1. A Strategic Road Map and Architectural Considerations for Healthcare Business Intelligence
Greg Beaumont
BI Architect

2. With GNet Group from 2009 to Present
Introduction
Greg Beaumont
BI Consultant
GNet Group LLC
With GNet Group from 2009 to Present
Education:
Carlson School of Management at University of Minnesota – MBA
St. Mary’s University – B.A. in Biology / Pre-Med
PMP Certified
Follow:
GNet Group Blog:

3. Agenda About GNet Group Healthcare BI Challenges BI Methodologies
GNet Group SightN2TM for Healthcare
HCUP Data Source
Foundation for an Enterprise Data Warehouse
Strategy and Demonstrations:
PowerPivot for Excel
PowerPivot for SharePoint
Power View
SharePoint PerformancePoint Dashboards
Excel Data Connections
Excel 2013

4. About GNet Group
Microsoft managed Gold Certified Partner that applies it’s deep experience, discipline and industry knowledge to deliver solutions for organization wide collaboration and empowering data driven decisions.
Leading provider of Microsoft BI and SharePoint solutions
100s of projects across multiple verticals
SQL 2012 RDP partner
Finalist for Global Business Intelligence Partner of the Year 2011
HQ in Minneapolis, local office in Dallas, offshore development center in Pune, India

5. Agenda About GNet Group Healthcare BI Challenges BI Methodologies
GNet Group SightN2TM for Healthcare
HCUP Data Source
Foundation for an Enterprise Data Warehouse
Strategy and Demonstrations:
PowerPivot for Excel
PowerPivot for SharePoint
Power View
SharePoint PerformancePoint Dashboards
Excel Data Connections
Excel 2013

6. Healthcare BI Statistics
The Drivers of Healthcare BI
Most industry verticals adopted analytical strategies in the 1990’s, which led to early adoption of BI in the early 2000’s (Six Sigma, Just-in-Time, Lean Manufacturing, Supply-Chain Management, etc.)
Healthcare provider organizations are unique in their latency to adopt standards and process-based analytics
Less focus upon revenue
Physician culture is traditionally adverse to planning based upon revenue and spending $ on IT
Government policy and tight budgets have changed the game
Healthcare data is collected from applications built by companies that do not have analytics and BI as a core competency
EMR companies haven’t designed their products to be data-analysis friendly
Billing and Coding software has it’s hands full with insurance company standards, data analysis capabilities have been overlooked
Departments operate in silos, and referral networks are poorly analyzed and understood

7. Healthcare BI Today HCA/CMO Clinical Diagnostics Financials Admissions
Claims
Inventory
Imaging

8. Typical Healthcare Departmental Reporting

9. Agenda About GNet Group Healthcare BI Challenges BI Methodologies
GNet Group SightN2TM for Healthcare
HCUP Data Source
Foundation for an Enterprise Data Warehouse
Strategy and Demonstrations:
PowerPivot for Excel
PowerPivot for SharePoint
Power View
Excel Data Connections
SharePoint PerformancePoint Dashboards
Excel 2013

10. Classic Approach to BI 80%-backend work takes too long 20%-touch &
Ent Data Integration & Architecture
Time
20%-touch &
feel at project
end
How often do requirements evolve during design/development?
How often do requirements change and impact design/development?
How often are the requirements and data in sync?
How does the above impact design/development?
How fast can we change a DW / ETL to align with changing requirements?

11. Agile Approach to BI Ent. Data Integration & Architecture Time
What about data integration, i.e. Ent Data Warehouse? One EDW vs. siloed data marts
What about multiple perspectives of data (e.g. sales hierarchy, marketing hierarchy)?
What about single source of truth? (e.g. Multiple Data marts – sales, marketing)
Can we rebuild / change data marts without impacting reports?
How can we build a single, consistent enterprise data warehouse over time?

