Business Intelligence And Healthcare White Paper (English)

Business Intelligence and Healthcare

Major Applications of Business Intelligence
Software in the Healthcare Industry


1. Introduction ............................................................................................................................ 2

2. The Healthcare Industry: Finding Ways to Combat Rising Costs ............................................... 2

3. Healthcare Application Spotlight: The Advisory Board............................................................. 3

4. Industry Factors Driving Business Intelligence Solutions at Healthcare Organizations ............... 5

5. Applying Business Intelligence to the Needs of Healthcare Organizations ................................ 7

5.1. Financial Analysis ............................................................................................................. 7

5.2. Quality Performance and Safety Analysis ......................................................................... 8

5.3. Marketing Analysis ......................................................................................................... 9

5.4. Claims Analysis ............................................................................................................. 10

5.5. Clinical Data Analysis ..................................................................................................... 11

5.6. Patient Care Analysis ..................................................................................................... 12

5.7. Operational Performance and Cost Management .......................................................... 13

5.8. Resource and Human Capital Management .................................................................. 14

6. Healthcare Organization Snapshots: Henry Schein, Inc., Cancer Care Ontario,
PMSI-Tmesys, and Premier, Inc. ........................................................................................... 15

7. Conclusion............................................................................................................................ 17

BUSINESS INTELLIGENCE AND HEALTHCARE


Major applications of business intelligence software
in the healthcare industry

With skyrocketing costs in the healthcare industry and an increasingly competitive marketplace,
healthcare providers need to use all the tools at their disposal to operate more efficiently and
effectively to reduce costs through smart business solutions. The healthcare industry is wide-ranging,
and healthcare providers must operate within a multi-tiered information structure—across the
value chain from patients and physicians, to employers and insurance companies, to HMOs and
hospitals. With such a far-reaching scope of services and concerns, healthcare organizations
handle immense amounts of information. Since it’s hard to keep track of important information
and even to know which information is valuable, healthcare providers need the tools to take
advantage of the myriad information at their disposal.

The information technology available today allows
healthcare organizations to make better business decisions
and to better target performance goals. MicroStrategy More than 400 of our clients
perform intuitive Web-based
offers the healthcare industry business intelligence
query and reporting analyses
software to report on, analyze, and monitor vast amounts that identify ways to improve
clinical care processes and the
of data through a business intelligence architecture that
quality of outcomes. Our success
helps companies reduce costs, ensure quality care, and demonstrates that MicroStrategy

maximize the value of information. Organizations in every is committed to delivering the
best, most comprehensive
major healthcare segment, including hospital care, physician
business intelligence platform
services, managed care, government, and public health, in the market.

take advantage of the benefits of MicroStrategy’s business Premier, inc.
intelligence software.

The Healthcare Industry: Finding Ways to
Combat Rising Costs
MICROSTRATEGY: BEST IN BUSINESS INTELLIGENCE

Healthcare providers need to keep up with demanding industry challenges to stay viable and
competitive. Constant and drastic increases in the cost of healthcare are having wide-ranging
effects throughout the healthcare industry, evidenced by employers trying to push more
healthcare responsibility onto their employees, and hospitals and healthcare providers facing
intense pressure to keep costs down without sacrificing the quality of the care they provide.

Complicating matters further, increasingly knowledgeable patients are demanding greater plan
flexibility in choosing doctors and treatments, hospitals and health systems are having to write
off record amounts of lost revenue due to default on debts, and a rapidly aging baby boomer

population is placing added strain on healthcare systems. More than ever, healthcare providers
must find new ways to simultaneously provide quality care and control costs. Many healthcare
providers are now focusing their efforts on preventive healthcare and patient education, as well
as working to lower overhead costs by reducing paperwork and transaction times.

The continuing movement toward electronic health information exchange is also changing the
way the healthcare industry operates. The proliferation of e-health is allowing many health
plans to lower their costs, as well as monitor and drive down the costs of providers in their
networks. The availability of health information online is also resulting in greatly increased
consumer knowledge, making patients more discerning in the providers and treatments
they select, allowing patients to manage their own healthcare online, and changing the way
healthcare providers disseminate information. Providers must now make available educational
information about healthcare quality, patient safety, and pricing.

Finally, government is having a growing influence on the healthcare industry. Recent legislation
is inciting healthcare providers to offer more choices within the constraints of health plans,
establish electronic prescription programs, and implement pay-for-performance initiatives.
In addition, the Health Insurance Portability and Accountability Act (HIPAA) is increasing the
availability of healthcare by allowing individuals to maintain insurance coverage without
exclusions or waiting periods after leaving group insurance plans. Plus, growing consumer
privacy concerns are putting added requirements on the healthcare industry to ensure the
security and confidentiality of consumer information. All of these regulatory changes are
placing additional reporting and accountability obligations on healthcare providers, who must
have systems in place to monitor and report on compliance measures.

healthcare application spotlight

The Advisory Board Company, a health care research and professional services firm serving
more than 2,600 hospitals and health systems, uses the MicroStrategy platform for its hosted BUSINESS INTELLIGENCE AND HEALTHCARE

business intelligence applications. By providing hospitals with improved visibility into their
business via secure Web-based performance reporting, these applications elevate hospital
performance through better, faster, data-driven decision making.

