© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
cIntroducing Health Catalyst University:
An Innovative Approach to Accelerating Outcomes Improvement
May 27, 2015
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
c
© 2015 Health Catalyst
www.healthcatalyst.comProprietary and Confidential
Digging Out of Healthcare’s Crises
Thomas W. Prewitt Jr., MD, director of the Healthcare Delivery Institute at HORNE LLP
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Poll Question #1:
Which of the following improvement strategies would you
like to see prioritized and implemented at your organization?
1. Physician engagement
2. Culture change
3. Process improvement
4. Cost reduction
NOTE: Check all that apply. There is no right or
wrong answer. This question enables us to learn
more about you.
3
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
“Things that can’t go on
forever, won’t.”
—Herb Stein
Image retrieved from
http://www.nndb.com/people/410/000117059/
4
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Independence, Missouri
Friday, July 30, 1965
Image retrieved from http://blog.legalsolutions.thomsonreuters.com/legal-research/today-in-1965-lbj-signs-medicare-into-law
Signing Medicare Into Law
5
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Harry Truman’s Medicare Card
Image retrieved from https://www.whitehouse.gov/photos-and-video/photo/2012/07/medicare-card-number-488-40-6969a-given-harry-s-truman
6
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
OASI = Social Security
DI = Disability
HI = Medicare
Social Security and Medicare
Trustees Report (2013)
Image retrieved from http://www.ssa.gov/oact/trsum/
7
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Congressional Budget Office Long-Term Budget Outlook
Entitlements and Interest Driving
Future Spending Surge
8
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Mary Meeker’s USA Inc. Report
Image retrieved from http://images.businessweek.com/mz/11/10/1110_mz_49meekerusainc.pdf
9
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Mary Meeker’s USA Inc. Report
Image retrieved from http://images.businessweek.com/mz/11/10/1110_mz_49meekerusainc.pdf
10
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Which of these aims describe our healthcare “system”?
Poll Question #2:
1. Total health: longevity and quality of life
2. High touch: people value a relationship with
a trusted clinical advisor more than any other
element in healthcare delivery
3. Rescue care: rapid response
under the Rule of Rescue
11
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Which of these aims describe our healthcare “system”?
Poll Question #2 Answer
1. Total health: longevity and quality of life
2. High touch: people value a relationship with
a trusted clinical advisor more than any other
element in healthcare delivery
3. Rescue care: rapid response
under the Rule of Rescue is
the correct answer
12
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
TURP QUE Study
Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf
13
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
TURP QUE Study
Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf
14
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
TURP QUE Study
Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf
15
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
TURP QUE Study
Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf
16
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
• Clinical outcomes directly relate to cost outcomes.
• The two are directly and causally linked.
Quality Controls Cost
17
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
A step in the process fails and a low-quality outcome results.
What can be done with it?
Fix it (rework)
Throw it away
(Both options cost money!)
Quality Waste
18
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
In American hospitals today, it is estimated that quality
waste accounts for more than ____% of operating costs.
1. 9%
2. 15%
3. 27%
4. 50%
Poll Question #3:
19
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
In American hospitals today, it is estimated that quality
waste accounts for more than ____% of operating costs.
1. 9%
2. 15%
3. 27%
4. 50% is the correct answer
Poll Question #3 Answer:
20
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
“The old is new again.”
21
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
“The focus on cost requires a
focus on costs.”
22
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
• Low cost providers = better quality
• New service line: 7% return
• Focus on cost at 35% capitation
returns 6x investment
Clinical Quality Drives Cost
23
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
A Tautology…
24
“Every system is perfectly
designed to get the results it
gets.”
—Dr. Paul Batalden
…so re-design
your system to
get better results.
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
c
© 2015 Health Catalyst
www.healthcatalyst.comProprietary and Confidential
Bryan Oshiro, MD, SVP and CMO of Health Catalyst and executive chair of the AP Program
Transforming Healthcare:
One Team at a Time
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
My Passion
26
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Poll Question #4:
1. I want patients to be able to afford care.
2. I want the system to remain financially strong.
3. I want to provide better patient care.
4. I don’t want to harm patients.
5. I’m getting burned out.
What passions are driving you to want to transform healthcare?
