UCSF Developments in Business Intelligence
and Enterprise Data Warehouse
Data and Analytics Needs
Access to and analysis of data is the
number one underserved IT need
across UCSF.
Joe Bengfort – UCSF CIO
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Data And Analytics Needs – Just a Sampling
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Ability to identify and stratify patients for research and population health.
Integration of clinical, financial, research, education data.
Targeting interventions for patients based on evidence.
Connecting resident performance to patient satisfaction and outcomes.
Enable continuous performance measurement and quality improvement.
Self-service tools and dashboards.
Ability to pull data from textual files.
Comparisons to outside sources (e.g., UHC and other national data) and
trend modeling.
Support an interface with ACO-wide databases/tools.
Historical and Real-time analysis.
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Current “Islands” of Capability
• Omniview – Medical Center and Department of Medicine financial
analysis
• EPSI – Cost accounting for Medical Center activities
• APeX Clarity Reports – Operational reports from UCSF’s
integrated EHR
• Data Warehouse and BI for Academic and Administrative
Systems – Supports campus, schools and administrative systems including
HR, financial, facilities and more.
• IDR – De-identified view of APeX and AxiUm (dental) data sets for researchers.
Identified data is available by request with CHR approval.
• UC-ReX – Provides cohort counts across the five-UC-Medical Campuses.
Facilitates cooperation among researchers at different campuses.
• Many others…
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Current “Islands” of Data
APeX
OrthoDatabase
Surgical
Site
infections
Hospital
acquired
illness/
condition
Implant
rejections
Quality
Improvement
Hospital
Admin.
Research
Cost Data
Patient SelfReported
information
Manual Chart
Review
L&D Birth
Calendar
Beacon
Report
OB –
PerinatalPlus
Point-topoint
Interfaces
Joint
Commissio
n Reports
Optum
Health
Report
HRIF
Data
NICUQuality
Improvement
NICUHospital
Admin.
SCIP
NSQIP
Patient Registries
(UCSF,CJRRandothers)
Birth Trauma
& Perinalta;
Elective
Delivery Data
Research,
Quality,
Hospital
Admin.
ICN
CPQCC
CCS
CPQCC/VO
N Reports
NQF- ICU
Report
NQF-ICU
Specification
NICUResearch
ICN log book
Patient Transport
(CPeTS)
Genomic raw
data
ICU
Quality
Therapeutic
Targets
Gene-Disease
Relationships
Predictive
models of
disease
Preventive
strategies
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Medication
Error Reports
Medication
SafetyData
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Predictive Risk
for Medication
Errors
Preventive
strategies
Concept of Future BI World
Core EDW
Various Analyses and Reports:
ClincalData
Marts
Clinical data
Cost Data
Student Data
Financial Data
EPSI
PeopleSoft HR
Genomic Data
Financial
DataMarts
Enterprise Data Warehouse
Patient SelfReported
information
Research
Data
Marts
Marketing
Data
Marts
ACO Data
Mart
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Other Sources
…OtherData
Marts
SQIP
SQIP
SQIP
B u s i n e s s I n t e l l i g e n c e To o l s
Example Data Types:
SCIP
NSQIP
SCIP
NSQIP
SCIP
NSQIP
SCIP
SCIP
SCIP
Business-unit Specific Reports
Business-unit Specific Datasets
Business-unit Specific Analyses
Business-unit Specific Dashboards
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…But We Must Build that Future Incrementally
• Implement priority business use cases first.
• Deliver immediate business value.
• Build and spread data governance structures as we go.
• Build more centralized data warehousing assets as we go.
• Develop the IT and departmental analytics skills required as we go.
Leverage the skills and analytical tools we have today to
bring immediate value while creating long term BI assets
such as the Enterprise Data Warehouse.
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Immediate BI Areas of Work to Drive
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Create delivery capacity via internal and external resources sufficient to drive at least
three concurrent analytical work products.
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Advance EDW capability by developing analytical work product from top priority use
case(s).
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Create a UCSF data management and governance framework to instruct our
decisions.
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Recruit an Executive Director of Networked Data Warehousing and Analytics Support.
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In the meanwhile, create a core team and start solving business problems while
incrementally maturing our data culture and assets:
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Joe Bengfort to lead these efforts in the interim.
Sandy Ng: BI Program Leader
Doug Berman: Data Architecture and Warehousing
Jeff Love: BI Technology and Development
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Leveraging What We’ve Already Created:
Intake, Prioritization and Development Process
Intake
Prioritization
Development
• UCSF Dashboard
Intake Form
• UCSF Dashboard
Changes Request
Form
• Complexity And
Prioritization
Worksheet
• Project Initiation
through
Deployment
• (Next Slides)
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Leveraging What We’ve Already Created:
Business Case Prioritization Tool
High
Low
High
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Leveraging What We’ve Already Created:
Skills, Tools, Expertise and Data Assets
• Omniview – Medical Center and Department of Medicine financial
analysis
• EPSI – Cost accounting for Medical Center activities
• APeX Clarity Reports – Operational reports from UCSF’s
integrated EHR
• Data Warehouse and BI for Academic and Administrative
Systems – Supports campus, schools and administrative systems including
HR, financial, facilities and more.
• IDR – De-identified view of APeX and AxiUm (dental) data sets for researchers.
Identified data is available by request with CHR approval.
• UC-ReX – Provides cohort counts across the five-UC-Medical Campuses.
Facilitates cooperation among researchers at different campuses.
• Many others…
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Leveraging What We’ve Already Created:
Decision Making / Governance
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Enterprise Data Warehouse Committee
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Sub-Committee of the IT Governance Steering Committee
Chaired by Dr. Michael Blum
Representation across
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Education
Research
Patient Care
Administration / Financial
Medical Center Business Intelligence Steering Committee
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Focused on prioritizing and funding analytical work.
Microcosm of decision making we’ll need in other parts of the business.
Primarily focused on continuous improvement of hospital operations.
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Dashboard Development & Demo
• FlashDash – Live Aug 2013
• DischDash (D/C before 12) – Live Nov 2013
• Quality (QualDash) - Tentative Go Live Dec 2013
The perfect is the
enemy of the good
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Analytic Activities, Guided by Data Mgmt Plan to Build the EDW
Data
Mart(s)
Business
Unit Data
integrated in
back-end:
• Data Reqs
• Definitions
• Docs
• Meta-data
Agile Development
Process
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Reports
Analyses
Dashboards
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Analytic Activities, Guided by Data Mgmt Plan to Build the EDW
Data
Mart(s)
Agile Development
Process
Data
Mart(s)
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Reports
Analyses
Dashboards
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Analytic Activities, Guided by Data Mgmt Plan to Build the EDW
Medical Center &
Medical Group
Data
Mart(s)
Schools and Other
Control Points
Core
EDW
Data
Mart(s)
Researchers
Data
Mart(s)
Medical Center and
Campus Finance
Team
Data
Mart(s)
Data
Mart(s)
Administration
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Questions?
IDR/UC-ReX Academic Research
Systems
Dashboard UCSF Medical Center
Business Intelligence
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