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Make the Most of Your
ACO with Healthcare
Analytics
About Perficient

Perficient is a leading information technology consulting firm serving clients
throughout North America.

We help clients implement business-driven technology solutions that integrate
business processes, improve worker productivity, increase customer loyalty and create
a more agile enterprise to better respond to new business opportunities.
2
Perficient Profile

•

Founded in 1997

•

Public, NASDAQ: PRFT

•

2012 revenue of $327 million

•

Major market locations throughout North America
•
Atlanta, Austin, Boston, Charlotte, Chicago, Cincinnati, Cleveland, Columbus,
Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los Angeles,
Minneapolis, New Orleans, New York, Philadelphia, San Francisco, San
Jose, Southern California, St. Louis, Toronto, and Washington, D.C.

•

Global delivery centers in China, Europe and India

•

~2,000 colleagues

•

Dedicated solution practices

•

~85% repeat business rate

•

Alliance partnerships with major technology vendors

•

Multiple vendor/industry technology and growth awards

3
Our Solutions Expertise

Business Solutions

Technology Solutions

•
•
•
•
•
•
•

•
•
•
•
•
•
•
•
•
•

Business Intelligence
Business Process Management
Customer Experience and CRM
Enterprise Performance Management
Enterprise Resource Planning
Experience Design (XD)
Management Consulting

Business Integration/SOA
Cloud Services
Commerce
Content Management
Custom Application Development
Education
Information Management
Mobile Platforms
Platform Integration
Portal & Social

4
Our Speakers
Lesli Adams, MPA
Director, Oracle Healthcare Business Intelligence
Lesli is the Director of Oracle Healthcare Business Intelligence for
Perficient. She is a clinical measurement advocate with 17 years of
healthcare analytics and business intelligence experience covering
for-profit, state, academic and federal healthcare including
ambulatory clinic management, comparative effectiveness
evaluation, evidence-based medicine, population health and clinical
data warehousing. Prior to joining Perficient, Lesli championed
activities with Tenet, MD Anderson, The University of Virginia
Medical Center, and the US Navy.

Brady Davis
Director, Healthcare Strategy & Business Dev, Oracle
Brady leads healthcare strategy for Oracle Health Sciences Global
Business Unit with an emphasis on Enterprise Data Warehouse,
Analytics & Health Information Exchange along with supporting
Oracle’s patient engagement & mobile health strategies. He has
been an innovator and leader in the hospital ACO space as well as
the consumer health and wellness industry for over 15 years. Brady
has a unique ability to merge perspectives from multiple healthcare
ecosystem viewpoints including but not limited to: payers, providers,
hospital/clinic, employers, retail, mobile and consumer.
5
Agenda

• Introductions
• Business Drivers, Federal Initiatives
• ACO Analytics
–
–
–
–

OBI Demo of Operational Analytics
OBI Demo of a Patient Centered Medical Home
OBI Demo of Patient Safety Indicators
Endeca Demo of COPD and the Triple Aim

• Next Steps

6
Perficient and Oracle
Oracle Platinum Partner – Certified on the latest Oracle product
platforms and technologies, as well as implementation and migration best
practices.
- Oracle EPM Practice
- Oracle ERP Practice
- Oracle Business Intelligence Practice
- Oracle CX Practice
- Oracle Technology Practice
- Oracle Healthcare Practice

Oracle Authorized Education Partner – Certified to deliver the
official Oracle course curriculum to customers via onsite training classes.
Perficient owns and operates one of the national Oracle training facilities listed
on the Oracle website

Oracle Specialized Partner

– Certified by Oracle to deliver and sell
the Oracle BI, EPM, and Healthcare applications.

Oracle Authorized Reseller – Certified on Hyperion licensing and
pricing, authorized to resell Hyperion licenses and maintenance contracts

7
Services and Solutions – What We Do
Health Analytics
 Health Data Warehouse Foundation
 Health Analytics Data Integration
 Translational Research Center (TRC)
 OMICS Data Model and Cohort Explorer
 Clinical and Patient Portals
 Executive Dashboards

Performance Management
 Budgeting & Forecasting
 Profitability & Cost Management
 Financial Reporting
 Executive Dashboards

Clinical Interoperability
 Health Information Exchange
 Health Insurance Exchange
 Clinical and Patient Portals
 Business Process Management

Connected Health
 Enterprise Portals
 Member and Patient Portals
 Patient Engagement
 Physician Loyalty
 Corporate Marketing & Channel Management