27
NOTE: Check all that apply. There is no right or
wrong answer. This question enables us to learn
more about you.
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Fixing What Ails Us
● Progressing from an individual, craft-based style of practice
to teams and evidence-based practices
● Building capacity for change; engaging others in the work
● Reducing inappropriate variation to improve care and
reduce cost through data-driven methods
● Creating programs to teach health systems how to
transform
28
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
Why should you attend?
Your patients are at the
center of what you do
Learn to engage others
in improvement work
Earn up to 75.5 AMA PRA
Category 1 Credits TM
29
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
Who should attend with you and why
√n = what it takes to change a culture
30
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
What you will learn
Graduation: Leading quality improvement initiatives (You will also present your
improvement initiative and attend the graduation ceremony)
Session 3: Overcoming barriers of cultural change • Selecting appropriate control charts •
Providing patient-centered care • Distinguishing between QI and research • Coordinating
care using value-based outcome criteria • Applying Lean thinking
Session 2: Designing data systems • Replicating improvements across systems of care •
Reducing variation through data analysis • Standardizing clinical decisions • Improving
patient safety outcomes • Improving quality while reducing cost
Session 1: Understanding the need for change • Creating the capacity for change •
Improving outcomes through the Three Systems • Using quality improvement tools
31
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
How you will learn
32
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
Potential ROI
34
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
Faculty
34
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
Final thoughts
35
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Health Catalyst’s AP Program:
Commitment: sample schedule and cost
Registration Fee
Individual $5,000
2 participants $4,500 each
3+ participants $4,000 each
Includes breakfast, lunch, and
materials for all sessions
33
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
How You Can Learn More:
● Health Catalyst’s Accelerated Practices (AP) Program :
‒ Website: healthcatalyst.com/hcu
‒ Email: university@healthcatalyst.com
‒ Phone number: 801-365-3646
● Healthcare Delivery Institute’s Advanced Training Program
(ATP) :
‒ Website: connect.hornellp.com/hdiatp
‒ Phone number: 601-326-1082
● Get started today by downloading a FREE
e-book: Healthcare: A Better Way
‒ Website: healthcatalyst.com/healthcare-transformation-
healthcare-a-better-way-v3
37
© 2015 Health Catalyst
www.healthcatalyst.com
Proprietary and Confidential
Healthcare Analytics Summit 15
Here’s a sneak preview …
Industry-leading Speakers
Jim Collins
Best-selling author of Good to
Great, Great by Choice, Built to
Last, and How the Mighty Fall
Ed Catmull
Co-founder of Pixar
President of Pixar and Walt
Disney Animation Studios
Daryl Morey
Houston Rockets
General Manager and Managing
Director of Basketball
Operations
Amir Rubin
Stanford Health Care
President and CEO
Timothy G. Ferris, MD, MPH
Partners HealthCare
Senior Vice President of
Population Health Management
Timothy Sielaff, MD, PhD,
FACS
Allina Health
Chief Medical Officer
Summit highlights
3-day Agenda
We’ve increased the time of this year’s summit to allow for more
sessions, topics, and networking.
CME Accreditation for Clinicians
This activity has been approved for AMA PRA Category 1 Credits™.
More Case Study Sessions
Health system case studies addressing even more clinical, technical,
operational, and financial examples.
Hands-On Experiences
Examples, vignettes, and audience-based activities demonstrate
principles in fun and memorable ways.
Analytics-Driven Engagement
Real-time polling, networking, Q&A, and gamification experiences; plus,
i-beacon location technology.
Networking
Experience networking options that use analytics creatively to help you
find and connect with others.
Pre-Summit Classes and Training
An early half-day of pre-session classes and training options specifically
for Health Catalyst clients.