To date, the Advisory Board has developed targeted applications that focus squarely on issues
critical to margin improvement and where the company has significant research expertise,
such as Revenue Cycle, Surgery Performance, and Supply Chain Management. For example,


users of the surgery application are able to track costs, revenues and profits per surgery
case and to view that information by more than 50 attributes, including service line, primary
surgeon, diagnosis related group (DRG), payer, and patient type. Users can also analyze
up to 200 throughput and efficiency metrics to pinpoint bottlenecks and opportunities
to improve Operating Room (OR) utilization. Less technical staff, who require an intuitive,
graphical interface and the ability to diagnose problems efficiently, benefit from pre-packaged
dashboards, scorecards, and reports. Each dashboard, scorecard, and report is the result of
extensive best practices research and quickly guides staff to the most critical information.
Overall, participating institutions are working to decrease supply costs per case by 5%, to
increase net revenue by 1–2%, to increase prime time OR utilization by 5–10%, and to
increase case volume by 5–10%.

A key reason for the Advisory Board’s selection of the
MicroStrategy platform was its integrated suite of products.
In addition to MicroStrategy Web Professional and
MicroStrategy Intelligence Server, Advisory Board applications Our research shows that
top performing organizations
employ MicroStrategy OLAP Services to allow users to quickly
separate themselves from their
add analysis-appropriate metrics and attributes, MicroStrategy peers by their ability to quickly
diagnose the root cause of
Report Services to facilitate dashboard drill-downs, and
problems they face on a daily
MicroStrategy Narrowcast Server to deliver e-mail alerts when basis. Business intelligence
select metrics cross predefined thresholds. To ensure that can level the playing field.

members are able to view institution-specific analyses as well The Advisory BoArd
as cross-hospital benchmarking, applications support both
custom and standardized calculations and attributes.

The Advisory Board employs one MicroStrategy architect and one MicroStrategy administrator
to support these applications (in addition to other technical operations staff), a testament
to the benefits of MicroStrategy’s centralized administration and unified architecture.

MicroStrategy-trained Advisory Board staff with expertise in each functional area oversee each
client’s site, address the majority of user change requests, and ensure high ROI for members via
regular diagnostics, on-demand training, and relevant best practice research to support process
and behavior change.

“Hospitals have substantial opportunity to improve performance using business intelligence,”
reports Dennis Shin, Executive Director at the Advisory Board. “Our research shows that top performing
organizations separate themselves from their peers by their ability to quickly diagnose the root
cause of problems they face on a daily basis. Business intelligence can level the playing field.”

Industry Factors Driving Business Intelligence
Solutions at Healthcare Organizations

Healthcare providers must be proactive in managing and utilizing enterprise data if they want
to keep up with or stay ahead of the competition. That’s where business intelligence comes
in. Business intelligence software gives healthcare organizations the ability to analyze the vast
amounts of information they already have to make the best business decisions. The software
allows these organizations to tap into their huge databases and deliver easy-to-comprehend
insight to improve performance and maintain regulatory compliance.

Healthcare agencies, payers, and hospitals can now use business intelligence software to
analyze and improve operations, service quality, resource utilization, claims administration,
and patient care. MicroStrategy can outfit healthcare providers with this software to
maximize their information gathering and make the best use of the data to gain knowledge
and improve business strategies. MicroStrategy enables organizations to reach wide and diverse
user populations and to report on vast amounts of critical data across multiple business dimensions.

The applications of business intelligence in the healthcare industry are far-reaching. First,
healthcare organizations must manage large volumes of data, which easily reach into the
multi-terabyte range. At the same time, these organizations must leverage information from
multiple systems, including clinical charting systems, patient care systems, financial applications,
ambulatory care systems, radiology and laboratory data, and claims data from all major payers.
MicroStrategy’s foundation in relational OLAP is uniquely suited to handle this depth and
breadth of information. Healthcare providers must coordinate information from many areas
to improve their processes. Many healthcare organizations have previously utilized individual,
isolated applications, slowing their process improvement efforts. MicroStrategy’s unified business
intelligence architecture allows organizations to easily integrate and correlate vast amounts of
information from multiple sources, identify relationships among the information, and learn how
different factors affect each other and the company’s bottom line.

In addition, a healthcare provider will have many people in different locations with different
skills who need to use this information for varying purposes—everyone from administrators who
need high-level executive dashboards with drill-down capabilities, to power users who need to
create and design custom reports, to physicians and analysts who must analyze data to identify
life-saving treatments. MicroStrategy offers a single, easy-to-use Web interface with extranet
and intranet capabilities, enabling multiple users to access the information relevant to them.
MicroStrategy’s unique and intuitive analytical capabilities allow different users to manipulate
the data to glean the most from the information that affects their decision-making.


