WhiteCloud Analytics€¦ · Cloud Data Processes 7 Automate Analyze Engage Improve •Automated Online Access •Advanced Analytics •Promotes Transparency •Enables Simultaneous

WhiteCloud AnalyticsHarnessing the power of data to enable better healthcare.

Healthcare Analytics:

A Roadmap to Reform

October 2, 2012

Jane Cardoso

Healthcare Solutions Manager

2. WhiteCloud History & Team

WhiteCloud Confidential and Privileged

The WhiteCloud Team

AdvantageDatabase™

1990 20102000

(2nd largest software company)

(Largest software company)acquired by

acquired by

Team: Key

AccomplishmentsVA System #1 on #1… Clalit,

Joint Commission,

etc. > 1200 customers

40+ Industry Awards

for Innovation6 Key Patents

in Analytics

Mission: Harness

the power of data

to empower

better healthcare

Mission: Harness

the power of data

to empower

better healthcare

WhiteCloud Analytics

Business Intelligence

Consulting ServicesHarnessing the Power of Data

Analytic Applications

Strategic Outcomes

in Pursuit of the Triple Aim

• BI Optimization Planning

• Custom Solution Development

• Acute Foundations

• Clinical Integration Foundations

• Network Integrity Foundations

• PCMH Foundations

• Disease Management Foundations

• Revenue Cycle Optimization

Harnessing the Power of Data to Enable Better Healthcare.


Objectives

• Demonstrate the power of automation:

– Automated data processing

– Automated analytics

• Demonstrate how WCA applications can empower

health systems on their reform journey


Environment: Exploding Data Dilemma

TIME

Data

Fact Gap

Reports and Spreadsheets

Staff and Analysts

Opportunity:• Automate information analysis

• Accelerate and enhance

decision making


Today’s Data Processes:

Reference

Data

Captured

Data

IT Person

or Analyst

Rows &

Columns

Report

Analyst or

Maker

Analyst or

Decision

Maker

Decision

Maker SpreadsheetSpreadsheetExcel

Gather Data Build Meaning Understand

6

•Manual

• Slow

• Laborious

• InconsistentWhiteCloud Confidential and Privileged

7

Cloud Data Processes

7

Analyze Engage ImproveAutomate

• Automated Online Access

• Advanced Analytics• Promotes Transparency

• Enables Simultaneous ImprovementWhiteCloud Confidential and Privileged

Volume Value

FFS Bundled Payments

MSSP

PCMH

ACO

• Want volume• Services-lines are

profit centers• Everything is in a silo• Low accountability

• Value = Quality / Cost• Paid for quality; rewarded

for reducing cost• Demands transparency• “Accountable care”

Massachusetts – Chapter 224• Accountable for spending growth

• Encouraging ACO structures

• Driving away from FFS

Environment: The Reform Continuum

“We are ushering in the end of the FFS care system in

Massachusetts in favor of better care at lower cost.”

Governor Deval PatrickWhiteCloud Confidential and Privileged

Three Systems, Same Journey


Medium, ACOLarge, integratingSmall, integrating

Volume Value


MSSP

PCMH

ACO

Improve Inpatient Outcomes: Increase Quality / Reduce Cost

Population Health Management &

Physician Integration



AF

CI

WhiteCloud Solutions

Referral volume & growthKeep patients in system for health

management

Keep patients in system for health

managementNI


Volume Value


MSSP

PCMH

ACO

Improve Inpatient Outcomes: Increase Quality / Reduce Cost AF



An analytical application that provides a compass

to identify variation and drive to model standard

Transform this…. to this….

ALOS, Charges, QualityALOS, Charges, Quality

Provide information to all decision-making levels and across silos

Hospitals

SpecialistsNursing

Units

Physician Groups

Hospital Services

Executives

Administrators/ Medical Directors

Chiefs/Physicians

Care Teams

Acute Foundations


Metrics*

• ALOS

• Excess Days

• Charge Analysis

• Mortality

• HACs

• PSIs

• Readmissions

• Nursing Quality

• Core Measures

• Patient Satisfaction

• Care Transition Measures

Points of Responsibility

• Hospital

• Nursing Unit

• Hospital Service

• Physician

• Specialty Groups

• DRG, DRG Group, DRG Triad

Acute Foundations

* Takes ~ 12 hours for data team to load administrative data.


