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Why Your Healthcare Business Intelligence 
Strategy Can’t Win without a Data Warehouse 
By Paul Horstmeier 
© 2014 Health Catalyst 
www.healthcatalyst.com 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
© 2014 Health Catalyst 
www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Healthcare Business Intelligence 
Healthcare is changing rapidly and so is the 
industry’s need for analytics and business 
intelligence, which brings up a problem: 
What exactly IS healthcare business intelligence? 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
2 
© 2014 Health Catalyst 
www.healthcatalyst.com Perhaps the better question is: 
What is your business intelligence strategy? 
Regardless of your organization’s answer, that strategy has one 
common and critical element: the need for a fundamental and 
foundational clinical data warehouse.
Where Healthcare Business Intelligence 
and Analytics Stand Today 
U.S. healthcare is shifting from fee-for-service 
to fee-for-value, yet without the 
historical investment in analytics 
technology so common in other 
industries and so essential to success. 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
3 
© 2014 Health Catalyst 
www.healthcatalyst.com ‘‘The biggest flaw of all is the lack of a documented BI 
strategy, or the use of a poorly developed or socialized one. 
- Gartner, Inc.
Understanding the Clinical Data 
Warehouse and BI Tools 
Data Warehouse 
INTERNAL SOURCES 
EHR systems 
Costing systems 
Patient feedback 
Clinical feedback 
and others… 
EXTERNAL SOURCES 
State Government 
Federal Government 
Mortality Data 
Cancer Registries 
and others… 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
4 
© 2014 Health Catalyst 
www.healthcatalyst.com Effective business intelligence tools must 
provide results that leads to understanding, 
insight and action. 
Data will come from multiple sources 
The utility of a well-designed EDW is nearly 
limitless.
Three Key Benefits That BI Realizes 
with a Clinical Data Warehouse 
Addressing top hospital concerns with a comprehensive and 
reliable healthcare EDW provides three key benefits. 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
5 
© 2014 Health Catalyst 
www.healthcatalyst.com Top Concerns of Hospitals* 
1. Financial Performance 
2. Patient safety 
3. Outcomes 
4. Healthcare reform 
* 2012 - American College of Healthcare Executive’s (ACHE) annual survey
Enabling a More Efficient, Scalable 
Reporting Process 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
6 
© 2014 Health Catalyst 
www.healthcatalyst.com TOP THREE 
1 
EDW 
BENEFITS 
A healthcare EDW streamlines and 
scales the process of determining 
the categories of healthcare data 
needed to track progress toward 
strategic goals. 
Texas Children’s Hospital in 
Houston, the nation’s largest 
children’s hospital, has significantly 
improved efficiencies with EDW 
information delivery.
Ensuring Consistent Data That 
Everyone Can Trust 
A healthcare EDW establishes a 
single source of truth, enables 
healthcare analytics and serves 
as a foundation for developing 
and maintaining a data 
governance program. 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
7 
© 2014 Health Catalyst 
www.healthcatalyst.com TOP THREE 
2 
EDW 
BENEFITS
Enabling Meaningful, Targeted 
Quality Improvement 
3 
Multi-disciplinary teams from across clinical, technical, financial, 
quality and performance excellence departments can use the EDW 
to identify opportunities for improvement. 
See North Memorial Health Care example. 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
8 
© 2014 Health Catalyst 
www.healthcatalyst.com TOP THREE 
EDW 
BENEFITS
Getting the Best Clinical Data 
Warehouse for Healthcare 
Health Catalyst’s Late-Binding™ Data Warehouse is our architectural 
model for analytics in healthcare. The Late-Binding™ architecture 
avoids the pitfalls of early binding architectures and has been 
successfully implemented by several renowned health care providers 
across the country. 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
9 
© 2014 Health Catalyst 
www.healthcatalyst.com
Benefits of The Late-Binding™ 
platform architecture 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
10 
© 2014 Health Catalyst 
www.healthcatalyst.com Late-Binding™ platform architecture delays the application of 
business rules so clinicians have time to review and revise data, 
form hypotheses, and determine optimal analytic uses. 
