Good Data Equals Good Health – and Lower Costs
Posted in BI and Analytics, Healthcare, Information Management on August 22nd, 2010 by DStodder – Be the first to commentI arrived at my first meeting at TDWI in San Diego late, still hyperventilating from legging out a long hot walk from my hotel, where I had dumped my bags after a gnarly drive down to “America’s Finest City” from Los Angeles. So, perhaps appropriately, my first meeting was with a company in the healthcare industry: Blue Cross and Blue Shield of Kansas City, co-winner of TDWI’s Enterprise Data Warehouse Best Practices Award. The company won the award as a customer of HP Business Intelligence Solutions.
The healthcare industry is obviously undergoing tremendous change, with new government policies and economics challenging the business models of insurance and managed care providers such as “Blue KC.” The transition is away from controlling benefits – that is, denying benefits – and increasing rates as the primary tools for managing costs. The future is “wellness,” or helping members get or stay healthy. “We want to improve the health of our members so that they don’t become ‘patients,’ said Darren Taylor, vice president, Information Access Division with Blue KC. “If we can do that, then we can take care of costs from within the context of that objective.”
Wellness requires knowing more about members, which means that the companies need vastly improved data management and analysis. Connecting to disparate data systems and establishing a single enterprise data warehouse (EDW) are proving critical to accomplishing Blue KC’s objectives with its membership. Previously, Blue KC had outsourced diabetes or other disease management programs “to good companies,” Taylor said, “but we did not have enough insight into these proprietary systems.” The company could not integrate or analyze multiple sources of data about one member to understand how, for example, their heart conditions, asthma or other issues were related. Gaining this single view is essential. With the EDW in place, the company is able to bring these disparate data sources in house.
Taylor was VP of the IT group, but his group now reports to Blue KC’s CFO. “There’s more accountability. IT is usually about waiting for requirements. We’re now about anticipating needs, and bringing business and IT together to execute on our data warehouse strategy.”
|
|
|
|
|
|
|
| © Submit to Any - jjtcomputing.co.uk |







