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© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
© 2014 Health Catalyst
www.healthcatalyst.comProprietary. Feel free to share but we would appreciate a Health Catalyst citation.
By Health Catalyst
I Already Have a Data Warehouse. Can I
Use Health Catalyst Applications With It?
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Comparing Data Warehouse Options
You’ve already made an investment in an early-binding data
warehouse. Can you still take advantage of Health Catalyst
applications and technology?
Let’s see
some options.
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Comparing Data Warehouse Options
Custom Apps
How it works: Information from
the existing data warehouse is
fed into new, third-party
applications allowing health
system to gain functionality and
insight from the data already
collected in a data warehouse.
When needed, data from existing
schema is adapted to work on
new schema.
Disruptions associated with initial
implementation of this solution
are minimal as the existing early-
binding data warehouse
continues to perform its job as
usual and new apps are merely
layered on top. Long term costs
may be higher.
Build applications with additional functionality on
top of existing data warehouse
Short-term
resource
impact
Long-term
resource
impact
Time to
Value
Pros: Retains existing early-binding data
warehouse while increasing functionality through
the addition of advanced analytics apps
Cons: Custom solutions tend to be difficult and
costly to maintain and may not perform as desired
when advanced applications run on a platform
they weren’t designed for or if the data required
isn’t available; developing new applications on an
older platform may increase time-to-delivery for
applications that require newer data sources
Low High Low High Slow Fast
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Comparing Data Warehouse Options
Feeder Data Warehouse
How it works: To obtain broad-
spectrum, advanced analytics
functionality, a Late-Binding™
data warehouse platform is
added, but remains dependent
upon data fed to it from the
existing early-binding data
warehouse.
If desired, existing data
warehouse may continue to
perform certain key, custom
functions without the migration of
data to new platform. However,
full advantage of new platform
can’t be realized if existing data
warehouse or data heritage is
outdated.
Use existing early-binding data warehouse as
source system for new data warehouse platform
Short-term
resource
impact
Long-term
resource
impact
Time to
Value
Pros: Adds enhanced analytics functionality to
existing data warehouse, which may be beneficial
when custom functions or custom-developed
EMRs are a consideration
Cons: New tech advantages and platform not
fully realized due to dependency upon existing
early-binding data warehouse, which may also
result in conflicts/incompatibility in data heritage,
governance and lineage; employable only in
environments with one existing data warehouse
Low High Low High Slow Fast
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Comparing Data Warehouse Options
Parallel Platform
How it works: Existing data
warehouse(s) remains online
performing its current functions
while new platform is added to
perform required and desired
advanced analytics.
Information for new Late-
Binding™ platform is pulled
directly from source systems,
thereby eliminating any rules or
other limitations of existing data
warehouse.
With two systems, users are
required to remember which
system performs which function.
Users may also resist adopting
the new system if an alternative
exists.
Add new fully functional Late-Binding™ platform
parallel to existing early-binding data warehouse
Short-term
resource
impact
Long-term
resource
impact
Time to
Value
Pros: Allows immediate build-out of applications
required to perform new, needed functions while
existing applications remain intact; new apps take
full advantage of Late-Binding™ platform
Cons: Costs and staffing can increase as a result
of maintenance of two systems and potential dual
input and duplicate data integration; retaining two
data warehouses reduces the value of a data
warehouse as the single source of truth and may
result in user confusion
Low High Low High Slow Fast
2x Current
Impact
May vary
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Comparing Data Warehouse Options
Cloud Data Warehouse
How it works: As an alternative
to a second on-premise data
warehouse, a cloud-based
solution can act as an additional
data warehouse.
Featuring a rapid deployment
cycle, cloud-based/hosted
solutions include hardware,
software, maintenance, network
bandwidth, backups, and
warehouse management in
customized packages.
Hosting organization drives
acquisition and rollout efforts and
ongoing maintenance. Healthcare
organizations will carefully want
to review the efforts and options
available.
