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Build vs Buy: Achieving Lower Costs, Greater Usability Through a Tailored PlatformInformation Builder’s Healthcare Webinar Series – Part 3

Speakers:Colt Hubbartt, Manager of Health and Life Sciences, Information Builders Fred Goldstein, CEO, Accountable Health

Moderator:Frances Carroll, Healthcare Account Executive, Information Builders

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Focus of Today’s Webinar

What we will be covering today: Addressing ‘niche system’ overload Why best of breed build

Buy + Build Reducing costs through tailored systems

Lessons learned from experience in the field Our Approach to Building

IB Overview Healthcare Success Stories Wrap up discussion:

Seeing the Value from your Data

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Today’s Speakers

Colt Hubbartt, Manager of Health and Life Sciences, Information BuildersColt works with organizations across the country on designing solution-oriented implementation plans. He has the unique ability to see challenges in both the payer and provider levels across the country. His seven years of EMR implementation experience allows him to help drive a solution towards your organizational initiatives.

Fred Goldstein, Founder and President, Accountable Health, LLCFred is founder and president of Accountable Health, LLC, a consulting firm providing expert guidance in population health program design and development. He is a Certified Professional by the Validation Institute and founder and co-host of PopHealth Week, a weekly podcast.

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Why ‘one stop’ is not always your ‘shop’Fred Goldstein, Accountable Health

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System Overload

Today’s health systems… Spend $40 billion annually on IT programs Plan an average of six major IT investments per year*

Single system or multiple?

How much time do you spend in multiple, siloed systems per day? Survey carried out by eHealth Initiative revealed that of the nearly

200 providers surveyed; 70 of them were required to connect to 10 different systems

How many systems do you access a day?

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Unbreak Siloed Software

[Siloed] Software is killing health systems. It’s expensive. It’s inefficient. It can’t keep pace with industry change. One survey showed that 94% of “struggling” hospital

CFOs blame failed or delayed IT projects*

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Specific Data Challenges

AHIMA survey of 815 HIM pros with 12 different EHRs most wrestle with duplicate medical records on a regular basis:

Key takeaways from the survey: 57% spend time sorting through duplicates "regularly."

72% said they work to mitigate duplicate patient records at least weekly

47% said they lack resources to correct dups & quality assurance step in their registration or post-registration process to identify dups.

55% communicate duplicate medical records rates with their orgs., but report lack of standard definitions re. how duplicate rates are calculated.

Inadequate information governance policy support

Patient Matching Problems Plague HIM Pros Beckers 1/7/2016

The fact there are duplicates is only the tip of the iceberg re. data problems.

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Build vs BuyWhy not Buy + Build?

BUY

PROS

Covers most of the requirements

Vendor does enhancements/upgrades

NEED

BUILDPROSAddresses all your requirements bestFull control and flexibilityControl over costs

Integrated platform that enables: Complete customization to

your needs Removal of ‘home grown’

labeling Best control over costs In-house application

maintenance Knowledge transfer

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Land and Expand Model

You can start small and add capabilities over time…

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Cons to Build

According to some… Learning lessons that others have already learned– that’s the

reason for working with an experienced company that has done it and can assist you in the process…

Find a vendor that helps you build! Software Services Education ...and YOU!

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Building off a Framework

We’re not talking about writing the system from scratch but using qualified best of breed applications combined with external and internal expertise and support and current bought and or built systems…. Flexible architecture Multiple product offerings on a single platform

The Assembly Model

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Particularly in the end user data analytics area a build approach is better You have multiple data sources and may have even more in the

future – Building them all into one configurable warehouse platform is the best approach Flexibility to add future data as you need it, not when they can

get around to it Customize reports and dashboards to meet the needs of the

individual users from different areas with the same data You know your work flows You know where the data came from, its not a black box

A Single Data Analytics and Reporting SystemBuilding off of a Framework

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My Experience with Software Development

I have both built and bought systems to do population health and other provider specific

Building provided greater flexibility Able to meet unique needs simply Quicker turnaround for custom designs Easier handoffs to others as we knew system inside and out Bought

Limited by their development capabilities Costs for development were higher

Learn from, work with those that know

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Our system can do that!

How many times have you heard that? The horror stories…

A vendor with a custom platform system Costs went through the roof Changes took forever we were queued up with their

other clients Data extracts were difficult, Had to supplement with outside analytics, reporting

Test the Facts!

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Working on a 30 day readmit program

Vendor selected by a client before I was involved Yes you can add fields, we can change workflows, you can have mobile

access, reporting All proved to be problematic

Ran out of field types Dates and numeric field would be entered as text only

Work flows were more fixed than explained Access was not as needed and updates were inconsistent Could not put out reports in the required format to bill Activity monitoring was not as needed

Fortunately got them out for only a portion of their deposit.

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Establishing, Executing DeploymentsColt Hubbartt

IBI Customers

300+ Case Studies at ibi.com

Portal Embedded InfoApps™

ApplicationsLegacy Systems Relational/Cubes Big Data Columnar/In Memory Unstructured Social Media Web Services Trading Partners

Enterprise Integration

Mobile Write-Back

Data Discovery Reporting Dashboards

High-PerformanceData Store

Data Quality

Data Governance

Master DataManagement

Batch ETL Real-Time ESB

Data Integrity & Preparation

Business Analytics

Location Analytics

Casting and Archiving

In-DocumentAnalytics

SearchPredictive Analytics

Sentiment and Word Analytics

Performance Management

SocialHot

BadF

3i Platform – Intelligence, Integrity & Integration Governed Self-Service Analytics

Understanding organizational needs helps establish a value driven roadmap

Business Value Assessment• Executives and leadership

• Clinical leaders

• Business managers

• Business analysts

• IT and analytics

• Stakeholders

Understand Organizational Needs

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What to Expect

Findings overview with value based InfoApp ideas Customized demonstration Suggested roadmap for implementation Data profiling (where applicable)

Assessment Deliverables

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Interactive Development and Deployment ProcessCommunication is key

Decision Management

Valu

e

High

LowRaw Data Integrated and

Enriched DataAnalyzed

Information

Repurpose data for Strategic Growth & Transformation

Land ofOpportunities

Business Use of Information

IT Value-Added

Operational

Value-Added

Network

Value-Added

External

Value-Added

Analytical ToolsIT Tools InfoApps™(Analytic Apps.)

External FacingInfoApps™

Network Wide Harmonized Data and Business AnalyticsIncreased Value Across Care Settings Combined with External Data

Butler wins lab work w/BI that IDs optimal antibiotics

St. Luke’s IDs gaps in care for better outcomes & fewer readmits.

NYU Langone improves Labor Productivity to optimize staff saving $5M/yr.

Memorial Health "Omni-Patient provides complete demographics & histories, remediates records, & monitor data lineage."

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Getting More from Your DataFrances Carroll

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Value Adds: Reducing Costs

Deploy a solution that would prevent the need to pay for additional developers Enabling self-service capabilities to end business users

Flexible enough to enable development of your own applications No need to purchased third-party programs

Scalability for future growth Support greater number if users, applications, integration types

Where can you reduce costs now and in the future?

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Value Adds: Increasing Revenue

Dig deep into data to uncover processes or operations where income could be generated Increase admissions Add new revenue streams Qualify for new types of funding Identify market trends

Monetizing Your Data and Strengths

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Questions for our Speakers…

Links to a recording of today’s webinar will be sent out shortly!

THANK YOU!www.informationbuilders.com