#HASummit14 Session D: Post EDW Installation How to Take Your Analytics Game to the Next Level John Wadsworth, Vice President, Technical Operations Health Catalyst

#HASummit14 How much should I invest in equipment?

#HASummit14 3 Equipment doesn’t win games Skill and discipline drive outcomes Competency framework can scale Presentation Objectives

#HASummit14 What makes a great soccer player?  Ball control  Passing  Shooting/scoring  Attacking  Defending  Field vision  Physicality - fitness

#HASummit14 Soccer Skill Continuum Rank skills on scale of = Recreation player 5 = Professional player Effective application of skills validates the ranking (experience)

#HASummit14 Soccer Player Skill Comparison Skill Level

#HASummit14 Time to Practice! Ball control - Juggling  Use any part of your body except your arms/hands  Count your consecutive juggles  Prizes for top 3  15 second warm-up  30 second round - determine finalists  30 second round – determine winners Everyone head to the courtyard…

#HASummit14 Initial EDW Game Plan Essentials Apps Infrastructure Integrated Data Discovery Applications Source-to-EDW Data Essentials Layer Advanced Applications HW Access Source Marts Infrastructure Starting Month Month 1 CAP Costing (DSS) Essentials Layer Mapping KPA Population Explorer Cohort Builder Claims EMR (Epic) Pharmacy Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 Breast Cancer Comorbidity Analyzer Equipment needed to play the game Scrimmages, conditioning, building your team Winning games Advanced Applications

#HASummit14 Recreation League - Getting Started 9 Essentials Apps Infrastructure Data Architect = DA Essentials Layer Advanced Applications HW Access Source Marts Starting Month Month 1 CAP Costing (DSS) Essentials Layer Mapping KPA Population Explorer Cohort Builder Claims EMR (Epic) Pharmacy Month 2 Month 3 Month 4 Month 5 Month 6 Month 7 Breast Cancer 70% DA 20% SDA 10% TD 70% DA 20% SDA 10% TD Field Positions 75% DA 20% SDA 5% TD 75% DA 20% SDA 5% TD 40% DA 50% SDA 10% TD 40% DA 50% SDA 10% TD 50% DA 30% SDA 20% TD 50% DA 30% SDA 20% TD 20% DA 60% SDA 20% TD 20% DA 60% SDA 20% TD Comorbidity Analyzer Senior Data Architect = SDA Technical Director = TD Players

#HASummit14 Data Architect – Skill Continuum Skill Level

#HASummit14 Don’t Confuse Equipment with Capabilities Capabilities  ETL - Consistent, efficient, audit logs  Data Modeling - Principled - ‘Meaningfully relational’  SQL - Set theory (inclusion/exclusion)  Data Analysis - Insightful  actionable - Statistically sound  BI Development - Visually intuitive - ‘Non-techie’ consumable Tools (Equipment)  SSIS (ETL)  SSMS (DDL, DML, t-SQL)  BI Development (Qlikview)

#HASummit14 Competition League - Sustaining 12 Essentials Apps Infrastructure Data Architect = DA Advanced Applications Advanced Applications Source Marts Month Month 8 HR GL Explorer Surgery Explorer External lab Pat Sat Time Month 9 Month 10 Month 11 Month 12 Month 13 Month 14 80% DA 10% SDA 10% TD 80% DA 10% SDA 10% TD Field Positions 75% DA 20% SDA 5% TD 75% DA 20% SDA 5% TD 20% DA 60% SDA 20% TD 20% DA 60% SDA 20% TD ACO Explorer Senior Data Architect = SDA Technical Director = TD Players Sepsis Professional billing CAUTI Duplicate Rx orders OR Turnover Time CLABSI Knowledge Manager = KM EDW Manager = EM KM EM ES KM EM ES Governance and Prioritization Sr. Outcomes Analyst = SOA Outcomes Analyst = OA Executive Sponsor = ES

