1. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 1 Evt. klantlogo 1 x 3,56 cm Benchmarking High-Value Healthcare With Web-Based MIS Marc Berg Erik-Jan Vlieger Information Builders Summit 2008 June 1-5 Nashville, Tennessee USA

2. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 2 Evt. klantlogo 1 x 3,56 cm  Voetnoot 1 Overview What brought us to Pi ® ?Proposition of Pi ® Live demonstration

3. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 3 Evt. klantlogo 1 x 3,56 cm Bringing in the Market Dutch Health Care System Change  From budget-based system, based on very generic parameters... number of admissions, number of beds, number of specialists ... we moved to a system based on DRGs / DBCs  Product-based payment systems enable steering on actual patient- outcomes vs costs

4. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 4 Evt. klantlogo 1 x 3,56 cm A healthcare system realizing high quality, efficient care  Define product Set quality measures Set indication  Obligatory reporting of quality performance  Obligatory reporting of costs / price  When properly done, this will generate thrust towards lower cost, high quality care 4 Hipreplacement Quality Patient centeredness Effectiveness Patient Safety Price

5. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 5 Evt. klantlogo 1 x 3,56 cm Insurance companies, patients, Medicare etc will choose more consciously (‘pay for performance’) Quality and cost together drive choice I. Insurance companies contract selectively I. Insurance companies contract selectively II. Patients choose more consciously II. Price/quality ratio starts to matter!

6. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 6 Evt. klantlogo 1 x 3,56 cm... to decide where there added value lies Hospitals need information on costs / quality Strategic What care to provide, what not? Tactic/operati onal Operational excellence Steering by DRG owners Financial Communicate your performance: ‘we’re best in class’ negotiating with insurance companies I. Do what you can do well……and do that as good as you can … and communicate your results openly I. III.II.

7. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 7 Evt. klantlogo 1 x 3,56 cm Required information in a ‘balanced score card’ Quality and efficiency develivered in primary care process Patient satisfaction Market position Financial result

8. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 8 Evt. klantlogo 1 x 3,56 cm  DBC information number, code, date, age patient, zip code, gender  ICD-9 diagnosis  Activities registration OR interventions, days in hospital, visits to outpatient clinic, diagnostic heart test, endoscopies, etc  Admittance and discharge information Referred from home, which GP, referred from other hospital Discharged to home, to nursing home, to morgue Balanced score card is filled with information derived from standard hospital registrations

9. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 9 Evt. klantlogo 1 x 3,56 cm Standard MDS of Administrative Data sent to Pi server Standard ‘datadump’ from any HIS Data cleaning, validation, building data-tables Done on Pi Server Web-based application through which management information can be aggregated and put together Webfocus is front- end User in hospital only requires IE User can use > 700 KPIs, all case-mix adjusted Outsourcing the most difficult task: knowing which question to ask (quality, safety, patientcenteredness, financial) and how to ask it

10. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 10 Evt. klantlogo 1 x 3,56 cm  Voetnoot 1 Overview What brought us to Pi ® ?Proposition of Pi ® Live demonstration

11. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 11 Evt. klantlogo 1 x 3,56 cm No additional registration required Delivers trend- and benchmarkinformation about produced and experienced quality, market position and financial results... on the right levels in the hospital with clear relationsips visible beween levels continuously real-time accessible … to maximize added value per euro/dollar Pi ® gives you: 1.your own performance over time (trendinformation) 2.your performance compared to your competitors (benchmarkinformation) 3.where you have potential to improve 4.the ability to monitor your improvement Proposition of Pi ® 11

12. Versie xxx. Bijgewerkt op 27-9-2007 8:45 door xxx 12 Evt. klantlogo 1 x 3,56 cm  Voetnoot 1 Overview What brought us to Pi ® ?Proposition of Pi ® Live demonstration