Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Mini Summit IV
Who is your champion of Clinical Outc...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Safe Harbor Statement
The following is intended to o...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Program Agenda
1
2
3
4
Introductions & Organization ...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Introductions
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Introductions
Oracle Confidential – Internal/Restric...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Oracle & Perficient
$5B R&D Investment
Industry & Ex...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
National Healthcare Industry Practice
Oracle Confide...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Attendees Preference for Change
Oracle Confid...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Industry Drivers
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
http://healthit.gov/sites/default/files/ONC10yearInt...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Industry Drivers – Value Based Purchasing
• HHS rece...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Industry Drivers – Utilization Management
• Movement...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Learning Organization
Oracle Confidential – Internal...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Check the Bucket? Or Transform Outcomes?
Oracle Conf...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Patient Engagement Framework
Oracle Confidential – I...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Question 1
Oracle Confidential – Internal/Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Answer 1
Oracle Confidential – Internal/Restr...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | 21
Integrated
Analytics
Clinical
Research
Operationa...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Case Study – Known Unknowns
Oracle Confidential – In...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Diabetes
CHF
COPD
Asthma
Wellness
Health Risk Assess...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Question 2
Oracle Confidential – Internal/Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Answer 2
Oracle Confidential – Internal/Restr...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
How to Do It
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
How to do it? People, Process, Technology
Oracle Con...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Process Management
Oracle Confidential – Internal/Re...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
IT Portfolio Governance (example)
Oracle Confidentia...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Data Governance
Oracle Confidential – Internal/Restr...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
IT Infrastructure
Oracle Confidential – Internal/Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Donabedian Model
Oracle Confidential – Internal/Rest...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
NQMC & Donabedian
Oracle Confidential – Internal/Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Question 3
Oracle Confidential – Internal/Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Answer 3
Oracle Confidential – Internal/Restr...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Where to Focus:
• First and foremost – any/all
inves...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Purpose Built Healthcare Decision Support
Oracle Con...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Our Customers
39Oracle Confidential – Internal/Restr...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Poll – Attendees Preference for Change
Oracle Confid...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Res...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. |
Safe Harbor Statement
The preceding is intended to o...
Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Res...
Population Health Colloquium 2015: Mini Summit IV: Who is Your Champion of Clinical Outcomes? Navigating Enterprise-Wide A...
Population Health Colloquium 2015: Mini Summit IV: Who is Your Champion of Clinical Outcomes? Navigating Enterprise-Wide A...
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Population Health Colloquium 2015: Mini Summit IV: Who is Your Champion of Clinical Outcomes? Navigating Enterprise-Wide Analytics and the Digital Safety Net

Oracle and Perficient presented at the 2015 Population Health Colloquium. In this presentation thought leaders explored four types of change (Evolutionary, Disruptive, Imposed and Deliberate) and how all are needed in Healthcare. The discussion covered challenges and goals of integrating analytics (including retrospective data) into the clinician workflow within the EMR and how the Chief Informatics Officer is the best organizational role to champion analytics.