Adopt a cloud-based, hosted data warehouse to
run parallel to existing data warehouse
Short-term
resource
impact
Long-term
resource
impact
Time to
Value
Pros: Very fast deployment option without need
to acquire capital equipment; both deployment
and continued operation/maintenance are
outsourced freeing up existing IT resources to
work on other projects
Cons: Initial cost may be higher but longer term
costs are reduced over time; security of data can
be a perceived concern for organizations,
although vendors offering this option should take
precautions to ensure data is secure
Low High Low High Slow Fast
2x Current
Impact
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Comparing Data Warehouse Options
All-New Platform
How it works: While this option
does not retain the existing early-
binding data warehouse, it
provides users with the full
advantages associated with the
new Late-Binding™ data
warehouse platform and
associated advanced
applications.
New platform can also be
developed to replicate key
functionality of existing data
warehouse, if desired. Offers
increased adaptability and
growth potential while eliminating
limitations and/or shortcomings
associated with existing data
warehouse(s).
Migrate data to new Late-Binding™ platform while
phasing out former early-binding data warehouse(s)
Short-term
resource
impact
Long-term
resource
impact
Time to
Value
Pros: Scalable and agile solution bringing full
advantage of advanced apps and flexibility that
drives the new Late-Binding™ platform’s
technology; involves minimal risk while delivering
value in a short amount of time.
Cons: Migration over time results in full phase-out
of existing data warehouse, which may be met
with resistance from key stakeholders; higher
short-term cost; adoption phase can seem
disruptive when not phased in over time
Low High Low High Slow Fast
May vary
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Success w/Advanced Analytics Applications
These options represent just a few
available for organizations wanting to
add advanced analytics functionality
to an existing data warehouse.
Determining the one that’s
appropriate for a healthcare
organization involves assessing its
needs and goals relative to its
current data warehouse solution.
Your assessment should include:
• Investment to date
• Cost
• Time
• Apps
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Success w/Advanced Analytics Applications
While preserving the existing
investment is an important
consideration, it should NOT be
the driving force behind a
decision. It’s more important to
review long-term value.
The total cost of ownership from
the previous investment plus an
investment in an additional or
replacement data warehouse
may be a better value than
continued investment in a system
that has outlived its capabilities
and that carries with it a high
investment cost per advanced
analytics application.
Investment to Date
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Success w/Advanced Analytics Applications
Review both up-front costs
and projected long-term costs
for each option.
What appears to be the best
value at implementation may
come at a high price over
time, both financially and
through maintenance
resources.
Cost
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Success w/Advanced Analytics Applications
Consider the longevity of the
various option relative to a
healthcare system’s specific
needs and goals.
Flexibility to grow and change
is vital to success.
Time
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Success w/Advanced Analytics Applications
The number of apps readily
available to make use of the
data in the data warehouse
should be a key component
of the decision.
Review the options –
including the potential and
limitations of the existing
early-binding data warehouse
– in terms of cost per year as
follows:
Cost/app/year
Apps
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Success w/Advanced Analytics Applications
While adopting a new
solution is rarely an easy
decision, selecting the right
one will help make data more
accessible for everyone in the
organization – from clinical
staff to analysts, financial
teams and more.
If you are interested in a more
in-depth assessment, please
contact Health Catalyst to
better evaluate the solutions
optimized for your
organization.
In conclusion
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
More about this topic
Build vs. Buy a Data Warehouse: Which is Best for You?
Mike Doyle, Vice President
What Is the Best Healthcare Data Warehouse Model? Comparing Enterprise Data
Models, Independent Data Marts, and Late-Binding Solutions
Steve Barlow, Senior Vice President and Co-Founder
Star Schema vs. Late-Binding: Best Approach for a Healthcare Data Warehouse
Steve Barlow, Senior Vice President and Co-Founder
6 Reasons Why Healthcare Data Warehouses Fail
Steve Barlow, Senior Vice President and Co-Founder
EDW Cloud Hosting: Is It Right for Your Health System?
Nate Arnold, Director, Infrastructure Systems
© 2014 Health Catalyst
www.healthcatalyst.com
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Other Clinical Quality Improvement Resources
Click to read additional information at www.healthcatalyst.com
Health Catalyst is a mission-driven data warehousing and analytics company
that helps healthcare organizations of all sizes perform the clinical, financial, and
operational reporting and analysis needed for population health and
accountable care. Our proven enterprise data warehouse (EDW) and analytics
platform helps improve quality, add efficiency and lower costs in support of more than
30 million patients for organizations ranging from the largest US health system to
forward-thinking physician practices. Faster and more agile than data warehouses
from other industries, the Health Catalyst Late-Binding™ EDW has been heralded by
KLAS as a “newer and more effective way to approach EDW.”
