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Catalyst 2.0 July 22, 2013 Proprietary and Confidential
© 2013 Health Catalyst ww©w.2h0e1a3lthHceaataltlhysCt.acotamlyst
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Agenda About Health Catalyst Catalyst 2.0 Questions and Discussion
Goals What’s New Progression Levels Questions and Discussion Proprietary and Confidential © 2013 Health Catalyst
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Catalyst at a Glance Founded: Employees: Client Hospitals:
Headquarters: Patients Impacted by Catalyst Platform: Years of Healthcare Data Warehousing Experience: Proprietary and Confidential © 2013 Health Catalyst
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Our Philosophy: Be Systematic
Services Installation Services, Critical Improvement Services Change Process and Behavior Analytic Applications Key Process Analysis, Dashboards, Advanced Analytics Apply Evidence and Standardize Late-Binding™ Data Warehouse Platform Data Warehouse, Architecture, Metadata Management, Security, and Auditing Integrate Data and Measure Proprietary and Confidential © 2013 Health Catalyst
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Catalyst 2.0 Goals More consistent, faster installations, less rework,
3 More consistent, faster installations, less rework, fewer resources 3 Faster, more consistent delivery of data and content to solve both basic and complex problems 3 With improved clinical and operational standardized content Proprietary and Confidential © 2013 Health Catalyst
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Catalyst 2.0 Approach 3 2 1 What’s New New set of application families
Foundational Applications Discovery Applications Advanced Applications 2 New content-driven applications Late-Binding™ Data Warehouse Platform Late-Binding™ Data Bus Data Acquisition Engine and Storage 1 New metadata- driven platform Metadata Engine Proprietary and Confidential © 2013 Health Catalyst
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New Metadata Driven Platform
1 Source Mart Developer Collect Source System Metadata (Automated) Map into Catalyst Architecture (Semi Automated) Store Metadata (Automated) Proprietary and Confidential © 2013 Health Catalyst
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New Metadata Driven Platform
1 Load Balancer Table 1 Table 2 Table 3 Table 4 Nightly, Parallelized Source Mart ETL Proprietary and Confidential © 2013 Health Catalyst
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New Metadata Driven Platform
1 Initial Results from Core 2.0 Platform Documented 8X faster Estimated 20X faster Significantly improved, nearing 0 Proprietary and Confidential © 2013 Health Catalyst
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New Content Driven Applications
2 Foundational Applications Discovery Applications Advanced Applications Encourage broad use of the data warehouse by presenting dashboards, reports, and basic registries across clinical and departmental areas. Allow users to discover patterns and trends within the data that inform prioritization, inspire new hypotheses, and define populations for management. Provide deep insights into evidence-based metrics that drive improvement in quality and cost reduction through managing populations, workflows, and patient injury prevention. Proprietary and Confidential © 2013 Health Catalyst
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New Content Driven Applications
2 Business Owners Patients Doctors Nurses Customers © 2013 Health Catalyst Proprietary an11d Confidential 11
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New Content Driven Applications
2 © 2013 Health Catalyst Proprietary an12d Confidential 12
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New Set of Application Families