8
Learning Healthcare Organization

9
NeHC Patient Engagement

Workflow based, not time series

10
Integrated Clinical
Analytics Reporting

** Activity Based, not Time Based

11
Clinical Measurement Framework

Mandated Reporting

Peer Reporting

Internal Operations

MEDPAR | ACO | HEDIS | PQRS | MU | QIO | IQR | OQR | TJC | Pt Sat

NSQIP | Benchmark

Portal / PCMH | Clinical Operations / Dashboards

Chronic

Prevention & Wellness

Acute Events

Patient Safety

Diabetes • Asthma • COPD

Women’s Health (Breast Ca)

AMI • Stroke

Readmission • Falls • VAP •

ESRD • CAD • CHF

Women’s Health (Cervical Ca)

Traumatic Brain Injury

HAC • CABSI • PSI

Mental Health • Cancer

Men’s Health (Prostrate Ca)

Pregnancy (Delivery)

Complication Rates

Obesity • HTN

50+ Colorectal • Mental Health

Hand Hygiene • Wait Times

Orthopedic • Arthritis • STD

Epidemiological Outbreaks

ADE • LBT • AMA • SRE

HIV/AIDS • Hepatitis

Acne Care • Healthy Living

ER use as PCM

Fetal Alcohol Syndrome

Lifestyle Management

O/E (Observed to Expected)

Epilepsy • Chronic Fatigue

Weight Management

PCM alignment

Syndrome • Birth Defects

Tobacco • Cessation

Medication Reconciliation &

Autism • ADHD

Vaccinations • Pregnancy

Therapy

Infant & Toddler Care
Elderly Care

Oracle Enterprise Health Analytics (EHA)
/ Data Warehouse / Data Marts

12
Survey Question 1

From your domain and perspective, how integrated is
your EMR with your EDW and Business Intelligence
offering? In terms of data requests, how many are
fulfilled by a Business Intelligence activity (Dashboard,
online)?

(a)
(b)
(c )
(d)

Less than 25%
26% to 50%
51 to 75%
Greater than 75%

13
NCQA Certification for PCMH

6 Things PCMH will need to do for Certification:
1. Enhance Access and Continuity (Advice and after hours
information, team based care)
2. ** Identify and Manage Patient Populations
3. ** Plan and Manage Care (Evidence Based guidelines,
preventive, acute and chronic care, medication management)
4. Provide Self Care Support and Resources
5. ** Track and Coordinate Care
6. ** Measure and Improve Performance
http://www.ncqa.org/Programs/Recognition/PatientCenteredMedicalHomePCMH.aspx

(**) Items are satisfied with analytics

14
Quality Measurement & Reporting
Architecture

Analytics

Business Intelligence Applications: OBIEE

Enterprise Data Warehouse Optimized for Analytics
Integration &
Storage

Enterprise Operational Data Store: HDWF
Integration Processes: OHADI
Integration Tables: HDI

Lab

EMR

Appts

Self
Rptg

HIE

HR

Data
Sources

Enterprise Data Sources

15
OBIEE Demonstrations
•
•
•

Quality Measurement & Reporting
(ACO) Operational Analytics
AHRQ Patient Safety Indicators

16
Survey Question 2

In a normal day, do you wait for analysis (either
generating yourself, or your staff) because the
information isn’t available in an EDW?
(yes)
(no)

17
COPD Patients & The Triple Aim
Endeca
Demonstration

18
Next Steps

1. Integrated Clinical Analytics assessment
2. Evaluate Federal Reporting fragmentation
3. Evaluate “blob” text / unstructured physicians notes for
clinical analytic significance
4. Evaluate Micro-Costing and Payment Model Structures

19
Perficient / Oracle Contacts

Lesli Adams, MPA
Director, Oracle Healthcare Business Intelligence
lesli.adams@perficent.com
281-435-8473
Terie McClintock, MBA
Director, Oracle Healthcare Practice
terie.mcclintock@perficient.com
713-412-8841
Brady Davis
Director, Healthcare Strategy & Business Development
brady.davis@oracle.com
360-398-3747
20
Upcoming Events
Follow us on Twitter
@PRFT_Oracle
@lesliadams
@teriemc

Our Oracle Healthcare
Blog
www.perficient.com/healthcare
www.perficient.com/oracle

Join us in
Las Vegas for
Collaborate 2014
April 7-11
http://collaborate.oaug.org/

Perficient Webinars
http://www.perficient.com/Thoug
ht-Leadership/UpcomingWebinars

