1. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics A conversation between Dale Sanders and John Kenagy, MD Transforming Healthcare: Data is Necessary But Insufficient. What else is Necessary? Adaptive Design is a registered trademark of John Kenagy

2. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Introductions Dale Sanders, Senior VP, Strategy, Health Catalyst dale.sanders@healthcatalyst.com @drsanders http://www.linkedin.com/in/dalersanders/ Dr. John Kenagy john@kenagyassociates.com www.linkedin.com/in/johnkenagymd

3. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics

4. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics 4

5. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics 5

6. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Data and Adaptive Capacity 1. Take Action – strategically create and measure new adaptive capacity. 2. Accelerate Progress – methods and data necessary to increase your Adaptive Capacity Index. 3. Develop Mastery – align people and data to predict your Key Performance Indicators (KPI’s) 3-6 months in advance The Key Takeaways

7. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Adapting Tree? info@kenagyassociates.com

8. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics The Promise of Managed Care

9. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics The Cold, Hard Reality Cost Neth1 UK2 AUST3 NZ4 GER5 CAN6 US7 Quality ©OECD, 2008 “A” for technology, “F” for value

10. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics It’s an Adaptive Capacity opportunity

11. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics List 1 General Motors American Airlines Palm Pilot, Blackberry List 2 Toyota Southwest Airlines Apple, Intel Discovering the Solution

12. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics What’s the root cause? Optimize General Motors American Airlines Palm Pilot, Blackberry Optimize & Adapt Toyota Southwest Airlines Apple, Intel

13. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics So, if data and technology are not sufficient, what else is necessary? *Modified from: Evian.Gordon@BrainResources.com Used with permission Why? We don’t think our way to new ways of acting.

14. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Adaptive Capacity Where are you? Where’s healthcare? Optimize General Motors American Airlines Palm Pilot, Blackberry Optimize & Adapt Toyota Southwest Airlines Apple, Intel

15. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Adaptive Capacity Index sm Develop more people and teams? Consolidate services and hit performance goals? Do local experimentation and learning? Cost control and standardize best practices? Increase frontline decision making and control? Check the one choice on which your system currently has the most focus and investment

16. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Adaptive Capacity Index sm Develop more people and teams? Consolidate services and hit performance goals? Do local experimentation and learning? Cost control and standardize best practices? Increase frontline decision making and control? Behaviors predict performance Want to assess your organization’s Adaptive Capacity Index? info@kenagyassociates.com

17. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Adaptive Capacity How do you create Adaptive Capacity? Optimize General Motors American Airlines Palm Pilot, Blackberry Current U.S. Healthcare Optimize & Adapt Toyota Southwest Airlines Apple, Intel You? Where’s healthcare?

18. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Data & Adaptive Capacity Experienced Success Information (Data) New ValueAdapt You act your way to a new way of thinking

19. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Progress, Momentum, Mastery

20. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Adaptive Capacity Leadership Develop and align rapid, adaptive, decision-making close to where value and data are created

21. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics What data do we measure? High risk, low reward

22. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics ? ? ? “Workarounds, hunting, clarifying, fetching, etc.” Adaptive Design Data in Context & Progress Timely, role-specific, actionable data with rapid feedback 23% 40% 37% Admin RN Time with Patients

23. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics 73% reduction in workarounds, etc. Adaptive Design Data + Momentum 54% 11% 35% 135% more RN Time with Patients 23% 40% 37% Information (Data) New Value Adapt

24. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Adaptive Design Data & Increasing Adaptive Capacity Deliver Results, KPI’s and Insight Length of stay8% RN productivity14% Staff turnover51% + $1,700,000

25. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics An Adaptive Design Predictive Analytic Opportunity Information (Data) New ValueAdapt

26. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Data & Adaptive Capacity Mastery and Predictive Analytics +$1,700,000

27. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Data & Adaptive Design 1. Strategically optimize and increase Adaptive Capacity 2. Use data and act your way to new thinking 3. Identify, develop and scale the behaviors that increase your Adaptive Capacity Index today and gain predictive guidance of your KPI’s 3-6 months in the future. info@kenagyassociates.com

28. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics An Adaptive Data Opportunity 1. Identify one organization interested in exploring an Adaptive Data opportunity 2. Connect with leadership to develop an on-site assessment with local leadership, Kenagy & Associates and HealthCatalyst that would include an Adaptive Capacity Index. 3. Design the engagement to assure a low risk and high reward opportunity for all participants. Low risk, high reward

29. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Data & Adaptive Capacity SUCCESS!! info@kenagyassociates.com

30. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics Thank You Next Educational Webinar A Landmark 12-Point Review of Population Health Management Companies 12 criteria that any health system should consider when evaluating population health management companies. Date: Wednesday, April 2nd Time: 1:00-2:00 PM ET Presenter: Dale Sanders Senior Vice President, Health Catalyst The Path to Shared Savings With Population Health Management Applications Laser Focused on Finding Waste, Defining and Monitoring Populations, Accountable Care Organizations and Health Systems Alike Will Learn About The Success of One System Who Reduced Heart Failure Readmissions Date: Wednesday, April 9th Time: 1:00-2:00 PM ET Presenter: Eric Just, VP, Technology; Kathleen Merkley, VP, Clinical Engagement Register at http://healthcatalyst.com/http://healthcatalyst.com/

31. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics 20 10 30 Develop Mastery Physician and Team Performance as a system Months GOAL Adaptive Design Begins Adaptive Design MD’s + Multidisciplinary Teams All System MDs

32. Proprietary and Confidential © 2014, John W. Kenagy, MD Follow the discussion on Twitter, #TimeforAnalytics What does a Nurse do, really? Summary data 1999-2006 Face-to-face patient time 33% “Admin” 24% Workarounds, tradeoffs, “quick fix” problem solving, etc. 43% Observations: 1000s of hours, med/surg units, 45-750 bed hospitals