3 Foundational Applications Discovery Applications Advanced Applications EDIT—Executive Dashboard Integration Tool (Key Performance Indicator editable collage from all app categories) CAFÉ—Comparative Analytics Framework and Exchange—across Healthcare Systems and National Benchmarks Population Explorer (1,000 Registries x 100 Common Metrics) Pareto Tool (KPA) Population Suites e.g., Ischemic Heart Disease Catalyst Technology Stack Patient Satisfaction Explorer Comorbidity Analyzer Financial Health Explorer Readmission Explorer Rev Cycle Explorer Patient Flow Explorer (EC, MedSurg, ICU, CCU, NICU, OR, etc.) Cohort Builder Population Modules e.g., CABG, Stent, AMI ACO Explorer Regulatory Explorer (CMS, HEDIS, PQRS, Professional Societies) Workflow / Operational Suites e.g., Acute Medical Attribution Modeler Workflow/Operational Modules e.g., ICU, MedSurg, Emergency Departmental Explorer Suite Readmission Predictor Lab, ER, OR, Rad, Rx, Materials Mgmt Explorers Payment Model Analyzer Patient Safety Suites e.g., Infection Prevention Patient Safety Modules e.g., CAUTI, CLABSI, SSI Labor Management Explorer Metric Correlation Analyzer Practice Management Explorer Patient Flight Plan Predictor Late-BindingTM Data Bus Data Acquisition and Storage Metadata Engine © 2013 Health Catalyst Proprietary an13d Confidential
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Demo of Population Explorer Proprietary and Confidential
© 2013 Health Catalyst ww©w.2h0e1a3lthHceaataltlhysCt.acotamlyst
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New Set of Application Families
3 Foundational Applications Discovery Applications Advanced Applications EDIT—Executive Dashboard Integration Tool (Key Performance Indicator editable collage from all app categories) CAFÉ—Comparative Analytics Framework and Exchange—across Healthcare Systems and National Benchmarks Population Explorer (1,000 Registries x 100 Common Metrics) Pareto Tool (KPA) Population Suites e.g., Ischemic Heart Disease Catalyst Technology Stack Patient Satisfaction Explorer Comorbidity Analyzer Financial Health Explorer Readmission Explorer Rev Cycle Explorer Patient Flow Explorer (EC, MedSurg, ICU, CCU, NICU, OR, etc.) Cohort Builder Population Modules e.g., CABG, Stent, AMI ACO Explorer Regulatory Explorer (CMS, HEDIS, PQRS, Professional Societies) Workflow / Operational Suites e.g., Acute Medical Attribution Modeler Workflow/Operational Modules e.g., ICU, MedSurg, Emergency Departmental Explorer Suite Readmission Predictor Lab, ER, OR, Rad, Rx, Materials Mgmt Explorers Payment Model Analyzer Patient Safety Suites e.g., Infection Prevention Patient Safety Modules e.g., CAUTI, CLABSI, SSI Labor Management Explorer Metric Correlation Analyzer Practice Management Explorer Patient Flight Plan Predictor Late-BindingTM Data Bus Data Acquisition and Storage Metadata Engine © 2013 Health Catalyst Proprietary an15d Confidential
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Demo of Cohort Builder Proprietary and Confidential
© 2013 Health Catalyst ww©w.2h0e1a3lthHceaataltlhysCt.acotamlyst
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Implementation Progression
3 Foundational Applications Discovery Applications Advanced Applications Achievement Level 1 Metadata Engine (Atlas) Instant Data Entry App (IDEA) Source Marts Foundational Apps Discovery App EDIT—Executive Dashboard Integration Tool (Key Performance Indicator editable collage from all app categories) CAFÉ—Comparative Analytics Framework and Exchange—across Healthcare Systems and National Benchmarks Population Explorer (1,000 Registries x 100 Common Metrics) Pareto Tool (KPA) Achievement Level + All Source Data + Source Mart Designer + All Remaining Foundational + Discovery Apps + Population Module + Workflow/Operational Module 2 Population Suites e.g., Ischemic Heart Disease Catalyst Technology Stack Patient Satisfaction Explorer Comorbidity Analyzer Financial Health Explorer Readmission Explorer Rev Cycle Explorer Patient Flow Explorer (EC, MedSurg, ICU, CCU, NICU, OR, etc.) Cohort Builder Population Modules e.g., CABG, Stent, AMI ACO Explorer Regulatory Explorer (CMS, HEDIS, PQRS, Professional Societies) Workflow / Operational Suites e.g., Acute Medical Achievement Level + Advanced App Designer 3 Attribution Modeler Workflow/Operational Modules e.g., ICU, MedSurg, Emergency Departmental Explorer Suite + All Late Binding Components + All Discovery + Population Modules Workflow/Operational Modules Patient Safety Modules Readmission Predictor Lab, ER, OR, Rad, Rx, Materials Mgmt Explorers Payment Model Analyzer Patient Safety Suites e.g., Infection Prevention Patient Safety Modules e.g., CAUTI, CLABSI, SSI Labor Management Explorer Metric Correlation Analyzer Practice Management Explorer Patient Flight Plan Predictor Achievement Level 4 Access to Full Library + Advanced Apps/Year Co-Development Services Eligible for CoDev Royalty Late-BindingTM Data Bus Data Acquisition and Storage All Components Metadata Engine Selected Components © 2013 Health Catalyst Proprietary an17d Confidential