12. Blend the Two? Ent Data Architecture
10A. Deployment
Blend the Two?
3. Project Planning
4. Business Questions and Requirements
5. Data Arch & Int
6. Prototype (BI App) Model Design Dev
7. Deploy Self Service
8. Feedback
9. Backlog
2. Assessment, Roadmap and Release Plan
1. Business Vision and Strategy
9A. Development
8A. Physical Design
7A. Physical Design
For Each Roadmap Phase
6A. Build ODS /Dimensional Model Based on Personal / Team
Data Warehouse build In parallel
Ent Data Architecture
Time: Early results. Buy time for Data Architecture
End Goal is a comprehensive BI solution (ETL, EDW and Presentation)
Agile BI Solutions in the interim while Data Architecture is built
Ent. Data Architecture: ODS, EDW based on Exploration, Evaluation and Evolution.
Accelerate robust EDW build based on solid requirements and feedback

13. How does SQL Server 2012 fit in?
10A. Deployment
How does SQL Server fit in?
9A. Development
3. Project Planning
4. Business Questions and Requirements
5. Data Arch & Int
6. Prototype (BI App) Model Design Dev
7. Deploy Self Service
8. Feedback
9. Backlog
2. Assessment, Roadmap and Release Plan
1. Business Vision and Strategy
8A. Physical Design
7A. Physical Design
1st Iteration: PowerPivot
2nd Iteration: Team BI with SharePoint & PowerPivot or org BI - SSAS
For Each Roadmap Phase
6A. Build ODS /Dimensional Model Based on Personal / Team
Data Warehouse built in parallel
Ent Data Architecture
Time: Early Results. Buy Time for Data Architecture
Time : Agile, self service personal (PowerPivot) and/or team BI (PowerPivot for SharePoint)
Promote PowerPivot to SSAS (Org BI)
Some applications will remain in PowerPivot (Personal / Team)

14. Team BI Personal BI Organizational BI PowerPivot for SharePoint
PowerPivot for Excel
Organizational BI
Analysis Services (OLAP) + SharePoint

15. Scenario 1: First DW (end goal is EDW)2
Personal BI
Power Pivot for Excel
Team BI
Power Pivot for SharePoint
Promote to IT Managed Environment – Process & Security
Organizational BI
Performance Point
Excel and Excel Services
SSRS
PowerPivot
BI Semantic Model 1 3
POS
CRM
ERP
Other
ODS
SOURCE DBs
EDW
Analysis Services
Agility and long term data architecture!

16. Scenario 2: Enhancing to existing DW
Personal BI
Power Pivot for Excel
Team BI
Power Pivot for SharePoint
Promote to IT Managed Environment – Process & Security
Organizational BI
Performance Point
Excel and Excel Services
SSRS
PowerPivot
BI Semantic Model 1
POS
CRM
ERP
Other
ODS
SOURCE DBs
EDW
Analysis Services
Agility and long term data architecture!

17. Agenda About GNet Group Healthcare BI Challenges BI Methodologies
GNet Group SightN2TM for Healthcare
HCUP Data Source
Foundation for an Enterprise Data Warehouse
Strategy and Demonstrations:
PowerPivot for Excel
PowerPivot for SharePoint
Power View
SharePoint PerformancePoint Dashboards
Excel Data Connections
Excel 2013

18. Healthcare Cost and Utilization Project (HCUP)
“HCUP databases bring together the data collection efforts of State data organizations, hospital associations, private data organizations, and the Federal government to create a national information resource of patient-level health care data (HCUP Partners).”

19. HCUP Data Architecture Example
One State, SEDD and SID Databases

20. Presentation and Analysis
CRM
ERP
Etc.
Data Marts
Data Warehouse
AHRQ HCUP Data
Data Warehouse
SQL OLAP
Presentation and Analysis
SQL Server
Analysis Services
Cubes
PPS Dash Boards
SQL Server
Relational Databases:
ODS
Staging
Data Warehouse
Phase 2
OLAP
SSRS Reports
AHRQ
HCUP
DATA
Excel Services
PowerPivot
Columnar
In-Memory
PowerPivot / Excel
Integration Services
Enterprise ETL
SQL Agent Jobs
Power View
SQL Server
SharePoint 21 21

