Solutions for Healthcare

The healthcare industry is undergoing tremendous change, driven by regulatory reforms, technological advances, and the explosive growth of data, exposing providers to new levels of accountability and competitive pressure. In response, leading healthcare organizations are transforming into Intelligent Enterprises with MicroStrategy’s solutions, boosting their operational efficiency, expanding their businesses, improving the quality of care, and delivering an exceptional patient experience.

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Digital Staff Badges

Issue digital badges to physicians and clinical staff to help secure hospital facilities, restrict access to sensitive patient information, and effectively monitor onsite activity.

Doctor Performance

Give physician managers and individual doctors insight into productivity and billing activities.

Hospital Operations

Mobilize internal workflows to help boost productivity, increase utilization of scarce clinical and ER resources, and reduce patient wait times.

Hospital Performance

Assess performance versus peer organizations and help uncover shortcomings in operational efficiency, quality of care, and patient satisfaction.

Revenue Cycle Optimization

Uncover cash flow anomalies, improve claims processes, and reduce the burdens of pay-for-performance reporting and cost accounting.

Supply Chain Management

An application that gives buyers deep insight into the costs, service levels, and performance of competing vendors so they can negotiate the best values for supplies and services.

Digital Patient ID Badge

Digitize the healthcare experience with smartphone-based patient badges.

Claims Analysis

Proactively analyze and manage the healthcare claims process to optimize reimbursements, decrease member risk, and reduce overall healthcare costs.

Fraud and Abuse Analysis

A data discovery application for healthcare payers to identify high-cost and non-compliant providers, and to identify hospital readmission costs resulting from nonadherence to medication.

Mobile Care Delivery

MicroStrategy mobile applications empower healthcare professionals to deliver the best possible care to patients.

Patient-Centered Medical Home

An application that helps PCMH teams lower hospitalization rates, boost quality of care, and improve patient outcomes by leveraging data dispersed across care settings.

Population Health Management

By applying sophisticated, predictive analytics to EHRs, health organizations can assess patient risk, proactively deliver care, and improve overall population health.

Digital Staff Badges

The Challenge

According to the Department of Health and Human Services, there were 253 healthcare breaches in 2015 that affected 500 individuals or more with a combined loss of over 112 million records.* Source: Health and Human Services – Office of Civil Rights

The Solution

Usher lets healthcare providers issue digital badges to physicians, nurses, and support staff so they can securely log into healthcare systems and gain access to approved facilities using multi-factor, proximity-based authentication. These include push notifications, biometrics, one-time passwords, face-to-face validation, and Bluetooth proximity. Authentication helps secure all sensitive patient information and ensures that only qualified staff have access to records. Usher also helps secure facilities by restricting physical access based on individual credentials and gives administrators a real-time view of where badge holders are located. With these insights, administrators and security staff can more effectively monitor on-site activity.

Digital Staff Badges

Doctor Performance

The Challenge

With the industry moving toward value-based healthcare, and away from a pay-for-service model, healthcare organizations must have visibility into doctor performance to ensure that they are productive and deliver high-quality care.

The Solution

Using MicroStrategy, organizations can examine public and in-house data to uncover inefficiencies or anomalies in their doctors’ time management or billing practices. With deeper insight into performance, a healthcare organization can make adjustments to maximize the quality of patient care. Using this application, one can efficiently evaluate physician behaviors against benchmarks, guidelines, and best practices. This will provide a greater level of understanding around key drivers of costs as well as identify areas for improvement.

Doctor Performance

Hospital Operations

The Challenge

Time wasted due to inefficient communications within healthcare workflows cost the average US hospital $1.75 million annually.* Source: Ponemon Institute, “The Imprivata Report on the Economic Impact of Inefficient Communications in Healthcare,” June 2014

The Solution

Healthcare facilities experience fluctuating capacity. Underestimating demand for appointments and procedures can leave patients waiting, reducing satisfaction and perceptions of care, while overestimating demand results in under-utilized clinical staff and unnecessary expenses. MicroStrategy helps hospitals use realtime data to minimize patient wait times, optimize hospital resources, and proactively prepare for emergency visits. With MicroStrategy mobile apps, medical centers can mobilize key systems so the entire staff is aligned, from the boardroom down to the frontline clinicians, leading to increased productivity, significant cost savings, and a better patient experience.

