Sunday, December 19, 2010

BI in Healthcare
• Without Business Intelligence, Health organization will continue to be data rich but information poor.
• To take advantage of BI, organization must take an enterprisewide, strategic approach vs tackling small tactical projects.
• We need to integrate Financial, operational and clinical data for effective BI results
• Main drivers are cost saving and improving patient outcomes
• Successful Business Intelligence Implementation requires involvement of Top Executives , Physicians and Nurses

Focus Area
1. Clinical Performance:-
2. Financial Performance:- (Including Service Line Analysis)
3. Overall Operation Performance (including asset management and customer management)

Useful Measures:
1. Denied Claims –Number, Amount

2. Service Line Focus
Even though healthcare organizations typically manage resources, staff and billing through service line – such as emergency medicine, intensive care and cardiac surgery.
Most providers have been unable to get a clear view whether service lines are efficient or profitable.
Service Line Managers can see issue quickly and act quickly
Now, managers are notified if a patient who should be seen in two weeks hasn’t been scheduled after week one, allowing them to take action.

3. Sealing the cracks
A strategic approach to BI identifies and plugs gaps that appear within chain of activities and lead to inefficient or substandard care.

Executive Team can define goals for performance improvement.
Dashboard are performance management tool that measures small operation activities that are aligned to enterprise vision and strategy.
BI provides the real-time data that enables managers to monitor the performance and make rapid course adjustments.

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