QlikView For Healthcare From Top Line Strategies
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This document provides an overview of a webinar presentation about QlikView 9 healthcare intelligence software. The webinar objectives are to review challenges in healthcare, introduce QlikView and how it addresses those challenges, and share client success stories. QlikView provides business intelligence solutions that enable fast implementations, easy use, powerful analysis of large data volumes, flexibility, integrated dashboards and reporting, and low costs. Customer case studies highlight benefits like improved operations, cost savings, and revenue cycle management.
QlikView For Healthcare From Top Line Strategies
- 1. Meet the new champ: Why patient care managers and financial managers go wild for QlikView 9 healthcare intelligence software.Presented By: TopLine StrategiesJune 10, 2009
- 2. Introductions & AgendaPresentersBill Jentarra – EVP, IT Managed Services, TopLine Strategies
- 3. Michael Grollman – CTO, TopLine Strategies
- 4. Terry Kavouras – QlikView Technical ManagerAgendaWebinar Objectives
- 5. Healthcare and Business Intelligence (BI)
- 6. Introduction to QlikView / QlikTech
- 9. DiscussionWebinar ObjectivesReview challenges facing the healthcare industry
- 10. What is QlikView and who is QlikTech?
- 11. Discover why QlikView and Healthcare is a perfect match
- 12. Understand how other healthcare providers are benefiting from increased data visibility
- 14. Case StudiesQlikView, huh?Why QlikView is the new BI Champ in so many places”QlikTech customers have consistentlyreported high praise and satisfaction with the company and its products, and are most likely to have achieved value from the purchase of the software for performance management projects. The software interface is known for its intuitiveness and this means that end-users are likely to adapt to its use quickly.” 12009 Aberdeen AXIS(TM) for BI/Performance Management “Aberdeen is unique in that they ask CUSTOMERS for feedback on vendors. Customer’s raved about QlikView and the value that we created for them. In today’s economy, this is tremendous validation of our focus on fast value creation for customers.” - Anthony Deighton, SVP Marketing, QlikTech1Aberdeen AXIS Report for Business Intelligence/Performance Management, January 29, 2009
- 15. “On average, only 7% of data is used for analysis today in hospitals.”*“Over the next 5 years, 50% of hospitals in the US and Western Europe will have complied with the need for increased healthcare transparency.”*Information OverloadNumerous Underlying Clinical, Financial and Resource Planning SystemsInability to Access, Aggregate & Explore Relevant DataInconsistent Information Used Across Organization * Gartner Group, Vi Shaffer among others, “Predicts 2007: Healthcare Providers Must Improve Efficiency of Operations,” published November, 2006
- 16. Top Business & IT Priorities in Healthcare
- 17. Performance Challenges in HealthcareResource Constraints“Capacity challenges are affecting service availability and limiting revenue growth. More than half of hospitals are experiencing a capacity crunch in servicing a growing population with limited resources in beds, equipment and staffing.”Financial Strains"One third of hospitals are losing money, and another third are just breaking even.”“Added cost pressures will come from higher expenses, unfunded capital needs, lower reimbursement rates and increased transition to diagnostic-related-group payment methods.” Dissatisfaction in Quality of Patient Care“More than half of patients are dissatisfied with the quality of healthcare.”“Less than a quarter of hospitals are fully compliant with safety practices.”“There are ~100,000 deaths a year from preventable medical errors in the US alone.”Inefficient Clinical Operations“Burgeoning patient waiting times with deviations across required treatments, facilities and government regulations.”
