adoption model foranalytics maturity: an overview · •leverages an 8 stage maturity model, like...
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Adoption Model for Analytics Maturity:An OverviewJames E. Gaston, MBA, FHIMSSHIMSS [email protected]
©2018 HIMSS Analytics. All rights reserved. This document contains proprietary information and intellectual property of HIMSS Analytics. Neither this document nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of HIMSS Analytics.
A Recipe for Analytics Maturity
Adoption Model for Analytics Maturity
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©2018 HIMSS Analytics. All rights reserved. This document contains proprietary information and intellectual property of HIMSS Analytics. Neither this document nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of HIMSS Analytics.
Enabling better health through information & technology.
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©2018 HIMSS Analytics. All rights reserved. This document contains proprietary information and intellectual property of HIMSS Analytics. Neither this document nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of HIMSS Analytics.
We drive the health IT market in the direction it needs to go
Improved Patient Care and Health IT Insights
Analytics Maturity Adoption Model
Continuity of Care Maturity Model
Digital Imaging Adoption Model
Outpatient EMR Adoption Model
EMR Adoption Model
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Hindsight Insight ForesightLess
More
Standard Reports“What happened?”
Ad Hoc Reports“How many, how often, where?”
Prescription“Can we make “X” happen?”
Query/Drill Down“What exactly is the problem?”
Alerts“What action is needed?”
Randomized Testing“What happens if we try this?”
Optimization“What’s the best that can happen?”
Predictive Modeling/Forecasting“What will happen next?”
Value &Difficulty
Basic Concept #1: Analytics Value Curve
Descriptive Analytics
Diagnostic Analytics
Predictive Analytics
Prescriptive Analytics
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• Capability oriented approach (not technology oriented)
• Healthcare industry specific, internationally applicable
• Leverages an 8 stage maturity model, like EMR Adoption
– Prescriptive– Each stage has specific compliance goals– Bullet point description of compliance requirements
– Clearly defined requirements– Standard terminology
• Simple assessment outlines a clear path to analytics maturity
Model Overview
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4 Key Focus Areas• Data Content growth
– Basic data to advanced data– Aligned with clinical, financial, and operational analytics activities
• Analytics competency growth– Start simple and work to master specific competencies– Enhance performance tracking / clinical decision support– Appropriate analytics maturation for individual parts of the organization
• Infrastructure growth– Flexible approaches to accommodate a wide variety of situations– Vendor neutral– Timely data, centrally accessible
• Data Governance growth– Quality data and resource management– Executive suite and strategic alignment
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Stage 7
Stage 6
Stage 5
Stage 4
Stage 3
Stage 2
Stage 1
Stage 0 • Limited infrastructure and skills• No coordinated efforts to manage data• Focus on intuition and experience based decision making
Build Descriptive Analytics Foundation• Analytics foundation building• Strong, reliable, consistent descriptive reporting capabilities• Data governance for clinical, business, and operational insights• Standardized analytics techniques, coordinated talent dev.• Trustworthy pool of well rounded data
Advance Clinical, Operational, and Financial Analytics• Building on analytics insights • Leveraging predictive analytics effectively• Collectively addressing the economics of care• Driving improved outcomes and coupled financial performance• Maximizing quality of care for patients and populations
Mass Customization of Care and Strong Strategic Alignment• Broad and deep data resources beyond traditional EMR• Patient specific prescriptive care supporting personalized medicine• Symbiotic coupling of strategy and supporting analytics
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Neither this document nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of HIMSS Analytics.
Stage 7
Stage 6
Stage 5
Stage 4
Stage 3
Stage 2
Stage 1 • EHR, revenue cycle, GL, supply chain, patient experience data
• Payment data, historical data
• Wide reaching clinical, financial, operational data with some external content
• Data marts, expanded payment data, holistic view of patient
• Bedside devices, monitoring, home care, and pharmacy data
• Social determinants of health, patient reported outcomes data
• 7x24 biometrics, behavioral health outcomes data
Data Content
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Neither this document nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of HIMSS Analytics.