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Hospital Performance

The Challenge

According to a 2016 survey, 46% of consumers would travel a greater distance to receive services from a health system recognized as “best in field.”* In today’s highly competitive healthcare environment, hospitals and other healthcare organizations must understand how they are performing compared to their competitors in areas such as patient satisfaction, key quality measures, and service fees. Source: PwC Health Research Institute, December 2015. “Top Health Industry Issues of 2016”

The Solution

Using MicroStrategy solutions, healthcare organizations can quickly access and explore operational and public data to measure against performance benchmarks, standards and organizational goals. With this insight, hospitals can quickly uncover shortcomings and identify areas for performance improvement. This particular screen provides an at-aglance summary of hospital performance, enabling executives to quickly digest KPIs and trends related to revenue, profitability and patient satisfaction (PSAT).

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Revenue Cycle Optimization

The Challenge

More than 20% of US hospitals have negative total profit margins.* Hospitals operate with lean margins; managing cash flow and expediting payments and insurance reimbursements is critical. CFOs and revenue cycle leadership must be on the same page to monitor and analyze the financial metrics that contribute to net revenue. Source: Analysis of American Hospital Association Annual Survey data, 2014, http://www.aha.org/research/reports/tw/chartbook/2016/table4-1.pdf

The Solution

With the MicroStrategy analytics platform harmonizing billing, cash and remittance data, hospitals can monitor and forecast financial performance more effectively. These solutions allow financial managers to track revenue cycle developments and quickly respond to issues such as delayed reimbursements and denied claims. They can easily drill into billing data to help uncover the root causes of revenue cycle delays, such as incorrect diagnostic coding, confusion over patient insurance eligibility, or required co-payments. Physicians can also be included in the dialogue as they can be provided a secure, personalized view of their own financial performance.

Revenue Cycle Optimization

Supply Chain Management

The Challenge

Medical supplies, pharmaceuticals and third party support services consume 30-40% of a hospital’s budget. Hospital supply chains are complex and often segregated from other hospital systems. The resulting inefficiencies impact financial performance, hinder the availability of patient services, and limit the full use of revenue-generating facilities.

The Solution

MicroStrategy supply chain solutions can optimize the way hospitals perform price benchmarking, enabling representatives to interact with clients, explore their data in real time, and quickly identify where they can save money by adjusting their buying patterns. Using MicroStrategy solutions, hospitals and entire health systems can: • Monitor stock usage and inventory across the enterprise in real time • Align stocking levels with usage demands • Improve volume pricing through hospital or system-wide purchases • Gain a clear understanding of costs, service levels, and performance of competing vendors to negotiate best value for supplies and services

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Digital Patient ID Badge

The Challenge

The healthcare industry is undergoing tremendous change with a renewed focus on providing value-based care. Organizations need to communicate securely and effectively with patients no matter their location.

The Solution

Usher gives healthcare providers, payers, and patients the tools to manage the healthcare lifecycle from a single app. Payers can digitize insurance cards, and patients can manage their care by accessing their medical information from within the app. Providers can deliver a better patient experience by using Usher to digitize scheduling, appointment follow-up, and information sharing. It helps ensure that sensitive information is secure yet available to designated parties. Remote, in-person, or mobile verification of the customer’s identity helps secure access to medical records, avoid possible identity fraud, and mitigate any patient record error.

Digital Patient ID Badge

Claims Analysis

The Challenge

Health insurance is all about managing risk. As part of the claims analysis process, health plans must be able to ensure risk score accuracy to maximize reimbursement flows from government entities and other payers.

The Solution

MicroStrategy solutions help insurers efficiently process massive volumes of claims with analytics that validate patient coverage levels and confirm that the rendered care services are consistent with the patient’s treatment profile. Additionally, insurers can run predictive analytics against all patient data, internal data, and public data sources to generate accurate patient risk scores. Using these scores as benchmarks, insurers can demonstrate that the provided treatment is reducing patient risk and helping to reduce future health costs, entitling them to reimbursement from government entities (such as the CMS in the US) or other payers. This helps improve their quality ratings, making the health plan more attractive to consumers seeking coverage. This particular example shows an executive level mobile app which summarizes important KPIs and trends related to the membership, such as whether per member per month (PMPS) outlays are within expected norms. It also enables executives to drill into details related to financial performance, membership activity, quality of care, and population health.