The Late-Binding™ model accelerates time-to-value allowing 
data warehouse to be launched in weeks vs. years. 
(See Indiana University Health for 90 day example) 
Late-Binding™ data warehouses are highly scalable and 
adaptable for problem solving and quality improvement, 
especially within dynamic healthcare organizations.
Conclusion 
Organizations and their leaders can 
harness the power of an EDW to 
improve every aspect of providing 
quality healthcare services. 
‘‘ The value of the integrated EDW is 
high for organizations whose leaders 
grab hold of it with both hands. 
- Gartner's 2014 report 
Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 
11 
© 2014 Health Catalyst 
www.healthcatalyst.com
Link to original article for a more in-depth discussion. 
Why Your Healthcare Business Intelligence Strategy Can’t Win 
without a Data Warehouse 
More about this topic 
4 Options for Choosing the Best Healthcare Analytics Solutions (executive report) 
Dale Sanders, Senior Vice President of Strategy 
Databases and Data Warehouses in Healthcare: A Comparative Review 
Drew Cardon, Data Architect 
Integrating Source Systems into a Healthcare Data Warehouse 
A Success Story from Indiana University Health 
Why Healthcare Data Is Difficult to Manage 
Dan LeSueur, Vice President of Client and Technical Operations 
The Best Data Collection Tools: Why Excel and Access Are Not The Answer 
Eric Just, Vice President, Technology 
© 2014 Health Catalyst 
www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
Other Clinical Quality Improvement Resources 
Click to read additional information at www.healthcatalyst.com 
Best Practice EDW Award Winners: Stanford and Health Catalyst 
Also by Paul Horstmeier 
Paul Horstmeier brings 25 years of Fortune 500 and small business 
operations and general management experience to Health Catalyst. 
He co-founded HB Ventures and filled senior executive roles at HB 
Ventures portfolio companies. Within Hewlett-Packard, Mr. 
Horstmeier launched and grew three different businesses, including 
co-founding HP's commercial e-commerce business which later 
expanded to include the management of the data systems and infrastructure for 
marketing operations across the company. As Vice President of HP.com, he 
headed up a 700-person organization which was awarded nearly every industry 
award for quality and innovation during his tenure. 
© 2014 Health Catalyst 
www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.

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Why Your Healthcare Business Intelligence Strategy Can't Win

  • 1. Why Your Healthcare Business Intelligence Strategy Can’t Win without a Data Warehouse By Paul Horstmeier © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
  • 2. Healthcare Business Intelligence Healthcare is changing rapidly and so is the industry’s need for analytics and business intelligence, which brings up a problem: What exactly IS healthcare business intelligence? Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 2 © 2014 Health Catalyst www.healthcatalyst.com Perhaps the better question is: What is your business intelligence strategy? Regardless of your organization’s answer, that strategy has one common and critical element: the need for a fundamental and foundational clinical data warehouse.
  • 3. Where Healthcare Business Intelligence and Analytics Stand Today U.S. healthcare is shifting from fee-for-service to fee-for-value, yet without the historical investment in analytics technology so common in other industries and so essential to success. Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 3 © 2014 Health Catalyst www.healthcatalyst.com ‘‘The biggest flaw of all is the lack of a documented BI strategy, or the use of a poorly developed or socialized one. - Gartner, Inc.
  • 4. Understanding the Clinical Data Warehouse and BI Tools Data Warehouse INTERNAL SOURCES EHR systems Costing systems Patient feedback Clinical feedback and others… EXTERNAL SOURCES State Government Federal Government Mortality Data Cancer Registries and others… Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 4 © 2014 Health Catalyst www.healthcatalyst.com Effective business intelligence tools must provide results that leads to understanding, insight and action. Data will come from multiple sources The utility of a well-designed EDW is nearly limitless.
