Health analytics : gaining the insights to transform health care

274 Pages·2013·8.66 MB·English

by  Burke

3GFFIRS 06/05/2013 10:58:7 Page4
3GFFIRS 06/05/2013 10:58:7 Page1
Health Analytics
3GFFIRS 06/05/2013 10:58:7 Page2
Wiley&SASBusinessSeries
TheWiley&SASBusinessSeriespresentsbooksthathelpsenior-level
managerswiththeircriticalmanagementdecisions.
TitlesintheWiley&SASBusinessSeriesinclude:
Activity-Based Management for Financial Institutions: Driving Bottom-
Line Results by Brent Bahnub
BigDataAnalytics:TurningBigDataintoBigMoneybyFrankOhlhorst
Branded!HowRetailersEngageConsumerswithSocialMediaandMobility
byBernieBrennanandLoriSchafer
Business Analytics for Customer Intelligence by Gert Laursen
Business Analytics for Managers: Taking Business Intelligence beyond
Reporting by Gert Laursen and Jesper Thorlund
The Business Forecasting Deal: Exposing Bad Practices and Providing
Practical Solutions by Michael Gilliland
Business Intelligence Success Factors: Tools for Aligning Your Business in
the Global Economy by Olivia Parr Rud
CIOBestPractices:EnablingStrategicValuewithInformationTechnology,
Second Edition by Joe Stenzel
ConnectingOrganizationalSilos:TakingKnowledgeFlowManagementto
the Next Level with Social Media by Frank Leistner
CreditRiskAssessment:TheNewLendingSystemforBorrowers,Lenders,
and Investors by Clark Abrahams and Mingyuan Zhang
Credit Risk Scorecards: Developing and Implementing Intelligent Credit
Scoring by Naeem Siddiqi
The Data Asset: How Smart Companies Govern Their Data for Business
Success by Tony Fisher
Delivering Business Analytics: Practical Guidelines for Best Practice by
Evan Stubbs
Demand-Driven Forecasting: A Structured Approach to Forecasting by
Charles Chase
The Executive’s Guide to Enterprise Social Media Strategy: How Social
Networks Are Radically Transforming Your Business by David Thomas
and Mike Barlow
3GFFIRS 06/05/2013 10:58:7 Page 3
Executive ’ s Guide to Solve ncy II by David Buckham , Jason Wahl, and
Stuart Ros e
Fair Len ding Complianc e: Intelligenc e and Imp lications for Credi t Risk
Manage ment by Clark R. Abraham s and Mingyu an Zhang
Foreign Cur rency Financi al Report ing from Euros to Yen to Yuan: A Gui de
to Fund amental Co ncepts an d Pract ical App lications by Robe rt Rowan
Human Ca pital Analytics : How to Harness the Potent ial of Your Or gani-
zation ’ s Greatest Asset by Gene Pease, Boy ce Byerly, and Jac Fitz- enz
Informat ion Revolut ion: Us ing the Infor mation Evoluti on Model to Grow
Your Business by Jim Dav is, Gl oria J. Mil ler, and Allan Russell
Manufa cturing Be st Pr actices: Optim izing Productivi ty and Product Quality
by Bobb y Hull
Marketi ng Automa tion: Practic al Steps to More Effecti ve Direct Marke ting
by Jeff LeSue ur
Masterin g Organiz ation al Knowl edge Flow: How to Make Knowledge
Sharing Work by Fran k Leistne r
The New Know: Innovat ion Powe red by Analytics by Thor nton May
Performanc e Manage ment: Integrat ing Strategy Execut ion, Methodo logies,
Risk, and Analyti cs by Gar y Cokin s
Retail Analytics : The Secret Weapon by Emmet t Cox
Social Network Analysi s in Telecom municati ons by Carlos Andre Reis
Pinheiro
Statistica l Thin king: Improvi ng Bus iness Performanc e, Secon d Edition by
Roger W. Hoer l and Ronal d D. Snee
Taming the Big Data Tidal Wave: Finding Opportuni ties in Huge Data
Streams with Advanced Analytics by Bill Frank s
Too Bi g to Ignore : The Business Ca se for Big Data by Phil Simon
The Value of Business Analyti cs: Identif ying the Pa th to Pro fi tability by
Evan Stubbs
Visual Six Sigma: Making Data Analysis Lean by Ian Cox, Marie A.
Gaudard, Philip J. Ramsey, Mia L. Stephens, and Leo Wright
WinwithAdvancedBusinessAnalytics:CreatingBusinessValuefromYour
Data by Jean Paul Isson and Jesse Harriott
For more info rmation on any of th e above titl es, please vi sit www
.wiley .com.
3GFFIRS 06/05/2013 10:58:7 Page4
3GFFIRS 06/05/2013 10:58:7 Page5
Health Analytics
Gaining the Insights to
Transform Health Care
Jason Burke
3GFFIRS 06/05/2013 10:58:7 Page6
Cov er image: top # iStockphoto.c om/polygrap hus, bottom # iStockphoto.com /
johan63
Coverdesign:MikeRutkowski
Copyright#2013bySASInstitute,Inc.Allrightsreserved.
PublishedbyJohnWiley&Sons,Inc.,Hoboken,NewJersey.
PublishedsimultaneouslyinCanada.
Nopartofthispublicationmaybereproduced,storedinaretrievalsystem,ortransmitted