3X the sessions
8 keynotes, 25 breakouts, 25-40 analytics walkabout mini-sessions
f
Early Registration Pricing, Optimized For Teams
Buy 1
(save $300)
$395/Pass
(through May 31)
Buy 3
(save $1,098)
$329/Pass
(through May 31)
Buy 5
(save $2,000)
$295/Pass
(through May 31)

Introducing Health Catalyst University: An Innovative Approach for Accelerating Outcomes Improvement

  • 1.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential cIntroducing Health Catalyst University: An Innovative Approach to Accelerating Outcomes Improvement May 27, 2015
  • 2.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential c © 2015 Health Catalyst www.healthcatalyst.comProprietary and Confidential Digging Out of Healthcare’s Crises Thomas W. Prewitt Jr., MD, director of the Healthcare Delivery Institute at HORNE LLP
  • 3.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Poll Question #1: Which of the following improvement strategies would you like to see prioritized and implemented at your organization? 1. Physician engagement 2. Culture change 3. Process improvement 4. Cost reduction NOTE: Check all that apply. There is no right or wrong answer. This question enables us to learn more about you. 3
  • 4.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential “Things that can’t go on forever, won’t.” —Herb Stein Image retrieved from http://www.nndb.com/people/410/000117059/ 4
  • 5.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Independence, Missouri Friday, July 30, 1965 Image retrieved from http://blog.legalsolutions.thomsonreuters.com/legal-research/today-in-1965-lbj-signs-medicare-into-law Signing Medicare Into Law 5
  • 6.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Harry Truman’s Medicare Card Image retrieved from https://www.whitehouse.gov/photos-and-video/photo/2012/07/medicare-card-number-488-40-6969a-given-harry-s-truman 6
  • 7.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential OASI = Social Security DI = Disability HI = Medicare Social Security and Medicare Trustees Report (2013) Image retrieved from http://www.ssa.gov/oact/trsum/ 7
  • 8.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Congressional Budget Office Long-Term Budget Outlook Entitlements and Interest Driving Future Spending Surge 8
  • 9.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Mary Meeker’s USA Inc. Report Image retrieved from http://images.businessweek.com/mz/11/10/1110_mz_49meekerusainc.pdf 9
  • 10.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Mary Meeker’s USA Inc. Report Image retrieved from http://images.businessweek.com/mz/11/10/1110_mz_49meekerusainc.pdf 10
  • 11.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Which of these aims describe our healthcare “system”? Poll Question #2: 1. Total health: longevity and quality of life 2. High touch: people value a relationship with a trusted clinical advisor more than any other element in healthcare delivery 3. Rescue care: rapid response under the Rule of Rescue 11
  • 12.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Which of these aims describe our healthcare “system”? Poll Question #2 Answer 1. Total health: longevity and quality of life 2. High touch: people value a relationship with a trusted clinical advisor more than any other element in healthcare delivery 3. Rescue care: rapid response under the Rule of Rescue is the correct answer 12
  • 13.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential TURP QUE Study Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf 13
  • 14.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential TURP QUE Study Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf 14
  • 15.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential TURP QUE Study Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf 15
  • 16.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential TURP QUE Study Image retrieved from Dr. Brent James’s presentation: www.aha.org/SIF/content/10geovar-brent.pdf 16
  • 17.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential • Clinical outcomes directly relate to cost outcomes. • The two are directly and causally linked. Quality Controls Cost 17
  • 18.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential A step in the process fails and a low-quality outcome results. What can be done with it? Fix it (rework) Throw it away (Both options cost money!) Quality Waste 18
  • 19.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential In American hospitals today, it is estimated that quality waste accounts for more than ____% of operating costs. 1. 9% 2. 15% 3. 27% 4. 50% Poll Question #3: 19
  • 20.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential In American hospitals today, it is estimated that quality waste accounts for more than ____% of operating costs. 1. 9% 2. 15% 3. 27% 4. 50% is the correct answer Poll Question #3 Answer: 20
  • 21.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential “The old is new again.” 21
  • 22.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential “The focus on cost requires a focus on costs.” 22
  • 23.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential • Low cost providers = better quality • New service line: 7% return • Focus on cost at 35% capitation returns 6x investment Clinical Quality Drives Cost 23
  • 24.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential A Tautology… 24 “Every system is perfectly designed to get the results it gets.” —Dr. Paul Batalden …so re-design your system to get better results.
