An Executive Leadership Forum at GuideWell Innovation Center

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Executive Leadership Forum at GuideWell Innovation Center hcldr hitsm innovationOur Executive Leadership Forum held at the GuideWell Innovation Center on Monday, May 8th was attended by 21 healthcare executives and solution provider thought leaders. The three-hour event – titled Operationalizing Before Analyzing: Healthcare’s Modern Journey Powered by Data – focused on some of the underlying challenges and issues regarding how healthcare data and analytics technologies impact consumers, providers and health plans.

The forum included lively discussion on real world use cases for healthcare data and analytics, a demonstration of live 3D interaction possibilities and a tour of the GuideWell Innovation Center. The forum was capped off by a happy hour for participants to network with each other and forum sponsors: MarkLogic and Intel.

In this post, highlights of the discussion between forum participants and key takeaways will be presented. In future posts, an overview of the 3D interaction demo and tour of the GuideWell Innovation Center will be shared.

Demand for Real-time Data and Transactions

A lot discussion during the forum centered around current complexities and how demand for real-time data and transactions—across clinical, administrative and financial operations–is increasing exponentially every day and putting significant demands on service model / operations and legacy infrastructure, which are mostly batch / file transfer oriented.  Several issues were identified as current concerns:

  1. Many underlying data challenges
  2. Lack of agility in quickly responding to opportunities
  3. Inadequate data governance/provenance with ETL approaches in the legacy data pipeline

All audience members agreed they wanted faster time to market and better ability to respond to clients / market / regulations and be more agile when it comes to data. There was broad agreement that “data integration” is a journey that should follow a new data integration pathway instead of the legacy Extract-Transform-Load (ETL) approach:

Real World Use Cases

Over the course of the discussion there were a number of data capture and analytics use cases shared between forum participants. One use case described enrollment data submitted to the IRS on the 1095-B Health Coverage forms sent to individuals noting their qualified health coverage during each month in the year.

One participant described how the IRS had reported back to the health plan that 40% of the records submitted by the health plan to the IRS had errors in name, social security number and/or dependent status; basic required enrollment data elements that the plan was not able to validate or authenticate during the initial enrollment process and remained that way throughout the entire year. Garbage-In-Garbage-Out.

This “1095-B use case” elicited feedback from one forum participant having recent experience at the Census Bureau with the participant describing how government agencies often don’t have complete, accurate data. Just because CMS might have data of one quality level, they don’t always share that data with related agencies so the IRS or the SSA or state Medicaid administrators likely have different data.

Leverage All Data Types & 3rd Parties

Forum participants shared unique perspectives and a Q&A ensued on the example of how the Census Bureau uses associated data to significantly improve the timelines, accuracy and overall value of census data by editing it against 3rd party sources.  This Census Bureau use case and another use case described by forum participants of a BCBS plan emphasized that 3rd party data sources and unstructured data are very important to service improvement, member/patient experience, innovation and growth-oriented project investments.

Primary Investment Areas: Data Improvement & Integration Projects

Forum members identified the following investment areas for data improvement and integration projects that healthcare executives may implement over the next 12-18 months to modernize healthcare data and applications:

healthcare-data-integration-investment-areas-ELF-Blues-MarkLogicThought Leader Presentations

This Executive Leadership Forum was co-sponsored by MarkLogic and Intel. The information shared by these two sponsors are made available here:

    “Healthcare ‘Next Gen’ Data Projects”Bill Gaynor, U.S. Healthcare Director – MarkLogic, Inc.

    “Intel Healthcare Security Readiness Program Overview”Joan Hankin – Global Director of Marketing & Business Development – Healthcare & Life Sciences at Intel Corporation

In addition to information shared by MarkLogic and Intel, Constance Sjoquist, former Research Director at Gartner, also participated:

    “Disrupting the Status Quo in Healthcare” – By Constance Sjoquist, Chief Content Officer – HLTH, LLC.

