Hospital Industry Data Institute Executive Program Overview for

Hospital Industry Data Institute Executive Program Overview for the Arkansas Hospital Association Membership May 22, 2018 and May 31, 2018 © Confidential - Do Not Distribute Knowledge to Transform 1

Discussion Outline HIDI Data Program Overview Experience Data Collection Report Services Analytics Research © Confidential - Do Not Distribute Knowledge to Transform 2

Hospital Industry Data Institute Experience — HIDI has more than 30 years’ experience collecting data and providing reports and related analytics for state hospital associations, ambulatory surgery centers and state data organizations State Hospital Association owned company Proven Solutions used by more than 4, 000 users and more than 1, 600 hospitals nationwide Easy onboarding for Arkansas hospitals, can accept flat file or 837 Quick and turnkey data program to meet association and members’ needs for data-driven insights and reporting Competitively priced solutions Next generation vision services provider for ADT data collection, alerting and big data platform analytics National thought leader and published resource for sociodemographic risk adjustment and readmissions modeling and other topics © Confidential - Do Not Distribute Knowledge to Transform 3

HIDI Service Penetration Special Projects Other Data Exchange Participants • Indiana • Kentucky • HIDI State Hospital Association Partners and Clients • • • Alaska Arkansas Georgia Illinois (COMPdata) Kansas • • Montana (served by COMPdata) State of Alaska Texas Tennessee • • Virginia West Virginia Washington Wyoming Arizona • Massachusetts HIDI Non-Resident or MO Exchange Database Participants • • • © Confidential - Do Not Distribute Georgia Illinois Iowa Kansas Michigan • • • Minnesota Missouri Montana Nebraska North Dakota • • • South Dakota Tennessee Wyoming Knowledge to Transform 4

HIDI Service Experience Services are used by diverse hospital types and sizes throughout the U. S. including many major health systems © Confidential - Do Not Distribute Knowledge to Transform 5

State vs Voluntary Data Program State Program Ø Ø Ø Voluntary Program Mandated submission No user interface Data is limited, sometimes stripped of value Data is aged Must purchase a limited data set through the state with restricted uses of the data. Ø Ø Ø © Confidential - Do Not Distribute Data stewardship decisions owned by participating hospitals Data can be updated monthly User friendly access to data through online platform Access to data for research, healthcare operations Voluntary submission by vendor replaces hospital data submission to state Access to border state data Knowledge to Transform 6

HIDI Voluntary Data Program Benefits Supports association advocacy programs Supports public policy initiatives Delivers actionable analytics to hospital c-suite Patient origin and market share Ø Strategic planning Ø Performance benchmarking Ø Population and community health risk metrics • “Knowledge to Transform” — Provides data insights and resources to support payment and delivery system reforms Drives adaptive health learning to improve care Data can be redirected to support mandated reporting to state Ø © Confidential - Do Not Distribute Knowledge to Transform 7

HIDI Data Program Positions state hospital association proactively in front of members backed by HIDI expertise, experience and support. Reliable and proven hospital association data program. Comprehensive data program provider; services include data collection and aggregation, report services, analytic services and workbench, ADT data capture, watchlist and alerting. Customizable program to meet individual association needs Data collection solution automates the data processing and editing and related notifications to hospital submitters. HIDI-hosted HIPAA compliant environment. No additional costs to purchase or maintain additional hardware or software. HIDI maintains all required software updates, edits and grouper versions. © Confidential - Do Not Distribute Knowledge to Transform 8

HIDI Data Collection Key Features Data Collection and Aggregation Ø Ø Ø Discharge data Selected quality data elements option NHSN-conferred data option Non-resident discharge data through association collaboration Census data, other reference data sources Flexible data formats, can program to match existing submission format, batch data layout, 837 -5010 data submission ready Customer-designed program to meet state-specific timelines, edits, communications, etc. as elected by AHA Optional payment data collection Ø Patient matching to discharge data Ø Data editing, verification and reformatting © Confidential - Do Not Distribute Knowledge to Transform 9

HIDI Data Collection Key Features Data Enrichment Grouping, unique patient identifiers, AHRQ indicator calculation, custom quality measure calculations, HACs, readmissions, etc. Optional custom data deliverables to states, AHRQ HCUP, vendor partners, others as designated Optional global sampling population for core measure program Ø © Confidential - Do Not Distribute Knowledge to Transform 10

