Tom Lennon – Perficient Blogs https://blogs.perficient.com Expert Insights Thu, 09 Jan 2020 16:57:43 +0000 en-US hourly 1 https://i2.wp.com/blogs.perficient.com/files/favicon-194x194-1.png?fit=32%2C32&ssl=1 Tom Lennon – Perficient Blogs https://blogs.perficient.com 32 32 30508587 3 Problems That Data and Analytics Can Help Solve in Healthcare https://blogs.perficient.com/2020/01/09/3-problems-that-data-and-analytics-can-help-solve-in-healthcare/ https://blogs.perficient.com/2020/01/09/3-problems-that-data-and-analytics-can-help-solve-in-healthcare/#respond Thu, 09 Jan 2020 14:08:34 +0000 https://blogs.perficient.com/?p=249607

I’m often asked how data and analytics can help to solve key industry problems in healthcare. With that in mind, three key industry issues rise to the top of the list.

1. Cost of Care Delivery

The cost of care delivery is at the center of the problems facing the healthcare Industry. Healthcare spending accounts for ~18% of US GDP. Although industry actors are working to increase the efficiency of care delivery, there is significant pressure on revenue with newer payment/reimbursement models making it difficult to even maintain historical financial parity.

There is a critical need to use data and analytics to identify trends that enable healthcare organizations to increase the effectiveness of care, reduce errors, better understand risk, reduce costs, increase operational efficiency, and capture maximum reimbursements for care delivery. Healthcare has been slow to implement modern data and analytics capabilities, leaving healthcare leaders without the proper information to make decisions and affect positive change.

2. Industry Consolidation

In the quest to increase efficiencies, industry consolidation has been rampant. Although consolidation promises long term operational efficiencies, it typically has a long payoff from an information visibility and insight perspective. Hospitals and payers are complex businesses and organizations, have complex data and applications systems, and are subject to many regulatory rules and hurdles, particularly around data security. When large players are combined, it typically takes years to achieve a reasonable level of consistency and access to data (information), which increases the blind spots mentioned above.

Healthcare organizations need help establishing a common view of data (information) across these complex organizations. If approached in the right way, modern data and analytics architectures, technologies and practices, collectively “Data and Analytics Programs,” can be leveraged to enable significant increases in efficiency and scale of data management and analytics systems, enabling a consistent and trusted view of healthcare data (information). And the relative cost of these modern data and analytics programs is typically well below that of the legacy programs and approaches.

3. Increase in Available Data

The proliferation of electronic health records systems, medical devices, and digital health has resulted in huge increases in the volume and variety of healthcare data, and is still picking up speed – this is truly Big Data. This presents vast opportunities to improve care through clinical research, improved care paths, mobile health and otherwise, however, it also presents significant data management and governance challenges for healthcare organizations.

Healthcare organizations are starved for the architectures, tools, processes, and policies needed to drive consistency, access, security, understanding, trust, and management of this deluge of Big Data. Unlocking the treasure trove of value held within this data requires implementing modern data management, analytics and governance systems, and programs to turn this data into information. This includes modern BI, predictive analytics, and artificial intelligence systems to enable forward-looking insight and action from this information.

What is Data Modernization?

There is a critical need in most healthcare organizations to modernize their data and analytics programs and capabilities to take advantage of the ever-growing amount of information available.

Data Modernization – Capabilities and Benefits

data

Common Use Cases

Leveraging data and analytics can be key in helping to make improvements, gain insights and realize efficiencies for multiple healthcare categories and needs, including:

