HNHB LHIN Integrated Decision

Support (IDS) Business Intelligence

(BI) Solution

The “Art of the Possible”

November 2010

Overview

• Background and Groundwork

• The “Art of the Possible”

• HNHB LHIN IDS Strategy Map

• HNHB LHIN IDS Current State

• Where do we go from here? Next Steps

• HNHB LHIN IDS BI Portal Demonstration (selected Screen Shots included in your presentation)

• Appendix

IDS Architecture and Infrastructure

IDS Project Team

Background and Groundwork• The IDS Data Warehouse and Business Intelligence (BI) Solution is an HNHB

LHIN eHealth project, jointly funded by the HNHB LHIN (startup) and HNHB participating organizations (POs) in a cost sharing model

• Initiative approved by the HNHB LHIN CEO‟s, LHIN CFO‟s, and LHIN eHealth and leveraged the HNHB LHIN Memorandum of Understanding for Shared Initiatives signed by LHIN CEO‟s

• Data Sharing and Data Warehousing agreement signed by all HNHB LHIN hospitals, CCAC, CHC‟s and Cambridge Hospital (WW LHIN #3)

• Governance Structure: HNHB LHIN CFO IDS Steering Committee, HNHB LHIN DSS Operations Committee, with various HNHB IDS working groups. Host site is Hamilton Health Sciences (HHS)

• Infrastructure and system implemented in phases by HHS Decision Support (DSS) Project Team and ICT, under the direction of HNHB LHIN Decision Support Operations Committee

• Project team at HHS and vendor partners secured:

– HHS Decision Support Services (DSS)

– HHS ICT

– Farid Kassam, 3Terra and Dapasoft Strategic Vendor Partners

– Subject Matter Experts (SME) from participating organizations

• Built upon knowledge gained having a Hamilton-Wentworth shared data warehouse between HHS, SJH and Hamilton CCAC , hosted by HHS

The Art of the Possible• HNHB LHIN IDS expanded the HHS Enterprise Microsoft arrangement and

purchased the Microsoft Suite of BI Tools (SQL Server, ProClarity Analytics, OLAP Cubes, Performance Point Dashboards and Scorecards, and Advanced Reporting) to enable decision makers to view data at appropriate security levels

• IDS built with the ability to link the patient level data across multiple data sources and multiple episodes to track the flow of patients

• Timely data across the HNHB LHIN depending on data source (CIHI, ALC-IS, CCAC, CHC, Source System ADT, etc.)

• LHIN Office can see a consolidated view of Hospitals, CCAC, CHC on indicators

• Use innovative analytics and visualization techniques to link and view data

• Once infrastructure and data warehouse (DW) established, new participating organizations (POs), new providers, new data sources, other healthcare sectors, and new LHINs can be added easily

• Service Level Agreements (SLA) can then be negotiated with each PO in a cost sharing manner

• Technical infrastructure and DW architecture is built for scalability and capacity

• Secure and intuitive web-based access through a user-friendly portal accessible via eHealth network (SSHA).

HNHB LHIN IDS Strategy Map

IDS Production Site Current State• Late November 2009, the IDS BI Portal was launched in beta as „Software as

a Service‟ with 60 users that provided: – Secure access to a HNHB LHIN centralized data warehouse containing current

patient level data, linked by a unique identifier per patient, for all hospitals, CCAC, and CHC in HNHB LHIN:

• CIHI Acute Inpatients (DAD) from April 1, 2008 forward

• CIHI ER, SDS, MDC (NACRS) from April 1, 2008 forward

• CCAC CHRIS Client Data and RAI CCAC Assessment Data (2005 forward)

• MIS Trial Balances (2007/08 forward) with over 150 benchmarking reports, including LHIN #4, and CAHO Teaching Hospitals

• 7 Community Health Centres (CHC) client and provider data (go-live November 2010)

• Stats Canada 2006 Census data tables at FSA level

• HAY Level of Care Tables (Primary, Secondary, Tertiary/Quaternary)

• HNHB LHIN real time ALC-IS cube level data and reports

– WW LHIN #3 Cambridge included CIHI DAD, NACRs and MIS (October 2010)

– Out of the box „standard‟ reports, dashboards and analytical views

– BI reporting and analytical tools for ad-hoc analysis and reporting

– Secure file submission capability

– BI tools training and USER GROUP workshops

– Role based user access to different portal functionality and artifacts

• User base now around 140 users (75 analytical and remainder “readers”)