For more information, visit www.healthcatalyst.com, and follow us
on Twitter, LinkedIn and Facebook.

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I Already Have a Data Warehouse. Can I Use Health Catalyst Applications

  • 1. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. © 2014 Health Catalyst www.healthcatalyst.comProprietary. Feel free to share but we would appreciate a Health Catalyst citation. By Health Catalyst I Already Have a Data Warehouse. Can I Use Health Catalyst Applications With It?
  • 2. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Comparing Data Warehouse Options You’ve already made an investment in an early-binding data warehouse. Can you still take advantage of Health Catalyst applications and technology? Let’s see some options.
  • 3. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Comparing Data Warehouse Options Custom Apps How it works: Information from the existing data warehouse is fed into new, third-party applications allowing health system to gain functionality and insight from the data already collected in a data warehouse. When needed, data from existing schema is adapted to work on new schema. Disruptions associated with initial implementation of this solution are minimal as the existing early- binding data warehouse continues to perform its job as usual and new apps are merely layered on top. Long term costs may be higher. Build applications with additional functionality on top of existing data warehouse Short-term resource impact Long-term resource impact Time to Value Pros: Retains existing early-binding data warehouse while increasing functionality through the addition of advanced analytics apps Cons: Custom solutions tend to be difficult and costly to maintain and may not perform as desired when advanced applications run on a platform they weren’t designed for or if the data required isn’t available; developing new applications on an older platform may increase time-to-delivery for applications that require newer data sources Low High Low High Slow Fast
  • 4. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Comparing Data Warehouse Options Feeder Data Warehouse How it works: To obtain broad- spectrum, advanced analytics functionality, a Late-Binding™ data warehouse platform is added, but remains dependent upon data fed to it from the existing early-binding data warehouse. If desired, existing data warehouse may continue to perform certain key, custom functions without the migration of data to new platform. However, full advantage of new platform can’t be realized if existing data warehouse or data heritage is outdated. Use existing early-binding data warehouse as source system for new data warehouse platform Short-term resource impact Long-term resource impact Time to Value Pros: Adds enhanced analytics functionality to existing data warehouse, which may be beneficial when custom functions or custom-developed EMRs are a consideration Cons: New tech advantages and platform not fully realized due to dependency upon existing early-binding data warehouse, which may also result in conflicts/incompatibility in data heritage, governance and lineage; employable only in environments with one existing data warehouse Low High Low High Slow Fast
  • 5. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Comparing Data Warehouse Options Parallel Platform How it works: Existing data warehouse(s) remains online performing its current functions while new platform is added to perform required and desired advanced analytics. Information for new Late- Binding™ platform is pulled directly from source systems, thereby eliminating any rules or other limitations of existing data warehouse. With two systems, users are required to remember which system performs which function. Users may also resist adopting the new system if an alternative exists. Add new fully functional Late-Binding™ platform parallel to existing early-binding data warehouse Short-term resource impact Long-term resource impact Time to Value Pros: Allows immediate build-out of applications required to perform new, needed functions while existing applications remain intact; new apps take full advantage of Late-Binding™ platform Cons: Costs and staffing can increase as a result of maintenance of two systems and potential dual input and duplicate data integration; retaining two data warehouses reduces the value of a data warehouse as the single source of truth and may result in user confusion Low High Low High Slow Fast 2x Current Impact May vary
  • 6. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Comparing Data Warehouse Options Cloud Data Warehouse How it works: As an alternative to a second on-premise data warehouse, a cloud-based solution can act as an additional data warehouse. Featuring a rapid deployment cycle, cloud-based/hosted solutions include hardware, software, maintenance, network bandwidth, backups, and warehouse management in customized packages. Hosting organization drives acquisition and rollout efforts and ongoing maintenance. Healthcare organizations will carefully want to review the efforts and options available. Adopt a cloud-based, hosted data warehouse to run parallel to existing data warehouse Short-term resource impact Long-term resource impact Time to Value Pros: Very fast deployment option without need to acquire capital equipment; both deployment and continued operation/maintenance are outsourced freeing up existing IT resources to work on other projects Cons: Initial cost may be higher but longer term costs are reduced over time; security of data can be a perceived concern for organizations, although vendors offering this option should take precautions to ensure data is secure Low High Low High Slow Fast 2x Current Impact