  • Reduced ED/Urgent Care Wait Times
  • Readmission/Re-hospitalization Prediction and Reporting
  • Contract Management (payer scorecards; contract performances, etc.)
  • Patient Satisfaction
  • Regulatory Items (HEDIS; Stars; P4P; ACO, etc.)
  • Population Health (risk management; quality care; registry items)
  • Leakage Analysis
  • Utilization (though you could probably fold this into provider performance or service line)
  • Labor Productivity (nursing hours; RVUs, etc.)
  • Treatment and Medication Trend Analysis (top conditions, eligibility, risk score, cost-sharing, PMPY trend, Price and Use, High-Cost Claimants)
  • Provider Performance Analysis – Efficiency ($s) and Quality
  • Disease Management Analysis
  • Facility Analysis
  • Claims Denial Analysis
  • Preventive Services (gaps in care)
  • Disease Surveillance
  • Diagnosis Prevalence
  • Service Line Analytics

Summary

To achieve Healthcare’s Triple Aim (improving population health, improving patient experience, and reducing the cost of care), healthcare organizations need to take advantage of the insights available within the ever-increasing volume, variety, and velocity of data being produced in our always-on and always-connected world. Turning this data into insight requires leveraging modern data and analytics architectures and capabilities.

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3 Hybrid Cloud Considerations for Healthcare Data https://blogs.perficient.com/2018/01/29/3-hybrid-cloud-considerations-healthcare-data/ https://blogs.perficient.com/2018/01/29/3-hybrid-cloud-considerations-healthcare-data/#respond Mon, 29 Jan 2018 19:34:15 +0000 https://blogs.perficient.com/healthcare/?p=11650

I recently joined my colleague Jim Kouba, director, Healthcare Solutions at Perficient, and HIMSS Analytics Senior Director James Gaston to present our webinar, Moving to the Cloud: Modernizing Data Architecture in Healthcare. In the webinar, we discussed the benefits and risks of moving data and analytics environments to the cloud and the main healthcare use cases for cloud migration.

My portion of the discussion took an in-depth look at one of two healthcare organizations’ cloud journeys, including the vision, challenges, and key takeaways. Our client, a leader in the academic health center space, needed a data and analytics platform and program to power the organization’s journey to translational and personalized medicine in support of leading edge value-based care delivery models. They wanted to leverage the wealth of information the collective organization has across the full population of pediatric and adult patients to improve care in the short term and provide game-changing innovation over the long term.

Some of the key challenges our client faced:

  • Complex architecture, infrastructure, and operations
  • Must scale to handle large amounts of data
  • Security concerns all around

Key benefits included:

  • Integrated 6 million adult and pediatric patient records
  • Reduced operating cost by 50 percent (reallocate into other areas)
  • Delivered a broader and richer set of tools and technologies to data scientists and clinical decision makers; significantly decreasing prep time to allow a focus on improving patient care
  • Rapid, iterative development of visually oriented analytics (disease surveillance, diagnosis prevalence)

At the end of the webinar, we received some great questions from the audience, including:

What are the benefits you see to a hybrid approach as opposed to just an on-prem or cloud-only environment?

To answer this question, you first need to consider the following:

  1. What are your organization’s needs, vision, and drivers, and what are you trying to accomplish?
  2. What is realistic given your current environment, processes, capabilities, and culture?
  3. What components of your in-house architecture and processes provide a competitive or strategic advantage, and which do not?

Most organizations have a large investment in their in-house technologies and processes, and a hybrid approach allows a greater degree of control over what leaves the organization’s four-walls and what remains in-house. This is as much a cultural challenge as a technical challenge.

Control over information security, both real and perceived, must, of course, be considered, but this also applies to operations and processes that could be impacted by a shift to the cloud. It’s important to consider what your critical areas of strength and market advantage are to ensure the shift to the cloud increases your leverage in these areas and does not outsource capabilities that your provider cannot truly replicate. So be sure to do your homework to understand your chosen cloud provider’s strengths and weaknesses.

One final note: Regardless of your approach, having a well-vetted strategy and roadmap, which includes why, how, and when you will take actions and see results, is critical to achieving your goals. This allows realistic expectations to be set across the organization.

For all of the details on the project, the other client success story we covered during the webinar, and the entire Q&A session, view the full on-demand webinar here.

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