Tim Bauer’s Running Thoughts

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Priority One: Measure Everything - Strategic Value of Healthcare Business Intelligence and Data Warehousing` Presented by Scott Wanless

today by WI’s Scott Wanless. Not a bad overview of the healthcare space with the last 15 minutes talking about Fujitus’s offering there. Some keys:

1. If M$FT likes it … Talks are underway with MSFT to have this be a solution Fujitsu might jointly push nationally.
2. Another angle for workflow … As you listen to Wanless talk about the drivers for the solution you can easily expand to other solution alternatives versus what he is offering (PIR).  One that came to mind for me is efforts to extend workflow adjustments / definitions in the the laymans hands. Many of the errors are in the workflow I suspect. There is too much data to act on effectively in the trenches (daily). How does the data (from things like PIR) get into a micro discussion … when it should … and stay in the background … when it shouldn’t. Workflow and rules engines my friends.
3. Doc / Nurse consulting … Watching these slides makes me think i need to change professions. What a shortage projected. 46% of GDP in healthcare by 2050 (god i hope not, we will be bankrupt for my kids).

Here are my detail notes.

• Scott Wanless
• 2:30 - Intro
…………..○ The problems
…………..○ The prescription
…………..○ The possibilities
…………..○ The payoff
• [bauer comment - note his style of ppt]
• 3:00 - The problem:
…………..○ 30% Waste in Healthcare
…………..○ Accurate? Matter? Quoted 8 times a day
…………..○ 45k to 100k deaths due to error
…………..○ Uninsured - 45k
…………..○ Prescriptions - 44% of people
…………..○ Annual cost increase (8%)
…………..○ HER adoption - 13-28%
…………..○ Doc Shortage - 200k
…………..○ US pop 65 or > - 20% by 2020
…………..○ Annual Growth in medical info (800 years)
…………..○ 9:00 - 17% of GDP tied to Healthcare
……………………….§ 2050 (he says) 46% of GDP … hrm … sensationalism?
• 10:15 - Prescription
…………..○ Its Info Tech
…………..○ 100’s of ways to invest ….
……………………….§ HER
……………………….§ EMR
……………………….§ BI / DW
…………..○ John Melski (measure everything - inside for protection)
……………………….§ Scott’s - Use the data you have,
• 15:07 - Where Do We Begin?
…………..○ Formula - Bridge (relative to BI)
……………………….§ Drivers
……………………………………□ Problems, plans, priorities, issues, trends, goals, ideas, requests
……………………….§ Products
……………………………………□ Applications, Processes, DW, Marts, Reporting
……………………….§ Uses
……………………………………□ Answers, support, share info / best practices, collaboration, support, put evidence in evidence based machine
……………………….§ Benefits
……………………………………□ Clinical, Business, Research, Mission, Strategic, Ops, Tech (Chasm Book mention)
• 22:45 - BI Value Bridge
…………..○ Restate above in 1 slide
• 24:00 - Patient Intelligence Registry (PIR)
…………..○ 1940’s started
…………..○ DPUB for PIR
……………………….§
……………………….§ [see jpg]
……………………….§ Persistance need (view activity of person)
……………………….§ Disease mgmt (serve populations appropriately)
……………………….§ Trends: Answer question of how to best serve demographic xyz
……………………….§ Capabilities: CMS measures. HHS rules. Better performance data for employee groups and payers. How to staff and mix.
……………………….§ Value: See it and market value our staff can / is driving
• 31:30 - Begin Using the Bridge
…………..○ Look for the bridge in conversations
…………..○ Look for the bridge on your plan
…………..○ Talk to it in strategic value discussion enablers.
• 33:00 - Q&A
…………..○ Other industries / countries that are effective? Number of industries do this. Telco, MFG, etc. Socialized health plans (Norway) is a solid example.
…………..○ Best of breed? Start w/ stack @ clients
…………..○ Cost health care? How does BI control. #1 cost is people. A lot of the cost in infrastructure as well. Also cost in right application of medicine / treatment.
…………..○ Point of diminishing returns due to silos? Yes. However 1st steps are key with assessment of cost/bene by step.
• 41:00 - Closure
…………..○ Probably ~15 beeps … (# of attendees @ end)