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Data in Business Analytics

Perspective for Indian Healthcare


Market
Debashis Basu
Partner and Leader Enterprise Intelligence and Analytics
EY India
September 7, 2013

Challenges with Data Analytics in Healthcare

Data available in healthcare can be segregated along the following


lines
Structured Data : EMR systems, Claims systems, Revenue cycle
systems
Unstructured Data : Doctor notes, Images

Focus has been on the "volume" end of analytics, namely Data


Management and Governance

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Descriptive analytics, while Advanced Analytics and Predictive


Modelling usage is limited
Most Hospitals are understaffed for the most basic reporting and
analytical needs

4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Emerging markets/India Specific Challenges

Lack of country wide hospital KPI data


No adequate survey-based data
No administrative reporting system that provide basic
hospital service statistics
Healthcare organizations are wary of technology
integration due to cost burden caused by requirement of
IT infrastructure and technical expertise

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4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Silver lining for Data Analytics for Indian


Healthcare providers

According to Gartner, India's healthcare providers plan to


spend US$ 1.05 billion on IT products and services in
2013
As the health care industry moves to electronic health
records, the storage of data is increasingly going to be on
the cloud.

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4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

The healthcare business intelligence /


EPM landscape
Healthcare decision support is usually workflow-specific

Provided within functional systems of enterprise HCIT


vendors

And is not cross-application or cross-enterprise

Enterprise-level BI solutions in healthcare are scarce


Enterprise software vendors (McKesson, Siemens, Cerner,
GE, Eclipsys, Epic)

Offer data warehouses and OLAP tools specific to their applications

But are not an effective enterprise solution, particularly for revenue cycle

Business
Intelligence

Data
Warehouse

Technology vendors (BEA, Cognos, Business Objects,


Hyperion, Qulikview Microsoft)

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Performance
Management

Offer tools to create BI/EPM solutions but must be custom-developed

Are costly to implement and maintain most hospitals & physicians cant
afford them

4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Functional
Systems

The healthcare business intelligence /


EPM landscape
Pure healthcare BI companies (limited number - Avega,
Precision.BI, MedeAnalytics, Craneware, Advisory Board,
Premier, Thompson Reuters, Healthcare Management
Council, CareMedic)

Provide subscription-based solutions

But technology is not leading edge

They are usually retrospective reporting and benchmarking services

Rather than EPM

The industry still lacks an affordable healthcare-specific

EPM solution that can be easily implemented

Performance
Management

Business
Intelligence

Data
Warehouse

Functional
Systems

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4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Key Problems Inefficiency & lack of


visibility
Limited Capacity Intelligence
Assignment &
Transfer Delays

My surgeries are being


canceled for want of an
inpatient bed

My housekeeping staff finds out


about discharged patients by
checking a handwritten log.

Delayed Discharges
Unmonitored bed turnaround
Delayed visibility of empty beds
Unseen capacity
Transport delays
Equipment/pharmacy req
Test results

We are having difficulty in tracking


quality of care. Our CMS scores are
low and we are not getting full
reimbursements

Patients are being sent to other


hospitalswe cant find room

News State of NY cut Medicaid reimbursements to hospitals by 8%. For a mid-size


hospital, this is an impact of about $20M in revenue loss. The only way for hospitals to deal
with this cut is to be more efficient in their services using technologies that make them
address this, cut operational costs & increase productivity

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4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Integrating Information Across Silos in Real


time
Drill Down Visibility

Root Cause Analysis Predictive Early Warning

Clinical &
Quality

Operational
& Financial

IT & Security

Health Metrics

HIS

Page 8

ADT

Radiology
(PACS)

Order Entry

Bed
Management

4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Pharmacy

Hospital EPM Solutions Landscape

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4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Benefits - Increased Admissions & ROI Gain


for Hospitals
Executive Objectives

CXOs are looking for ways to increase patient throughput

Increasing throughput is increasing the number of admits


at a hospital

Through making processes in the hospital more efficient

Roadmap to improved bed utilization

By optimizing latency between discharge & occupancy

By creating visibility at the time of admissions

By improving the discharge process

Estimated Increased Admissions & Revenue

An average 400 bed hospital can expect the following


benefits
Performance Level
Conservative
Moderate

Saving Just 2 Hours


between discharge to
admission can lead to an
extra capacity of 6 bed
days (increase of 1 bed
turn)

Aggressive

Bed Turns Gained per Year

3.12

5.32

10

Admissions Gained

905

1542

2899

Revenue Opportunity

$4,070,658

$6,940,993

$13,046,980

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4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

Illustrative out come

Bed Turnaround Time

Bed Occupancy & Capacity Improvement

ACTUAL
20% reduction in Bed Assignment Time (request to assignment) PERFORMANCE
25% Improvement in Bed
15-30% reduction in Bed Occupancy Time (request to occupied) Requested vs. Bed
30-40% reduction in Bed Occupancy Time for evening and night Assigned

8-10% improvement in bed occupancy (inpatient conversions)


10-13% improvement in ED Admissions (improved bed
utilization)
8-10% improvement in ED utilization (better resource
management)

Nursing & Clinical

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25-40% reduction in outpatient conversions


30% reduction in outpatient conversions for interventional
radiology
20% reduction in overall outpatient conversions
3% improvement in early discharges (before 2:00 PM as) % of
total

4th International Conference on Transforming Healthcare with IT - 6th 7th Sep. 2013
Hyderabad, India

ACTUAL
PERFORMANCE
10% Improvement in
Inpatient Conversions

Thank you

ERNST & YOUNG LLP


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