  • 5. Three Key Benefits That BI Realizes with a Clinical Data Warehouse Addressing top hospital concerns with a comprehensive and reliable healthcare EDW provides three key benefits. Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 5 © 2014 Health Catalyst www.healthcatalyst.com Top Concerns of Hospitals* 1. Financial Performance 2. Patient safety 3. Outcomes 4. Healthcare reform * 2012 - American College of Healthcare Executive’s (ACHE) annual survey
  • 6. Enabling a More Efficient, Scalable Reporting Process Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 6 © 2014 Health Catalyst www.healthcatalyst.com TOP THREE 1 EDW BENEFITS A healthcare EDW streamlines and scales the process of determining the categories of healthcare data needed to track progress toward strategic goals. Texas Children’s Hospital in Houston, the nation’s largest children’s hospital, has significantly improved efficiencies with EDW information delivery.
  • 7. Ensuring Consistent Data That Everyone Can Trust A healthcare EDW establishes a single source of truth, enables healthcare analytics and serves as a foundation for developing and maintaining a data governance program. Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 7 © 2014 Health Catalyst www.healthcatalyst.com TOP THREE 2 EDW BENEFITS
  • 8. Enabling Meaningful, Targeted Quality Improvement 3 Multi-disciplinary teams from across clinical, technical, financial, quality and performance excellence departments can use the EDW to identify opportunities for improvement. See North Memorial Health Care example. Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 8 © 2014 Health Catalyst www.healthcatalyst.com TOP THREE EDW BENEFITS
  • 9. Getting the Best Clinical Data Warehouse for Healthcare Health Catalyst’s Late-Binding™ Data Warehouse is our architectural model for analytics in healthcare. The Late-Binding™ architecture avoids the pitfalls of early binding architectures and has been successfully implemented by several renowned health care providers across the country. Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 9 © 2014 Health Catalyst www.healthcatalyst.com
  • 10. Benefits of The Late-Binding™ platform architecture Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 10 © 2014 Health Catalyst www.healthcatalyst.com Late-Binding™ platform architecture delays the application of business rules so clinicians have time to review and revise data, form hypotheses, and determine optimal analytic uses. The Late-Binding™ model accelerates time-to-value allowing data warehouse to be launched in weeks vs. years. (See Indiana University Health for 90 day example) Late-Binding™ data warehouses are highly scalable and adaptable for problem solving and quality improvement, especially within dynamic healthcare organizations.
  • 11. Conclusion Organizations and their leaders can harness the power of an EDW to improve every aspect of providing quality healthcare services. ‘‘ The value of the integrated EDW is high for organizations whose leaders grab hold of it with both hands. - Gartner's 2014 report Proprietary. Feel free to share but we would appreciate a Health Catalyst citation. 11 © 2014 Health Catalyst www.healthcatalyst.com
  • 12. Link to original article for a more in-depth discussion. Why Your Healthcare Business Intelligence Strategy Can’t Win without a Data Warehouse More about this topic 4 Options for Choosing the Best Healthcare Analytics Solutions (executive report) Dale Sanders, Senior Vice President of Strategy Databases and Data Warehouses in Healthcare: A Comparative Review Drew Cardon, Data Architect Integrating Source Systems into a Healthcare Data Warehouse A Success Story from Indiana University Health Why Healthcare Data Is Difficult to Manage Dan LeSueur, Vice President of Client and Technical Operations The Best Data Collection Tools: Why Excel and Access Are Not The Answer Eric Just, Vice President, Technology © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.
  • 13. Other Clinical Quality Improvement Resources Click to read additional information at www.healthcatalyst.com Best Practice EDW Award Winners: Stanford and Health Catalyst Also by Paul Horstmeier Paul Horstmeier brings 25 years of Fortune 500 and small business operations and general management experience to Health Catalyst. He co-founded HB Ventures and filled senior executive roles at HB Ventures portfolio companies. Within Hewlett-Packard, Mr. Horstmeier launched and grew three different businesses, including co-founding HP's commercial e-commerce business which later expanded to include the management of the data systems and infrastructure for marketing operations across the company. As Vice President of HP.com, he headed up a 700-person organization which was awarded nearly every industry award for quality and innovation during his tenure. © 2014 Health Catalyst www.healthcatalyst.com Proprietary. Feel free to share but we would appreciate a Health Catalyst citation.