21. Presentation and Analysis
CRM
ERP
Etc.
Data Marts
Data Warehouse
Source Systems
Data Warehouse
SQL OLAP
Presentation and Analysis
SQL Server
Analysis Services
Cubes
ERP
PPS Dash Boards
AHRQ
HCUP
DATA
SQL Server
Relational Databases:
ODS
Staging
Data Warehouse
Phase 2
OLAP
SSRS Reports
POS
Excel Services
Finance
PowerPivot
Columnar
In-Memory
PowerPivot / Excel
Integration Services
Enterprise ETL
SQL Agent Jobs
EHR
Power View
SQL Server
SharePoint 22 22

22. The Evolution of Dashboards, Statistics and Healthcare Intelligence
Drill-Down Dashboards
Spread-Marts
SightN2 Healthcare
Data Analysis
Statistical Programs
Process Improvement

23. Agenda About GNet Group Healthcare BI Challenges BI Methodologies
GNet Group SightN2TM for Healthcare
HCUP Data Source
Foundation for an Enterprise Data Warehouse
Strategy and Demonstrations:
PowerPivot for Excel
PowerPivot for SharePoint
Power View
SharePoint PerformancePoint Dashboards
Excel Data Connections
Excel 2013

24. PowerPivot for Excel
Analysts and Subject Matter Experts can mash up data from different sources with Excel-like skills
Data modeling and prototyping
Specialized dimension creation and use with EDW data
Dashboards using millions of rows of data can be migrated to SharePoint

25. PowerPivot for Excel
CHALLENGE: A Subject Matter Expert wants to create a report in which ICD9 codes specific to AMI (Acute Myocardial Infarction) inclusion for Joint Commission ORYX version 4.2 are used with patient visit data. OPTION # 1: Maintain EDW type 2 dimensions for every version of every type of performance measure OPTION # 2: PowerPivot!

26. PowerPivot for Excel

27. PowerPivot for SharePoint
PowerPivot Excel Workbooks can be published and shared with a team
Dashboards can be auto-refreshed
SharePoint provides version control
SharePoint integrated security

28. Power View
PowerPivot data model published to SharePoint can be used for interactive, dynamic dashboards
Motion charts, scatter charts, image integration
Will be fully integrated into Excel 2013

29. Power View
CHALLENGE: How can Total Visits, Mortality Rate, Average Length of Stay, Gender, and Age Group for hospitalized patients be displayed on one chart with filters? 
SOLUTION: Power View!

30. Power View

31. SharePoint PerformancePoint Dashboards
Enterprise dashboards with the speed, efficiency, and power of an OLAP data source
Fully integrated security
Advanced slice-and-dice capabilities and advanced analytics

32. SharePoint PerformancePoint Dashboards

33. Dr. David Blumenthal - National Coordinator for Health Information Technology
Speaking at this month's meeting of the HIT Policy Committee, an HHS advisory panel, Blumenthal mused about distinguishing between "vanilla meaningful users" and others that might be able to demonstrate significantly better-than-average outcomes, healthsystemCIO.com reports. According to Blumenthal, some in the latter group "might say, 'If I've accomplished performance outcomes which are three standard deviations better than other institutions, related to 10 outcomes criteria using health information technology, maybe I should be exempt from the task of checking boxes, because I'm there; I've risen above the criteria you put in the regulation."

34. Excel Data Connections
Connect to an OLAP cube from Excel
Fully integrated security
High-power engine with a familiar user interface
Publish to SharePoint, just like Excel with PowerPivot

35. Excel Data Connections

36. Excel Coming Soon!
Excel integrates PowerPivot and Power View along with new mapping capabilities and interactive features!

37. In Summary
PowerPivot for Excel is available free of charge with an Excel 2010 license, and is built into Excel 2013
All other tools are part of the SharePoint stack for SQL Server 2008 R2 and/or SQL Server 2012
Deliver initial reports within weeks to demonstrate value with GNet Group SightN2TM for Healthcare
Establish the foundation for an iterative, comprehensive Enterprise Data Warehouse (EDW)

38. Reference Information
Several blog posts related to this presentation have been published at A post that lists them as url links was published at the GNet Group Blog today, 9/20/2012.
Reference sheets with related reading materials and links are available, and will also be available at our display area.
If you’d like a digital copy of the reference sheet, please me at and I’ll send you a copy.

39. Contact Us http://www.GNetGroup.com Follow us!
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Greg Beaumont
BI Architect