inanyformorbyanymeans,electronic,mechanical,photocopying,recording,scanning,
orotherwise,exceptaspermittedunderSection107or108ofthe1976UnitedStates
CopyrightAct,withouteitherthepriorwrittenpermissionofthePublisher,or
authorizationthroughpaymentoftheappropriateper-copyfeetotheCopyright
ClearanceCenter,Inc.,222RosewoodDrive,Danvers,MA01923,[phone],fax
[phone], or on the Web at www.copyri ght.com. R equests to the Publisher for
permissionshouldbeaddressedtothePermissionsDepartment,JohnWiley&Sons,Inc.,
111RiverStreet,Hoboken,NJ07030,[phone],fax[phone],oronlineat
www.w iley.com/go/perm issions.
LimitofLiability/DisclaimerofWarranty:Whilethepublisherandauthorhaveusedtheir
besteffortsinpreparingthisbook,theymakenorepresentationsorwarrantieswith
respecttotheaccuracyorcompletenessofthecontentsofthisbookandspecifically
disclaimanyimpliedwarrantiesofmerchantabilityorfitnessforaparticularpurpose.No
warrantymaybecreatedorextendedbysalesrepresentativesorwrittensalesmaterials.
Theadviceandstrategiescontainedhereinmaynotbesuitableforyoursituation.You
shouldconsultwithaprofessionalwhereappropriate.Neitherthepublishernorauthor
shallbeliableforanylossofprofitoranyothercommercialdamages,includingbutnot
limitedtospecial,incidental,consequential,orotherdamages.
Forgeneralinformationonourotherproductsandservicesorfortechnicalsupport,please
contactourCustomerCareDepartmentwithintheUnitedStatesat(800)762-2974,outside
theUnitedStatesat(317)572-3993orfax(317)572-4002.
Wileypublishesinavarietyofprintandelectronicformatsandbyprint-on-demand.Some
materialincludedwithstandardprintversionsofthisbookmaynotbeincludedine-books
orinprint-on-demand.IfthisbookreferstomediasuchasaCDorDVDthatisnot
included in th e vers ion you p ur chased, you may d ow nl o a d thi s m ateri a l a t htt p: //
booksupport.wiley.com. For mor e information about Wiley produ cts, visit www.wiley.com.
LibraryofCongressCataloging-in-PublicationData:
Burke,Jason,1969-
Healthanalytics:gainingtheinsightstotransformhealthcare/JasonBurke.
pagescm.— (WileyandSASbusinessseries;60)
Includesindex.
ISBN978-1-118-38304-9(hardback)—ISBN978-1-118-73427-8(ePDF)—
ISBN978-1-118-73395-0(ePub)
1. Healthservicesadministration—Decisionmaking—Mathematicalmodels.
2. Healthfacilities—Businessmanagement. 3. Medicalcare–Informationtechnology—
Management. 4. Medicalinformatics—Management. I. Title.
RA971.B872013
362.1068–dc23
2013015634
PrintedintheUnitedStatesofAmerica
10987654321
3GFTOC 06/06/2013 14:52:35 Page7
Contents
Foreword xi
Preface xv
Acknowledgements xix
Chapter1 AChangingBusinessforaChangingScience 1
TheGathering 1
HowCanMedicineBecomeSmarter? 3
ComplexityExceedingCognition 4
LearningfromOtherIndustries 6
Nancy 7
CharacterizingHealthAnalytics 8
TheGatheringRevisited 10
Chapter2 ConvergenceandtheCapabilityMap 11
NiceJob,But . . . 11
FiftyFlashlights 12
ConvergenceDefined 13
IsConvergenceReallyRequired? 14
TheRushtoHealthIt 17
TheCapabilityMap 18
PuttingtheCapabilityMaptoUse 21
HealthAnalyticsasaDiscipline 23
Notes 25
Chapter3 TheFourEnterpriseDisciplinesofHealth
Analytics 27
Heresy 27
HealthAnalyticsfortheNonanalytical 29
InformationManagement 30
Statistics 36
InformationDelivery 39
High-PerformanceComputing 41
MaturationandScale 42
Enterprise-ClassAnalytics:PuttingitAllTogether 44
vii
3GFTOC 06/06/2013 14:52:35 Page8
viii ▶CONTENTS
Chapter4 DealingwithData 47
Callimachus 47
NotaDroptoDrink 48
DefiningData 48
BigData 49
GrowthinDataProvisioning 52
TheExcusesEveryLeaderNeedstoKnow 54
BuildingforTomorrow 58
Conclusion 60
Chapter5 BESTCare,FirstTime,EveryTime 63
ByDr.GrahamHughes
ChiefMedicalOfficer,SASCenterforHealthAnalyticsandInsights
Medicine:Art,Science,orBoth? 63
LeveragingEvidencetoDeliverImprovedOutcomes 66
WhatareClinicalOutcomes? 68
SupplementingtheUnaidedHumanMind 72
HealthCare’sDarkFiber 74
IdentifyingHiddenPatterns 75
Chapter6 FinancialPerformanceandReimbursement 79
Goals 79
StructuresandModels 80
ManyNames,CommonAttributes 83
WhatisNeeded 86
SurvivingandThriving 91
Chapter7 HealthOutcomesAnalysis 95
NoLeechesNecessary 95
Orientation 96
TheBigSevenþOne 97
TimingisEverything 98
Groupers 100
ThePopulation-PatientPivot 101
PatientsLikethisOne 104
OneModel,ManyBeneficiaries 107
TheRoleofRulesEngines 109
ChallengesinHealthOutcomesAnalytics 110
HealthOutcomesAnalyticsinPractice 113
TheMarvelousLeech 114
Note 115
Chapter8 HealthValueandCost 117
AnAsymmetricalIndustry 117
KaplanandPorter’sStand 120