- 18. Leading provider of next generation BI solutions
- 19. Fastest growing BI software company in the world (according to IDC)
- 20. Profitable, annual revenue growth of ~50% over the past 4 years
- 21. Over 11,000 customers in 95 countries
- 22. Adding 14.5 new customers every day
- 23. Over 500,000 live users
- 24. Shipping since 1995, now version 9QlikTech – The Business Answers Company
- 25. QlikView for Business AnswersSimple, designed for every user2Any-SizeDeployments10,000XEnterprise50XServer2XLocal1XPersonalLaptopOn-PremiseMobileCloudAnalytics for Anyone and Everyone — Simple to use and learn. Designed for every user (business and technical).Instant Business Answers — Explore all of your data without limits.Never wait for a static report again.Rapid Time to Value — Measured in days and weeks.Any size deployment — Meets every business need from a single user to the largest global enterprises.Any kind of deployment — Premise, cloud, mobile (iPhone), and laptop.Enterprise-proven, IT-friendly — Successfully delivering business answers in over 1,000 enterprise accounts.DeployAnywhere
- 26. Select QlikView Customers in HealthcareMore Than 250 Healthcare Providers Are Leveraging QlikView
- 27. QlikView for Healthcare Clinical OperationsPatient Administration & Medical Record
- 28. Clinical Care Process ‘Flow Model’
- 29. Six Sigma Analysis – Flow & Medical Errors
- 30. Regulatory Compliance - Quality / Safety (JCAHO, NCQA, Hedis, HIPAA, DRG, etc.)FinancePlanning, Budgeting & Forecasting
- 31. Actuals / Budget Analysis by Department
- 32. Revenue / Cost per Patient / Room
- 34. Compliance Reporting – IFRS / GAAPCare DeliveryCondition, Diagnosis & Treatment Analysis
- 35. Evidence Based Medicine / Survivability
- 36. Prevention / Care / Aftercare Planning
- 37. Treatment & Prescription Order Tracking
- 38. Clinical Outcome AnalysisRevenue CycleA/R / Payment Collections
- 39. Contract Management & Billing
- 40. Claims Administration / Denial Management
- 41. Audit and Fraud Detection
- 42. DRG / Pay-for-Performance ReportingResource PlanningEquipment / Testing Scheduling
- 43. Bed / Room / ER / OR / ICU Utilization
- 44. Clinician Shift Scheduling & Planning
- 45. Staff Planning – Retirement / Shortages
- 46. Needs Analysis, Trending, BenchmarkingSupply ChainDemand Planning
- 47. Procurement & Material Management
- 48. Inventory & Care Unit Availability
- 49. Logistics & Fulfillment Analysis
- 50. Supplier Quality & PerformanceDashboardAnalysisReportingReal Results from Actionable InformationIncrease Efficiency – Analyze historical information, patient inflow patterns, drive optimal utilization
- 51. Improve Cash Flow and Decrease Write Offs – AR trends, extensive drill-down
- 52. Control Costs – Analyze and compare hospital, practice, physician and patient care cost profiles
- 53. Improve Patient Care – Single version of the truth, consolidate patient information
- 54. Shorten Wait Times – Prioritize patients, improve patient flow, predictable patient experienceSimplifying Analysis for EveryoneEveryone Else“Fast Implementation”“Easy-to-Use”“Powerful”“Flexible”“Integrated”“Low Cost”“Risk-Free”QlikView New Rules Fast Implementation… Customers are live in less than 30 days, and most in a week
- 55. Easy to Use… End users require no training and enjoy “qliking” through the application
- 56. Powerful… Near instant response time on data volumes as high as a billion records across thousands of users
- 57. Flexible… Allows unlimited dimensions and measures and can be modified in seconds
- 58. Integrated… Dashboards, analysis and reporting in a single solution and on a single architecture
- 59. Low Cost… Less costly, shorter implementations result in fast return on investment
- 60. Risk-Free… Fully-functional free trial download, and a seeing-is-believing experienceQlikView Value Proposition: 1/4 the Time, 1/2 the Cost, 2x the Value
- 62. Simplifying Analysis for EveryoneEveryone Else“Fast Implementation”“Easy-to-Use”“Powerful”“Flexible”“Integrated”“Low Cost”“Risk-Free”QlikView New Rules Fast Implementation… Customers are live in less than 30 days, and most in a week
- 63. Easy to Use… End users require no training and enjoy “qliking” through the application
- 64. Powerful… Near instant response time on data volumes as high as a billion records across thousands of users
- 65. Flexible… Allows unlimited dimensions and measures and can be modified in seconds
- 66. Integrated… Dashboards, analysis and reporting in a single solution and on a single architecture
- 67. Low Cost… Less costly, shorter implementations result in fast return on investment
