A CIO’s View: Transforming Healthcare Using an Information-Centric Approach
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CIO Judy Feldman of Independent Health, a leading regional based health insurance provider, shares her vision for handling the dynamic changes in today’s healthcare industry. Watch the webinar replay at www.kalido.com/5-challenges-of-data-mart-consolidation.htm
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A CIO’s View: Transforming Healthcare Using an Information-Centric Approach
- 1. A CIO’s View: Transforming Healthcare Using an Information-Centric Approach Kalido Webcast February 7, 2012 1 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 2. Logistics Webcast is being recorded and will be available for replay Attendees will be on mute for the call Type your questions into the Questions box Join the conversation online by using the #Kalido hashtag. Follow us @kalido ! Request a copy of today’s slides by sending an email to: marketing@kalido.com 2 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 3. Today’s Speakers Judy Feldman Senior Vice President & CIO, Independent Health Phil Klebba Area VP, Healthcare, Oracle Lovan Chetty Senior Manager, Product Management, Kalido Moderated by: John Evans Director of Product Marketing, Kalido 3 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 4. Discussion Topics Independent Health Overview Transforming Healthcare using an Information-Centric Approach How Kalido and Oracle Exadata Enable an Agile and Scalable Foundation for Information Management Q&A 4 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 5. Independent Health – A Snapshot • Not-for-profit health plan established in 1980 – Based in Buffalo, N.Y.; 900 employees – Offers commercial group health plans; Medicare Advantage; self-funded plan administration – More than 365,000 members in Western New York and across the nation • Subsidiaries include http://www.independenthealth.com 5
- 6. Western New York market • Serving eight western counties of New York • Total WNY population: 1.5 M residents • IH commercial marketshare: 30% • IH Medicare marketshare: 49% • Major competitors: – Blue Cross/Blue Shield of WNY – Univera Healthcare (Excellus) – MVP Healthcare 6
- 7. Independent Health – A Snapshot • Highest rated health plan in the nation for customer service: NCQA Quality Compass® 2009 and 2010 • J.D. Power and Associates ranked Independent Health “Highest in Member Satisfaction among Commercial Health Plans in the New York/New Jersey Region” (2010 and 2011) • Named one of the best companies to work for in New York: 2008 – 2012 (NYS-SHRM; Business Council of NYS) • 2011 CMS Star Ratings: – Independent Health’s HMO and PPO Part C (Medical Plans) and Part D (Drug Plans) are rated 4.5 out of 5 stars Independent Health Association received the highest numerical score among commercial health plans in the New York-New Jersey region in the proprietary J.D. Power and Associates 2010 U.S. Member Health Insurance Plan Studysm. Study based on 33,986 total member responses, measuring 12 plans in the New York-New Jersey region (excludes Medicare and Medicaid). Proprietary study results are based on experiences and perceptions of members surveyed November-December 2009. Your experiences may vary. Visit jdpower.com. *The source for data contained in this publication is Quality Compass® 2010 and is used with the permission of the National Committee for Quality Assurance (NCQA).Quality Compass 2010 includes certain CAHPS data. Any data display, analysis, interpretation, or conclusion based on these data is solely that of the authors, and NCQA specifically disclaims responsibility for any such display, analysis, interpretation, or conclusion. Quality Compass is a registered trademark of NCQA. CAHPS® is a registered trademark of the Agency for Healthcare Research and Quality (AHRQ). 7
- 8. Healthcare Payor Challenges • Managing health costs – need to bring down the trend of rising medical costs • Increased federal and state regulations (prior approval) • Meeting demands of health care reform (Exchanges) • Shrinking market in Western New York 8
- 9. Information Evolution Business Drivers Information-Driven Solution • Transformation from claims • Integrate and deliver disparate processing to member-centric data through a single source (EDW) • Enable high quality care while reducing administrative spend • Support high performance, scalable tools and appliances • Usage of Analytical data to make to meet the business need a positive impact on the member’s quality of life • Stronger, more secure infrastructure to better support • Serve the Customer with quick the systems and secure access of Member information • Centralized data for 360 degree view of Customer • Member Engagement to enable timely decision-making • Enable Analytics with better tools and value added • Reduce Time to Market of new information to serve customer products and services proactively 9
- 10. Tool Selection Enterprise Data Warehouse • Agile Data Warehouse builder • Master Data Management Oracle Exadata Database Machine • Data Warehouse • OLTP applications 10
