Current Healthcare Key Performance Indicators (KPIs) assess the effect of organizational behaviors in the past but don’t tell us which behaviors contributed positively and negatively. In order to drive future KPIs, we need to identify and measure the adaptive behaviors that are influencing performance today and link those measures to interventions that will improve performance tomorrow.

1. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Proprietary and Confidential
© 2014, John W. Kenagy, MD
Follow the discussion on Twitter, #TimeforAnalytics
A conversation between Dale Sanders and John Kenagy, MD
Transforming Healthcare:
Data is Necessary But Insufficient. What else is
Necessary?
Adaptive Design is a registered trademark of John Kenagy

2. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Introductions
• Dale Sanders, Senior VP, Strategy, Health
Catalyst
• dale.sanders@healthcatalyst.com
• @drsanders
• http://www.linkedin.com/in/dalersanders/
• Dr. John Kenagy
• john@kenagyassociates.com
• www.linkedin.com/in/johnkenagymd

3. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics

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© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data and Adaptive Capacity
1. Take Action – strategically create and
measure new adaptive capacity.
2. Accelerate Progress – methods and data
necessary to increase your Adaptive
Capacity Index.
3. Develop Mastery – align people and data
to predict your Key Performance
Indicators (KPI’s) 3-6 months in advance
The Key Takeaways

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Adapting
Tree? info@kenagyassociates.com

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The Promise of Managed Care

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The Cold, Hard Reality
0
1000
2000
3000
4000
5000
6000
7000
8000
1980 1984 1988 1992 1996 2000 2004
United States Canada
Netherlands Germany
Australia United Kingdom
New Zealand
Cost
Neth 1
UK 2
AUST 3
NZ 4
GER 5
CAN 6
US 7
Quality
©OECD, 2008
“A” for technology, “F” for value

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It’s an Adaptive Capacity opportunity

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List 1
General Motors
American Airlines
Palm Pilot, Blackberry
List 2
Toyota
Southwest Airlines
Apple, Intel
Discovering the Solution

12. Proprietary and Confidential
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What’s the root cause?
Optimize
General Motors
American Airlines
Palm Pilot, Blackberry
Optimize & Adapt
Toyota
Southwest Airlines
Apple, Intel

13. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
So, if data and
technology are not
sufficient, what else
is necessary?
*Modified from:
Evian.Gordon@BrainResources.com
Used with permission
Why?
We don’t think our way to new ways of acting.

14. Proprietary and Confidential
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Adaptive Capacity
Where are you?
Where’s healthcare?
Optimize
General Motors
American Airlines
Palm Pilot, Blackberry
Optimize & Adapt
Toyota
Southwest Airlines
Apple, Intel

15. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity Indexsm
Develop more people and teams?
Consolidate services and hit performance goals?
Do local experimentation and learning?
Cost control and standardize best practices?
Increase frontline decision making and control?
Check the one choice on which your system
currently has the most focus and investment

16. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity Indexsm
Develop more people and teams?
Consolidate services and hit performance goals?
Do local experimentation and learning?
Cost control and standardize best practices?
Increase frontline decision making and control?
Behaviors predict performance
Want to assess your organization’s Adaptive Capacity Index?
info@kenagyassociates.com

17. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Capacity
How do you create Adaptive Capacity?
Optimize
General Motors
American Airlines
Palm Pilot, Blackberry
Current U.S. Healthcare
Optimize & Adapt
Toyota
Southwest Airlines
Apple, Intel
You?
Where’s healthcare?

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Data & Adaptive Capacity
Experienced
Success
Information (Data)
New Value Adapt
You act your way to a new way of thinking

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© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Progress, Momentum, Mastery

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Adaptive Capacity Leadership
Develop and align rapid, adaptive, decision-making
close to where value and data are created

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What data do we measure?
High risk, low reward

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? ?
?
“Workarounds, hunting,
clarifying, fetching, etc.”
Adaptive Design
Data in Context & Progress
Timely, role-specific, actionable data with
rapid feedback
23%
40%
37%
Admin
RN Time
with Patients

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73% reduction in
workarounds, etc.
Adaptive Design
Data + Momentum
54%
11%
35%
135% more
RN Time
with Patients
23%
40%
37%
Information (Data)
New Value Adapt

24. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Adaptive Design
Data & Increasing Adaptive Capacity
Deliver Results, KPI’s and Insight
Length of stay 8%
RN productivity 14%
Staff turnover 51%
+ $1,700,000

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© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
An Adaptive Design Predictive
Analytic Opportunity
Information (Data)
New Value Adapt

26. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data & Adaptive Capacity
Mastery and Predictive Analytics
+$1,700,000

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© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
Data & Adaptive Design
1. Strategically optimize and
increase Adaptive Capacity
2. Use data and act your way to
new thinking
3. Identify, develop and scale the
behaviors that increase your
Adaptive Capacity Index today
and gain predictive guidance of
your KPI’s 3-6 months in the
future.
info@kenagyassociates
.com

28. Proprietary and Confidential
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An Adaptive Data Opportunity
1. Identify one organization interested in exploring an Adaptive Data
opportunity
2. Connect with leadership to develop an on-site assessment with
local leadership, Kenagy & Associates and HealthCatalyst that
would include an Adaptive Capacity Index.
3. Design the engagement to assure
a low risk and high reward
opportunity for all participants.
Low risk, high reward

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Data & Adaptive Capacity
SUCCESS!!
info@kenagyassociates.com

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Thank You
Next Educational Webinar
A Landmark 12-Point Review of Population Health Management Companies
12 criteria that any health system should consider when evaluating population health
management companies.
Date: Wednesday, April 2nd
Time: 1:00-2:00 PM ET
Presenter: Dale Sanders Senior Vice President, Health Catalyst
The Path to Shared Savings With Population Health Management Applications
Laser Focused on Finding Waste, Defining and Monitoring Populations, Accountable Care
Organizations and Health Systems Alike Will Learn About The Success of One System Who
Reduced Heart Failure Readmissions
Date: Wednesday, April 9th
Time: 1:00-2:00 PM ET
Presenter: Eric Just, VP, Technology; Kathleen Merkley, VP, Clinical Engagement
Register at http://healthcatalyst.com/

31. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
20
10
30
Develop Mastery
Physician and Team Performance as a system
Months
GOAL
Adaptive Design
Begins
Adaptive Design MD’s + Multidisciplinary
Teams
All System MDs

32. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
What does a Nurse do, really?
Summary data 1999-2006
Face-to-face
patient time
33%
“Admin”
24%
Workarounds, tradeoffs, “quick
fix” problem solving, etc.
43%
Observations:
1000s of hours,
med/surg units,
45-750 bed
hospitals

33. Proprietary and Confidential
© 2014, John W. Kenagy, MDFollow the discussion on Twitter, #TimeforAnalytics
The Opportunity for Change
Taking the next step…
• Explore further the Population
Health management solutions
http://www.healthcatalyst.com/population-
health
• Contact us to learn more
about our solutions and
communication tools
www.healthcatalyst.com/company/contact-us
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