Claims Analysis

Fraud and Abuse Analysis

The Challenge

According to the Blue Cross and Blue Shield Association, each family in the U.S. pays more than $800 extra in healthcare costs every year because of healthcare fraud. Claims costs are continuing to rise and healthcare payers need to proactively reduce costs by managing clinical outcomes for members.

The Solution

MicroStrategy data discovery capabilities can help healthcare payers identify providers who are charging above normal rates or excessively billing expensive procedures. This dashboard application contains both procedure and payments information for a specific hospital and compares submitted charges against paid charges for each procedure. Using interactive filters, payers are able to isolate the problem areas and identify providers who need to be evaluated in more detail. This application also helps identify claims that arise from readmissions for procedures. The Sankey diagram identifies distinct patient demographics and the frequency of readmission by procedure. Payers are able to correlate which members don’t take medication and are able to initiate proactive measures to better manage clinical outcomes.

Fraud and Abuse Analysis

Mobile Care Delivery

The Challenge

According to a 2016 PwC Health Research survey, 60% of consumers are willing to have a video visit with a physician through a mobile device.* Consumers are now demanding transparency, convenience and value; providers must respond by finding new channels for delivering care. Source: PwC Health Research Institute, December 2015. “Top Health Industry Issues of 2016”

The Solution

MicroStrategy mobile solutions provide healthcare professionals with critical information at their fingertips, allowing them to deliver superior levels of care no matter their location. Mobilized doctors and nurses can accurately diagnose illnesses, provide treatment options, and educate their patients remotely without the need for an office visit. These solutions can also take advantage of remote monitoring and data collection capabilities available from wearable devices. Furthermore, patients can leverage mobile applications to find the best doctors and hospitals for a given medical procedure, schedule appointments, or access their medical records.

Mobile Care Delivery

Patient-Centered Medical Home

The Challenge

The promise of the patient-centered medical home model is that with coordinated care across an ecosystem of providers, patients can receive a higher level of service delivered at lower costs. However, keeping patient data aligned across multiple care settings and presenting it to providers in a consistent fashion is a significant challenge.

The Solution

MicroStrategy enables PCMH teams to efficiently and effectively manage their patient population by providing access to accurate and updated patient data across care settings. This allows providers to take actions that can result in decreased duplication of services, lowered hospitalization rates, and improved quality of care and patient outcomes. PCMH analytics also help in tracking monthly cost and quality performance of the physicians and care teams. MicroStrategy solutions extend well beyond the boundaries of satisfying the PCMH standards; users can gain great insight into patient populations, have access to actionable reports, and can drill down from populationbased reports to the individual patient level.

Patient-Centered Medical Home

Population Health Management

The Challenge

Population health management is the new frontier for healthcare delivery, enabling providers to make care recommendations proactively based on complete insight into their patients’ medical histories. While EHR deployments are now capturing massive volumes of patient records, the challenge is in how to predictively analyze historical data to assess patient risk as well as recommend appropriate care.

The Solution

Architected for big data applications, the MicroStrategy Analytics platform can source structured and unstructured patient data from multiple, disparate EHR systems. By applying predictive analytics across a wide array of patient information (past medical history, vital signs, SOAP notes, diagnoses, medications, immunization dates, allergies, lab data, imaging scans, and reports) the application can stratify patient risk and suggest an initial action plan, such as an in-home assessment or mini-clinic visit. This analysis, along with relevant information such as insurance, demographic data, and even data imported from personal wellness devices, can be consumed on highly-organized, easyto-read dashboards, making it effortless for authorized practitioners to review patient history. Features such as pop-up reminders, easy menus, and vivid user interfaces make this application far less time-consuming than paper charts. The application can also be transaction-enabled to immediately write back any changes to the record directly from a web or mobile interface.

Population Health Management

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