As we head into National Health IT Week … like any good writer faced with a blank sheet, I was battling writers block by perusing Facebook. Coincidentally, I came across this HBR article. Healthcare — on the front page of the Harvard Business Review; so main-stream!
I implemented a Radiology Information System in 2000 and an electronic Medication Administration Record (MAR) in 2002. Back in the day, healthcare IT was the underdog, only the geekiest of geeks were up all night comparing paper MARs to electronic MARs, working side by side with the nurses and HIM to iron out bugs and taking delivery of new code into the wee hours of the morning.
Then I thought about previous National Health IT Week events. I remember gathering in DC with a bunch of other healthcare IT geeks professionals, discussing the importance of health IT. Many may not realize the type of advocacy and awareness that occurs during this week – it’s pretty impactful. We had the unique experience of walking to the office of Senator Dick Durbin, meeting with him and requesting his assistance in making healthcare IT top of mind.
We’ve come a long way. But. We have a long way to go.
In the recent past healthcare has invested heavily in applications and infrastructure; EMR adoption is up, people are commonly using the words “healthcare analytics” and “data” is everyone’s favorite four letter word. As data surfaces to the top of minds, gaining access to it, improving the quality of it and making sure that everyone trusts it has to be the next step for healthcare providers and payers. Hand coding interactions between systems is time intensive and error prone, information in aggregate magnifies data inconsistencies and data quality errors – for example, it’s always surprising to learn how many different ways a single enterprise can document marital status.
The reason to drill into this data is that locked in this data are the keys to value driven healthcare. To derive value from data, a commiserate investment in data is necessary. I hope that this year’s National Health IT week includes a focus on and discussion of the data itself – making it accessible and trustworthy — and the types of tools required to do this. Becoming data-driven is the only way to succeed in this value based model we are moving to. The three pillars of data driven healthcare are 1) Accessing and Using Data as an Asset, 2) Having Knowledge of All Participants and Actors and 3) Taking Action on What you Know.
ROI = every executive’s favorite acronym and one that is often challenging to demonstrate.
In our interactions with provider clients and prospects we are hearing that they’ve migrated to new EMRs but aren’t receiving the ROI they had budgeted or anticipated. In many cases, they are using the new EMR for documentation but still paying to maintain the legacy EMR for access to historical data for billing and care delivery. If health systems can retire these applications and still maintain operational access to the data, they will be able to realize the expected ROI and serve patients proactively.
My colleague Julie, Lockner wrote a blog post about how Informatica Application Retirement for Healthcare is helping healthcare organizations to retire legacy applications and realize ROI.
A lesson learned from other industries, like retail and financial services, is that while analytics and data warehouses are critical components to delivering big results from data — neither is easy. Gartner reported that 80% of data warehousing initiatives fail to meet expectations, often running over budget and failing to deliver a ROI.
- Executives are often frustrated because responses to their requests for new reports and edited reports take too long
- Misunderstood requirements and costly rework are the result of a lack of collaboration between stakeholders and IT
- BI consumers lose confidence in data; they don’t trust it because they lack transparency into its lineage and don’t understand why it appears differently after being aggregated with data from other applications
Expecting value from data without making a commiserate investment in data results in unmet expectations. Accessing data is hard, each request requires new effort, establishing enterprise standards for data quality are an enormous effort and transforming data to fit into a heterogeneous intelligence environment is complicated and time consuming.
Introducing multiple sources of data across organizational boundaries creates a need for an environment that supports effective collaboration between stakeholders and the information technology team implementing solutions to manage data. To be genuinely useful, data must be verifiable and trustworthy since only then will stakeholders have the confidence to make data-driven decisions. To realize the value of data, from Epic and beyond, IT leaders must implement business intelligence and data warehousing best practices that:
- bring data together across applications including clinical and financial data
- foster collaboration between clinicians, IT and business stakeholders
- establish trust and confidence in business intelligence and decision making.
EMR vendors have long encouraged that their EMR and business intelligence capabilities negate the need to have a plan to integrate data or implement a separate data warehousing and business intelligence. This philosophy begs the question – how can one transactional clinical application support the intelligence needs of an enterprise? Consider customer relationship management data for feeding customer driven marketing initiatives, time tracking data full of valuable employee utilization stats, payer claims data and newly acquired practices running an EMR independent of Epic… just to name a few.
With the recognition that an EMR accounts for only a fraction of the data needed for reliable and comprehensive business intelligence comes requirements to reconcile terminology and data quality standards across an increasingly large set of trading partners and stakeholders, to access data from other sources (like payroll, CRM and claims) and to migrate clinical data from legacy applications.
In fact, business intelligence and analytics are dependent on data from across the enterprise. Most clinical and financial decisions are dependent on data; great potential lies within data – making it a valuable asset. This is not a new idea. What is a newer concept is what it means to really elevate data to the status of an asset. Unlocking the potential of data as an asset requires that healthcare organizations begin to think about and invest in data in new ways; making investments beyond traditional infrastructure like databases and data storage. Healthcare organizations must make investments in the ongoing management and improvement of the data itself as they do with any other asset, like talent, buildings or their EMR – for example understanding its quality and allocating people and systems to managing it. Moving faster in this competitive climate and delivering differentiated results requires it.
