thousand words Education 26 13
Challenges Diverse audience Multiple skill levels Data needs and interpretations Educational background Data normalization/standardization across platforms Tailoring the tool to the audience Resources to develop additional reports Human Technical 27 Questions? 28 14
15