Healthcare User Forum & Advisory Council Alan Eisman Director Healthcare Solutions October 20, 2010

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The First Person to Appreciate Business Intelligence Copyright 2007, Information Builders. Slide 5 "The only real wisdom is knowing you know nothing" Socrates, Around 420 BC

More Greek Philosophy and Physicians Copyright 2007, Information Builders. Slide 6 According to Hippocrates, “A physician’s judgment mattered more than any external measurement.” And the practice of medicine was long organized accordingly. But today with so many treatment approaches and our perverse incentive system it no longer makes sense to leave decisions only to the to the physician’s informed intuition.

Transparency Drives Accountability and Improvement  Medicare spending varies from $14,000 to $5,200/Beneficiary  40% Can be explained based on case mix, regional pricing  60% due to other factors supply of resources and practice patterns  Physician down the hall - “In our own organization there is a 2 to 3 fold variation in use of tests, unaware of what colleagues down the hall are doing. Copyright 2007, Information Builders. Slide 7 “Chaos and Organization in Health Care” Thomas H Lee, M.D. James J. Mongan M.D.

Copyright 2007, Information Builders. Slide 8 ORLANDO – There is "no distinction between information management and healthcare," said Peter Salgo, MD, associate director of surgical intensive care at Presbyterian Hospital in New York, in his rousing presentation at AHIMA on Tuesday. And the people who know how to synthesize, store, and integrate medical information will lead the massive healthcare changes of the 21st century. HIM Pros Vital to Healthcare Performance Improvement Tuesday September 28 th 2010

So What Are the Imperatives?  Data, Data, Data – Trusted, Transparent, Timely  Alignment – Adoption - Accountability  e nablement of Process  e ngagement of Stakeholders  e limination of Spreadmarts  Sensible Strategy or Roadmap  Leadership and Tweeners (PPI, CMIO, DSS)  Healthcare Performance Management and Allowing MU to be Whatever it Needs Be Copyright 2007, Information Builders. Slide 9

What is Healthcare Performance Management? Copyright 2007, Information Builders. Slide 10 Healthcare Performance Management (HPM) is a framework for merging goals, strategies, Scorecards, measures, processes, and initiatives in a way that makes sense not only to management, but to every participant in the health care value chain.

Operational Analytical Strategic What BI Should Be to Support HPM? Copyright 2007, Information Builders. Slide 11 Monitor performance and communicate strategy - Translate strategy for the operation - Promote continuous improvement -Drive accountability and focus on key drivers Direct Analytical BI towards potential problems Isolate and identify good and bad - Analyze historical trends - Mine for problems and opportunities - Predict future potential Direct the focus of operational initiatives Implement Operational Initiatives To… - Enable/Accelerate processes - Empower employee decisions - Improve patient flow Monitor Performance of Initiatives

Copyright 2007, Information Builders. Slide 12 HPM Aligns Strategic and Operational loops Strategic Operational Strategy Management Operational Execution Change Align Measure Plan Execute Analyze

For Example: Closing the Gap Between Budgeting & Ops.  What are my Strategic Financial Goals?  Profitability,  Solid Balance Sheet  Growth  What Makes up Financial Performance?  Revenues  Costs  Cash Flow  What makes up Revenues, Costs, Cash Flow?  What Drives Financial Performance? Copyright 2007, Information Builders. Slide 13

Drivers of Financial Performance  Profitability, Market Share, Growth  Patient Satisfaction  S/Line Revenue Mix  Payer Mix  Revenues  Volumes – Census, Surgeries  Productivity – RVUs  LWOBS, Revenue Leakage, Denied Claims  Costs  Labor Productivity  Supplies  Asset Utilization – Medical Technology, Beds, Operating Room  Cash Flow  Accounts Receivable  Discharged Not Final Billed (DNFB) Copyright 2007, Information Builders. Slide 14

Agenda 10: :20 a.m. Welcome, Introductions and IBI Healthcare Strategy Alan Eisman, Director Healthcare Strategy 10: :00 a.m. Best Practices for Clinical Research, Reporting and Analytics, Dan Housman, Director, Analytical Apps, Recombinant Data Sys 11: :40 a.m. Providing Exec Insight to Improve Performance Using Dashboards and Scorecards, Mary Tedaldi Senior Director PM, and Jeff Shein BI Dev Mgr, NYU Langone MC 11:40 a.m. - 12:20 p.m. Leveraging Performance Management to Track Meaningful Use Initiatives, Anna Twomey, Solutions Architect 12:20 - 1:00 p.m. Lunch 1:00 - 1:30 p.m. Eliminating Data Discrepancies with iWay Data Quality Center, Jessica Spector, Senior Project Manager, Mount Sinai Hospital 1:30 - 2:10 p.m. Operationalize Budgeting and Planning with Mgt Dashboards, Megan LaPointe, Senior Manager, deFacto Global Inc., John Sulka Senior SE, IBI 2:10 – 3:15 p.m. Roundtable Discussion Wrap-up and mtg follow-up topics

My Simplified View of Maturity Cycle Concurrent Waves  From Process Measures – Outcomes – Cause and Effect  From Departmental – Service Line – Enterprise  From Spreadsheets – Metrics Mgt. – Balanced Scorecards  From Historical – Daily Dashboard - Operational – Predictive  From DSS – C Sponsor/PPI – Data Mgt – BI Competency Ctr  From Data – Information – True PPI Enablement - HPM Copyright 2007, Information Builders. Slide 16

Malcolm Baldridge Winner!

Modern Day Socrates Copyright 2007, Information Builders. Slide 18

Our Strategy Hasn’t Changed  Drive Performance at all Levels for highest ROI  Improve Patient Safety and Clinical Outcomes  Optimize Patient Flow – Efficiency, Patient Satisifaction  Reduce Costs – Labor, Supplies, Administrative  Increase Revenues – Rev Cycle. Grow Strategic S/Lines  Leverage Strengths: Flexibility,Scalability, Interoperability, Usability  Leverage Client Experiences, Priorities, IT Investments  Leverage Re-usable Components to Speed Time to Value  Leverage Partnerships  Clinical Best Practices  Business Process Transformation  Strategic and Financial Planning  Change Management Copyright 2007, Information Builders. Slide 19

Advantages of Information Builders Solutions  Comprehensive Yet Flexible Solutions  Independence  Technology Agnostic – Access any data source (HL7, EPIC, IDX Mumps, etc…)  Top Rated for Customer Support  Emphasis on Innovation for 35 Years  Leadership Position  Healthcare – Highest KLAS Rating of Best of Breed BI vendors  Gartner Leader for Business Intelligence & Integration  Performance Mgt #1 Rating  Dresner, Wisdom of Crowds Copyright 2007, Information Builders. Slide 20

Socrates Might Say: MU Should Be Whatever It Needs to Be ERP Trusted Performance Management Layer Personalized Dashboards My Dashboard for KPIs, Alerts & Drill Anywhere Independent Layers Maximize Flexibility Analysis with data from any source Metrics in one place managed with Scorecards for each Dept. Holistic integration framework Functional Analytic Applications Independent Integration Layer ClinicalADT Ambulatory ORMSEDDW