#HASummit14 Major League - Advancing 13 Essentials Apps Infrastructure Data Architect = DA Advanced Applications, Program Development and Governance Advanced Applications, Program Development and Governance Source Marts Month Month 15 Ext Rx NursingTime ADT Explorer Benchmk Month 16 Month 17 Month 18 Month 19 Month 20 Month 21 80% DA 10% SDA 10% TD 80% DA 10% SDA 10% TD Field Positions 75% DA 20% SDA 5% TD 75% DA 20% SDA 5% TD 20% DA 60% SDA 20% TD 20% DA 60% SDA 20% TD Rev Explorer Senior Data Architect = SDA Technical Director = TD Players Sepsis Duplicate lab orders OR Turnover Time Knowledge Manager = KM EDW Manager = EM KM EM BPM DS PI ES KM EM BPM DS PI ES Governance and Prioritization Clinic Professional Billing CLABSI CAUTI BI Program Manager = BPM Sr. Outcomes Analyst = SOA Outcomes Analyst = OA Executive Sponsor = ES Diabetes Breast Cancer Dept. Sponsor = DS KPA Pop Ex Cohort Builder Comorbidity GL Explorer SurgerExplorer AC Explorer Duplicate Rx Prostate Hypertension Process Improvement = PI

#HASummit14 Primary Care Clinical Program Recreation Ext Rx N. Time ADT Exp Bench Rev Exp Duplicate lab orders Discharge no final bill Discharge no final bill Governance and Prioritization Clinic Diabetes Prostate Hypertension HR GL Explorer Surgery Exp lab Pat Sat Time ACO Explorer Sepsis Professional billing CAUTI Dup Rx orders OR Turnover Time CLABSI Governance and Prioritization HW Access CAP Costing (DSS) Claims EMR (Epic) Pharmacy KPA Pop Explorer Comorbidity Breast Cancer Cohort builder Competition Major League Service Lines Finance Oncology Clinical Program Patient Safety and Quality System-wide BI Governance

#HASummit14 Poll Question #1 15 Where is your organization along this skill continuum? a)Recreation level b)Competition level c)Major League level d)Not sure

#HASummit14 Poll Question #2 16 What does your organization need to move to the next level? a)Equipment b)More advanced skills (SQL, ETL, data modeling, etc.) c)More players d)Coaching e)Not sure

#HASummit14 Poll Question #3 17 In what phase is your game plan to move to the next level? a)None b)Conceptual c)Starting engagement d)Early implementation e)Advanced implementation

#HASummit14 18 Success is no accident. It is hard work, perseverance, learning, studying, sacrifice and most of all, love of what you are doing or learning to do. ~ Pele

#HASummit14 Lessons Learned 18 1)Assess capabilities across skill spectrum 2)Build a core team covering the skill spectrum 3)Get 3-4 wins and share the news 4)Invest in bench depth to establish permanence 5)Discipline + capabilities  predictable, positive outcomes

#HASummit14 Analytic Insights A Questions & Answers 19

#HASummit14 Choose one thing… 20 Write down one thing will you do differently after hearing this presentation

#HASummit14 Thank You 21

#HASummit14 23 Session Feedback Survey 1.On a scale of 1-5, how satisfied were you overall with this session? 1)Not at all satisfied 2)Somewhat satisfied 3)Moderately satisfied 4)Very satisfied 5)Extremely satisfied 2.What feedback or suggestions do you have?

#HASummit14 Upcoming Sessions Pre-Summit Sessions 2 (4:25 PM – 5:10 PM) Panel: How to Maximize your EDW and Analytics Investment with a Service-Value Approach Panel: Patient Safety and Patient Injury Prevention Best Practices Panel: ACO and Population Health Best Practices Panel: Our Most Advanced Customers: How to Meet the Growing Demands of Increased Success 24 Location Envoy Savoy Murano Venezia E) F) G) H)