Hospital Industry Data Institute HIDI Report Services Make Data Actionable • Make strategic market share decisions based on the most • • • current data available and identify trends over multiple years See hospital performance against others on key financial and quality metrics Anticipate the associated financial impact of complex policy changes with current data Identify demographic, socioeconomic and health characteristics for your community health needs assessment with interactive geographic information systems Access reports designed to meet the specific needs of specialty and critical access hospitals System-level access for corporate users © Confidential - Do Not Distribute Knowledge to Transform 11

Analytic Advantage® Reports and Dashboards © Confidential - Do Not Distribute Knowledge to Transform 12

C-Suite and Staff Reporting Interactive client-driven reports, dashboards, drill through reporting including: Ø Market share and patient origin reports Ø Quality benchmarking reports (AHRQ) Ø Physician utilization reports Ø CMS HIIN reports Ø Readmissions tracking and risk adjustment Ø Detailed interactive community health maps Ø Management and Productivity Ø Transparency comparative reporting © Confidential - Do Not Distribute Knowledge to Transform 13

Strategic Planning and Market Share Wide variety of reports provide insights into market trends Reports allow users to identify patient trends based on primary service areas, providers, and service lines Dynamic interface allows for end user flexibility in report design and layout User-defined variables, e. g. primary market share zip codes for “my hospital” © Confidential - Do Not Distribute Knowledge to Transform 14

Strategic Planning and Market Share What is the penetration of our primary market by hospital and age group? What is that same market by service line? Can our market support a specialty service line? What is the market share in our primary service area by hospital, zip code, payer, and service line? © Confidential - Do Not Distribute Knowledge to Transform 15

Strategic Planning and Market Share Reports © Confidential - Do Not Distribute Knowledge to Transform 16

Strategic Planning and Market Share Reports Market share reports can be customized by end users. Ø Includes over 20 filter options and over 30 sort options. Users can define their own filters for future use. All reports can be saved and exported for further analysis. © Confidential - Do Not Distribute Knowledge to Transform 17

Strategic Planning and Market Share Reports can have up to five sort columns. Provides granular data for data analysis and pivoting. © Confidential - Do Not Distribute Knowledge to Transform 18

Strategic Planning and Market Share Reports Data from HIDI designed for pivot tables and additional analysis © Confidential - Do Not Distribute Knowledge to Transform 19

Strategic Planning and Market Share Reports Trend Reporting © Confidential - Do Not Distribute Knowledge to Transform 20

Physician Utilization Reports Attending physician data is captured within the administrative data. Hospitals can identify trends and admission patterns of physician loyalty. © Confidential - Do Not Distribute Knowledge to Transform 21

Interactive Geo-Hotspot Report © Confidential - Do Not Distribute Knowledge to Transform 22

County-Level Health Rankings Interactive Geo Reports Support community health needs assessment Utilizes publicly available data from RWJF Interactive maps are available for ØHealth Outcomes ØHealth Factors ØHealth Behaviors ØPhysical Environment ØClinical Care ØSocioeconomic Factors © Confidential - Do Not Distribute Knowledge to Transform 23

County-Level Health Rankings Interactive Geo Reports © Confidential - Do Not Distribute Knowledge to Transform 24

County-Level Health Rankings Interactive Geo Reports © Confidential - Do Not Distribute Knowledge to Transform 25

County-Level Health Rankings © Confidential - Do Not Distribute Knowledge to Transform 26

County-Level Health Rankings © Confidential - Do Not Distribute Knowledge to Transform 27

Quality Outcomes Executive Dashboard © Confidential - Do Not Distribute Knowledge to Transform 28

Hospital Performance Project Report © Confidential - Do Not Distribute Knowledge to Transform 29

AHRQ Provider Performance Reports © Confidential - Do Not Distribute Knowledge to Transform 30

Readmission Dashboards Focus on the conditions that currently serve as the basis of the Hospital Readmission Reduction Program (Hospital-Wide, AMI, CHF, Pneumonia, COPD, Stroke) Most recent 12 -month trend Clinical risk factors Categorical risk factors: Ø Ø Demographic Payer Discharge Location Geographic Location © Confidential - Do Not Distribute Knowledge to Transform 31