Healthcare organizations are on task to eliminate manual reviews and modernize record keeping.
MicroStrategy’s self-service reporting capabilities enable individuals to easily produce reports without
iterative back-and-forth requests with IT. Healthcare managers can develop one report template
that results in an unlimited number of automatically personalized reports for each user, including
remote users in a physician network who have instant access over a secure extranet. MicroStrategy’s
extensive reporting capabilities enable healthcare organizations to eliminate manual reviews of
medical records, resulting in quality improvements, increased efficiency, and reduced costs.

Also, healthcare organizations are establishing standards for key performance indicators
based on standards from the Centers for Medicare and Medicaid Services (CMS) and the Joint
Commission on Accreditation of Healthcare Organizations. CMS, the federal agency within the
U.S. Department of Health and Human Services responsible for the Medicare and Medicaid
programs and the State Children’s Health Insurance Program (SCHIP), leverages MicroStrategy for
its healthcare analysis and reporting needs.

MicroStrategy’s BI software offers healthcare organizations a complete range of services, including
reporting on volumes of patient records, monitoring quality and safety, and analyzing market data
and dynamics, all while assuring compliance with patient privacy and data security regulations.
MicroStrategy’s unique business intelligence architecture simultaneously accesses disparate
information, enabling analysis from many sources at once and providing the most thorough and
integrated reporting solutions. MicroStrategy then presents this information in user-friendly reports,
scorecards, and dashboards and allows users to drill into the information to discover new insights,
offering the most intuitive and useful ways to analyze the information to get the desired results —
business strategies that ensure effective resource management and improve the quality of healthcare.

Healthcare Organizations Use MicroStrategy to Report on Performance Metrics
Across a Wide Variety of Business Dimensions, Including:

• Academic Institution • Member • Quality Level
• Brand • Patient • Referral Source
• Business Unit • Payer • Rehabilitation
• Claim • Prescription • Research Type
• Clinical Trial • Pricing • Service
• Customer • Procedure • Staff
• Diagnosis Related Group • Product • Therapeutic Class
• Employee • Promotion • Time
• Geography • Protocol • Treatment
• Major Diagnostic Category • Provider • Vendor

Applying Business Intelligence to the Needs of
Healthcare Organizations
Healthcare providers can use business intelligence in many ways, creating smart business solutions
across the myriad challenges in the healthcare industry.

FInAncIAl AnAlySIS
Healthcare organizations need visibility into the full scope of their financial operations. MicroStrategy’s
single Web interface uniquely provides full transparency, analysis, and delivery of financial and
operational data. MicroStrategy enables healthcare providers to drill from reports into detailed
analyses of costs and revenues, view data underlying cash flow statements, and compare planned
versus actual income and margin. MicroStrategy’s analytical capabilities allow providers to analyze
current care practice patterns to identify unnecessary or under-utilized services, execute cash flow
analysis, forecast collections, and monitor underwriting requirements. In addition, MicroStrategy’s
reporting capabilities enable healthcare organizations to meet statutory reporting requirements and
ensure accountability from financial analysts to business unit management, executives, and directors.

• Accounts payable • Current asset turnover • Percent of in-patient capitated
• Accounts receivable • Current ratio revenue
• Accrued expenses • Customer plan migration • Percent of in-patient commercial
• Assets in current vs. prior period • Net assets revenue
• Bad dept as percent of net revenue • Net income • Percent of in-patient HMO revenue
• Budget variance analysis • Operating margin • Percent of in-patient Medicaid revenue
• Capital expenditure growth rate • Percent of capital expenses • Percent of in-patient revenue
• Cash and equivalents • Percent of cash flow to total debt • Percent of in-patient self-pay revenue
• Cash collected vs. target • Percent of cash flow to total liabilities • Percent of out-patient Medicaid
• Cash on hand • Percent of charitable revenue revenue
• Outstanding claims receivables • Percent of debt to capitalization • Percent of out-patient revenue

IncOME STATEMEnT ($000S)
Last Year This Year Annual Growth Rate (%)
Revenues
Net patient revenue $44,104 $49,705 12.7%
Other operating revenue $2,056 $2,360 14.8%
Total operating revenue $46,160 $52,065 12.8%
Operating expenses
Interest $1,397 $1,491 6.7%
Depreciation $2,563 $2,847 11.1%
Other operating expenses $41,315 $46,524 12.5%
Total operating expenses $43,315 $50,862 17.4%
Income (Loss)
Operating income $845 $1,126 33.3%
Nonoperating income $1,075 $1,147 6.7%
Extraordinary items -$47 -$79 68.8%
Excess of revenue over expenses $1,873 $2,194 17.1%

Financial reporting is essential for healthcare organizations – to meet statutory requirements, but also to create greater
transparency within the organization at the executive level and other key roles in the company. MicroStrategy delivers financial
reporting from the same platform that enables advanced analysis, dashboards, and anomaly detection of enterprise-wide data.


