Contenu connexe
Similaire à Improving the Business of Healthcare through Better Analytics
Similaire à Improving the Business of Healthcare through Better Analytics (20)
Improving the Business of Healthcare through Better Analytics
- 1. Improving the Business of
Healthcare through Better Analytics
PING ZHANG
July 2, 2014
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 1
- 2. Our Healthcare Challenges
“…we
spend
more
on
healthcare
than
the
next
10
biggest
spenders
combined:
Japan,
Germany,
France,
China,
the
U.K.,
Italy,
Canada,
Brazil,
Spain
and
Australia.
We
may
be
shocked
at
the
$60
billion
price
tag
for
cleaning
up
aJer
Hurricane
Sandy.
We
spent
almost
that
much
last
week
on
health
care.”
§ US
Has
Highest
Health
Care
Costs,
Worst
Outcome
Among
Civilized
Na<ons
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 2
- 3. Big data = $300+ Billion/year in US Healthcare
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 3
- 4. What impact is big data making in healthcare?
BIG
z
z
DATA z
z
Medicaid
z
z
Labs
z
z
Payers
zzz
z
z
zz
z
zz
z
HIE
Clinics
ü Discover & prevent wastes and quality issues
ü Redesign healthcare: heal the sick patient -> keep the public healthy
ü Expedite discovery of new drugs, medical device & methods
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 4
- 5. 10,000+
DATA FEEDS
10K+
incoming
daily data
feeds.
21+
BILLION
21+ billion
discrete
episodic
accounts
MedeAnalytics By The Numbers
32+
MILLION
representing
32+ million
covered lives/
members
300+
TERABYTES
manage
300+ TB
of data
ü The 1st cloud-based healthcare data analytics solution since 2001
ü Over 900 hospital and payer clients in the US and UK
ü The 1st healthcare big data analytics solution powered by HP Vertica
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 5
- 6. COST
REVENUE
COST
REVENUE
QUALITY
RISK
RISK
Financial and Clinical
Performance
QUALITY
- Enterprise Risk Analytics
- Population Stratification
- Quality Performance
- Quality
- Cost and Utilization
- Service Line Analytics
- AR Analytics
- Compliance
- ICD10 Coding and
Benchmarking
- Patient Access
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 6
- 7. MedeAnalytics Solution Suite
Providers
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 7
7
Improving
financial,
operaPonal
and
clinical
outcomes
Popula'on
Analy'cs
ACO
&
Bundled
Payments
Network
Management
Provider
Engagement
Medical
Management
&
Medicaid
Performance
Management
Popula'on
Health
Coding
and
Pa'ent
Access
Benchmarking
Compliance
&
Revenue
Integrity
Revenue
Cycle
One
unified
plaEorm
for
Health
Plans
and
Providers
Health Plans
- 8. MedeAnalytics Solution Architecture
Batch
Data
Processing
–
Daily/Weekly/Monthly
Data
Loads
Data
Warehouse
(Stage)
FTP
Server
Farm
Customer’s
HCIS
ETL
Server
Farm
Text
Files
Text
Files
SQL
Data
End
Users
User
Driven
Analy'cs
–
Online
Web
Applica'on
Interac'on
Key/Value
MDX
Cached
Reports
ROLAP
SQL
User
Clicks
Logs
MedeAnaly'cs
BI
PlaEorm
JSON
Switch
Data
Warehouse
(Produc'on)
CONFIDENTIAL – DO NOT DISTRIBUTE ©2014 MedeAnalytics, Inc. 8
- 9. Pentaho
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 9 +1 (866) 660-7555
- 10. An architecture for any future,
analytics for any data
DBA/ETL/BI DEVELOPER BUSINESS USER BUSINESS/DATA ANALYST
OPERATIONAL DATA BIG DATA PUBLIC/PRIVATE CLOUDS DATA STREAM
SIMPLIFIED
ANALYTICS
EXPERIENCE
BLENDED
BIG DATA
ENTERPRISE
BIG DATA
INTEGRATION
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 10 +1 (866) 660-7555
- 11. WHAT WE DO
We enable the modern, big data-driven business
Modern, cohesive data integration and business analytics platform
• Full spectrum of advanced analytics for all key roles
• Embeddable, cloud-ready analytics
• Big data blending for analytics in real-time environments
• Broadest and deepest big data integration
Innovation through open source
• Open, pluggable, purpose-built for the future
• Early sustained leadership in big data
ecosystem with technology innovation
Critical mass achieved
• Over 1,200 commercial customers
• Over 10,000 production deployments
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 11 +1 (866) 660-7555
- 12. OUR VISION
The New Reality:
Powerful yet simplified analytics for all users
Billing
Social
Media
Location
Customer
Web
Network
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 12 +1 (866) 660-7555
Analytics
ANY Analytics
• Reports
• Dashboards
• Visualizations
• Discovery
• Predictive
• Any role
Existing & New
Data Infrastructure
& Processes
ANY Environment
• Data warehouses
• Data marts
• Stack vendors
• Cloud
• Embedded
ANY Data
• Relational
• Operational
• Big Data
• Data sources not
yet anticipated
- 13. Two key pressure points are disrupting the
traditional analytics market
On the road to the modern big data driven enterprise
Different Audiences View
Different Needs
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 13 +1 (866) 660-7555
Easily Interact,
Visualize &
Explore
Blend Data for
Comprehensive
Effectively
Administer,
Manage & Deploy
Business Managers
Business Analysts
Data Scientists
Admins
IT
Escalating Need for
New Data Types
Velocity, Volume, Variety, Value
Next Wave of Self-
Service Analytics
Beyond Business Analysts
- 14. A Spectrum of Big Data Use Cases
What the Market is Deploying Today and Planning for Tomorrow
Entry
Transform
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 14 +1 (866) 660-7555
Advanced
Optimize
Data
Warehouse
Optimization
Streamlined
Data
Refinery
Big Data
Exploration
Customer
360 Degree
View
Harnessing
Machine &
Sensor Data
Next
Generation
Applications
Internal Big
Data as a
Service
On-Demand
Big Data
Blending
Big Data
Predictive
Analytics
Use Case Complexity
Business Impact
- 15. Granular HLS Use Case Categories
Pa'ent
360°
• Enhanced
pa<ent
experience
&
support
•
Pa<ent
profiling
• Op<mized
care
path
Supply
op'miza'on
• Manufacturing
process
efficiency
• Drug
Trail
Analy<cs
• Supplier/merchant
performance
management
Cost
Reduc'on
•
DWO
•
Remove
Legacy
Vendors
/
costs
• Care
op<miza<on
–
home
,
hospital
,
palla<ve
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 15 +1 (866) 660-7555
Risk
Compliance
• Regulatory
compliance
(reten<on,
privacy
HIPPA)
• Usage
analysis
and
media<on
management
• Compliance
breach
• Protocol
Analy<cs
Market
intelligence
• Compe<<ve
analysis
• Economic
factor
analysis
• Pa<ent
segmenta<on
Data
as
a
product
• Anonymized
care
paths
• Data
enriched
with
insights/inferences
- 16. The strength of Pentaho
lies in the power of combination
Data
integration
Big data +Any data
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 16 +1 (866) 660-7555
Business
+analytics
The IT
department
Lines of
+business
Any data. Any environment. Any analytics.
- 17. A future-proof
data foundation
Big data blended
without barriers
© 2013, Pentaho. All Rights Reserved. pentaho.com. Worldwide 17 +1 (866) 660-7555
Powerful analytics
simplified for any role