- 11. Why Kalido & Oracle Exadata • Kalido benefits – Business driven model – JAD sessions with business – Adaptive for quick business changes Initial tests indicate – Enable business to maintain Reference data (test environment): (MDM) to improve Data Quality, Transparency & Auditability • Kalido runs 2.5x faster on Exadata • Oracle Exadata benefits • Exadata with – Consolidation of Database, OS and Storage to compression single Server performs over 30% – Reduction of resources for Design, Build and faster data loads Maintenance than Exadata – Results in Cost Reduction uncompressed. – Consolidation of OLTP/OLAP databases to the single platform • Storage space gain of about 20% – High Performance in Data Loads and Data retrieval – Compression helps reduce the disk storage – High Availability with a built in failover system – Strong Encryption 11
- 12. Oracle Exadata and Exalogic – Building Blocks for the 21st Century Datacenter © 2012 Oracle Corporation – Proprietary and Confidential
- 13. Implications for the Healthcare Industry This evolution has both clinical and operational implications Impact on HC Transformation / Value to The Learning Healthcare Healthcare System Organization Accountable Care Organizations Comparative Effectiveness Clinical Effectiveness Cost Transparency Enterprise Quality Automating “Today’s” Standards Healthcare Enterprise Today Need for Secure, Interoperable Healthcare Data and Analytics © 2012 Oracle Corporation – Proprietary and Confidential 13
- 14. The Road to Engineered Solutions Engineered Fully integrated and deployed as a complete system Applications Optimized Platform Infrastructure Exadata Traditional Exalogic Oracle Optimized Solutions/ Reference Configurations Best of Breed Oracle offers more solution choices! © 2012 Oracle Corporation – Proprietary and Confidential 14
- 15. Oracle’s Vision: Engineered Systems Hardware and Software. Engineered to Work to Together. • Innovation delivered faster • Better performance, reliability, security • Shorter deployment times • Easier to manage and upgrade • Lower cost of ownership • Reduced change management risk • One-stop support © 2012 Oracle Corporation – Proprietary and Confidential 15
- 16. Engineered Systems Exadata and Exalogic Best Oracle Applications-to-Disk Ownership Experience Exadata Exalogic • Optimized • Optimized system for deployment Database and platform for Storage Middle-tier workloads Application • Best for Data workloads Warehousing • Best for • Best for OLTP Application Performance • Best for Database • Best for Consolidation Middle-tier Consolidation © 2012 Oracle Corporation – Proprietary and Confidential 16
- 17. Oracle Exadata Performance Extreme Performance Intelligent Storage Hybrid Columnar Smart Flash Grid Compression Cache • Smart Scan • Speed-optimized query • >1.5M IO/sec offloads complex mode (10x) for SQL operations to storage servers • Space-optimized • Sub-millisecond archival mode (15-50x) response times © 2012 Oracle Corporation – Proprietary and Confidential 17
- 18. Start Small and Grow Field Upgradeable Quarter Half Full Rack Rack Rack Balanced, Incremental, Predictable Scaling © 2012 Oracle Corporation – Proprietary and Confidential 18
- 19. Why Oracle? Differences in our approach • Engineered Systems • Integrated and optimized - not bundled • Immediate and lasting time to value • Best in class platforms across the stack • Lowest total cost © 2012 Oracle Corporation – Proprietary and Confidential 19
- 20. What Does It Take To Support Decision-Making? Business Value Traditional Time to Deliver 20 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 21. Shorten the Cycle, Maximize Business Value Business Value Kalido Business Value Benefit Time to Value Benefit Traditional Time to Deliver 21 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 22. A Traditional Warehouse Takes 12-18 Months 80% of the project effort is invested in Requirements, Modeling & Design, Data Integration, Testing, BI Development and Release to Production processes Data Warehouse Approach Time & Money Source: customer benchmark 22 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 23. Kalido Vs Traditional Data Warehouse Approach Kalido Savings: Kalido • 50% on Time To Value Zone Modeling & Time & Money Design • 65% on Data Integration • 30% on Data Access/BI • 20% on Testing • 30% on Release to Production Source: customer benchmark 23 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 24. Kalido Information Engine Version 9.0 The Kalido Information Engine Version 9.0 simplifies the warehouse architecture from landing zone to Business Intelligence metadata. Kalido V9 accelerates time to value by removing dependency on data sourcing tasks. The integrated high performance loaders deliver faster overall load performance resulting in smaller batch windows. 