  • 7. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Comparing Data Warehouse Options All-New Platform How it works: While this option does not retain the existing early- binding data warehouse, it provides users with the full advantages associated with the new Late-Binding™ data warehouse platform and associated advanced applications. New platform can also be developed to replicate key functionality of existing data warehouse, if desired. Offers increased adaptability and growth potential while eliminating limitations and/or shortcomings associated with existing data warehouse(s). Migrate data to new Late-Binding™ platform while phasing out former early-binding data warehouse(s) Short-term resource impact Long-term resource impact Time to Value Pros: Scalable and agile solution bringing full advantage of advanced apps and flexibility that drives the new Late-Binding™ platform’s technology; involves minimal risk while delivering value in a short amount of time. Cons: Migration over time results in full phase-out of existing data warehouse, which may be met with resistance from key stakeholders; higher short-term cost; adoption phase can seem disruptive when not phased in over time Low High Low High Slow Fast May vary
  • 8. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Success w/Advanced Analytics Applications These options represent just a few available for organizations wanting to add advanced analytics functionality to an existing data warehouse. Determining the one that’s appropriate for a healthcare organization involves assessing its needs and goals relative to its current data warehouse solution. Your assessment should include: • Investment to date • Cost • Time • Apps
  • 9. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Success w/Advanced Analytics Applications While preserving the existing investment is an important consideration, it should NOT be the driving force behind a decision. It’s more important to review long-term value. The total cost of ownership from the previous investment plus an investment in an additional or replacement data warehouse may be a better value than continued investment in a system that has outlived its capabilities and that carries with it a high investment cost per advanced analytics application. Investment to Date
  • 10. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Success w/Advanced Analytics Applications Review both up-front costs and projected long-term costs for each option. What appears to be the best value at implementation may come at a high price over time, both financially and through maintenance resources. Cost
  • 11. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Success w/Advanced Analytics Applications Consider the longevity of the various option relative to a healthcare system’s specific needs and goals. Flexibility to grow and change is vital to success. Time
  • 12. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Success w/Advanced Analytics Applications The number of apps readily available to make use of the data in the data warehouse should be a key component of the decision. Review the options – including the potential and limitations of the existing early-binding data warehouse – in terms of cost per year as follows: Cost/app/year Apps
  • 13. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Success w/Advanced Analytics Applications While adopting a new solution is rarely an easy decision, selecting the right one will help make data more accessible for everyone in the organization – from clinical staff to analysts, financial teams and more. If you are interested in a more in-depth assessment, please contact Health Catalyst to better evaluate the solutions optimized for your organization. In conclusion
  • 14. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. More about this topic Build vs. Buy a Data Warehouse: Which is Best for You? Mike Doyle, Vice President What Is the Best Healthcare Data Warehouse Model? Comparing Enterprise Data Models, Independent Data Marts, and Late-Binding Solutions Steve Barlow, Senior Vice President and Co-Founder Star Schema vs. Late-Binding: Best Approach for a Healthcare Data Warehouse Steve Barlow, Senior Vice President and Co-Founder 6 Reasons Why Healthcare Data Warehouses Fail Steve Barlow, Senior Vice President and Co-Founder EDW Cloud Hosting: Is It Right for Your Health System? Nate Arnold, Director, Infrastructure Systems
  • 15. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Health Catalyst is a mission-driven data warehousing and analytics company that helps healthcare organizations of all sizes perform the clinical, financial, and operational reporting and analysis needed for population health and accountable care. Our proven enterprise data warehouse (EDW) and analytics platform helps improve quality, add efficiency and lower costs in support of more than 30 million patients for organizations ranging from the largest US health system to forward-thinking physician practices. Faster and more agile than data warehouses from other industries, the Health Catalyst Late-Binding™ EDW has been heralded by KLAS as a “newer and more effective way to approach EDW.” For more information, visit www.healthcatalyst.com, and follow us on Twitter, LinkedIn and Facebook.