- 68. Risk-Free… Fully-functional free trial download, and a seeing-is-believing experienceQlikView Value Proposition: 1/4 the Time, 1/2 the Cost, 2x the Value
- 69. (Unbelievably) Fast Implementations1 day proof of concept1 week implemented4 weeks implemented pharmaceutical application with only two resources4 weeks implemented four applications3 weeks implemented first version of DRG analysis 5 days implemented 12 weeks implemented2 weeks implemented first application1 week implemented
- 70. Delivering High Performance for Large Data Volumes and Support for Large Scale End User DeploymentsHealthcare – Large Data Volumes Healthcare – Large Scale Deployments 2,400 users at Blekinge Hospital (Sweden)15 – 20 TB of data or 2 billion records analyzed on doctors, patients and diagnosis1,000+ users across Region Skåne (Sweden)Millions of records pulled from network of hospital trusts600 users at Malteser (Germany)Millions of records supporting 1.4 million patient visits / yearMillions of records with 700,000 annual patient visits - pulled from 6 hospital systems265 users at Helsingborgs Hospital (Sweden)5 million records with 500,000 annual patient visits analyzed on patient data and diagnoses250 users at National Health Service (UK)1.5 million records pulled from multiple data sources125 users at KVN (Germany)Millions of records analyzed on doctors, patients and diagnosis
- 71. Real Customer ResultsClinical Operations & Care Delivery BenefitsReduced patient wait times(from a year down to a few days)99% decrease in time to access patient critical information (down to seconds) to assess optimal treatments for meningitisResource Planning & Supply Chain Benefits$66 million in procurement cost savings over two years for North West Collaborative Hub that overseas $2.4 billion in spend5% decrease in costs for prescribed medical products, saving $1.1 million annuallyRevenue Cycle & Financial Benefits65% projected decrease in write-offs of insurance claims down from $15 million to $5 million per year80% reductionin audit time reporting on DRG metrics down from 3 weeks to 2-3 days to prepare for negotiations with insurance fundsAdministrative Reporting Benefits $240,000 in annual cost savings with 33% reduction in controllers due to efficiency gains in reporting99% reduction in time for SIR (Swedish ICU Register) reporting down from a couple weeks to just a couple of minutes
- 72. “With QlikView we can identify related issues and solve problems, which would have previously been completely lost in the mass of data. QlikView developed into a strategic tool for us and allows us, by means of data controlled company management, to be successful in the long-term despite the high pressures associated with managing costs.”UschiSchäfer, Medicine Controlling, Marienhospital Gelsenkirchen (Germany)“The most important thing is to make the right decision quickly, it can be the difference between life and death. When I receive a patient, I can place myself in front of the computer screens and get the information I need immediately. It’s completely fantastic. Now I have the total picture in front of me, and I don’t have to search in different databases and waste precious minutes before still guessing something in the end.”Daniel Stålhammar - Associate Professor, Sahlgrenska University Hospital (Sweden)“Patients can now come for a check-up after a few weeks. Previously it could take up to a year before patientswith specific eye problems could come for a check-up. With the new flow model and QlikView, patient waitingtimes are now significantly shorter.”Kerstin Sjöström, Clinic Manager, UMAS Eye Clinic, Region Skane (Sweden)Driving Competitive Advantage & Strategic Value
- 73. “These are intuitive decisions we might have made otherwise, but now they have been backed up by irrefutable data. It's not a problem for our surgeons or anesthesiologists to accept this as the data we need to act on.”Kathleen Brooks, Administrative Director for Perioperative Services Bassett HealthcareChallengesImprove quality patient care through operational improvements to address inefficient manual processes and bottlenecks