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Application Availability
3 Foundational Applications Discovery Applications Advanced Applications Available Now Available Q4 2013 Available 2014 EDIT—Executive Dashboard Integration Tool (Key Performance Indicator editable collage from all app categories) CAFÉ—Comparative Analytics Framework and Exchange—across Healthcare Systems and National Benchmarks Population Explorer (1,000 Registries x 100 Common Metrics) Pareto Tool (KPA) Population Suites e.g., Ischemic Heart Disease Catalyst Technology Stack Patient Satisfaction Explorer Comorbidity Analyzer Financial Health Explorer Readmission Explorer Rev Cycle Explorer Patient Flow Explorer (EC, MedSurg, ICU, CCU, NICU, OR, etc.) Cohort Builder Population Modules e.g., CABG, Stent, AMI ACO Explorer Regulatory Explorer (CMS, HEDIS, PQRS, Professional Societies) Workflow / Operational Suites e.g., Acute Medical Attribution Modeler Workflow/Operational Modules e.g., ICU, MedSurg, Emergency Departmental Explorer Suite Readmission Predictor Lab, ER, OR, Rad, Rx, Materials Mgmt Explorers Payment Model Analyzer Patient Safety Suites e.g., Infection Prevention Patient Safety Modules e.g., CAUTI, CLABSI, SSI Labor Management Explorer Metric Correlation Analyzer Practice Management Explorer Patient Flight Plan Predictor Late-BindingTM Data Bus Data Acquisition and Storage Metadata Engine © 2013 Health Catalyst Proprietary an18d Confidential
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Achievement Levels Achievement Level 1 Achievement Level 3 3 Months
Metadata Engine (Atlas) 1 Achievement Level +Advanced App Designer 3 Instant Data Entry App (IDEA) 3 Source Marts 5 Foundational Apps 1 Discovery App +All Late Binding Components +All Discovery +5 Population Modules +3 Workflow/Operational Modules +2 Patient Safety Modules 3 Months 1 Year 2 Years 3 Year to Ongoing Achievement Level +All Source Data +Source Mart Designer 2 Achievement Level 4 Access to Full Library + 10 Advanced Apps/Year Co-Development Services Eligible for CoDev Royalty +All Remaining Foundational + 6 Discovery Apps 1 Population Module 1 Workflow/Operational Module Proprietary and Confidential 19 © 2013 Health Catalyst
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Proprietary and Confidential www.healthcatalyst.com 20
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Foundational Applications
EDIT—Executive Dashboard Integration Tool: (Key Performance Indicator (KPIs) editable collage from all app categories) Allows leadership to choose which KPIs they wish to monitor on daily basis of all installed applications, provides summary level view with ability to drill to a specific application if more detailed information is needed. CAFÉ—Comparative Analytics Framework and Exchange—across Healthcare Systems and National Benchmarks Population Explorer: (1,000 Registries x 100 Common Metrics) Applicable common metrics for every foundational registry—toggle between foundational registry definitions and advanced cohort definitions Patient Satisfaction Explorer: Review patterns in patient sat data, compare with quality outcomes Financial Health Explorer: Review financial statistics of an organizations standard financial reports Re-Admission Explorer: Review re-admission rates of populations for various time frames Rev Cycle Explorer: Review revenue cycle process and outcome metrics, drill to account/charge level detail Patient Flow Explorer: (EC, MedSurg, ICU, CCU, NICU, OR, etc.) Review admit, transfer, discharge results Departmental Explorer Suite: Automates internal hospital operations reporting for key indicators Lab, ER, OR, Rad, Rx, Materials Mgmt Explorers: Department specific metrics, with drill down Labor Management Explorer: Review labor productivity effectiveness metrics, drill down to unit/shift level Practice Management Explorer: Review clinic efficiency metrics, drill down to provider, visit level Discovery Applications Advanced Applications Late-BindingTM Data Bus Data Acquisition and Storage Metadata Engine © 2013 Health Catalyst Proprietary an21d Confidential