Join us in
Orlando for HIMSS14
February 23 – 25
http://www.himssconference.org/

Join us in Philadelphia
at the Population Health
and Care Coordination
Colloquium
March 17-19
http://www.populationhealthcollo
quium.com/

21
Make the Most of Your ACO with Healthcare Analytics

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Make the Most of Your ACO with Healthcare Analytics

  • 1. Make the Most of Your ACO with Healthcare Analytics
  • 2. About Perficient Perficient is a leading information technology consulting firm serving clients throughout North America. We help clients implement business-driven technology solutions that integrate business processes, improve worker productivity, increase customer loyalty and create a more agile enterprise to better respond to new business opportunities. 2
  • 3. Perficient Profile • Founded in 1997 • Public, NASDAQ: PRFT • 2012 revenue of $327 million • Major market locations throughout North America • Atlanta, Austin, Boston, Charlotte, Chicago, Cincinnati, Cleveland, Columbus, Dallas, Denver, Detroit, Fairfax, Houston, Indianapolis, Los Angeles, Minneapolis, New Orleans, New York, Philadelphia, San Francisco, San Jose, Southern California, St. Louis, Toronto, and Washington, D.C. • Global delivery centers in China, Europe and India • ~2,000 colleagues • Dedicated solution practices • ~85% repeat business rate • Alliance partnerships with major technology vendors • Multiple vendor/industry technology and growth awards 3
  • 4. Our Solutions Expertise Business Solutions Technology Solutions • • • • • • • • • • • • • • • • • Business Intelligence Business Process Management Customer Experience and CRM Enterprise Performance Management Enterprise Resource Planning Experience Design (XD) Management Consulting Business Integration/SOA Cloud Services Commerce Content Management Custom Application Development Education Information Management Mobile Platforms Platform Integration Portal & Social 4
  • 5. Our Speakers Lesli Adams, MPA Director, Oracle Healthcare Business Intelligence Lesli is the Director of Oracle Healthcare Business Intelligence for Perficient. She is a clinical measurement advocate with 17 years of healthcare analytics and business intelligence experience covering for-profit, state, academic and federal healthcare including ambulatory clinic management, comparative effectiveness evaluation, evidence-based medicine, population health and clinical data warehousing. Prior to joining Perficient, Lesli championed activities with Tenet, MD Anderson, The University of Virginia Medical Center, and the US Navy. Brady Davis Director, Healthcare Strategy & Business Dev, Oracle Brady leads healthcare strategy for Oracle Health Sciences Global Business Unit with an emphasis on Enterprise Data Warehouse, Analytics & Health Information Exchange along with supporting Oracle’s patient engagement & mobile health strategies. He has been an innovator and leader in the hospital ACO space as well as the consumer health and wellness industry for over 15 years. Brady has a unique ability to merge perspectives from multiple healthcare ecosystem viewpoints including but not limited to: payers, providers, hospital/clinic, employers, retail, mobile and consumer. 5
  • 6. Agenda • Introductions • Business Drivers, Federal Initiatives • ACO Analytics – – – – OBI Demo of Operational Analytics OBI Demo of a Patient Centered Medical Home OBI Demo of Patient Safety Indicators Endeca Demo of COPD and the Triple Aim • Next Steps 6
  • 7. Perficient and Oracle Oracle Platinum Partner – Certified on the latest Oracle product platforms and technologies, as well as implementation and migration best practices. - Oracle EPM Practice - Oracle ERP Practice - Oracle Business Intelligence Practice - Oracle CX Practice - Oracle Technology Practice - Oracle Healthcare Practice Oracle Authorized Education Partner – Certified to deliver the official Oracle course curriculum to customers via onsite training classes. Perficient owns and operates one of the national Oracle training facilities listed on the Oracle website Oracle Specialized Partner – Certified by Oracle to deliver and sell the Oracle BI, EPM, and Healthcare applications. Oracle Authorized Reseller – Certified on Hyperion licensing and pricing, authorized to resell Hyperion licenses and maintenance contracts 7