- 74. Gain insight into utilization and performance of surgical rooms to increase coverage, on-time starts and surgeon satisfactionSolutionDeployed to ~15 users across 5 functions in US:Executive Analysis: Develop MIS system and balanced scorecard in next wave for insight across organizationClinical Operations Analysis: Measure day-to-day surgical department operations. Measure surgical benchmarks, such as type of cases, number of cases by surgeon, after-hours cases, and turnaround timeResource Planning Analysis: Monitor utilization of surgical departments in main hospital and rural facilities to ensure staffing and availabilityFinancial Analysis: Monitor utilization of surgery rooms on a rolling 3 month basis by CFO to assess future cash flowQuality Assurance Analysis: Assess historical data to gauge whether hospital had enough trauma-related orthopedics cases each day to warrant a dedicated operating roomRapid implementation in just days with pre-built views with SIS Analytics powered by QlikView
- 75. Leveraged SIS Analytics (QlikView) to integrate data across the primary systems for finance, materials and clinicalAbout Bassett HealthcareRegional health system of four hospitals and 23 community health centers serving residents of an eight-county region in central New York, USA. The centerpiece of Bassett Healthcare is The Mary Imogene Bassett Hospital, an 180-bed acute care, inpatient teaching facility. Supports 7 operating rooms and conducts roughly 7,000 surgeries per year
- 76. Headquartered in Cooperstown, New York
- 77. Achieved ~ $300 million in revenue with 3,500 employees
- 78. Industry: HealthcareBenefitsImproved process to drive on-time case starts from 48% to 85%
- 79. Increased charge capture by 30%
- 80. Increased surgical throughput with streamlined processes
- 81. Green lighted the opening of a dedicated trauma room
- 82. Gained the freedom to analyze data without the need for ITQlikView Customer Snapshot – Bassett Healthcare
- 83. QlikView Customer Snapshot – Children’s Healthcare“QlikView will mine a data warehouse and present managers with a graphical view of the information they need to improve quality and safety.”Allana Cummings, Vice President & CIOChildren’s Healthcare ServicesChallengesGain visibility into operations to improve the quality of care
- 84. Access, integrate and analyze data across disparate systems - clinical, financial and administrative systemsSolutionDeployed QlikView to ~ 50 users across 3 functions in US:Clinical Operations & Care Delivery Analysis: Measure patient flow and throughput to identify bottlenecks to streamline operations, reduce medical errors and improve patient qualityResource Planning Analysis: Monitor physician and surgical facility utilization and schedulingFinancial Analysis: Assess cash flows from surgical utilization; Profile surgeons with revenue, cost and profit per surgery with breakdowns for surgery costs and post surgery cost and outcomesLeveraged QlikView as the delivery system to aggregate data from its data warehouse in combining information from its clinical, financial and administrative systems including:
- 85. Patient care information from Sunrise Clinical Manager System
- 86. Ambulatory care information from Epic Systems
- 87. Radiology and laboratory data from Misys Healthcare SystemsAbout Children’s Healthcare ServicesLeading non-profit organization caring for children is the only pediatric specialty healthcare center in Nebraska. Patients are referred from throughout the region for the treatment of complex or unusual diseases in addition to pediatric primary care. Supports 142-bed facility and roughly 50,000 patients per year
- 88. Headquartered in Omaha, Nebraska
- 89. Industry: HealthcareBenefitsTime savings from not spending hours combing through medical records, but now being able to analyze data and focusing all energy on the ultimate goal of quality improvement
- 90. Improved processes to help prevent adverse events and improve the quality of patient careQlikView Customer Snapshot – NHS“We’ve developed QlikView for supplier database and purchaser hierarchies. By being able to include this level of data, we have managed to give ourselves a level of insight into potential scales of economy that has not been available before. This is an invaluable ability for an organization that’s entire existence is based on reducing costs through purchasing in bulk.”Jan Nangle, IS Manager, Procurement Hub, NHSChallengesPull together, format and present financial data from a range of applications throughout the Hub’s Trust sponsor bodies