QUAlITy PERFORMAncE AnD SAFETy AnAlySIS
Providing safe, quality care is a top priority for healthcare organizations. MicroStrategy allows
providers to improve performance by leveraging evidence-based performance data, tracking
variations in quality, providing patient dashboards, setting alerts, and checking drug interactions.
Providers use MicroStrategy to monitor the quality of their care according to the Health Plan
Employer Data and Information Set (HEDIS) standards established by the National Committee for
Quality Assurance to allow for performance comparisons across quality, patient access, patient
satisfaction, utilization, and financials. Additionally, MicroStrategy’s executive dashboards, a best
practice for improving quality at healthcare organizations, empower managers to make more timely
decisions and participate in on-the-spot quality improvements. MicroStrategy’s advanced analytics
also allow providers to identify the presence or absence of interventions recommended by evidence-
based medicine. For instance, more than 40,000 users at the European Medicines Agency, including
regulators, pharmaceutical companies, and healthcare professionals, use MicroStrategy to analyze
safety information for drugs before and after they are introduced to the market.

• Adherence • Number of hospitalizations • Patient satisfaction
• Compliance • Number of order sets • Quality of life
• Dose • Number of patients admitted to • Refills
• Frequency of attacks emergency departments • Reliability
• Handling costs • Number of patients admitted to hospitals • Severity of attacks
• Length of stay • Number of patients referred outside of • Usability
• Length of visit with nurse practitioner the network • Utilization rate
• Length of visit with physician • Number of patients with infections • Validity
• Medication errors • Number of patients with vaccinations • Wait Time
• Monthly drug cost • Number of physicians’ visits
• Number of emergency room visits • Packaging costs

RISk AnAlySIS FOR PATIEnTS By AgE AnD BMI

4
Ages 25-59 Years Old Ages 60-69 Years Old Ages 70 Years Old
3
Relative Risk

2

1

0
18.5 18.5 to 25 25 to 30 30 to 35 35 18.5 18.5 to 25 25 to 30 30 to 35 35 18.5 18.5 to 25 25 to 30 30 to 35 35

BMI
Survey I Survey 2 Survey 3 Survey 4

Providers take advantage of MicroStrategy’s advanced analytical capabilities, analyzing an individual’s history and
risk profile to determine the likelihood of increased resource consumption based on information such as accelerated
use of healthcare services, co-morbidites, drug use, and patient demographics.

MARkETIng AnAlySIS
As patients become more knowledgeable with more information available to them, healthcare
providers must place a greater focus on their marketing efforts to stay competitive. Providers use
MicroStrategy to analyze the success of marketing efforts designed to demonstrate the clinical
effectiveness of their products and services, create an increased feeling of overall wellness, and
reduce workplace absenteeism. MicroStrategy’s advanced analytics also allow providers to determine
the most cost-effective marketing techniques by tracking campaign costs against budget, calculating
the return on investment for campaigns, and comparing performance against goals. In addition,
MicroStrategy’s integrated reporting and analysis architecture allows healthcare providers to use
dashboards to show which products and services are profitable in specific patient segments and
measure how their marketing efforts and corporate communications alter brand perception and
affect brand performance.

• Acquisition • Customer segmentation • Number of visits to Website
• Advertising budget per procedure • Demographic analysis • Patient satisfaction
• Average visit length to Website • Loyalty programs • Physician practices
• Brand management • Market share by business • Preferences and permissions
• Churn analysis • Market share by customer bundling
• Customer profitability • Market share by patient • Retention
• Customer scorecards • Marketing focus group scores • Service and transaction history

PATIEnT SATISFAcTIOn By HOSPITAl, BASED On RATIngS FOR SERVIcES REcEIVED

100%
90%
80%
70%
Percent of Patients

Fair or Poor
60%
Good
50%
40% Excellent or
30% Very Good

20%
10%
0%
Hospital 1 Hospital 2 Hospital 3 Hospital 4 Hospital 5

Reporting on patient satisfaction supports the goal within healthcare organizations for increased accountability among
healthcare providers, and it can also be leveraged for marketing purposes. Users from Marketing and Specialized Care
Services find value in accessing key performance indicators on Patient Satisfaction from MicroStrategy reports and
dashboards over an easy-to-use Web interface.


clAIMS AnAlySIS
By analyzing and monitoring claims, business intelligence can help healthcare providers and payers
determine the biggest risk areas and devise the most effective rate structures. Properly managing
claims information also allows healthcare organizations and payers to optimize pricing, improve
response time to claims, and thwart fraudulent claims. MicroStrategy’s advanced analytical
capabilities offer predictive analysis that enables healthcare organizations to analyze risk across
the network, detecting anomalies tied to errors or fraudulent claims, increasing predictability
of claims-payment flows, and identifying loss potentials for specific geographical areas. In addition,
MicroStrategy software is used for call center solutions, with analysis down to the individual call detail
record, helping ensure high levels of patient support while controlling costs. Claims administrators
use MicroStrategy to monitor for deliberate deceit by providers seeking payment for services not
actually rendered or by beneficiaries claiming program eligibility. In addition, MicroStrategy’s bullet-
proof security protects sensitive provider and patient information as required by law.

