Healthcare Analytics

August 2011

©Bellis-Jones Hill 2011

What if you could answerany question about your Trust?

What really affects profitability?

Providers – Physicians / Nurses / Clinicians

Hospital / Clinic

Hospital System

• Diverse user communities• Wide variety of questions• Unpredictable situations• Cumulative value

Patients & Care Givers, Payers

Putting meaningful answers at the fingertips of operational decision makers is the key to driving

performance

Healthcare Trends

Increasing compliance pressures Higher patient volumes Profitability challenges and cost reduction objectives Performance improvement – quality, efficiency & cost Improving the patient experience Hospital consolidations Mobile for clinicians, nurses, and medical technicians Trusts actively embracing Data Discovery and QlikView

to help solve problems with traditional systems and data

Common challenges•Managing to a Balanced Scorecard• Increasing and Improving Performance Management•Gain Predictive Analysis and run What-if Analysis• Implement and Assess Activity-Based Management

Executive

•Gain True Patient Level Costing•Enable Full P&L Analysis by Service Line•Optimize and Run Scenarios for Risk Management & Sustainability Reporting•Analyze and Optimize Workforce and Benefits

Finance & HR

• Improve and Optimize Demand Planning•Enable Procurement Analysis•Determine, Gauge and Track Supplier Performance•Optimize and Improve Inventory Management (Pharmacy)

Supply Chain

• Improve and Optimize Planning & Scheduling• Improve Waiting List Management•Maximize Bed Management / Usage•Streamline and Optimize Theatre Utilisation

Operations

•Analyze Clinical Outcomes•Track and Improve Patient Experience•Maximize Clinical Financial Performance•Provide Length of Stay Analysis and Minimize Patient Length of Stay

Clinical

•Track Sickness and Absence •Analyze Employee Cost / Income • Improve and Optimize Staff Utilization•Analyze and Improve Workforce Efficiency

Workforce Managemen

t

The challenges need the right toolBusiness IntelligenceBusiness Intelligence

Operational BI Reporting Predictive Modeling

How would you write a report to answer the following questions?

Who are my best-performing clinicians? What are my most costly procedures and why? Can we reduce cost and improve patient outcomes in theatre?

Traditional BI tools that use pre-aggregated information or pre-defined views do not provide answers to ad-hoc questions

A new kind of software

World’s fastest-growing BI vendor

U.S. based company, founded in 1993 in Sweden

19,000 customers in 100 countries

1,100 global partners High customer success rate 96% customer satisfaction rate

Ground breaking reporting and analysis tool Intuitive and simple user interface displays complex

information in a way that is easy to understand Wide audience can view and analyse

data from multiple sources Bellis-Jones Hill one of only 20 worldwide

Elite Partners and one of only 3 in UK

QlikView data discovery

Seeing is believing

In 2-3 days, we will build any Trust a working QlikView application using its own data

Customer satisfaction

BI Initiative Success and Satisfaction• 90% of customers are satisfied with QlikView

ROI (Return On Investment)• 85% of customers had payback in less than 1 year

Time to Value60% deployed QlikView in 1 Month

87% deployed QlikView in 3 Months

50% reduced information access + analysis time by 50–99%

-100 0 100

Findings from independent survey of QV Financial Services and Insurance customers

Over 30 NHS Trust Clients Specialists in Healthcare Analytics, Cost

Management and Performance Improvement One of only 3 Elite QlikView partners in the UK, with the experience to de-risk implementation

Sole UK distributor of the Prodacapo Service Line Management System

Why Bellis-Jones Hill

What do we do offer?

Healthcare Analytics for:Service Line Reporting Patient Level CostingAccident and EmergencyPathologyRadiologyCommissioning Data SetsPerformance ImprovementFast reporting & analysis solutions

What do we do offer?

PlusService Line Reporting & Management Patient Level CostingReference CostingTrust Management Balanced ScorecardsPerformance ImprovementReporting & Analysis solutions

Some of our Healthcare Clients

Wrightington, Wigan and Leigh NHS Foundation Trust

Royal Surrey County Hospital NHS Foundation Trust

Liverpool Heart and Chest Hospital NHS Foundation Trust

The Walton Centre NHS Foundation Trust

*Gartner: Magic Quadrant BI Platforms 2011

“Ease of use drives user adoption.”

