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Current Healthcare Key Performance Indicators (KPIs) assess the effect of organizational behaviors in the past but don’t tell us which behaviors contributed positively and negatively. In order to drive future KPIs, we need to identify and measure the adaptive behaviors that are influencing performance today and link those measures to interventions that will improve performance tomorrow.
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Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Proprietary and Confidential© 2014, John W. Kenagy, MD
Follow the discussion on Twitter, #TimeforAnalytics
A conversation between Dale Sanders and John Kenagy, MD
Transforming Healthcare:
Data is Necessary But Insufficient. What else is Necessary?
Adaptive Design is a registered trademark of John Kenagy
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Introductions
• Dale Sanders, Senior VP, Strategy, Health Catalyst
• @drsanders
• http://www.linkedin.com/in/dalersanders/
• Dr. John Kenagy• [email protected]
• www.linkedin.com/in/johnkenagymd
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics 4
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics 5
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data and Adaptive Capacity
1. Take Action – strategically create and measure new adaptive capacity.
2. Accelerate Progress – methods and data necessary to increase your Adaptive Capacity Index.
3. Develop Mastery – align people and data to predict your Key Performance Indicators (KPI’s) 3-6 months in advance
The Key Takeaways
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adapting
Tree? [email protected]
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
The Promise of Managed Care
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
The Cold, Hard Reality
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0
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United States Canada
Netherlands Germany
Australia United Kingdom
New Zealand
Cost
Neth 1
UK 2
AUST 3
NZ 4
GER 5
CAN 6
US 7
Quality
©OECD, 2008
“A” for technology, “F” for value
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
It’s an Adaptive Capacity opportunity
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
List 1General Motors
American Airlines
Palm Pilot, Blackberry
List 2Toyota
Southwest Airlines
Apple, Intel
Discovering the Solution
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
What’s the root cause?
OptimizeGeneral Motors
American Airlines
Palm Pilot, Blackberry
Optimize & AdaptToyota
Southwest Airlines
Apple, Intel
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
So, if data and technology are not sufficient, what else
is necessary?
*Modified from: [email protected] with permission
Why? We don’t think our way to new ways of acting.
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity
Where are you?
Where’s healthcare?
OptimizeGeneral Motors
American Airlines
Palm Pilot, Blackberry
Optimize & AdaptToyota
Southwest Airlines
Apple, Intel
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity Indexsm
Develop more people and teams?
Consolidate services and hit performance goals?
Do local experimentation and learning?
Cost control and standardize best practices?
Increase frontline decision making and control?
Check the one choice on which your system currently has the most focus and investment
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity Indexsm
Develop more people and teams?
Consolidate services and hit performance goals?
Do local experimentation and learning?
Cost control and standardize best practices?
Increase frontline decision making and control?
Behaviors predict performance
Want to assess your organization’s Adaptive Capacity Index? [email protected]
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity
How do you create Adaptive Capacity?
OptimizeGeneral Motors
American Airlines
Palm Pilot, Blackberry
Current U.S. Healthcare
Optimize & AdaptToyota
Southwest Airlines
Apple, Intel
You?
Where’s healthcare?
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data & Adaptive Capacity
Experienced Success
Information (Data)
New Value Adapt
You act your way to a new way of thinking
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Progress, Momentum, Mastery
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity LeadershipDevelop and align rapid, adaptive, decision-making close to where value and data are created
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
What data do we measure?
High risk, low reward
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
? ?
?
“Workarounds, hunting, clarifying, fetching, etc.”
Adaptive Design
Data in Context & ProgressTimely, role-specific, actionable data with rapid feedback
23%
40%
37%
AdminRN Time
with Patients
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
73% reduction in workarounds, etc.
Adaptive Design
Data + Momentum
54%
11%
35%
135% more RN Time
with Patients
23%
40%
37%
Information (Data)
New Value Adapt
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Design
Data & Increasing Adaptive CapacityDeliver Results, KPI’s and Insight
Length of stay 8%
RN productivity 14%
Staff turnover 51%
+ $1,700,000
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
An Adaptive Design Predictive Analytic Opportunity
Information (Data)
New Value Adapt
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data & Adaptive CapacityMastery and Predictive Analytics
+$1,700,000
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data & Adaptive Design
1. Strategically optimize and increase Adaptive Capacity
2. Use data and act your way to new thinking
3. Identify, develop and scale the behaviors that increase your Adaptive Capacity Index today and gain predictive guidance of your KPI’s 3-6 months in the future.
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
An Adaptive Data Opportunity
1. Identify one organization interested in exploring an Adaptive Data opportunity
2. Connect with leadership to develop an on-site assessment with local leadership, Kenagy & Associates and HealthCatalyst that would include an Adaptive Capacity Index.
3. Design the engagement to assure a low risk and high reward opportunity for all participants.
Low risk, high reward
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data & Adaptive Capacity
SUCCESS!!
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Thank You
Next Educational Webinar
A Landmark 12-Point Review of Population Health Management Companies12 criteria that any health system should consider when evaluating population health management companies.Date: Wednesday, April 2ndTime: 1:00-2:00 PM ETPresenter: Dale Sanders Senior Vice President, Health Catalyst
The Path to Shared Savings With Population Health Management ApplicationsLaser Focused on Finding Waste, Defining and Monitoring Populations, Accountable Care Organizations and Health Systems Alike Will Learn About The Success of One System Who Reduced Heart Failure ReadmissionsDate: Wednesday, April 9thTime: 1:00-2:00 PM ETPresenter: Eric Just, VP, Technology; Kathleen Merkley, VP, Clinical Engagement
Register at http://healthcatalyst.com/
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
20
10
30
Develop Mastery Physician and Team Performance as a system
Months
GOAL
Adaptive Design Begins
Adaptive Design MD’s + Multidisciplinary Teams
All System MDs
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
What does a Nurse do, really?Summary data 1999-2006
Face-to-facepatient time
33%
“Admin”
24%
Workarounds, tradeoffs, “quick fix” problem solving, etc.
43%
Observations:1000s of hours, med/surg units, 45-750 bed hospitals
Proprietary and Confidential© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics 33
The Opportunity for ChangeTaking the next step…• Explore further the Population
Health management solutions
http://www.healthcatalyst.com/population-health
• Contact us to learn more about our solutions and communication tools
www.healthcatalyst.com/company/contact-us