Check back next week for Part II which explores treating data as an asset further.
Join us this year at Informatica World!
We have a great line up of speakers and events to help you become a data driven healthcare organization… I’ve provided a few highlights below:
Participate in the Informatica World Keynote sessions with Sohaib Abbasi and Rick Smolan who wrote “The Human Face of Big Data” — learn more via this quick YouTube video: http://www.youtube.com/watch?v=7K5d9ArRLJE&feature=player_embedded
With more than 100 interactive and in-depth breakout sessions, spanning 6 different tracks, (Platform & Products, Architecture, Best Practices, Big Data, Hybrid IT and Tech Talk), Informatica World is an excellent way to ensure you are getting the most from your Informatica investment. Learn best practices from organizations who are realizing the potential of their data like: Ochsner Health, Sutter Health, UMass Memorial, Qualcomm and Paypal.
Finally, we want you to balance work with a little play… we invite you to network with industry peers at our Healthcare Cocktail Reception on the evening of Wednesday, June 5th and again during our Data Driven Healthcare Breakfast Roundtable on Thursday, June 6th.
See you there!
Last week, we hosted a webinar Realizing the Potential of Your Data with Ochsner Health System. Jonathan Stevenson, Director of Analytics, joined me for a dialogue on what they’ve learned in their early steps toward becoming an Accountable Care Organization.
We had a an interactive audience asking questions. A few of which, with their answers, are included below: (more…)
HISTalk published a recent interview with Ochsner Health System CIO, Chris Belmont. Chris and his team are great Informatica clients and I really like how he conveyed the benefits of making Informatica the data backbone of their Epic implementation. I can’t say it any better than Chris already has so I’ve extracted a few take-always below and you can read the entire interview here
On the importance of migrating legacy data into the new EMR: “Informatica was critical in getting us there. We learned on the first site. We thought it was a good idea to go in there with an empty slate and say, let’s just build it all from scratch and start with a clean slate. Let’s make sure the record’s in good shape. We quickly realized that was a bad idea. Not just in the clinical areas, but in the registration area.”
On the value of Application Retirement: “That’s going to be a big win for us. In fact, we’re targeting about $13 million in operational benefit when we turn off those legacy platforms. Informatica is going to allow us to get there.”
On not ever being 100% Epic: “We’re watching it, but frankly it will be a while – and I would argue never – that we’ll be 100 percent Epic. A lot of the data that we have that Informatica allows us to get our hands on and load into our warehouse is non-Epic data.”
On the nuggets Informatica is helping them to uncover: “We’re correlating a lot of data, not just from Epic, but I think right now we have like 25 different systems that we’re running through Informatica and into our warehouse. The gold nuggets that are coming out of that data are just tremendous.”
On challenges and opportunities: “It’s going to be, how do we do more with the data we have…having that data in a format that’s easily, quickly, and very accessible is going to be key. Gone are the days where you can throw an army of analysts in a room and say, “Give me this report” and you wait three weeks and they give you something that’s less than optimal. I think the days of, “Tell me what I need to know before I even know that I need to know it” — I think those are the days that we’re looking forward to. With the tools we have with partners like Informatica with their tools, I think we can achieve it.”
Meet Chris and his team in Informatica Booth 5005 during HIMSS 2013.
HIMSS 2013 — right time, right place, it’s on!
How can we gain market share? How can we effectively engage consumers through marketing? Our payer clients are telling us that they need to understand and use the data they have to answer these questions and create a competitive advantage.
Join Informatica in booth 5005 to learn how 84 of the Fortune 100 and >200 healthcare organizations are already powering their potential with data.
Think about this – you sit in meeting after meeting where everyone asks how do we compete better tomorrow? What can we do to differentiate ourselves? The first step in doing something better is understanding what you are doing today; being able to confidently state what’s working and what’s not. When it comes to competing for market share, most organizations can’t do this. We inadvertently continue behaviors which are high cost and low value instead of encouraging lower cost, higher value behaviors. Why when that seems counterintuitive? Because leaders don’t know which behaviors are delivering high value and which are not. They aren’t given complete and accurate data to analyze the results and costs. Further, decisions to change behaviors are made at an executive level but are hard to change on the front line.
Stop by booth 5005 during HIMSS. Informatica’s solutions unlock organizational potential with trustworthy data.
Learn more about the solutions in our booth by listening to this quick overview: Informatica HIMSS Overview
Any questions, let me know, otherwise I look forward to seeing you in NOLA!
Nothing tells a more compelling story than a happy customer. This is why we are excited to have Ochsner Health System join us during HIMSS. Jonathan Stevenson, Director of Analytics and Data Management, will be in Informatica booth 5005 sharing the Ochsner Health System accountable care plans, the analytics vision, success to date and lessons learned.
Ochsner Health System is Southeast Louisiana’s largest healthcare delivery network with eight hospitals, thirty eight health centers, over twelve-thousand employees and hundreds of applications. This data resides in disparate clinical and operational data silos. This is a challenge for an organization that has been chosen to be one of the early shared savings program participants. The requirements for success include knowing what’s happening with patients outside of the four doors of Ochsner, forming community best practices and knowing where patients are seeking care. (more…)