key considerations when selecting a bi vendor - tcbi. · pdf filekey considerations when...
TRANSCRIPT
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Key Considerations When
Selecting A BI VendorLorin Bird, Strategic Research Head, Financials/Services Research
July, 2011
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
WHO IS KLAS?
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
• Founded in 1996
• Based in Orem, UT
• Market Research and Intelligence Firm
• Monitor & report on vendor performance
• Healthcare Software
• Professional Services Firms
• Medical Equipment
• Conduct 1,900+ provider
interviews/month
• 14 Years of performance data
• 4,500+ Hospitals
• 3,000+ Doctor’s Offices and Clinics
• 250+ Vendors
• 900+ Products & Services
Who We Are…
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
KLAS Principles & Commandments
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Where the KLAS Data Comes
From
5
5
CEO/CFO/COO6%
CIO8%
CMO/Physician6%
IT Director7%
IT Manager17%
Dept Director16%
Dept Manager37%
CNO/Nurse3%
Respondent Titles
• 15 Years of performance data
• 4,500+ Hospitals Reporting
• 2,500+ Clinics Reporting
• 200+ Healthcare Firms
• 800+ Healthcare Products,
Services and Medical Equip.
28,000+Interviews in 2010
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
CURRENT STATE OF BUSINESS
INTELLIGENCE IN HEALTHCARE
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
BI Is Kinda Like…
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
First Thoughts
• Attributes: flexible, intuitive, speed to value, price, support, functionality
• Largest health systems tend to favor IBM, Microsoft, Oracle, and SAP;
• Dimensional Insight (DI) priced right for smaller facilities; Information Builders (IBI) and McKesson most often in medium to large stand-alone hospitals
• McKesson the only EMR vendor with enterprise BI customer base
• Epic relationship with SAP having significant impact
• Clinical Analytics continues to gain attention: Cerner, Mediware, Omnicell, and Humedica focus here. Many others coming on radar
• Growing list of BI vendors in healthcare: QlikTech, Carefx, MicroStrategy, Tableau, Panorama, iPeople, etc
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Organization Size Profiles
Clinic6%
1-200 Beds12%
201-500 Beds32%
501-1,000 Beds19%
Over 1,000 Beds31%
• Growing number of smaller hospitals utilizing BI (12% this year compared to 7% last year)
• Mid-size hospitals and largest IDNs most common BI customers
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Administrative Director/ Manager
5% BI VP/Director/ Manager
8%
CIO10%
Data Warehouse VP/Director/
Manager
7%
Decision Support VP/Director/
Manager
13%Finance
VP/Director/ Manager
8%
IT VP/Director/ Manager
32%
Other C-Suite5%
Performance Improvement VP/Director/
Manager11%
Quality Management VP/Director/
Manager1%
Respondent Job Titles
• Leadership and vision:
– “We had about 10
years of contracted
development, and it
was incremental and
not strategic in nature.
My team basically
rebuilt our whole data
warehouse. Our short-
term objective is
getting that foundation
solidified.” – IT Director
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Vendor Performance a Bit of a Ride
88.2
75.3
80.0
75.774.4
76.0
86.3
90.6*
71.3*72.9*
88.3*
82.4*
90.9*
55.0
60.0
65.0
70.0
75.0
80.0
85.0
90.0
95.0
100.0
~14 Point
gap
between fully
rated
vendors, 19+
points
between all
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
One Enterprise Vendor
56%
Multiple Vendors44%
What is your BI strategy?
Many organizations with a goal of moving towards one enterprise actually have multiple in use right now.
Provider Strategies In Focus
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Key Selection Criteria
• Clinical, Financial, or Both?
• Usability and Functionality
• Service and Support
• Capabilities– Query and Reporting
– Dashboards and Scorecards
– Data Mining
– Predictive Analytics
• To use a consultant or not
• The Future: Mobile, More Cross-referencing, More Predictive, ACOs
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Do You Use BI To Improve Quality of Care?
