This document summarizes a webinar on achieving lower costs and greater usability through tailored software platforms for healthcare organizations. The webinar addressed the problems of overloaded niche systems, advocated for a "buy and build" approach using a flexible architecture. Speakers discussed their experiences with both building custom software and using off-the-shelf systems. They emphasized testing vendors' claims about system capabilities and establishing open communication during interactive development and deployment processes to ensure projects meet organizations' needs.
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Transforming Healthcare: Build vs Buy
1. Build vs Buy: Achieving Lower Costs, Greater Usability
Through a Tailored Platform
Information Builder’s Healthcare Webinar Series – Part 3
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Speakers:
Colt Hubbartt, Manager of Health and Life Sciences, Information Builders
Fred Goldstein, CEO, Accountable Health
Moderator:
Frances Carroll, Healthcare Account Executive, Information Builders
2. 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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3. Today’s Speakers
Colt Hubbartt, Manager of Health and Life Sciences, Information Builders
Colt 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, LLC
Fred 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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4. Why ‘one stop’ is not always your ‘shop’
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Fred Goldstein, Accountable Health
5. 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
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How many systems do you access a day?
6. 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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7. 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
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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.
8. Build vs Buy
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Why not Buy + Build?
BUY
PROS
Covers most of the requirements
Vendor does enhancements/upgrades
NEED
BUILD
PROS
Addresses all your requirements best
Full control and flexibility
Control 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
9. Land and Expand Model
You can start small and add capabilities over time…
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10. 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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11. 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
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The Assembly Model
12. 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
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A Single Data Analytics and Reporting System
Building off of a Framework
13. 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
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Learn from, work with those that know
14. 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
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Test the Facts!
15. 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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18. 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-Performance
Data Store
Data
Quality
Data
Governance
Master Data
Management
Batch ETL Real-Time ESB
Data Integrity & Preparation
Business Analytics
Location
Analytics
Casting
and Archiving
In-Document
Analytics
SearchPredictive
Analytics
Sentiment and
Word Analytics
Performance
Management
Social
Hot
Bad
Feedback
3i Platform – Intelligence, Integrity & Integration
Governed Self-Service Analytics
19. 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
20. What to Expect
Findings overview with value based InfoApp ideas
Customized demonstration
Suggested roadmap for implementation
Data profiling (where applicable)
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Assessment Deliverables
22. Decision
Management
Value
High
Low
Raw Data Integrated and
Enriched Data
Analyzed
Information
Repurpose data for
Strategic Growth &
Transformation
Land of
Opportunities
Analytical ToolsIT Tools InfoApps™
(Analytic Apps.)
External Facing
InfoApps™
Network Wide Harmonized Data and Business Analytics
Increased 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."
24. 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
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Where can you reduce costs now and in the future?
25. 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
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Monetizing Your Data and Strengths
26. Questions for our Speakers…
Links to a recording of today’s webinar will be sent out shortly!
THANK YOU!
www.informationbuilders.com
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Notes de l'éditeur
Back in 1999 I began building a custom system
Integrated member demographics, claims, clinical data, care management functionality, reporting for one disease state
Expanded over time for multiple disease states, multiple contracts, standard and custom reporting, new care management functionality as our model changed
We could change on the fly at a low cost
Ford –
Fedex –
Target –
DST –
Autozone –
US Bank –
Executing your roadmap
Identifying the immediate, long-term needs
Defining the integration, development plan
Blend of resources, roles and responsibilities
Deploying an interactive development process