Top Banner
Business Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health
56

Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

May 05, 2018

Download

Documents

lyliem
Welcome message from author
This document is posted to help you gain knowledge. Please leave a comment to let me know what you think about it! Share it to your friends and learn new things together.
Transcript
Page 1: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Business Intelligence

Intelligent Business Cameron Cox, III, MHA, FACMPE

CEO, MSOC Health

Page 2: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Learning Objectives 1.  Definitions: (Big) Data, Dashboard, Analytics 2.  Review effective dashboard principles 3.  Understand important differences between

data, analysis and presentation 4.  Recognize differences in analytics 5.  Review Financial Metrics, Analytics in a

practice setting

Page 3: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Trending

0  

20  

40  

60  

80  

100  

120  

140  

160  

Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec   Jan   Feb   Mar   Apr   May   Jun   Jul   Aug   Sep   Oct   Nov   Dec  

Volume  

What  does  this  graph  tell  us?  

Page 4: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Success! Full plane

Page 5: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

What will happen in the following scenario? •  I am driving 80 mph in my Camaro with the

windows down and sunroof open, the music blaring and my cool sunglasses on.

•  A State Trooper has a radar gun. •  The radar gun is pointed directly at my

Camaro. •  The State Trooper is also wearing cool

sunglasses.

Page 6: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Nothing….I’m in Montana

Page 7: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Cam’s Personal Dashboard

0

50

100

150

200

250

300

350

1970

19

71

1972

19

73

1974

19

75

1976

19

77

1978

19

79

1980

19

81

1982

19

83

1984

19

85

1986

19

87

1988

19

89

1990

19

91

1992

19

93

1994

19

95

1996

19

97

1998

19

99

2000

20

01

2002

20

03

2004

20

05

2006

20

07

2008

20

09

2010

20

11

2012

20

13

2014

20

15

2016

Cam's Life

Cute/Sexy Smart Funny

Page 8: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Agenda •  What is (big) data? What is a dashboard? What

is analytics?

•  Design Principles of a dashboard –  Data and Analysis –  Design –  Presentation

•  Principles of Analytics –  Real Time –  Predictive –  Historical

•  Business Intelligence – How to use it…

Page 9: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

What is (big) data?

Page 10: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Latest Buzzword

Page 11: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Who better to explain than the internet?

Page 12: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Big Data at work…

Page 13: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

What is a dashboard?

Page 14: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

It’s hard to drive without a dashboard

Keep your eyes on the road but…..

Page 15: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

What is not a dashboard? •  Report •  Just because it’s on-line

or web based •  Just because it’s real time •  Balanced Scorecard •  Tool to dive into detail •  Just because it has

gauges and graphs

Page 16: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

A dashboard is …

… a visual display of the most important information needed to achieve one or more objectives, consolidated and arranged on a

single screen so the information can be monitored at a glance.

Page 17: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Dashboards The Chosen Tool for Consolidating Data Simply

Page 18: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Please count the # of 7’s in this array:

59374304814959730493

70241382710993183453

59474942479103587494

Page 19: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Now count the # of 7’s:

59374304814959730493

70241382710993183453

59474942479103587494

Page 20: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

This….not that

Page 21: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

A Dashboard’s Hierarchy of Needs

Clear Presentation

Formulated Analysis

Large Data Set

Page 22: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Data

Page 23: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Analysis

Page 24: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Presentation

Page 25: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

What is the purpose of dashboard? •  Mission Statement •  Audience •  Performance Measures (KPI & Metrics) •  What logical groupings will organize the info

best? •  What comparisons should be made? •  How frequently will it be updated? •  What actions might be taken?

Page 26: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

WATCH OUT! Potential gap ahead…

Page 27: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Time…understand it in your analysis. Real Time versus Time Trends •  Airline Pilot or ICU physician or Call Center •  Retail, Financial, Manufacturing •  Closer to real time better •  Understanding secular/historical trends

important also

Page 28: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Trends •  Hour by Hour, Day by Day, Week by Week •  Month by Month, Quarter by Quarter •  Compare to prior hour, day, week, month,

quarter, year •  Month to Date, Quarter to Date, Year to Date

Page 29: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Context/Comparisons add Perspective •  Historical

–  Last period –  Last period 1 year ago

•  Benchmark •  Goals or Budgets •  Relative to other providers •  Forecast

Page 30: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

You Need Good, Unfiltered Data •  Available-Who did you have to toss under the

bus to find this information? •  Reliable -Do you believe these #’s? •  Relevant •  Timely-Last years data is too late. •  Simple, simple, SIMPLE

Page 31: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

What is analytics?