Published on: Mar 4, 2016
Published in: Technology      
Source: www.slideshare.net


Transcripts - Population Health Colloquium 2015: Mini Summit IV: Who is Your Champion of Clinical Outcomes? Navigating Enterprise-Wide Analytics and the Digital Safety Net

  • 1. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Mini Summit IV Who is your champion of Clinical Outcomes? Navigating enterprise-wide analytics and the digital safety net • Oracle • Perficient • March 24, 2015
  • 2. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Safe Harbor Statement The following is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material, code, or functionality, and should not be relied upon in making purchasing decisions. The development, release, and timing of any features or functionality described for Oracle’s products remains at the sole discretion of Oracle. Oracle Confidential – Internal/Restricted/Highly Restricted 3
  • 3. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Program Agenda 1 2 3 4 Introductions & Organization Overview Industry Drivers for Enterprise-Wide Analytics Being the Champion of Clinical Outcomes Questions & Wrap Up Oracle Confidential – Internal/Restricted/Highly Restricted 4
  • 4. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Introductions
  • 5. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Introductions Oracle Confidential – Internal/Restricted/Highly Restricted 6 For over 9 years, Oracle and Perficient have partnered to deliver a variety of high-quality and cost-effective solutions to help healthcare organizations adapt to the ever-changing healthcare market. Oracle Health Sciences Global Business Unit Lesli Adams, MPA Director, Healthcare Strategy Lesli is a clinical measurement advocate with over 18 years of healthcare analytics and business intelligence experience covering for-profit, state, academic and federal healthcare including ambulatory clinic management, comparative effectiveness evaluation, evidence-based medicine, population health and clinical data warehousing. Prior to joining Oracle, Lesli championed activities with Tenet, MD Anderson, The University of Virginia Medical Center, the US Navy and was the Practice Director for Oracle Healthcare Analytics at Perficient. Perficient National Healthcare Practice Terie McClintock, MBA Oracle Channel Executive Terie is responsible for providing healthcare subject matter expertise to the Perficient healthcare and Perficient Oracle national teams while also cultivating and managing the Oracle partner ecosystem. Terie has more than 25 years of IT experience. Prior to joining Perficient, she worked for MD Anderson Cancer Center and IBM.
  • 6. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle & Perficient $5B R&D Investment Industry & External Validation & Recognition 7Oracle Confidential – Internal/Restricted/Highly Restricted e Corporation enue on a trailing basis* uct/industry omers in 145 rs oyees velopers in Oracle unities • 32,000 developers and engineers • 18,000 customer support specialists, speaking 27 languages • 17,000 implementation consultants • 1.5 million students supported annually • 850 independent Oracle user groups with 800,000 members • $4.5 Billion in R&D (2011) ►Innovation Oracle’s commitment to R&D creates technology to fuel innovation SD as of August 31, 2011`
  • 7. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | National Healthcare Industry Practice Oracle Confidential – Internal/Restricted/Highly Restricted 8 blogs.perficient.com/healthcare • NASDAQ: PRFT • Healthcare is largest industry practice • Over 2,000 employees • 27 offices in NA • $400 MM+ annualized revenue • 200+ Oracle consultants
  • 8. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Attendees Preference for Change Oracle Confidential – Internal/Restricted/Highly Restricted 9 Disruptive Imposed Evolutionary Deliberate
  • 9. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Industry Drivers
  • 10. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Restricted 11
  • 11. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | http://healthit.gov/sites/default/files/ONC10yearInteroperabilityConceptPaper.pdf Oracle Confidential – Internal/Restricted/Highly Restricted 12 ONC – 10 Year Vision To Achieve an Interoperable HIT Infrastructure
  • 12. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Restricted 13 1. Delivers quality services to all people, when and where required 2. A robust financing mechanism 3. A well-trained and adequately paid workforce 4. Reliable information on which to base decisions and policies 5. Well maintained facilities and logistics to deliver quality service How do we improve outcomes without raising costs?How do we improve outcomes without raising costs? Are we able to recruit, train and retain the right people?Are we able to recruit, train and retain the right people? Do we control the equation of revenues and service delivery?Do we control the equation of revenues and service delivery? Do we understand the cost of delivering care?Do we understand the cost of delivering care? Do we have the right technology to meet our challenges?Do we have the right technology to meet our challenges? The Leading Hospitals (WHO, USNWR)