Discover

Model

Improve

Monitor

Acute Foundations

Live Demo WhiteCloud Confidential and Privileged

Impact 14 months after deployment:

� 36% improvement in Risk Adjusted Mortality Index

� 46% improvement in Complication Rate

� 5.74% increase in Perfect Care (53.7% decrease in Imperfect Care)

� 3.16% increase in HCAHPS “Always” responses

� Readmissions – 45 fewer readmissions in Cardiology, Substance Abuse and Sepsis; $726K avoided charges

� $101.6M Variation Identified in Top 10 DRGs

Acute Foundations Results


Volume Value


MSSP

PCMH

ACO






AF

CI



Better

Care

Better

Health

Lower

Cost

Clinical Integration Foundations

Clinical

Integration

Clinical

Integration


WhiteCloud Analytics confidential and privileged 18

Triple Aim

• Better Health• Prevention & Screening

• Disease Management

• Better Care• Patient Safety

• Readmissions

• Clinical Quality

• Patient Satisfaction

• Lower Cost • Pharmacy

• Supply Chain

• Physician Productivity

Audience

• Physician Executives

• Medical Directors

• Chiefs

• Physicians




Department

Director View


Individual

Physician View






Patient

Detail



Self

Reporting


Supports reform and accountable care structures

PCMH, Disease Management

Clinical Integration, ACO, VBP MSSP – 33 metrics



Volume Value


MSSP

PCMH

ACO






AF

CI



management


managementNI


Transition from “the hospital” to

“the integrated health care delivery system”

Network Integrity Foundations

• Identify where and why service lines are losing business

• Improve patient/physician satisfaction while achieving a

healthier bottom line

• Facilitate care coordination and population health

management


Charles Smith, MD | My Account | Log Out

Integrated Care Network

Home

Network Health

Utilization Gaps

Providers

Provider Groups

Providers

PI Plans

Service Line

Getting Started Guide

Utilization Gaps

Last 12 Months

$2.1B

Volume

$3.1B

Potential Volume

$148M

$95M

Direct Leakage

Indirect

Leakage

In the last 12 months, volume is increasing, and the gap as a percent of total volume is flat.

The top 34 physicians make up 51% of the gap ($100.4M)

The top 10 offices make up 51% of the gap ($120.9M)

The top 3 subspecialties make up 60% of the gap ($150.2M)

The top 2 regions make up 72% of the gap ($115.3M)

Alyson Erwin





Home

Network Health

Utilization Gaps

Providers

Provider Groups

Providers

PI Plans

Service Line


Provider Groups

The providers might be using out of network specialists in these areas.The providers appear to be using hospital services at an appropriate

level.

Family Medicine Clinic

Family Medicine ClinicFull Utilization





Home

Network Health

Utilization Gaps

Providers

Provider Groups

Providers

PI Plans


Providers

The providers might be using out of network specialists in these areas.The providers appear to be using hospital services at an appropriate

level.

Family Medicine Clinic

Julie Brown, MDFull Utilization

Julie Brown, MD





Home

Network Health

Utilization Gaps

Providers

Provider Groups

Providers

PI Plans

Service Line


Total Utilization

$90M

$0

$60M

$30M

$120M

NetworkNonNetwork

Total charges: 85.1M

Network: 74.1M

Nonnetwork: 11.0M

+4.1%

+3.9%

1.5%

Overview

Events

Acquired Mountain View Tumor Institute

Add event

This increased volumes in oncology by about 30%, starting in

January.

More events (4)

A

Change

3 Months

AB

C

D

Jul Oct Jan JulApr Oct Jan

20092008 2010

E

Last 3 Months

Service Volume

Inpatient

Outpatient + Clinic$42.1M

$35.6M +0.4%

+1.4%

24 Month Trend Mar 2010

Change Last

3 Months

Service Mix

+0.9%Inpatient

44.2%

0.9%Outpatient + Clinic

55.8%

Mar 2010




“Since this was deployed, we have found areas of improvement

around capacity and satisfaction issues. Long wait times and

customer service issues were negatively impacting our care

coordination efforts.”

$80M in identified services leaking from the system

$24M opportunity in the following areas:

– Outpatient imaging

– Cancer care services

– Surgical services

– Cardiovascular services


Volume Value


MSSP

PCMH

ACO






AF

CI



management


managementNI


Clinical Integration

Accountable Care

Profiling

Acute Foundations

High Risk Care

Commercial ACO

Analytics Roadmap

Network Integrity

“WhiteCloud applications answer questions you

haven’t thought of, not just those you have”

CMO, Top 10 U.S Hospital

PCMH


Contact Info

Jane Cardoso

Healthcare Solutions Manager

[email protected]

For More Information:

www.whitecloudanalytics.com

34

Appendix

ACOs in the United States

Documents

WhiteCloud Analytics€¦ · Cloud Data Processes 7 Automate Analyze Engage Improve •Automated Online Access •Advanced Analytics •Promotes Transparency •Enables Simultaneous