  • 8. Services and Solutions – What We Do Health Analytics  Health Data Warehouse Foundation  Health Analytics Data Integration  Translational Research Center (TRC)  OMICS Data Model and Cohort Explorer  Clinical and Patient Portals  Executive Dashboards Performance Management  Budgeting & Forecasting  Profitability & Cost Management  Financial Reporting  Executive Dashboards Clinical Interoperability  Health Information Exchange  Health Insurance Exchange  Clinical and Patient Portals  Business Process Management Connected Health  Enterprise Portals  Member and Patient Portals  Patient Engagement  Physician Loyalty  Corporate Marketing & Channel Management 8
  • 10. NeHC Patient Engagement Workflow based, not time series 10
  • 11. Integrated Clinical Analytics Reporting ** Activity Based, not Time Based 11
  • 12. Clinical Measurement Framework Mandated Reporting Peer Reporting Internal Operations MEDPAR | ACO | HEDIS | PQRS | MU | QIO | IQR | OQR | TJC | Pt Sat NSQIP | Benchmark Portal / PCMH | Clinical Operations / Dashboards Chronic Prevention & Wellness Acute Events Patient Safety Diabetes • Asthma • COPD Women’s Health (Breast Ca) AMI • Stroke Readmission • Falls • VAP • ESRD • CAD • CHF Women’s Health (Cervical Ca) Traumatic Brain Injury HAC • CABSI • PSI Mental Health • Cancer Men’s Health (Prostrate Ca) Pregnancy (Delivery) Complication Rates Obesity • HTN 50+ Colorectal • Mental Health Hand Hygiene • Wait Times Orthopedic • Arthritis • STD Epidemiological Outbreaks ADE • LBT • AMA • SRE HIV/AIDS • Hepatitis Acne Care • Healthy Living ER use as PCM Fetal Alcohol Syndrome Lifestyle Management O/E (Observed to Expected) Epilepsy • Chronic Fatigue Weight Management PCM alignment Syndrome • Birth Defects Tobacco • Cessation Medication Reconciliation & Autism • ADHD Vaccinations • Pregnancy Therapy Infant & Toddler Care Elderly Care Oracle Enterprise Health Analytics (EHA) / Data Warehouse / Data Marts 12
  • 13. Survey Question 1 From your domain and perspective, how integrated is your EMR with your EDW and Business Intelligence offering? In terms of data requests, how many are fulfilled by a Business Intelligence activity (Dashboard, online)? (a) (b) (c ) (d) Less than 25% 26% to 50% 51 to 75% Greater than 75% 13
  • 14. NCQA Certification for PCMH 6 Things PCMH will need to do for Certification: 1. Enhance Access and Continuity (Advice and after hours information, team based care) 2. ** Identify and Manage Patient Populations 3. ** Plan and Manage Care (Evidence Based guidelines, preventive, acute and chronic care, medication management) 4. Provide Self Care Support and Resources 5. ** Track and Coordinate Care 6. ** Measure and Improve Performance http://www.ncqa.org/Programs/Recognition/PatientCenteredMedicalHomePCMH.aspx (**) Items are satisfied with analytics 14
  • 15. Quality Measurement & Reporting Architecture Analytics Business Intelligence Applications: OBIEE Enterprise Data Warehouse Optimized for Analytics Integration & Storage Enterprise Operational Data Store: HDWF Integration Processes: OHADI Integration Tables: HDI Lab EMR Appts Self Rptg HIE HR Data Sources Enterprise Data Sources 15
  • 16. OBIEE Demonstrations • • • Quality Measurement & Reporting (ACO) Operational Analytics AHRQ Patient Safety Indicators 16
  • 17. Survey Question 2 In a normal day, do you wait for analysis (either generating yourself, or your staff) because the information isn’t available in an EDW? (yes) (no) 17
  • 18. COPD Patients & The Triple Aim Endeca Demonstration 18
  • 19. Next Steps 1. Integrated Clinical Analytics assessment 2. Evaluate Federal Reporting fragmentation 3. Evaluate “blob” text / unstructured physicians notes for clinical analytic significance 4. Evaluate Micro-Costing and Payment Model Structures 19
  • 20. Perficient / Oracle Contacts Lesli Adams, MPA Director, Oracle Healthcare Business Intelligence lesli.adams@perficent.com 281-435-8473 Terie McClintock, MBA Director, Oracle Healthcare Practice terie.mcclintock@perficient.com 713-412-8841 Brady Davis Director, Healthcare Strategy & Business Development brady.davis@oracle.com 360-398-3747 20
  • 21. Upcoming Events Follow us on Twitter @PRFT_Oracle @lesliadams @teriemc Our Oracle Healthcare Blog www.perficient.com/healthcare www.perficient.com/oracle Join us in Las Vegas for Collaborate 2014 April 7-11 http://collaborate.oaug.org/ Perficient Webinars http://www.perficient.com/Thoug ht-Leadership/UpcomingWebinars Join us in Orlando for HIMSS14 February 23 – 25 http://www.himssconference.org/ Join us in Philadelphia at the Population Health and Care Coordination Colloquium March 17-19 http://www.populationhealthcollo quium.com/ 21