Three Basic Tenets Unanimously Agreed

At the end of the forum, participants unanimously agree on three basic tenets:

  1. Complete and accurate data – especially basic demographic and social determinants – MUST begin with the first member/consumer/patient-provider interactions at the point of service
  2. Data needs to be authenticated, validated, verified and ENRICHED against other sources – then normalized across other supportive partners and their ‘systems of record’
  3. Today’s technology can support the capture, validation and use of healthcare data on a relatively inexpensive basis.

Join Other Healthcare Leaders

For more information on the Healthcare Executive Group and how you can become more ‘in the know’ and effective as a healthcare executive or thought leader, check out this information about becoming a member. You can also follow us on Twitter, friend us on FaceBook and follow us on LinkedIn.

Operationalizing Before Analyzing: Healthcare’s Modern Journey Powered by Data

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Operationalizing analyzing data in healthcare organizations innovation programsOperationalizing data and analyzing data are not the same thing. Some healthcare organizations have made the painful and expensive mistake of focusing their innovation programs and growth investments on the “shiny ball” of analytics – the end stage of the data journey – instead of first improving the agility, speed and quality of the initial “operational” stages of the data journey: combining, enriching, indexing, searching, harmonizing, and alerting data. When it comes to operationalizing data and using information to help run the business, healthcare organizations must not fail to address numerous data silos, point-to-point integrations and other significant data-related challenges exacerbated by the lack of enterprise features such as security, transactional support, performance, and governance.

An Executive Leadership Forum Event

On Monday, 5/8/17 at 3:00 to 5:30 pm EDT, healthcare business and technology executives will meet at the GuideWell Innovation Center (Orlando, FL) to hear from healthcare business and technology leaders who’ve used “Next Gen” data concepts, strategy and technology platforms to fuel their industry innovation programs and digital transformation. This special healthcare executive leadership forum event is hosted by the Healthcare Executive Group (HCEG) and supported by HCEG’s sponsor MarkLogic and Intel. The event is open to all HCEG members and healthcare leaders, is free of charge and will be followed by a networking happy hour reception. Attendees of the 2017 Blue Cross Blue Shield National Summit may find this forum to be a great way to leverage their attendance at the Blues Summit.Healthcare Executive Leadership Forum at Guidewell Innovation Center

Who Should Attend?

Any healthcare executive with mission critical projects that require improved data agility and faster time to delivery should consider attending this unique leadership event:

  • Business Executives (operations, administrative, clinical) responsible for business “digital” modernization & improving experience / satisfaction initiatives.
  • Technology Executives (integration, architecture, infrastructure, development, security) charged with implementing and supporting operational and analytical data integration platforms to achieve business goals.healthcare executive leadership forum event - national blues summit orlando florida

What Business Executives Will Take Away

  • More insight into the competitive advantage and cost-savings a 360-degree view of Anything – member/patient, provider, etc. – can bring to a healthcare organization.
  • How creating profiles / preferences enhance engagement and experience while improving Net Promoter Scores (NPS).
  • Understanding of the business advantages and opportunities associated with ‘Next Gen’ data architecture and technology.
  • An understanding of use cases that increase business agility and improve time to market.
  • How continuous security, governance and sharing of data that’s usable and actionable is key to enabling growth and innovation.

What Technology Executives Will Take Away

  • An understanding of modern, multi-model “platform” approaches for integrating disparate data silos into a single operational and analytical infrastructure (secure, ACID compliant, etc.).
  • Awareness of the landscape of data technology vendors offering data platform solutions.
  • Why standalone, point solution “apps” or data “tools” present significant vendor lock-in risk.
  • How a metadata search approach supports rapid enterprise integration of structured and unstructured data.
  • Better understanding why top national healthcare organizations are implementing “Next Gen” data hub Centers of Excellence (CoE) to power their innovation programs and digital transformation.

More on Healthcare’s Modern Journey

For more information on leading the modernization and transformation of healthcare in 2017 and beyond, consider joining the Healthcare Executive Group and following us on our digital channels: Facebook, LinkedIn and Twitter. You can also subscribe to our bi-weekly newsletter.