• Allowable charges • Complaint logs • Outpatient paid per member
• Amount of reimbursements • Co-pay • Percent of first-time accurate claims
• Average length of stay • Enrollment • Percent of fraudulent claims
• Average paid per admission • Inpatient paid per employee • Percent paid out-of-network
• Balance • Inpatient paid per member • Plan comparison
• Benefits paid as percent of allowable • Number of reimbursements • Prescription utilization
• Call times • Opt-outs • Response times
• Call volumes • Outpatient paid per employee • Staff time spent on reviewing claims

clAIMS cOST MODEl By BEnEFIT cATEgORy
Benefit Category Utilization Units Average Average %
Billed Allowed Discount
Charge Charge Off Billed
Hospital
Hospital Inpatient
Medical / Surgical 76,347 Days $ 9,249 $ 2,447 73.5%
Psychiatric Alchohol Drug Abuse 7,904 Days $ 1,889 $ 726 61.5% Even the most novice users
Skilled Nursing Facility 2,402 Days $ 877 $ 441 49.7% are able to run claims
Maternity 12,290 Days $ 5,358 $ 1,470 72.6%
reports easily and begin
Hospital Inpatient Subtotal 98,943 $ 7,975 $ 2,139 73.2%
to perform simple analysis
with MicroStrategy. More
Hospital Outpatient

Emergency Room 41,042 Cases $ 1,472 $ 460 68.7%
advanced claims analysis can
Surgery 34,838 Cases $ 6,344 $ 1,615 74.5% yield insights into preventive
Radiology 121,232 Services $ 755 $ 298 60.5% treatments and improved
Pathology 494,786 Services $ 75 $ 28 61.4% quality of life, such as a
Cardiovascular 12,738 Services $ 659 $ 217 67.0% recent analysis that found
PT / OT / ST 70,422 Services $ 161 $ 69 57.3%
correlations between disability
Other 52,502 Services $ 506 $ 241 52.2%
claims and depression.
Cardiac Rehab 3,758 Services $ 189 $ 123 34.7%
Dialysis 9,441 Services $ 797 $ 274 65.6%
OP Psych Facility 5,999 Services $ 346 $ 212 38.7%
Blood / Pharmacy 30,757 Services $ 530 $ 240 54.6%
Maternity Non-Deliveries 1,803 Services $ 555 $ 290 47.8%
Hospital Outpatient Subtotal 879,318 $ 550 $ 179 67.3%

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clInIcAl DATA AnAlySIS
Healthcare providers can improve clinical quality and resource utilization by effectively monitoring
and measuring clinical performance and outcomes data. By delivering analysis from multiple sources
at once, MicroStrategy enables organizations to track large amounts of information stemming
from clinical activities and identify the most efficient practices. MicroStrategy’s in-depth analytical
capabilities also help providers identify trends and anomalies, and analyze risk in clinical care.
Furthermore, physicians, hospitals, and healthcare organizations are discovering that they cannot
provide the best care by operating autonomously as independent silos. With MicroStrategy, all
constituents can work from the same data over a secure extranet with information personalized
based on security credentials. MicroStrategy’s unique centralized administration and bullet-proof
security assure that healthcare providers have industry-leading security measures at every layer of
the architecture. With secure, essential clinical information, individual practitioners can diagnose
and prescribe more quickly and provide top quality care with greater peace of mind.
• Average cost per case • Patient safety and staffing
• Clinical outcomes • Performance reporting
• Cost and clinical data • Population risk
• Cost effectiveness • Resource consumption vs. benchmark
• Disease management • Response times
• In-patient admission rates • Treatments
• Investment in research programs
• Number of procedures vs. benchmark

clInIcAl DATA DASHBOARD

ACE Inhibitor Therapy in
Congestive Heart Failure
Increasing Adoption Rates of Proven Techniques
100%
Last Year This Year
Received Treatment

80% Ace Inhibitors 65% 75%
60% Beta Blockers 72% 82%
Glycated Hemoglobin 71% 86%
40%
Potassium 69% 83%
20% Anticoagulation 59% 71%

0%
Mammography 76% 79%
Rates BUSINESS INTELLIGENCE AND HEALTHCARE
Peer previous Peer current Physicians current

The MicroStrategy architecture provides a unified framework for clinical data analysis to facilitate information
sharing and collaboration. MicroStrategy’s Web interface is specifically designed for intuitive and convenient use
by users of all levels and is ideally suited for reaching individual practitioners accessing clinical data dashboards and
analysis over a secure extranet.