  • 13. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Industry Drivers – Value Based Purchasing • HHS recently announced that by 65% of CMS payments will be tied to a KPI (Quality Metric) the end of 2016 and 90% by the end of 2018 • Incentives for investments “transactional” systems are ending soon (MU3) and giving way to incentives for “analytic” systems Oracle Confidential – Internal/Restricted/Highly Restricted 14
  • 14. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Industry Drivers – Utilization Management • Movement from FFS to Full Risk requires providers to better manage utilization • Appropriateness, Effectiveness, and Cost require measurement at a much finer granularity than ever before • An imposed change is forcing the industry to seek best practices learned from thoughtful, evolutionary investments • Interoperability challenges remain, but incentives are increasing to meet the needs Oracle Confidential – Internal/Restricted/Highly Restricted 15
  • 15. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Learning Organization Oracle Confidential – Internal/Restricted/Highly Restricted 16 Impact on Healthcare Transformation
  • 16. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Check the Bucket? Or Transform Outcomes? Oracle Confidential – Internal/Restricted/Highly Restricted 17
  • 17. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Patient Engagement Framework Oracle Confidential – Internal/Restricted/Highly Restricted 18
  • 18. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Question 1 Oracle Confidential – Internal/Restricted/Highly Restricted 19 HIMSS/NeHC patient engagement framework encourages the integration of enterprise-wide analytics to support patient care coordination. From this presentation, how much of the framework is based on analytics? (a)25% (b)50% (c)75% (d)100%
  • 19. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Answer 1 Oracle Confidential – Internal/Restricted/Highly Restricted 20 HIMSS/NeHC patient engagement framework encourages the integration of enterprise-wide analytics to support patient care coordination. From this presentation, how much of the framework is based on analytics? (a)25% (b)50% (c)75% (d)100%
  • 20. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | 21 Integrated Analytics Clinical Research Operational Decision Support Financial Clinical - Population Health “Are our chronically ill patients managed for all their co-morbidities?” Decision Support - ACO “Are we able to competitively bid and negotiate payor contracts for emerging reimbursement models?” Research – Emerging Science “How do we find our pediatric patients with inherited genetic variation to treat their NBL?” Multiple Data Sources Make Producing Usable Analytics Extremely Challenging Oracle Confidential – Internal/Restricted/Highly Restricted
  • 21. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Case Study – Known Unknowns Oracle Confidential – Internal/Restricted/Highly Restricted 22 All CHCO Patients with Patient Diagnoses of EpilepsyAll CHCO Patients with Patient Diagnoses of Epilepsy Prior 3 yearsPrior 3 years Outside 3 year windowOutside 3 year window 1 EPI Dx1 EPI Dx >=2 CHCO Visits>=2 CHCO Visits No EPI DxNo EPI Dx 18th Birthday18th Birthday< 18 yo< 18 yo CHCO >=1 Visit, All DxCHCO >=1 Visit, All Dx UCH-AMC >=1 Visit, All DxUCH-AMC >=1 Visit, All Dx UCH-All >=1 Visit, All DxUCH-All >=1 Visit, All Dx OtherOther Date of First Visit (DFV)Date of First Visit (DFV) Off GuidelineOff GuidelineEEG, CT, or MRIEEG, CT, or MRI <=12 mns from DFV<=12 mns from DFV >12 mns from DFV>12 mns from DFV In ScopeIn Scope Not in ScopeNot in Scope Scenario 1.1 Scenario 1.2 Transition from Pediatric to Adult Epilepsy Care
  • 22. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Diabetes CHF COPD Asthma Wellness Health Risk Assessment Patient Portal Gamification Professional Services Patient Registries Outpatient Pharmacy Claims / PBM Health Plan – Self Insured Provider Scorecard @ Risk with Payors CMS Value Based Payment Case Managers / UM Ambulatory Health Promotions Nurse Educators Health Coaches / Navigators Nutritionists Smoking Cessation In Clinic Telephonic Care Coordination 12
  • 23. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Question 2 Oracle Confidential – Internal/Restricted/Highly Restricted 24 Which of the following is not a part of the federal analytic landscape from the presentation? (a)Meaningful Use (b)Medical School curriculum (c)Accountable Care (d)Population Health
  • 24. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Answer 2 Oracle Confidential – Internal/Restricted/Highly Restricted 25 Which of the following is not a part of the federal analytic landscape from the presentation? (a)Meaningful Use (b)Medical School curriculum (c)Accountable Care (d)Population Health
  • 25. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | How to Do It
  • 26. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | How to do it? People, Process, Technology Oracle Confidential – Internal/Restricted/Highly Restricted 26 Process Management IT Portfolio Governance Data Governance Project Steering IT Infrastructure