  • 25.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential c © 2015 Health Catalyst www.healthcatalyst.comProprietary and Confidential Bryan Oshiro, MD, SVP and CMO of Health Catalyst and executive chair of the AP Program Transforming Healthcare: One Team at a Time
  • 26.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential My Passion 26
  • 27.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Poll Question #4: 1. I want patients to be able to afford care. 2. I want the system to remain financially strong. 3. I want to provide better patient care. 4. I don’t want to harm patients. 5. I’m getting burned out. What passions are driving you to want to transform healthcare? 27 NOTE: Check all that apply. There is no right or wrong answer. This question enables us to learn more about you.
  • 28.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Fixing What Ails Us ● Progressing from an individual, craft-based style of practice to teams and evidence-based practices ● Building capacity for change; engaging others in the work ● Reducing inappropriate variation to improve care and reduce cost through data-driven methods ● Creating programs to teach health systems how to transform 28
  • 29.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: Why should you attend? Your patients are at the center of what you do Learn to engage others in improvement work Earn up to 75.5 AMA PRA Category 1 Credits TM 29
  • 30.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: Who should attend with you and why √n = what it takes to change a culture 30
  • 31.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: What you will learn Graduation: Leading quality improvement initiatives (You will also present your improvement initiative and attend the graduation ceremony) Session 3: Overcoming barriers of cultural change • Selecting appropriate control charts • Providing patient-centered care • Distinguishing between QI and research • Coordinating care using value-based outcome criteria • Applying Lean thinking Session 2: Designing data systems • Replicating improvements across systems of care • Reducing variation through data analysis • Standardizing clinical decisions • Improving patient safety outcomes • Improving quality while reducing cost Session 1: Understanding the need for change • Creating the capacity for change • Improving outcomes through the Three Systems • Using quality improvement tools 31
  • 32.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: How you will learn 32
  • 33.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: Potential ROI 34
  • 34.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: Faculty 34
  • 35.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: Final thoughts 35
  • 36.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Health Catalyst’s AP Program: Commitment: sample schedule and cost Registration Fee Individual $5,000 2 participants $4,500 each 3+ participants $4,000 each Includes breakfast, lunch, and materials for all sessions 33
  • 37.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential How You Can Learn More: ● Health Catalyst’s Accelerated Practices (AP) Program : ‒ Website: healthcatalyst.com/hcu ‒ Email: [email protected] ‒ Phone number: 801-365-3646 ● Healthcare Delivery Institute’s Advanced Training Program (ATP) : ‒ Website: connect.hornellp.com/hdiatp ‒ Phone number: 601-326-1082 ● Get started today by downloading a FREE e-book: Healthcare: A Better Way ‒ Website: healthcatalyst.com/healthcare-transformation- healthcare-a-better-way-v3 37
  • 38.
    © 2015 HealthCatalyst www.healthcatalyst.com Proprietary and Confidential Healthcare Analytics Summit 15 Here’s a sneak preview … Industry-leading Speakers Jim Collins Best-selling author of Good to Great, Great by Choice, Built to Last, and How the Mighty Fall Ed Catmull Co-founder of Pixar President of Pixar and Walt Disney Animation Studios Daryl Morey Houston Rockets General Manager and Managing Director of Basketball Operations Amir Rubin Stanford Health Care President and CEO Timothy G. Ferris, MD, MPH Partners HealthCare Senior Vice President of Population Health Management Timothy Sielaff, MD, PhD, FACS Allina Health Chief Medical Officer Summit highlights 3-day Agenda We’ve increased the time of this year’s summit to allow for more sessions, topics, and networking. CME Accreditation for Clinicians This activity has been approved for AMA PRA Category 1 Credits™. More Case Study Sessions Health system case studies addressing even more clinical, technical, operational, and financial examples. Hands-On Experiences Examples, vignettes, and audience-based activities demonstrate principles in fun and memorable ways. Analytics-Driven Engagement Real-time polling, networking, Q&A, and gamification experiences; plus, i-beacon location technology. Networking Experience networking options that use analytics creatively to help you find and connect with others. Pre-Summit Classes and Training An early half-day of pre-session classes and training options specifically for Health Catalyst clients. 3X the sessions 8 keynotes, 25 breakouts, 25-40 analytics walkabout mini-sessions f Early Registration Pricing, Optimized For Teams Buy 1 (save $300) $395/Pass (through May 31) Buy 3 (save $1,098) $329/Pass (through May 31) Buy 5 (save $2,000) $295/Pass (through May 31)