Page 32: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Structured Breakdown with purpose Detailed examination of the elements

–  Identifying the elements – Separating the elements into constituent

elements – Measuring the elements

Page 33: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Analytic Continuum

Descriptive- What happened?

Diagnostic- Why did it happen?

Predictive-What will happen?

VALU

E

DIFFICULTY

Page 34: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Real Time Analytics

Page 35: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

How does this work?

Page 36: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Okay…how does this work in healthcare?

Page 37: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Predictive Analytics

Page 38: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

How does it work?

Page 39: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

How does it work in healthcare?

Increase Marketing Dollars during end of season

Have more open scheduling slots during

end of season

Page 40: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Another example

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 Total 26

3 475

323

336

350

393

450

852

384

301

252

188

168

179

387

172

109

87 79 68 108

276

75 54 57 60 50 77 396

71

0 100 200 300 400 500 600 700 800 900

No

Sho

ws

# of days between Booking Date and Appt Date

No Shows: Days from Booking Date

Group one week follow-up slot times; advertise

walk in availability at same times

Double book one week follow-ups with other appointments to keep

utilization high

Change booking pattern; encourage

patients to self-schedule follow ups

Page 41: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Data – What do we want to measure…analyze…present

Page 42: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Types of Data

I.  Volume A.  Productivity (patients,

encounters, days worked)

B.  Activities (procedures, labs, x-ray, calls)

C.  Hours/Shifts

II.  Quality & Clinical A.  Clinical Quality B.  Patient Satisfaction

III.  Billing & Financial A.  Charge Capture &

Gross Revenue B.  Costs C.  Collections D.  Profit/Loss

Page 43: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Solutions (Real World Example) •  Customer analysis: 51% of patients are age 50 or under

Page 44: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Customer Analysis (Real World #2)

Page 45: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Customer Analysis by Location

•  Cary location sees more Millennials than other locations.

•  Sanford has the oldest patient population.

Page 46: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Opportunity cost •  Compare commercial contract proposals to

other payors; is participating worth the effort?

Page 47: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Contract Value •  Consider all product lines…dropping out

means loss of Medicare Advantage patients

Page 48: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Variance Analysis •  Review payments to ensure payor

compliance with contracted rates, identify denial trends or performance issues

Page 49: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

I. Volumes •  Patient Encounters per day/provider/group •  Procedures per E&M •  Year to Year trends/ Seasonality •  Admits/Discharges •  By Financial Class •  Day of Week •  By CPT Code •  By ICD-9 (soon -10)

Page 50: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

II. Quality & Clinical •  X-rays per ICD-10 •  Scripts per encounter •  Volume of Preventative

Well Visits •  Vaccinations to total

practice population •  Core Measures

•  Nurse calls •  Lab Response Times •  Patient Education

Delivery •  Recall rates •  Patient satisfaction •  Wait Times

Page 51: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

III. Billing & Financial •  RVU per encounter •  Cost per procedure/category •  Code Distributions •  Patient Responsibility per encounter •  Patients by Payer Class •  Accounts Receivable > 90 days •  PQRS Capture •  Insurance Denials

Page 52: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Don’t Let Tools Confuse You The Best Tool is Your Brain

Page 53: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Always Remember: A Dashboard is a Presentation of the Data Analytics is an interpretation of the Data Basics to not forget!!!

– P&L – A/R Analysis – Revenue Flow – Financial Classification

Page 54: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Thank you for your time!

Contact Cameron M. Cox, III

[email protected] 919-960-0336

Page 55: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Connect with us www.facebook.com/MSOCHealth www.linkedin.com/company/MSOC-Health http://www.msochealth.com/blog/

Page 56: Business Intelligence Intelligent Business - Amazon S3 Intelligence Intelligent Business Cameron Cox, III, MHA, FACMPE CEO, MSOC Health

Thank You MSOC Health (866) 347-0001 200 Timber Hill Place Suite 221 Chapel Hill, NC 27514 www.msochealth.com

Thank You