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PATIEnT cARE AnAlySIS
Healthcare providers want to offer the highest-quality patient care in the most efficient way
possible with improved patient access to care. MicroStrategy enables the right people to access
the right information at the right time, delivering a single platform to healthcare providers for
sharing information with patients for better decision-making and connecting patients across
hospital, nursing home, physician office, and community social support settings. By providing
easy, secure access to crucial information, MicroStrategy supports safe care delivery, assists
clinicians in evidence-based clinical decision-making, and facilitates seamless care coordination
across clinical settings. Providers use MicroStrategy to monitor and forecast patient diagnoses
and use of healthcare services in order to improve patient care, reduce wait times, and
administer more effective treatments. In addition, MicroStrategy’s foundation in relational OLAP
enables analysis of performance metrics to determine cause-and-effect relationships, providing
information that facilitates the best possible outcomes. By increasing information sharing with
patients and offering patients self-service functions, organizations using MicroStrategy allow
patients to take ownership of their own care, leading to improved outcomes.

• Attention to needs • Patient functionality • Service complaints
• Clinical outcomes • Patient wait time in admissions • Service level agreement (SLA)
• Days to next appointment • Patient wait time in pharmacy reporting
• Dispatch request and monitoring • Percent care inpatient vs. outpatient • Services performed
• Interventions provided • Questions reporting • Timeliness of services
• Overall satisfaction with patient care • Satisfaction with physical • Trouble ticket resolution

MEDIAn WAIT TIME BETWEEn REFERRAl AnD TREATMEnT

Median Wait Time

25

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Number of Weeks

15

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Wait times between referral from a general practitioner and treatment, particularly for specialties with high mortalities,
are a metric of key concern to hospitals. MicroStrategy provides an easy-to-use Web interface with integrated
reporting and analysis, enabling analysts to drill from a graph on wait times immediately into underlying drivers.

1

OPERATIOnAl PERFORMAncE AnD cOST MAnAgEMEnT
Healthcare organizations can respond to the intense pressure to cut costs by employing information
solutions that monitor opportunities to improve operations, spotlighting inefficient uses of resources
and unnecessary overhead costs. By providing a single view into data from clinical trials, accounting
systems, clinic management systems, and other enterprise data, MicroStrategy enables providers
to identify areas that are underperforming and need immediate action. In addition, with so much
emphasis on controlling costs, healthcare providers need to closely monitor expenditures and
determine the best allocation of funds. MicroStrategy’s in-depth analytical capabilities allow providers
to drill down into unusual costs, ascertain best practices of the most profitable business units,
and identify utilization patterns. MicroStrategy’s Web-based reports enable providers to measure
employee and physician performance and productivity, while dashboards allow them to track the
success of pay-for-performance initiatives.

• Average daily census • Case mix adjusted utilization rate
• Outpatient visits • Payer contract development vs. plan
• Inpatient days • Percent of board certified surgeons
• Cost of medications prescribed • Strategic skill rating
• Cost of procedures employed • Percent of staff received Six Sigma training
• Cycle times • Employee satisfaction survey
• Labor utilization • Employee productivity
• Supplies utilization • Forecast capacity and staffing

DIScHARgE InFORMATIOn By clInIcAl cOnDITIOn

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Healthcare organizations may start with a single application and evolve to enterprise-wide use of MicroStrategy for
all business intelligence needs. The above clinical reporting example shows how critical data on discharge planning
has relevancy for managers in other departments, including Operations Managers forecasting capacity and staffing
and Financial Managers projecting general and administrative expenses.

1


RESOURcE AnD HUMAn cAPITAl MAnAgEMEnT
Effective resource management is a key opportunity for healthcare providers to reduce costs and
increase efficiency. Healthcare organizations must ensure proper management of resources, including
personnel, equipment, supplies, and transportation. By monitoring inventory and managing supply
chains, MicroStrategy allows providers to eliminate waste, better allocate insufficient resources,
and make better decisions regarding supplier usage. In addition, labor costs are one of the largest
expenses for most healthcare organizations, making human capital management a critical application
of business intelligence in this industry. Healthcare organizations use MicroStrategy for strategic
analysis of compensation, performance benchmarks, workforce productivity, turnover and retention,
staffing and employee relations, and employee recruitment and development. A CFO at a specialty
healthcare organization has indicated that using MicroStrategy has improved their internal resource
utilization and helped save millions of dollars.