24 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 25. Healthcare Business Information Model 25 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 26. Kalido Enables Delivery In 90 Days or Less Modeling Data Integration Star and Snowflake Schema Data Sourcing and Field Mapping Code Management and Lookup Testing Physical Schema Management Delta Detection Suspense and Exception Handling Built-in Integrity Checking Slowly Changing Dimensions Data Validation Currency and Units of Measure Aggregate Task Results System Key Management Contra Processing Data Mart and Aggregates Excel Integration for User reconciliation Data Export & Purging Post Processing Housekeeping Data Load and Index Management Data rollback and batch reload for system test Rollup Path Awareness User Interface for data browsing & Business Information Model Driven Automation troubleshooting Incremental Summary Generation Convert Existing Logical Models Name & Label Management Release to Production Version Management BI Delivery Object level Change Management Native QlikView Generation Native XLS Pivot Table Generation Model Migration Operations Generic Export/ Import for Data Migration Metadata Management for COGN Task Execution & Monitoring Process Automation Metadata Management for BOBJ Object Level Dependency Deployment and Migration Archiving for Migration Versions Metadata Management for MSAS Restore for Model and Data Undo Loads Model Comparison Report Report-Time Formula Management Audit and Logging Job Definition with Dependency 26 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 27. The Result: Maximize Business Value Business Value Kalido Business Value Benefit Time to Value Benefit Traditional Time to Deliver 27 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 28. Kalido Information Engine v9 Benefits Delivers fastest time to business value – Eliminates or automates repetitive data sourcing tasks Lowest cost – Significantly reduces need for separate, purpose-built ETL tools – Simpler architecture that reduces the number of tools required from landing zone to business metadata Most agile data foundation for analytics – Integrated high performance loaders reduce batch windows for loading of data at the speed of business 28 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 29. Q&A 29 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 30. Engagement Model Identify, Education, Explore Identify Meet with the account team to discuss the Exa-Series solution to a greater depth. Education Meet with the technical team to get a greater technical understanding of the solution. Explore 1. A business assessment of how Oracle’s Series could enhance your business 2. An architecture assessment to determine precisely how you could leverage Oracle technology in your current IT environment 3. A joint execution plan, roadmap, and action items for the highest-priority opportunities © 2012 Oracle Corporation – Proprietary and Confidential 30
- 31. Next Steps Attendees will receive our whitepaper on “The Next Generation of Data Integration for Data Warehousing” Download Kalido Business Information Modeler http://www.kalido.com/business-modeling-community.htm Read our blog about Kalido Information Engine http://blog.kalido.com/category/information-engine/ Visit us at HIMSS! Join our sessions on Tuesday or Wednesday. http://info.kalido.com/himss_sessions.html Contact us! +1.781.202.3200, press 1 31 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
- 32. Thank you for attending! 32 February 15, 2012 Kalido © I Kalido Confidential I February 15, 2012
Editor's Notes
- Today’s session is about data mart consolidation. We’ll start with a high level overview of the issues companies face when migrating and consolidating data marts, and mention the top 5 challenges, then we’ll talk about how Kalido can address those challenges. We’re launching a new version of our product today which is key to meeting these challenges, and Lovan will be showing us a short demo to give you an idea of how we can tackle this problem. As part of our product launch we’re supporting Oracle Exadata, so we’ll talk to Patrick about some of the key attributes of the Oracle Exadata Database Machine that make it appropriate for such a consolidation. We welcome your questions throughout our discussion. So, at any time during the webcast please type in your questions in the chat box.But to learn more about you, let’s do a quick POLL: I’m interested in DMC because:
- As we shift from trial and error medicine to....The kinds of systems we need to support these concepts changes to....Domain specific analytics – generic BI tools only get you so far
- Oracle spent a lot of money pulling the features together: Testing, tuning, re-testing, re-tuning to get a stack that we believe performs extraordinarily well and that is truly integratedEven if you don’t care about cloud, standardization, java performance, etc you still get a HUGE up-front cost savingsThis is work they would have had to do themselves, and it is very expensive and time consuming work to doOracle has done all the work of putting the Java Middleware Stack together with the listed components - ALL WORKING OUT OF THE BOX!