- 91. Identify areas across trust network to reduce contract spend as part of supply chain excellence program within the CPHSolutionDeployed QlikView to ~250 users (consisting of category managers in the hubs and financial personnel at the hospital trusts) focused on Supply Chain analysis throughout the UK:Benefits Reporting: Measure savings from contract bulk purchasing and communicate savings to hospital trust bodies; Financial directors within each hospital trust can assess savings down to the invoiced line itemSpend / Cost Analysis: Analyze spend data on cost per item by volume across regional hospitals to identify opportunities for savingsSupplier and Purchaser Analysis: Monitor supplier database and performance with purchaser hierarchies Benchmarking Analysis: Establish cross trust and inter-hub communication and collaboration with performance benchmarkingCategory Management Analysis: Ensure no outliers in costs by category and ensure materials are in right place at right timeDeployed in
- 92. Leveraged QlikView (64-bit) to aggregate data from the data systems within the Hub and across the trust bodiesAbout The National Health Service (NHS)The NHS is the publicly funded health care system of England. providing the majority of healthcare in England, from general practitioners to hospitals, long-term healthcare, dentistry and ophthalmology
- 93. NHS launched the Collaborative Procurement Hubs (CPH) project which works with trusts and confederations in a phased approach to develop CPHs across the NHS that provide a regional procurement focus
- 94. Headquartered in London, England
- 95. Budget of $210 billion with 1.3 million employees
- 96. Industry: HealthcareBenefitsGarnered $66 million in procurement cost savings over 2 years for North West Collaborative Hub that manages $2.4 billion in spend
- 97. Improved Hub performance by delivering insights into data
- 98. Saved hours of management time in reporting and analysis
- 99. Delivered project ahead of time and on budgetQlikView Customer Snapshot – Prince William HealthQuality of patient care and operational performance driven from dashboards and scorecards measuring physician performance, facility utilization, and revenue cycle metrics.ChallengesLack real-time visibility into AR process given outsourcing of management and tracking and limited reporting
- 100. Reduce write-offs for insurance claims
- 101. Assess physician performance for contract renewal processSolutionDeployed QlikView to ~15 users across 3 functions in US:Financial Analysis: Analyze physician scorecards – tracking by physician, what facilities operate in, # of patients, # of visits and operations, and revenue/cost/profitability by operations; Identify top performing physicians Revenue Cycle Analysis: Manage AR collections and claims processing with health insurance funds and patients; Measure cycle time of collectionResource Planning Analysis: Monitor utilization of facilities and corresponding staffing to optimize coverage and capture previously lost revenue due to capacity constraintsRapid implementation in less than 5 days
- 102. Leveraged QlikView to aggregate data from disparate systems spanning clinical, financial and administrative systemsAbout Prince William Health SystemPrince William Hospital is a 170-bed, not-for-profit hospital focused on providing exceptional, quality healthcare for the inhabitants in the Manassas, Virginia area
- 103. Headquartered in in Manassas, Virginia
- 104. Industry: HealthcareBenefitsProjected decrease in write-offs of insurance claims by 65% down from $15 million to $5 million per year
- 105. Reduced revenue cycle costs by bringing AR tracking, monitoring and collection internally (previously outsourced)
- 106. Improved revenue by analyzing physician scorecards to extend contract renewals to the high performing physicians
- 107. Increased capacity of facilities through streamlined processes and optimized schedulingThe Power of SimplicityConclusion & Next StepsDiscussion
- 108. Follow-Up & Additional Information
- 109. Summary email
- 110. Learning more about QlikView’s capabilities
- 112. Software trial
- 113. Seeing is Believing (SiB)
- 114. Contact Us
- 115. TopLine Strategies – www.toplinestrategies.com
- 116. Bill Jentarra – bjentarra@toplinestrategies.com
- 117. Michael Grollman – mgrollman@toplinestrategies.comWho to Call
- 118. Next Step – Seeing is BelievingYou ProvideWe EngageYou ReceiveAgreement on project scope:Scoping document
- 119. Sample reports
- 120. ChecklistOnsite setup prior to SiB:Hardware configured
- 121. Internal data identifiedDevelopment scope:Software installation
- 122. Data connections
- 123. Application layout Participation scope:Actively engage in 2-3 day workshop
- 124. User experience evaluationDeliverables:QlikView application prototype
- 125. Immediate results from the data analysis
- 126. User evaluations to assess areas of improvement
- 127. No risk opportunity to assess business value