six ways an edw can fail

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© 2014 Health Catalyst www.healthcatalyst.com Proprietary and Confidential Follow Us on Twitter #TimeforAnalytics Steven C. Barlow August 2014 Six Reasons Why Healthcare Data Warehouses Fail

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Join Steven C. Barlow, co-founder and Senior Vice President of Health Catalyst for a discussion on what works and what doesn’t in creating a healthcare enterprise data warehouse. During the session Steve will share his experiences and identify six missteps that many failed projects have in common. Topics include: How to identify your financial and clinical needs and how a healthcare data warehouse can address them. The importance of executive sponsorship and engagement throughout the process. The critical need to create multidisciplinary, frontline teams—comprised of clinicians, technologists, analysts and quality personnel—in the design and deployment process. How to avoid the “Boil-the-Ocean” syndrome that results when incorporating 100% of available data in favor of a prioritized approach that gradually improves quality and cost. A pragmatic approach to creating the ideal healthcare data warehouse by using data already available. How “perfect governance” becomes the enemy of progress. The goal in creating a healthcare enterprise data warehouse is to organize complex data from dozens of places into a single source of truth that makes it possible for an organization to prioritize, implement, and measure improvement areas to cut waste, reduce costs and vastly improve how it delivers care. The opportunities to improve quality and reduce costs require a solid data warehousing and analytics strategy. Success requires a healthcare data architecture that adapts to volatile clinical data complexity as well as clinical know-how to organize teams and processes around the data.

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Page 1: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

© 2014 Health Catalystwww.healthcatalyst.comProprietary and ConfidentialFollow Us on Twitter #TimeforAnalytics

Steven C. Barlow

August 2014

Six Reasons Why Healthcare Data Warehouses Fail

Page 2: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

Finding the Single Source of Truth…

• Goal: Organize complex data from dozens of places into a single source of truth…to cut waste, reduce costs, and vastly improve care delivery.

Not as easy as it seems…

• Failure rates of data warehouses is high• Gartner estimates ~50% have limited

acceptance or fail entirely

• Risk investing in a solution that may never launch or data that will not be accessed or utilized

• What makes the difference between success and failure?

Page 3: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

Six Common Missteps

Page 4: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

If You Build It, They Will Come…

• Solid business case is imperative

• Understand WHY the data are needed and HOW they will be used

• “Competitor x just deployed an EDW…we need one too”

• Involvement of business and clinical teams in defining expectations is critical

Story: “Where’s my diabetes patient registry?”

Page 5: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

Continual Commitment Required• On-going executive sponsorship and engagement

is key to success

• Frontline clinical and business staff must see tangible leadership support

• Establishment of governing body comprised of senior leadership from across the organization (Clinical, Finance, Quality, Strategy, Administration)

• Steer the project from conception through deployment

• Set clear priorities at the outset

• Fully engaged in budgeting, selecting technical team, outside vendors, partners, etc.

Story: “The EDW is one of the crown jewels of this company.”

Page 6: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

The Needs of the Information Consumer• Involvement of clinicians, technologists,

analysts, and quality personnel in development and deployment of EDW strategy

• Best understanding of information needs and processes

• Ensure solution meets day-to-day and long-term requirements

• Put insights gleaned from data in to action

Story: “I bet $10 we have the best criteria for asthma patients”

Page 7: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

• Identifying every possible piece of data…just in case

• Slows delivery of truly valuable information to drive change

• Avoid “data obesity”

• Choose one clinical area of focus and gradually improve quality & cost

Story: ERD wallpaper

All Things to All People

Page 8: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

• Bottoms-up approach to analytics planning…identifying data requirements for every possible occurrence

• Fail to consider resources required to obtain information

• Deliberate and systematic review of current data collection channels (financial systems, EHR, etc.)

• Build upon current data set, adding new information as feasible

Story: Where in the world is LVEF?

Careful What You Wish For

Page 9: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

Encouraging more, not less, data access

Increasing data contentin the EDW

Campaigning fordata literacy Resolving analytic priorities

Enhancing data quality Establishing standards for Master Reference Data

• “I need to have all the answers before I can start.”

• Priority & Data Governance

• Implement further along in the development cycle when data are available

• First get data to govern then keep governance simple to start

• Data stewardship

Observation: there is a lot of hype surrounding data governance

“Perfect Enough”

Page 10: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

Thank You

Upcoming Educational Opportunities

Breaking All the Rules: What the Leading Health Systems Do Differently with Analytics and Data Warehousing Date: August 20th, 2014Presenter: Dale Sanders, Senior Vice President, Health CatalystRegister at http://healthcatalyst.com/

Healthcare Analytics SummitJoin top healthcare professionals for a high-powered analytics summit using analytics to drive an engaging experience with renowned leaders who are on the cutting edge of healthcare using data-driven methods to improve care and reduce costs.Date: September 24th-25th Location: Salt Lake City, UtahSave the Date: http://www.healthcatalyst.com/news/healthcare-analytics-summit-2014

For Information Contact:[email protected]

Page 11: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics © 2014 Health Catalyst

www.healthcatalyst.com

Transforming Healthcare Through Analytics

Provide a tangible vision of healthcare analyticsLeading keynote speakersEngage the audience with analytics in a unique wayHands-on learning experiencesInteractive audience engagement, optimized for teamsUser and special interest group follow upProvide meaningful networking opportunitiesShare Health Catalyst vision, products, roadmapsHave Fun

Access to a mobile app will be used for audience response and participation in real time. Group-wide and individual analytic insights will be shared throughout the summit, resulting in a more substantive, engaging experience while demonstrating the power of analytics.

hasummit.com

Billy BeaneGeneral ManagerOakland A’s

Glen D. Steele, MD, PhDPresident and CEOGeisinger Health System

Ray KurzweilDirector of EngineeringGoogle and Leading Futurist

James Merlino, MDChief Experience OfficerCleveland Clinic

Penny WheelerPresident and Chief Clinical OfficerAllina Health

Charles Macias, MD, MPHChief Clinical Integration Systems OfficeTexas Children’s Hospital

Governor Mike LeavittFormer Secretary of HHSFounder of Leavitt Partners

Ms. Lizette Yearwood, JPChief Executive OfficerCayman IslandsHealth Service Authority (HAS)

Keynote Speakers

Page 12: Six Ways an EDW Can Fail

© 2014 Health Catalystwww.healthcatalyst.comFollow Us on Twitter #TimeforAnalytics

Questions?