• Advertising costs • Outside labor as percent of total • Salaries and benefits
• Cost of hires by source • Overtime costs • Search fees
• FTE utilization • Part-time FTEs as percent of total FTEs • Staff satisfaction
• Number of new hires per day • Percent of positions filled by on- • Time-to-fill (or time-to-hire)
• Number of online job applications site vs. off-site recruiters • Turnover per manager
• Number of physician FTEs • Percent of voluntary staff turnover • Turnover per tenure
• Number of pre-qualified candidates • Replacement viability • Vacancy rate
• Number of requisitions • Return on sourcing • Weekly payroll

RESOURcE UTIlIzATIOn AnD AccESS By InSURAncE STATUS

75
Reporting Problems
Percent of Adults

50

25

0
Did Not Fill a Did Not See Skipped Had Medical Any of the Four
Prescription Specialist When Medical Test, Problem, Did Access
Needed Treatment, or Not See Doctor Problems
Follow-up or Clinic

Uninsured Now Uninsured Now, Time Uninsured in Past Year Insured All Year

With healthcare spending representing an ever-increasing percent of the gross domestic product, and salaries and
benefits representing one of the most significant expenses incurred by companies, healthcare providers are on task to
optimize resource utilization and improve human capital management. MicroStrategy delivers integrated reporting
and analysis from a single platform with centralized administration and low overhead.

1

healthcare organization snapshots
TRAckIng SAlES AnD MARkETIng TREnDS AT HEnRy ScHEIn, Inc.

Henry Schein, Inc. is using MicroStrategy to gain better insight into its sales and marketing operations.
With the technology, New York-based Henry Schein is able to track sales of its more than 80,000
products and analyze buying trends across its customer base. Currently, Henry Schein employees are
able to perform sales and marketing analyses against a centralized IBM DB2 data warehouse. End
users can, for example, track the performance of a prior sales promotion or analyze the buying trends
of a particular product on a given day to determine who is buying what items and at what times.

“MicroStrategy is the platform upon which the entire company is accessing product, customer, and
sales information. The crux of our business is our customers and our products, and MicroStrategy
enables Henry Schein to track sales over time for all of our medical, dental, and veterinary products.
We selected MicroStrategy for its platform’s superior analytics, flexibility, and impressive information
delivery capabilities. Thus far, we have received excellent feedback from our end-user community.”
– Henry Schein, Inc.

STATISTIcAl AnAlySIS AnD REPORTIng AT cAncER cARE OnTARIO

Cancer Care Ontario is an umbrella organization, and an agency of the Ontario Ministry of Health
and Long-Term Care, that steers and coordinates Ontario’s cancer services and prevention efforts.
As the provincial government’s chief cancer advisor, Cancer Care Ontario directs over $500-million in
public health care funding for cancer prevention, detection and care. The agency also operates
research, screening and prevention programs; collects, monitors and reports information about
cancer and cancer system performance; develops evidence-based standards and guidelines for
health care providers; and works with regional providers to plan and improve cancer services.

As part of CCO’s information management strategy, an Enterprise Data Warehouse (EDW), and a
unique Web-based analytic component, iPort™, were created using MicroStrategy 8.0, to provide
instant, reliable cancer information to cancer planners, managers and policy makers.

Today, iPort™ provides electronic population data and provincial and region-based cancer
surveillance statistics and cancer services delivery. The EDW contains historic, current and year
2020 projected incidence, prevalence, mortality and survival data, as well as historic and current
monthly radiation, systemic services and cancer surgery treatment activity at Regional Cancer
Centres and hospitals across the province. When fully developed, the EDW and iPort™ will
provide “one window” access to authoritative information about every aspect of the cancer
continuum from prevention through to palliative care.

Currently rolled out to more than 200 cancer planners, managers, and other healthcare providers
in Ontario, iPort™ enables these end users to view existing high level reports, or to create their
own detailed reports using the comprehensive BI technology provided through MicroStrategy.
While the majority of CCO’s users work with iPort™ over the Web, CCO’s internal Informatics
team uses the MicroStrategy Desktop to create more complex reports for other data users not as
comfortable with using the software themselves, or who may not have access. “The introduction
of iPort™ has changed the way that CCO gathers, stores, manages, and disseminates information
in a highly positive way, empowering users to get the data they need quickly and easily.”
– cancer care Ontario

1


SElF-SERVIcE ExTRAnET REPORTIng AT PMSI-TMESyS

PMSI-Tmesys, one of the nation’s leading workers’ compensation service providers, selected
MicroStrategy to support its Web portal that provides timely, self-service reporting capabilities for
its clients. PMSI-Tmesys expected more than 5,000 workers’ compensation claims professional
clients to use the Web portal in the first year. With the portal, PMSI-Tmesys clients can generate
user-friendly reports on medications prescribed to a particular claimant, top-prescribed drugs, top-
dispensing pharmacies, and payer-specific savings, among other criteria. Using MicroStrategy, the
users have the flexibility to drill down into the data, analyze it, export it, customize it, and present
it in a number of different ways. In addition, different types of reports are available to different
job functions as set by PMSI-Tmesys’ clients.

“We selected MicroStrategy because of its exceptional scalability, core reporting, and analytic
functionality. MicroStrategy positions us to provide better quality and more timely information to
our clients, giving them critical insights to make analytically based decisions.”
– PMSI-Tmesys

IMPROVIng PERFORMAncE AnD HIgH QUAlITy HEAlTHcARE AT PREMIER, Inc.

