Data in Business Analytics Perspective for Indian Healthcare

1. Data in Business Analytics Perspective for Indian Healthcare Market DebashisBasu Partner and Leader Enterprise Intelligence and Analytics EY India September 7, 2013

2. Challenges with Data Analytics in Healthcare • Data available in healthcare can be segregated along the following lines • Structured Data : EMR systems, Claims systems, Revenue cycle systems • Unstructured Data : Doctor notes, Images • Focus has been on the "volume" end of analytics, namely Data Management and Governance • Descriptive analytics, while Advanced Analytics and Predictive Modelling usage is limited • Most Hospitals are understaffed for the most basic reporting and analytical needs 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

3. Emerging markets/India Specific Challenges • Lack of country wide hospital KPI data • No adequate survey-based data • No administrative reporting system that provide basic hospital service statistics • Healthcare organizations are wary of technology integration due to cost burden caused by requirement of IT infrastructure and technical expertise 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

4. Silver lining for Data Analytics for Indian Healthcare providers • According to Gartner, India's healthcare providers plan to spend US$ 1.05 billion on IT products and services in 2013 • As the health care industry moves to electronic health records, the storage of data is increasingly going to be on the cloud. 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

5. The healthcare business intelligence / EPM landscape • Healthcare decision support is usually workflow-specific • Provided within functional systems of enterprise HCIT vendors • And is not cross-application or cross-enterprise • Enterprise-level BI solutions in healthcare are scarce • Enterprise software vendors (McKesson, Siemens, Cerner, GE, Eclipsys, Epic) • Offer data warehouses and OLAP tools specific to their applications • But are not an effective enterprise solution, particularly for revenue cycle • Technology vendors (BEA, Cognos, Business Objects, Hyperion, Qulikview Microsoft) • Offer tools to create BI/EPM solutions but must be custom-developed • Are costly to implement and maintain – most hospitals & physicians can’t afford them Performance Management Business Intelligence Data Warehouse Functional Systems 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

6. The healthcare business intelligence / EPM landscape • Pure healthcare BI companies (limited number - Avega, Precision.BI, MedeAnalytics, Craneware, Advisory Board, Premier, Thompson Reuters, Healthcare Management Council, CareMedic) • Provide subscription-based solutions • But technology is not leading edge • They are usually retrospective reporting and benchmarking services • Rather than EPM • The industry still lacks an affordable healthcare-specific EPM solution that can be easily implemented Performance Management Business Intelligence Data Warehouse Functional Systems 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

7. Assignment & Transfer Delays Limited Capacity Intelligence Delayed Discharges Key Problems – Inefficiency & lack of visibility “My housekeeping staff finds out about discharged patients by checking a handwritten log.” “My surgeries are being canceled for want of an inpatient bed” Unmonitored bed turnaround Delayed visibility of empty beds Unseen capacity Transport delays Equipment/pharmacy req Test results ““We are having difficulty in tracking quality of care. Our CMS scores are low and we are not getting full reimbursements” “Patients are being sent to other hospitals—we can’t find room” News – State of NY cut Medicaid reimbursements to hospitals by 8%. For a mid-size hospital, this is an impact of about $20M in revenue loss. The only way for hospitals to deal with this cut is to be more efficient in their services – using technologies that make them address this, cut operational costs & increase productivity 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

8. Drill Down Visibility Root Cause Analysis Predictive Early Warning Integrating Information Across Silos in Real time Operational & Financial Clinical & Quality IT & Security Health Metrics HIS ADT Radiology (PACS) Order Entry Bed Management Pharmacy 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

9. Hospital EPM Solutions Landscape 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

10. Benefits - Increased Admissions & ROI Gain for Hospitals • Executive Objectives • CXO’s are looking for ways to increase patient throughput • Increasing throughput is increasing the number of admits at a hospital • Through making processes in the hospital more efficient • Roadmap to improved bed utilization • By optimizing latency between discharge & occupancy • By creating visibility at the time of admissions • By improving the discharge process • Estimated Increased Admissions & Revenue • An average 400 bed hospital can expect the following benefits Saving Just 2 Hours between discharge to admission can lead to an extra capacity of 6 bed days (increase of 1 bed turn) 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

11. Illustrative out come ACTUAL PERFORMANCE25% Improvement in Bed Requested vs. Bed Assigned • Bed Turnaround Time • 20% reduction in Bed Assignment Time (request to assignment) • 15-30% reduction in Bed Occupancy Time (request to occupied) • 30-40% reduction in Bed Occupancy Time for evening and night • Bed Occupancy & Capacity Improvement • 8-10% improvement in bed occupancy (inpatient conversions) • 10-13% improvement in ED Admissions (improved bed utilization) • 8-10% improvement in ED utilization (better resource management) • Nursing & Clinical • 25-40% reduction in outpatient conversions • 30% reduction in outpatient conversions for interventional radiology • 20% reduction in overall outpatient conversions • 3% improvement in early discharges (before 2:00 PM as) % of total ACTUAL PERFORMANCE10% Improvement in Inpatient Conversions 4th International Conference on Transforming Healthcare with IT - 6th – 7th Sep. 2013 Hyderabad, India

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