“…architecture and go-to-market approach continue to deliver a high degree of customer satisfaction…”

QlikTech Named Leader by Gartner in2011 Magic Quadrant for BI Platforms

How does QlikView provide answers?

Explore and analyse patient length of stay, patient satisfaction, clinical performance, clinical supply chain etc

Learn from the results, make associations, and ask follow-up questions

Associative Search

Utilise across your Trust on a daily basis to drive better performance

Gain insights needed to make faster, more informed decisions

– A new paradigm for interactive data analysis that works the way your mind works

– Puts analytical power into the hands of ordinary business users

– Enabled by QlikTech’s patented in-memory associative database technology

– Driven by huge advances in computing power

Where does the real value of an application lie?

+ = Value

• Reduced license cost• Reduced consulting

spend• Reduced systems

maintenance• Reduced development

costs and timelines• Reduced reporting FTE’s

and costs• More efficient training• Improved adoption• Reduced technology risk

Technology Costs

• Increased knowledge sharing across physicians to improve patient costs

• Lower clinical supply costs and better supply management

• Improved patient outcomes

• Better, optimum staffing

Business Benefits

ROI is often measured in terms of technology cost reduction. However, the real value exists in improving performance. This can only be achieved by matching the right tools to the right types of problems.

The QlikView Difference:The Associative Experience

QlikView applications in HealthcareWaiting time analysis

Length of stay analysis and optimisation

Procedure cost analysis and optimisation

Patient-level costing

Staffing planning and optimisation

Supply and demand planning

Patient satisfaction analysis, reporting and improvement

Clinical performance analysisHealthcareApplications

The QlikView experience Delivers the big picture and deep drill-down Consolidates information rapidly from any data source Searches data with Google-like ease Visualizes data with state-of-the-art graphics Forecasts, trends and creates ‘what-if’ scenarios Self-service custom apps and dashboards Access anywhere: desktop, mobile, cloud Complementary to traditional BI and reporting

QlikView Mobile Goes Where You Go

Anytime access on iPhone, iPad, Android, and BlackBerry

Total freedom from the desktop

Delivers: Dynamic, interactive data

analysis

Visual dashboards

Associative search

GPS-sensitive filtering

What type of mobile capabilities do you need?

• A doctor walks into his patient’s room at the hospital shortly after surgery

• He has done some initial preparation for the post op consultation, but he doesn’t know what questions the patient may have

• Ultimately discussions arise around what are the next steps for recovery with rehabilitation and past history of the patient with respect to drug reactions…

Healthcare

By putting the full power of QlikView on mobile...

It’s not just about being mobile, it’s about enablingmobile data discovery

• The doctor accesses a complete set of up-to-date patient history records

• He makes a few selections and notices that the patient will need a different drug therapy, based upon historical reactions to certain drug types

• He then discusses this information and the choices with the patient, a decision is made, and the doctor sends a prescription to the pharmacy

Healthcare

Customer feedback

18% decrease in operating costs

38% increase in employee productivity

21% increase in revenue

25% increase in cash flow

2% decrease in reporting overhead

29% decrease in BI overhead

54% decrease in TCO

Business Value IT Value

Findings from independent survey of QV Financial Services and Insurance customers

Cambridge University Hospitals NHS Foundation Trust

Tightened range and increased day case range from 26% - 96% to 86% - 98%, reducing hospital overnight stays and cost.Significant improvement in patient care

Challenges• Need to make Patient Level Costing available cross-organization. • Wanted a system which would make information more easily

accessible, easier to understand and fully transparent

SolutionDeployed QlikView Patient-level Costing for:• Financial Analysis• Patient Care & Safety• Patient Satisfaction and Experience Analysis• Clinical Excellence• Costing

Results• Can now attribute resources, activity, costs to individual patients • Users can easily drill down to detailed patient and staff data and are

able to answer any questions raised, view information that people had never been able to easily access before

• Managers can respond to the needs of front line staff• Solutions was implemented in a few weeks

One of the UK’s leading teaching hospitals, a world-leader in clinical research, supporting 1,200 beds with 500,000 patients per year