The MicroStrategy Business Intelligence Platform is providing critical support for an important
project between Premier, Inc., and the U.S. Department of Health Human Services (HHS) to
improve hospital performance nationwide. Premier, Inc. is a strategic U.S. healthcare alliance
owned by 200 of the nation’s leading not-for-profit hospitals and healthcare systems.

MicroStrategy’s platform supports Premier’s data applications, helping its healthcare system
clients make informed decisions on clinical quality and patient safety, business and market
strategy, clinical resource utilization, operational performance, and productivity. More than 400
of Premier’s clients use the MicroStrategy platform through the Perspective Online tool to monitor
and measure their clinical and cost performance.

In 2003, the U.S. announced a new joint project between the Centers for Medicare Medicaid
Services (CMS) and Premier to use financial incentives to encourage hospitals to continuously
improve the quality of their in-patient care. Hospitals that participate in the project are eligible for
increased Medicare payments for delivering high-quality care to patients who are being treated
for specific clinical conditions.

“MicroStrategy’s business intelligence software supports this important demonstration project and
the ongoing applications we need. Premier has spent many years establishing a capability on a
scale required for this project, as well as our clients’ needs. We rely on many partners, including
MicroStrategy, to help us create a comprehensive solution for the industry.”
– Premier, Inc.

1

MicroStrategy: The Choice of Leading Healthcare
Organizations

At MicroStrategy, we are fully dedicated to helping healthcare providers stay competitive in a
challenging industry. We believe that business intelligence properly applied to enterprise data
provides healthcare organizations with the insight they need to increase revenue, reduce costs,
and comply with industry regulations and standards.

Today, nine of the top ten Fortune 500 healthcare and pharmaceutical companies rely on
MicroStrategy’s business intelligence architecture for their reporting, analysis, and monitoring of
wide-ranging healthcare data. MicroStrategy’s unified architecture offers healthcare providers
far-reaching opportunities for ever-expanding business intelligence. Whether starting with
one or several applications, healthcare providers can evolve to utilize MicroStrategy’s unique
competencies: an easy-to-use unified Web interface with extranet and intranet capabilities, access
for thousands of users, reporting and analysis of tremendous amounts of data across multiple
sources, graphical dashboards and boardroom-quality reports, unconstrained analytical flexibility,
and industry-leading security architecture.

With the increasing challenges the healthcare industry is facing, providers need to stay one step
ahead of the competition. MicroStrategy equips healthcare organizations with the tools they
need to make the best use of the vast amounts of information available to them, allowing them
to operate more efficiently and improve patients’ well-being. At MicroStrategy, we are committed
to helping your organization increase its competitive advantage by devising smart business
solutions and making better business decisions every day.


1

All Contents Copyright © 2007 MicroStrategy Incorporated. All Rights Reserved.

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DSSArchitect, DSS Broadcaster, DSS Broadcaster Server, DSS Office, DSSServer, DSS Subscriber, DSS Telecaster, DSSWeb, eBroadcaster, eCaster, eStrategy, eTelecaster, Information Like Water, Insight
Is Everything, Intelligence Through Every Phone, Your Telephone Just Got Smarter, Intelligence To Every Decision Maker, Intelligent E-Business, IWAPU, Personal Intelligence Network, Personalized
Intelligence Portal, Query Tone, Quickstrike, Rapid Application Development, Strategy.com, Telepath, Telepath Intelligence, Telepath Intelligence (and Design), The E-Business Intelligence Platform,
The Foundation For Intelligent E-Business, The Integrated Business Intelligence Platform Built For The Enterprise, The Intelligence Company, The Platform For Intelligent E-Business, The Power Of
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All other products are trademarks of their respective holders. Specifications subject to change without notice. MicroStrategy is not responsible for errors or omissions. MicroStrategy makes no
warranties or commitments concerning the availability of future products or versions that may be planned or under development.

This product is patented. One or more of the following patents may apply to the product sold herein: U.S. Patent Nos. 6,154,766, 6,173,310, 6,260,050, 6,263,051, 6,269,393, 6,279,033,
6,501,832, 6,567,796, 6,587,547, 6,606,596, 6,658,093, 6,658,432, 6,662,195, 6,671,715, 6,691,100, 6,694,316, 6,697,808, 6,704,723, 6,707,889, 6,741,980, 6,765,997, 6,768,788,
6,772,137, 6,788,768, 6,792,086, 6,798,867, 6,801,910, 6,820,073, 6,829,334, 6,836,537, 6,850,603, 6,859,798, 6,873,693, 6,885,734, 6,888,929, 6,895,084, 6,940,953, 6,964,012,
6,977,992, 6,996,568, 6,996,569, 7,003,512, 7,010,518, 7,016,480, 7,020,251, 7,039,165, 7,082,422, 7,113,993, 7,127,403 and 7,174,349. Other patent applications are pending.

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