- Exadata Smart Scans run more complex operations in storageJoin filteringIncremental backup filteringI/O prioritizationStorage IndexingDatabase level securityOffloaded scans on encrypted dataData Mining Model Scoring10x reduction in data sent to DB servers is commonHybrid Columnar CompressionSpeed Optimized Query Mode for Data Warehousing 10X compression typical Runs faster because of Exadata offload!Space Optimized Archival Mode for infrequently accessed data 15X to 50X compression typicalExadata Smart Flash Cache Over 1.5 million IO/sec from SQL (8K)Sub-millisecond response times with 75 GB/sec query throughputFull DB Machine X2-2 has 5X More I/Os than 1000 Disk Enterprise Storage ArraySecure Database MachineMoves decryption from software to hardware Over 5x fasterQueries decrypt data at hundreds of Gigabytes/second
- Exa allows easy expansion within and between racks.A quarter rack can be upgraded to a half rack. A half rack can be upgraded to a full rack.Two half racks can also be connected together to form the equivalent of a full rack. This is sometimes useful in data centers with weight or heat density restrictions.Once a full rack is deployed it can be increased in half rack size increments. For example a full rack grows to 1.5 racks, then to 2 racks, then to 2.5 racks.Equipment can be mixed across hardware generations. For example a half rack can be grown to a full rack using the next generation of servers to fill out the rack.And there is elasticity within the machines as well.
- Now let’s start to talk about what’s getting in the way of being agile with the current toolsets people use for data warehousing.Imagine a business event – such as a reorganization, a competitive move, an acquisition or something else of a strategic nature. Ideally the sooner you can get the information you need to respond, the more business value or benefit there is. So if you make an acquisition, the longer you wait to make decisions about cutting costs and running redundant processes, the longer you pay those costs and the less is the business value from the acquisition. What does our limited IT staff have to do to enable decision making? They need to figure out what’s required, then model and design the changes or additions, then find, acquire and integrate the data from various data sources, then configure the data for use by your BI tool, and test it and release it into production. As time goes on, the business value drops. This curve is representative of what happens in a traditionally developed data warehouse, where a number of tools are used along the way, and the area under the curve represents the increasing costs to the business as time goes on.Yet, you can’t skip any of these steps.
- So what you have to do is spend less time on these steps, to try to move up the curve to the left, so you can enable decision making sooner and therefore maximize the business benefit from the event.What we’re going to talk about later is how Kalido delivers this, whether in a MSFT environment or another.
- Now it turns out that we know approximately what the relative effort is in each of these steps. The shaded are here represents about 80% of the total project effort, and by far the largest area is in the data integration. This step is typically done using an ETL tool, such as Informatica, IBM, or the ones that come with the databases such as Oracle and Microsoft. These tools do a great job in automating the mechanics of the integration process, yet they require significant manual coding and configuration to be used properly. And they get used in the design phase, the data integration phase and the data access and BI prep phase. But other tools are used there as well. So not only does a midsize company with relatively fewer IT resources need to integrate data, they also likely have to integrate a set of tools.
- Kalido v9 further reduces the need for separate purpose-built ETL tools to accomplish data integration related tasks.You still do those tasks but Kalido automates them and delivers agility to keep pace with requirements and deliver much fasterAs a result, you don’t need separate ETL tools – save ETL software maintenance costs, don’t need to buy new ETL licenses for additional DW/DM projects, reduce skill requirements
- Key message for this release; what’s newOverall KIE messaging – high quality data foundation for analytics in 90 days or less, built right, built fast, built to last – still applies!
- In v9 we have further extended our automation so that it touches on all these areas – making the architecture therefore simpler, easier and less expensive to maintain and to deliver business value faster.Kalido can deliver in a small fraction of the time.Automation.Huge benefit of Kalido to the development team that struggles to deliver value using traditional methods to satisfy business needs because these things must be handled manually.
- Key message for this release; what’s newOverall KIE messaging – high quality data foundation for analytics in 90 days or less, built right, built fast, built to last – still applies!
- So with that let’s turn to Q&A
- Check list…Customer has been briefed on Exadata Technology and we feel there is a reasonable fitCustomer has been briefed on EX-CITE’s and expectations have been set in terms of participation and outcomesWe have ensured sponsorship and participation from CxO, LOB, and ITWe have rounded up the complete Oracle team resources (TSM/SC/XPD)Form filled out online (Exadata Resource Center)
- John: OK that’s about all the time we have for today’s event. As far as next steps for our audience, here are some things you can read and do to learn more and to network with other Kalido customers.First, everyone will receive a copy of our new white paper entitled The Next Gen of DI for DW which discusses how Kalido delivers faster time to value compared to traditional warehouse development approaches. Don’t forget to tune in to the webcast with independent health on Feb 7 to learn more about how a mid-sized organization is dealing with a rapidly changing information landscape and the need for better information. And to read more from Kalido on this and other topics, you can check out my blog that is specific to the KIE, you can follow @kalido on twitter, and you can join the Kalido Connections community, which is also accessible from Kalido.com You can always reach us via telephone, too. Well that’s it for today, thanks to our panelists Patrick Mullins from Oracle and Lovan Chetty from Kalido. Thank you for attending.