Readmission Dashboard Overview © Confidential - Do Not Distribute Knowledge to Transform 32

Readmission Dashboard Payer Information © Confidential - Do Not Distribute Knowledge to Transform 33

Readmission Dashboard Discharge Setting © Confidential - Do Not Distribute Knowledge to Transform 34

Patient-Level Drill Down Reporting © Confidential - Do Not Distribute Knowledge to Transform 35

Readmission Dashboard Clinical Risk © Confidential - Do Not Distribute Knowledge to Transform 36

Additional Report Services Selected additional optional reporting may require optional data submission program participation including: Ø Productivity and Management data reporting Ø NHSN-conferred data submission Ø Selected clinical quality data elements Ø Financial balance sheet type data, e. g. Annual Survey financial section data Ø Etc. © Confidential - Do Not Distribute Knowledge to Transform 37

HIDI Clinical Quality Data Collection and Reporting Portal Data Collection Portal NHSN Measures Claims Data Measures Captures clinical measures to supplement claims based information Quality Reporting via HIDI Ø Easy to navigate Ø Library of over 300 clinical quality measures Ø Data uploaded or manually entered Report Suite Ø Data Submission reporting Ø Measure Analysis reporting Ø © Confidential - Do Not Distribute Knowledge to Transform 38

HIDI Clinical Quality Data Collection and Reporting Portal Benefits to Participation Association manages and maintains data Ø Sustainability for current and future needs Alignment and collaboration between third party vendors and association initiatives. Quality assurance checks Timely, interactive reporting Monitoring of quality improvement outcomes Ø View performance trends to peer groups Ø Statewide benchmarking © Confidential - Do Not Distribute Knowledge to Transform 39

HIDI Clinical Quality Data Collection and Reporting Portal Data Entry © Confidential - Do Not Distribute Knowledge to Transform 40

Quality Enhanced Data Reporting © Confidential - Do Not Distribute Knowledge to Transform 41

Quality Measure Analysis Reporting © Confidential - Do Not Distribute Knowledge to Transform 42

Finance Executive Dashboard © Confidential - Do Not Distribute Knowledge to Transform 43

Stressed Hospital Dashboard © Confidential - Do Not Distribute Knowledge to Transform 44

Hospital Efficiency Analysis Report © Confidential - Do Not Distribute Knowledge to Transform 45

Price Transparency Report © Confidential - Do Not Distribute Knowledge to Transform 46

Data Program ROI, Supports Association Policy & Advocacy Needs Examples of empirical data use to support policy and advocacy positioning for: Medicaid reform Super utilizer consumption of resources State mental health facility closure impact Inclusion of sociodemographic contribution to excess readmission risk for CMS readmission reduction program. Five-star analysis © Confidential - Do Not Distribute Knowledge to Transform 47

HIDI Strategic Vision Contracted with Change Healthcare (formerly Mc. Kesson) professional services to build HIDI-owned high performing data model and selected services. Leverages “big data” (Hadoop) data management and optimization in a secure cloud environment. Designed to deliver multi-tenant, multi-state analytics workbench for developing and applying analytic content for analysts and researchers. Built using structured engagement with HIDI members to design, pilot and evaluate proposed offerings. Future capacity to include value-added services from selected vendors for selected functionality, e. g. visualization, consultative wrap-around, etc. © Confidential - Do Not Distribute Knowledge to Transform 48

HIDI Advantage Solutions Framework © Confidential - Do Not Distribute Knowledge to Transform 49

HIDI Strategic Vision Analytic workbench designed to support systems, collaborative, integrated delivery networks, other state hospital association partners, etc. Access layer to use vendor-agnostic or self-developed analytic tools, e. g. Sas, Alteryx, Tableau, R, etc. Standardized data architecture includes historical administrative data and interface to enable direct intake of new data types including ADT, CMS-supplied episode claims, non-hospital post-acute data. Platform supports cohort and watch-list monitoring, notification and analytic alerting © Confidential - Do Not Distribute Knowledge to Transform 50

Thank you! © Confidential - Do Not Distribute Knowledge to Transform 51