Blekinge Hospital

1.1M (€ 850K ) savings in the first yearReduced wait times for patientsImproved treatments by using data

Challenges

•Decrease expenditures for prescribed medical products by increasing prescriptions for lower cost medicine•Improve the availability of services to reduce patient waiting times•Increase the capacity of the hospital to meet increasing medical demands with existing resources

SolutionDeployed QlikView to 2,400 employees, across 4 functions for:• Enterprise Risk Management• Claims Performance Analysis• Underwriting Analysis• Enrollments & Provider Relations

Results• Shortened waiting times for patients by monitoring inflow patterns• Increased operational efficiencies by benchmarking against other

hospitals• Improved treatment recommendations by analyzing survival

expectancy data• Reduced annual medical costs by 5% or €850,000 by analyzing

prescription patterns

Leading healthcare provider in Sweden supporting more than 500,000 patient visits annually, with 5,000 employees.

Children’s Healthcare of Atlanta

65% reduction in reporting timeReduced cost and improved quality & outcomesEliminated 10-12 wait days per query

Challenges• Enable exploration and understanding of data for informed and

precise decision making • Fulfill user requests for dimensional analysis, self-service data, user-

oriented queries, data mashups and interactive dashboards

SolutionDeployed QlikView to 500 employees for:• Revenue management• Service line spending• Research hypotheses • Waste reduction & cost effectiveness

Results• Gained visibility of the answers needed to reduce costs, increase

quality, ensure compliance and improve outcomes• Reduced reporting time by more than 65%• Decreased constant reliance on IT for reporting and analysis• Eliminated 10-12 day waiting period for research-related queries

One of the largest clinical care providers for children in the U.S. ranked among the top children’s hospitals by U.S. News & World Report, managing more than half a million patient visits annually at 3 hospitals and 16 locations.

Quotes and Testimonials

“It is very easy to review operational data in QlikView. In fact, all of the applications even become part of our quality check. Between 2003 and 2004 we lowered our costs for prescribed medical products by €850,000 or 5% of the total cost. It is a great advantage to us that we, who know the business, are able to design the applications ourselves. ” Leif Fransson, IT Analyst, Blekinge County Council

“These are intuitive decisions we might have made otherwise, but now they have been backed up by irrefutable data. It's not a problem for our surgeons or anesthesiologists to accept this as the data we need to act on.”

Kathleen Brooks, Administrative Director for Perioperative Services Bassett Healthcare

“QlikView goes beyond traditional BI tools to provide our users with direct access to intelligence that can immediately impact quality of care, influence clinical research and improve operational efficiencies. In four months of using QlikView, we developed more applications and dashboards than we had in two years with other BI tools.” Michael Thompson, Director of Business Intelligence, Children’s Healthcare of Atlanta

“We can easily drill down to detailed patient and staff data which means resources, activity, costs and income can be attributed to individual patients wherever possible. We have never before had that level of valuable information across our key priority areas at our fingertips, all accessible from one central portal. It has changed the way we work!”

Joe Ghosh, Head of Performance Intelligence, Cambridge University Hospital

Quotes and Testimonials

“QlikView dramatically reduces the time to answer business and clinical questions. It’s helping ThedaCare transition from standard static reporting to a truly analytical environment where any information can be rapidly accessed, analyzed and viewed exactly as needed.”

Brian Veara, Manager of Decision Resources,ThedaCare

“QlikView not only allows us to cut reporting time to a third of what it was in the past, but it gives our end users the true visibility they’ve wanted for so long. I’ve been working with BI tools for over 20 years, and this is the first time I’ve seen business users embrace the technology instead of avoiding it.”Michael Thompson, Director of Business Intelligence, Children’s Healthcare of Atlanta

“We had the option of adding an FTE to address the mounting reporting requirements. Implementing QlikViewhas allowed us to keep up with the current reporting needs and begin answering questions once deemed impossible or impractical.”

Bill Cole, Senior Manager Finance, Sibley Heart Center Cardiology

“I think most healthcare CEOs are always sceptical about IT, IS solutions, but in 20 years as a CEO I have never seen a better investment from information systems, it’s as simple as that. So the return on investment is the best I’ve ever seen in a healthcare environment.”

Dr. Gareth Goodier, CEO, Cambridge University Hospital