  • 27. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Process Management Oracle Confidential – Internal/Restricted/Highly Restricted 28 • Operationally Focused • Operational Efficiency • Systems Management • Performance Improvement • Data Governance • Project Focused • IT Portfolio Management • Project Steering
  • 28. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | IT Portfolio Governance (example) Oracle Confidential – Internal/Restricted/Highly Restricted 29 EDW EDW M1 M2 M3 M4 M5 M6 M7 M8 M9 M10 M11 M12 M13 M14 M15 M16 M17 M18 Precision Medicine Precision Medicine Initial Quality Measures Initial Quality Measures Nursing Magnet Analytics Nursing Magnet Analytics HR Analytics HR Analytics Program Management Advanced Costing Models Advanced Costing ModelsHigh Performance Costing Expressway High Performance Costing Expressway Roadmap & Infrastructure Additional Analytics Additional Analytics Envision Execute Evolve
  • 29. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Data Governance Oracle Confidential – Internal/Restricted/Highly Restricted 30 • Source of Truth • Clinical • Clinical Research • Translational • Finance / Administration • Terminology • Standard Code Sets • Authoring Codes • Best Practices / Master Data Management
  • 30. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Restricted 31 Project Manager | Solution Architect | Engagement Director Client Project LeadershipPMO & Delivery Directors Client Project SponsorsExecutive Leadership On-going Support Team • Mobilization • Post Launch • Steady State • Training Support Software Support Team • Product Releases • Defect Resolution • Up to 24x7 Coverage • Training Support Peer Group Support • User Conferences • Industry Events Project Steering
  • 31. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | IT Infrastructure Oracle Confidential – Internal/Restricted/Highly Restricted 32 • Security • Servers • Database • Software • Standards People and Process!!
  • 32. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Donabedian Model Oracle Confidential – Internal/Restricted/Highly Restricted 26 Structure Process Outcome
  • 33. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | NQMC & Donabedian Oracle Confidential – Internal/Restricted/Highly Restricted 34
  • 34. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Question 3 Oracle Confidential – Internal/Restricted/Highly Restricted 35 From the presentation, which role is the recommended choice champion of enterprise-wide analytics? (a)Chief Financial Officer (b)Chief Information Officer (c)VP of Decision Support (d)Chief Medical Informatics Officer
  • 35. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Answer 3 Oracle Confidential – Internal/Restricted/Highly Restricted 36 From the presentation, which role is the recommended choice champion of enterprise-wide analytics? (a)Chief Financial Officer (b)Chief Information Officer (c)VP of Decision Support (d)Chief Medical Informatics Officer
  • 36. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Where to Focus: • First and foremost – any/all investments should be made for the benefit of the individuals receiving your care • Precision Medicine = Individualized Care + Shared Decisions + Population Management + Ubiquitous Health Oracle Confidential – Internal/Restricted/Highly Restricted 37
  • 37. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Purpose Built Healthcare Decision Support Oracle Confidential – Internal/Restricted/Highly Restricted 38 Faster Time-to-Value, Lower Overall Cost-of-Ownership Best-of-Breed, Scalable Technology Productized Solution That’s Extensible and Can Be Customized Comprehensive Solution with Both Oracle and “Healthcare Partner Program” Partner Applications Continuing to InnovateOperational Efficiency Enterprise Analytics Converge Health Purpose-built for Healthcare Value Chain By World’s Leader in Data Warehousing and Analytics
  • 38. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Our Customers 39Oracle Confidential – Internal/Restricted/Highly Restricted
  • 39. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Poll – Attendees Preference for Change Oracle Confidential – Internal/Restricted/Highly Restricted 40 Disruptive Imposed Evolutionary Deliberate
  • 40. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Restricted 41
  • 41. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Safe Harbor Statement The preceding is intended to outline our general product direction. It is intended for information purposes only, and may not be incorporated into any contract. It is not a commitment to deliver any material, code, or functionality, and should not be relied upon in making purchasing decisions. The development, release, and timing of any features or functionality described for Oracle’s products remains at the sole discretion of Oracle. Oracle Confidential – Internal/Restricted/Highly Restricted 42
  • 42. Copyright © 2014 Oracle and/or its affiliates. All rights reserved. | Oracle Confidential – Internal/Restricted/Highly Restricted 43

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