60%Of those
not doing Clinical BI
plan to do
so16 12
10 17
12
1312
9 78 14
5
12
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dimensional Insight
IBM Information Builders
McKesson SAP Cerner (Mainly Clinical)
Mediware (Mainly Clinical)
No
Yes
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Vendors Play Best with Specific Groups
0
10
20
30
40
50
60
Over 1,000 Beds
501-1,000 Beds
201-500 Beds
1-200 Beds
Clinic
• McKesson and IBI predominantly in mid-size organizations
• SAP and IBM mostly in largest health systems, rarely in smallest
• DI common in smaller sites
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Usability and CapabilityFinding the Right Combination
7.7
6.7
7.77.6
7.1
6.7
7.9
8.3
7.4
7.4 7.4
6.9 6.9
8.1
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Dimensional Insight
IBM Information Builders
McKesson Horizon
SAP Cerner (Mainly Clinical)
Mediware (Mainly Clinical)
Ease of Use
Product Works as Promoted
Product Has Needed Functionality
• Usability is often key
• Enterprise solutions offer similar capabilities, but 1) ease of use leads to 2) deeper usage
• Winning combination is intuitiveness with horsepower
• DI and Mediware on the higher end, IBM and Cerner on the lower
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Who Helps Best, When Help is Needed
• BI’s complexity means providers often need help
• SAP’s different web support than BO’s caused frustration for many customers
• The larger companies tend to be least proactive
8.0
6.3
7.57.3
5.8
6.9
8.3
7.3
6.1
7.2
6.8
6.1
5.2
7.67.7
6.1
7.27.0
5.8
7.4
8.2
4.0
4.5
5.0
5.5
6.0
6.5
7.0
7.5
8.0
8.5
9.0
Dimensional Insight
IBM Information Builders
McKesson Horizon
SAP Cerner (Mainly Clinical)
Mediware (Mainly Clinical)
Quality of Phone/Web SupportProactive ServiceVendor Executive Involvement
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Where Consultants Helped
15%14%
22%
0%
5%
10%
15%
20%
25%
30%
Vendor Selection/Strategy Data Warehouse Build Application Implementation
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
…And Who Helped
Vendor Selection/Strategy Data Warehouse Build Application BuildACS Business Intelligence Consulting Group Accenture
Bain CBH Consulting, Inc Analytics 8
Dearborn Computerized Facility Integration Analytic Vision
Deloitte Edgewater Aster Group
Deloitte ESI Business Intelligence Consulting Group
Edgewater Hitachi CNE
Encore IBM Edgewater
IMI Infolink Consulting ENSTOA
People Services Center Ingenix Genesis
PwC Revere IDG
Recombinant RSM Infolink Consulting
McGladrey IPC
Tailwind ISA Consulting
Trellis Healthcare JCB Partners
Yardley Consulting Natural Synergies
Ranzal
Revere
RSM
McGladrey
Yardley Consulting
35+ Firms
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Vendors’ Market MindshareFor Some, Significant Changes Year over year
• SAP, IBM, and Oracle
still tops in
considerations
• Microsoft down, DI
and McKesson up
• MicroStrategy
receives lots of
attention, few
purchases
22%
4%
4%
7%
16%
4%
2%
22%
2%
18%
16%
31%
42%
38%
6%
6%
6%
9%
13%
14%
14%
16%
19%
19%
27%
38%
45%
0% 5% 10% 15% 20% 25% 30% 35% 40% 45% 50%
Other*
QlikTech
Mediware
MediSolv
Lawson
Microsoft
Dimensional Insight
Cerner
MicroStrategy
McKesson
Information Builders
Oracle
IBM (Cognos)
SAP (Business Objects)
2011
2010
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Capabilities in the Eyes of CustomersFinancial Business Intelligence
• Query and Reporting is core use, but strong scoring differences at times
• Trend towards dashboards
• Predictive Analytics still nascent, but many have plans
8.2
7.1
7.7
7.1 7.1
5.8*
7.5
5.5
6.0
6.66.9
7.8
8.2
6.5 6.4
7.0
5.7
6.3*
5.1
2.3
3.5*
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
Dimensional Insight
IBM Information Builders
McKesson SAP Mediware (Mainly Clinical)
Query & ReportingDashboards & ScorecardsData MiningPredictive Analytics
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Capabilities in the Eyes of CustomersClinical Business Intelligence
7.9
7.1
7.6
6.8
7.3 7.3
7.8
7.1
4.9
6.0
7.1
6.6
5.2
7.77.9
5.5
6.0*
6.8
6.0
6.66.4
5.6
3.0
3.5*
4.8*
1.0
2.0
3.0
4.0
5.0
6.0
7.0
8.0
9.0
Dimensional Insight
IBM Information Builders
McKesson SAP Cerner (Mainly Clinical)
Mediware (Mainly Clinical)
Query & ReportingDashboards & ScorecardsData MiningPredictive Analytics
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Advanced BI FunctionalityFor Some, The Future is Now
10
6 412
6
4
4
10
10 615
9
10
6
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dimensional Insight
IBM Information Builders
McKesson SAP Cerner (Mainly Clinical)
Mediware (Mainly Clinical)
Disparate Domains
No
Yes
31 1 2
2
11
5
7
138
7 5
1
3
2
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dimensional Insight
IBM Information Builders
McKesson SAP Cerner (Mainly Clinical)
Mediware (Mainly Clinical)
Predictive Analytics
PlanningNoYes
4 2 41
2
21
16
11 25
1311
10
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dimensional Insight
IBM Information Builders
McKesson SAP Cerner (Mainly Clinical)
Mediware (Mainly Clinical)
Mobile BI
No
Yes
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
ACO Plans
9
9
6
10
10
5
5
8
1
3
9
2
3
8
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dimensional Insight
IBM Information Builders
McKesson SAP Cerner (Mainly Clinicals)
Mediware (Mainly
Clinicals)
No
Yes
• IBM and SAP customers highest percent with plans to become ACO
• Larger IDNs and Health Systems, many of them SAP and IBM clients, most likely to have ACO plans
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Are You Confident Your Vendor Can Meet
ACO Needs?
8
1
2
4
5
1
2
1
3
4
2
4
2
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
Dimensional Insight
IBM Information Builders
McKesson SAP Cerner (Mainly Clinicals)
Mediware (Mainly
Clinicals)
No
Yes
When it comes to ACO capabilities, DI,
SAP customers most confident;
IBM, Cerner customers least
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
Hope this Helps Part the Clouds…
KLAS Confidential © 2009 KLAS Enterprises, LLC, All rights reserved
QUESTIONS?