Stage 7
Stage 6
Stage 5
Stage 4
Stage 3
Stage 2
Stage 1
Infrastructure
• Centralized formal repository, enterprise-wide ad-hoc & reporting
• Broadly accessed reporting solution, database schema in place
• Widely accessible analytics driven dashboards track KPI’s
• Updates from system of record in < 2 weeks
• Updates from system of record in < 1 week
• Historical data, metadata, centralized operational data store
• Updates from system of record in < 24 hours
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Neither this document nor any of the information contained herein may be reproduced or disclosed under any circumstances without the express written permission of HIMSS Analytics.
Stage 7
Stage 6
Stage 5
Stage 4
Stage 3
Stage 2
Stage 1
Data Governance
• Patient registry evolution, Master Data Management, data literacy
• Standard terminologies, external data release policy & process
• Widely accessible analytics driven dashboards track KPI’s
• Supporting org. wide quality-based performance measurements
• Accountable for managing the economics of care (cost & quality)
• Analytics strategy with executive support, regular meetings
• Tightly aligned with org. strategic, financial, and clinical leadership
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Stage 7
Stage 6
Stage 5
Stage 4
Stage 3
Stage 2
Stage 1
Analytics Competency
• Analytics competency center, registry portfolio buildout
• Consistent, efficient rpt. production supporting ops. & management
• Focused on best practices, minimizing waste, & reducing variability
• Pop health, sig. enabled at point of care, precision registries
• Analytic motive addresses high volume diagnosis-based cohorts
• Education, skills of analytics resources are profiled and inventoried
• Prescriptive analytics, mass customization of care, wellness management
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Methodology• Compliance statements for each stage in each key focus category
– Begin at Stage 0, highest Stage 7– Compliance measured using a Likert Scale
• Overall and stage level achievement presented as a percentage– Color and % conveys overall progress against requirements– Identifies areas of strength as well as opportunity
• Achieving a stage requires 70% or > stage compliance– On that stage and all previous stages– Your “Stage” standing is the highest stage achieved– Accommodates different approaches in priorities, resources types, and execution
#20 The data warehouse supports enterprise wide ad-hoc query capability
#28 An analytics competency center is used to standardize methodology
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ScoreExample organization…
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Assessment FindingsExample organization…
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• AMAM Purpose, description, methodology• Glossary• Contact information• Baseline Report
• Overall AMAM scoring matrix with Stage achieved
• 7 page educational report
• Gap Assessment Report• Baseline content
• 4 focus area scoring matrix by Stage
• 4 focus area opportunities for achievement advancementtinyurl.com/AMAMScore
AMAM Findings Report Offerings
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Assessment Findings
tinyurl.com/AMAMScore
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Large Multi-site Regional Provider with Centralized Governance, Regional Staff
tinyurl.com/AMAMScore
Model Identified OpportunitiesData: Expand data to include third party healthcare partners, diversity beyond clinicalInfrastructure: Timeliness of data, searchable metadata repositoryGovernance: Formalize data governance program and mandateCompetency: Expand use of patient registries
Baseline Assessment
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Smaller hospital between 3 big health system players
tinyurl.com/AMAMScore
Model Identified OpportunitiesData: Expand data to include third party data, HIE integrationInfrastructure: Dashboards in place to track high volume and high risk cohortsGovernance: Standardize data release policy & procedure across all areasCompetency: Descriptive analytics reporting focus; Leverage analytics against registries
Baseline Assessment
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Very large University based program in major city with significant analytics history, silo’ed efforts across organization undermine
governance and data consolidation
tinyurl.com/AMAMScore
Model Identified OpportunitiesData: Expand data to include clinical basics, revenue cycle, patient experienceInfrastructure: Centralize more than a year of data into a merged data Governance: Formalize analytics strategyCompetency: Inventory skills and education
Baseline Assessment
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AMAM Offerings
tinyurl.com/AMAMScore
• Formal on-site analytics program review*• On-site Analytics Education & Insights*• Analytics Strategy Discussion**Personalized for your organization
• Stage 6 Validation on-site• Recommendations for achievement advancement• Gap closure strategy discussion
• Stage 7 Validation on-site• Immediate notification of review results and achievement
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Adoption Model for Analytics Maturity
tinyurl.com/AMAMScore
Key Features• Healthcare specific• Vendor neutral• Capability oriented (not technology oriented)
• Prescriptive, clear, and informative– Simply stated compliance requirements– Industry standard terminology and detailed references
Benefits• An Analytics Strategy initiator
• Identifies key opportunities• Roadmap for progressing to an appropriate level
• Drives organizational strategic and tactical alignment
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