IDS Test Site Current State and next Steps– Beta Testing by HHS, CCAC and Joseph Brant on Microsoft “Report Builder”

prior to full scale launch into production and training to all current users

– Additional out of the box „standard‟ reports, dashboards and analytical views

– Additional BI reporting and analytical tools for ad-hoc analysis and reporting

– Enhanced MIS Benchmarking Reports

– Expanded/Enhanced Infrastructure improvements including improvements in Active Directory and password management

– Exploration with 2 large FHT‟s to include their physician table and present their patient‟s journey within HNHB LHIN

– Improved ALC-IS functionality

– Exploration in warehousing Inpatient Rehabilitation, Inpatient Adult Mental Health and Complex Continuing Care data

– Roll-out for general availability to “reader” (Consumer) community at organizations

– Signed agreements with Waterloo-Wellington LHIN, in addition to Cambridge, and adding their data to IDS

IDS Current Resources• Implementation and Further Development:

– 0.7 FTE Project Manager

– 0.4 FTE Business Architect

– 1.2 FTE BI Developer

– 0.2 Analyst

– Subject Matter Experts within HHS and from participating organizations as required

– HHS ICT resources on an opportunity request basis

– Strategic partner consultants as required

• Operations and Maintenance:– 0.3 FTE Project Manager

– 1.0 FTE BI Developer/DBA

– 0.2 Analyst

– Subject Matter Experts within HHS and from participating organizations as required

– Strategic partner consultants as required for operational support

• Not included is the time dedicated by the Lead HNHB LHIN IDS and Executive Sponsor (up to 0.3 FTE on some weeks)

HNHB LHIN IDS BI Portal

Demonstration

Secure, User Specific Access

https://ids.lhin4apps.ca/ids

Citrix Icon

LNHB LHIN IDS Home Page

Drill into scorecard

Updates, Events and

“Functionality

Pipeline”

LNHB LHIN IDS Submission

Submitter have “button” to bring

up submission entry screen

Reports – Organized in a Library, real-time, direct to the warehouse

Report For CCAC/Hospital Readmissions

Preset Filters for selection

Export to a variety of

Report formats:

pdf, excel, etc

Report For ED Frequent Visitors

Select a facility or ALL for entire LHIN

Unique LHIN identifier

When “click” on - more

detail about this patient

journey is available

78 ED visits in last 12 months,

126 overall, and to 11 Unique EDs

Not on CCAC admission

Mapping Dashboard – Acute InPatient Market Share by Patient‟s FSA

Mapping Dashboard – Acute InPatient Market Share Drill into Dundas (L9H)

Pick a region

Get details

Clinical Utilization Dashboard – Acute InPatient Measures Visually Displayed

Advances Analytics – using the Cubes to answer analytical questions

InstructionsUnique Features

User/Analyst Group Updates

Advances Analytics – using the Cubes to answer analytical questions

Features

Cube

CHC Mapping Dashboard Example

CHC Drill Down Example

IDS Drill Downs allow users to see

granular information that make up

aggregate counts

Advances Analytics – Online Training and Education

In addition to attending User Group Training sessions we provide “elearning”

Appendix

HNHB LHIN IDS Architecture

HNHB LHIN IDS Infrastructure

“The IDS Project Team”

IDS System Architecture

IDS Data Architecture

IDS Network Infrastructure

Finance & Integrated Health Information Services

Decision Support Services

Wendy Gerrie Director of Decision Support

HNHB LHIN IDS & HHS ATC CIO

Manager: Nancy Henderson

DSS Regional Cancer Information & Reporting

(Temporary)

Project Coordinator JCC CIU

Manager: Iveta AmovaDSS Integrated Analytics

• Information Controllers• Financial Controllers

• Program Analysts•Budget Specialist•Position Control

Manager: Karen OrescaninDSS Corporate Reporting

• MIS Reporting Specialist• CIHI Specialist

• MIS/Financial Analyst• Case Costing Specialist

Manager: Lillian VasilicDSS Business Intelligence

Solutions

Business Intelligence Developers

Database Administrator

Manager: Julie BosworthWait Times Infomatics &

Reporting

Program Analysts

Manager: Farid KassamHNHB LHINIDS Project

Marketed Services

Subject Matter ExpertsIDS Team

Bonnie StrusProgram Administration

1.0

Patti PitkeathlyProgram Administration

0.5