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Pareto Tool (KPA): Volume, variation and opportunity analysis
Discovery Applications Discovery Applications EDIT—Executive Dashboard Integration Tool: (Key Performance Indicator (KPIs) editable collage from all app categories) Allows leadership to choose which KPIs they wish to monitor on daily basis of all installed applications, provides summary level view with ability to drill to a specific application if more detailed information is needed. CAFÉ—Comparative Analytics Framework and Exchange—across Healthcare Systems and National Benchmarks Pareto Tool (KPA): Volume, variation and opportunity analysis Comorbidity Analyzer: Severity stratification using various comorbid condition algorithms Cohort Builder: Exploration/creation of inclusion and exclusion criteria of cohorts Regulatory Explorer: (CMS, HEDIS, PQRS, Professional Societies) Measure current and historic results of regulatory and external defined metrics; Drill-into non compliant cases. Accelerate external reporting process ACO Explorer: Browse results of Accountable Care Organization required metrics, drill to case level detail Attribution Modeler: Design models that assign patient activities to providers or groups of providers Re-Admission Analyzer/Predictor: Prediction of likelihood of re-admission based on editable algorithms Payment Model Analyzer: Prediction of financial impact of payment model alternatives of improvement AIM Metric Correlation Analyzer: Investigate correlation and causation relationships between any metrics Patient Flight Plan Predictor: Prediction of outcomes based on similar patient profiles and treatments Foundational Applications Advanced Applications Late-BindingTM Data Bus Data Acquisition and Storage Metadata Engine © 2013 Health Catalyst Proprietary an22d Confidential
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e.g., Ischemic Heart Disease
Advanced Applications Advanced Applications EDIT—Executive Dashboard Integration Tool: (Key Performance Indicator (KPIs) editable collage from all app categories) Allows leadership to choose which KPIs they wish to monitor on daily basis of all installed applications, provides summary level view with ability to drill to a specific application if more detailed information is needed. CAFÉ—Comparative Analytics Framework and Exchange—across Healthcare Systems and National Benchmarks Population Suites e.g., Ischemic Heart Disease Suites include: Example (Ischemic Heart Disease) Related Modules (e.g., CABG, Stent, Acute Coronary Syndrome) AIMs: Global population management of quality and utilization Knowledge Assets: Guidelines for health maintenance and preventive care; Care Process Models (diagnostic algorithms, triage criteria, and indications for referral and intervention) Cross-Module Metrics and Visualizations: Evaluation of triage between alternative treatments (e.g., stent vs. CABG vs. medical) Modules include: AIMs: Per encounter and per case quality and cost management Advanced Cohort Rules: Inclusion and exclusion criteria based on meds, labs, clinical observations, event timing, notes, etc. Knowledge Assets: Standard order sets and protocols, A3 intervention improvements, patient and provider education, etc. Advanced Metrics: Outcome metrics and their related discovery, process, and balanced metrics Visualizations: Advanced visualizations showing correlation and causation relationships between metrics Foundational Applications Population Modules e.g., CABG, Stent, AMI Discovery Applications Workflow / Operational Suites e.g., Acute Medical Workflow/Operational Modules e.g., ICU, MedSurg, Emergency Patient Safety Suites e.g., Infection Prevention Patient Safety Modules e.g., CAUTI, CLABSI, SSI Late-BindingTM Data Bus Data Acquisition and Storage Metadata Engine © 2013 Health Catalyst Proprietary an23d Confidential
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