This group paper, written as a graduate student at CMU, attempts to define and summarize the huge challenge ahead of North American healthcare providers by illuminating current and future trends of healthcare business intelligence (BI); ramifications of EMR; the pros and cons of BI and analytics; the myriad ethical and privacy issues of big data’s role (normally associated with market share and profits); and lastly provide an industry overview of BI and analytics solutions specific to healthcare.
To view the 30+ page paper for which this presentation summarizes, please contact James Young via LinkedIn: https://www.linkedin.com/in/jamesyoung007
2. This paper defines and summarizes the huge
challenge ahead of North American
healthcare providers by illuminating current
and future trends of medical business
intelligence (BI), ramifications of EMR, the
pros and cons of BI and analytics, the myriad
ethical and privacy issues of big data’s role,
and lastly provide an industry overview of BI
and analytics solutions specific to healthcare.
Overview
3. Electronic Medical Records (EMR) Mandate
Present Day Healthcare BI
Need for Healthcare “Big Data”
Healthcare Analytics Pros & Cons
Healthcare BI Solutions: Industry Overview
Vendor Analysis – Key Terms
SaaS Advantages
On-Premise Solution
Big Four Vendors
Key Niche Vendors
Conclusion
Content
4. Current Status of EMR Mandate
Healthcare providers and the American Recovery and
Reinvestment Act of 2009
Deploy an EMR solution or face penalties starting in 2015
Must prove “meaningful use”
Using a certified EMR
Improved health quality and safety
Improved health delivery efficacy
Reduced disparities in healthcare
Improved interaction with patients and families
Advancement in the coordination of care
5. Current Status of EMR Mandate
Healthcare providers and the American Recovery
and Reinvestment Act of 2009 (continued)
Compliance
49% of small healthcare systems (< 2 FTE physicians) compliant
83% of large healthcare systems (> 5 FTE physicians) compliant
Cost to deploy EMR significant to small providers
6. Present Day Healthcare BI
80% of medical data is unstructured and clinically
relevant
Healthcare lags other industries in adoption of BI
Some healthcare organizations with BI making
decisions on comprehensive information
Improves patient and financial outcomes
Healthcare providers looking at ERP systems with BI
Healthcare ERP/BI solution are becoming more robust
7. Present Day Healthcare BI
Healthcare providers Wish List
Enterprise Healthcare Business Intelligence
Predictive Analytics
Accountable Care Predictive Analytics
Healthcare Data Integration
Data Warehousing Population
Being Able to Visualize Data
8. Need for Healthcare “Big Data”
Larger scale benefits
Advances in predicting influenza outbreaks and
strain
Clinical responses based on “Big Data”
National BI on latest treatments and results
Healthcare cost reduction on National level
Current information on clinical trials and results
Healthcare BI has moved from a “nice to have” to a “must have”!
9. Healthcare Analytics & Big Data
Pros & Cons
Ethical Considerations
Life Extension & Quality of Life
Potential Misuse
Personal Privacy vs. Societal Benefit
10. Healthcare Analytics & Big Data
Pros & Cons
Analytics ROI
Reduction of Fraud & Claim Abuse
BetterTreatments=FewerMalpracticeClaims
Threat of Loss of Insurance Coverage?
11. Healthcare Analytics & Big Data
Pros & Cons
Analytics – The Dark Side
Potential Withholding of Treatments
Demographic Profiling
Is Anything Truly Private?
12. Healthcare Analytics & Big Data
Pros & Cons
Ethical Conclusions
OpportunityforMisuse,ButNotRealized
Cost Savings – For Patients or Doctors?
Ethical & Legal Issues Unresolved
13. Healthcare BI Solutions:
Industry Overview
Criteria to consider when selecting a BI solution
Technology model
TCO
Ease of use/learning
Market Share /Key client
Complexity/capabilities
Cost Reduction
Health Improvement through proactive Care
Company Size
14. Definition of Keys Terms for
Understanding the Vendor Table
SaaS: Software As A Service: a model of software deployment
where an application is hosted as a service provided to customers
over the Internet
SaaS reduces the customer’s need for software maintenance,
operation, and support
The traditional model still accounts for most of the software
acquisition, but the SaaS is changing the dynamic very rapidly.
15. SaaS Advantages
No software licensing costs
No new infrastructure requirements
Low Cost of services
Vendors take care of the data security
17. On-Premise Advantages
Control over all systems and data,
Corporate data is stored and handled internally
Dedicated IT staff for maintenance/support
Initial investment is high but pays off over time
Note: Both technology models have disadvantages , for example data
security and confidentiality for SaaS and Cost for On-premise solution
18. The Big Four Vendors
SAP Oracle IBM Microsoft
Name of the product SAP
BusinessObjects
Edge BI for
Healthcare
Industries
Oracle Business
Intelligence
Publisher
IBM Cognos
and SPSS
MicroSoft
HealthVault
Technology model SaaS, On-
Premise
Saas, On-
premise
Saas, On-
premise
Saas , On-
premise
TCO Limited to
monthly fees if
SaaS chosen
Depend on the
technology
model, but
SaaS is cheaper
Depend on the
technology
model, but SaaS
is cheaper
Depend on
the
technology
model, but
SaaS is
cheaper
Ease of use/learning Initial Setup is
complex, but
Users training
is simple
Training and
ease of use is
relatively equal
to SAP
Easy to use and
great material
for training
Easy to use
and great
material for
training
Market Share /Key
client
Welch
Allyn(US),
Kindred
Healthcare
(US)
Novation Inc.
(US)
Trillium Health
Centre,
Martin’s Point,
VITAS, The
Neighborhood
Health Plan of
Rhode Island
Bancroft,
Helse Vest,
Texas
Children’s
Hospital
Complexity/capabilities Great
capabilities in
Trend Analysis
Leader in terms
of
implementation
time, Get
quicker
configuration
diagnostics,
Oracle BI pillar
partner and
recognized
leader in the
implementation
Implementation
is simple and
IBM has reliable
training
materials.
Cognosis is
helping 1000s
of healthcare
organizations
create a more
patient-centric,
value-based,
Optimize
your EMR
with an
infrastructure
that is
reliable, cost-
effective, and
flexible today
and the
future
19. The Big Four Vendors (Cont.)
Cost Reduction Cost effective
according to
customer
testimonials
on Sap.com
Similar benefit
with SAP
Tangible
benefits as
well as
intangibles
benefits as
described
above
Tangible
benefits as
well as
intangibles
benefits as
described
above
Health Improvement
through proactive Care
EMR feature
integrated to
allow such
proactive
targeting
EMR feature
integrated to
allow such
proactive
targeting
EMR feature
integrated to
allow such
proactive
targeting
EMR
feature
integrated
to allow
such
proactive
targeting
Company Size Perfect for
Midsize
Companies
Medium and
Large
companies
HealthCare
Organization
of all sizes
Medium
and Large
companies
21. Conclusion
Small Healthcare providers stretched to meet
ARRA EMR deadline
Many ethical and privacy issues are unresolved
Industry is still developing and maturing
Healthcare BI will be a ‘must have’ for
healthcare providers to stay competitive and
current
Significant medical benefits exist outside the
individual healthcare provider