HCSD Decision Support Solutions
Administrative Rollout
WELCOME TO THE HCSD DECISION
SUPPORT SOLUTIONS APPLICATION
UPDATE
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HCSD Decision Support Solutions
Administrative Rollout
Objectives of the Meeting:
• Give the HCSD Leadership an update on the current status of
the Siemens DSS System
• Communicate deployment and management improvement
strategies, goals and scope, approach, roles and
responsibilities, current events and issues, as well as key
success factors to the deployment.
• Convey relative and important issues surrounding the
Siemens DSS System initiative.
• Answer any related questions as part of the open dialog.
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HCSD Decision Support Solutions
Administrative Rollout
 Organizational Structure
– Mission or Statement of Purpose
– Steering Committee “Proposed” Membership (separate
slide)
– DSS Goals and Objectives
– Core Team Members (Separate slide)
– Key’s to successful implementation and utilization:
• Enterprise--wide standardization is key
• Enterprise--wide enforced executive directives is key
• Enterprise--wide compatibility is key
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HCSD Decision Support Solutions
Administrative Rollout
Mission or Statement of Purpose
 To provide a single, reliable source of statistical and
performance related information on HCSD financial and clinical
operations for use by internal management, LSU executive
oversight bodies, (BOS) as well as external regulatory (DOA)
and legislative authorities.
 Statistical information from DSS will be easily accessible,
accurate and timely.
 It will provide analytical reports for all management levels from
senior management down to 1st line managers, by allowing
comparison of detail level data at both the hospital and HCSD
levels from the Patient Management System, Patient
Accounting, and PeopleSoft Financial and HR/Payroll systems.
(PeopleSoft Financials Interface – under construction,
HR/Payroll – future development)
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HCSD Decision Support Solutions
Administrative Rollout
DSS Steering Committee
 Champion the deployment and use of the application
 Meet for regular progress reports
 Provides executive guidance and direction for the DSS project and project
team
 Determines what information will be made available, when and to whom
 Assure hospital management end user buy-in on the DSS system
 Use as a performance and operational review management tool in
oversight of the hospitals performance.
 Steering Committee members:
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Bob Plaisance
Lynette Buie
Art Landry
LeVern Meades
Clay Dunaway
Ed Burke
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Guy LaBauve
Judy Albin
Marcia Daigle
Michael Kaiser
Bettina Owens
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HCSD Decision Support Solutions
Administrative Rollout
DSS Goals and Objectives
 To provide financial and clinical productivity measurements.
 To teach management to understand and apply the data and
reporting tools available through DSS.
 To consider future installations of additional database
information such as Mysis, CLIQ, RIS, and Labtracker.
 To develop and implement an “All Payer Logs” system to meet
DHH (SCR-27) and management reporting requirements.
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HCSD Decision Support Solutions
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Core Team Members
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Core team members are responsible for coordination of testing and
validation of processes and the accuracy of the data.
Monitor system performance and act as liaison with Siemens for
troubleshooting and application support
Responsibility includes training and support assistance to end user
community to maximize use of the DSS application.
Reporting to executive management and Steering Committee on
progress and issues requiring executive level intervention.
Core Team Members
Derwin Gongre (DSS application Support Manager)
Diane Dean
Dianne Hawkins
Mary Tauzin
Keith Verret
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HCSD Decision Support Solutions
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DSS Project Team
Clinical
 Multidimensional: Finance,
Clinical, Operational
 To provide input into
implementation decisions
Decision Support
 To validate data related to
Solutions
specific focus areas
 To provide select
maintenance tasks and Financial
Operational
specialized report-writing
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DSS Validation Team
 Multidimensional: Finance,
Clinical, Operational
 All hospitals and HQ
represented
 To validate data related to
specific focus areas
 To monitor validated
statistics for their hospital
Clinical
Decision Support
Solutions
Financial
Operational
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HCSD Decision Support Solutions
Administrative Rollout
Keys to Successful Implementation and
Utilization
 Enterprise standardization
– Standardization of business processes and
standardized protocols at all hospitals
– The steering committee and HCSD Executive Leadership
(HQ and Hospital levels) will have to be supportive for
change and standardization.
 Enterprise compatibility
– Standard policy/procedures and protocols across the
enterprise will enable enterprise wide bench marking
which will provide a valuable performance measurement
for management.
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HCSD Decision Support Solutions
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What is DSS?
Decision Support Solutions
 A Siemens data warehouse application that we purchased in
2004 and were on the road to deployment when higher priority
and hurricanes pushed us off schedule.
 A suite of integrated applications which collect data from
various separate systems and transform them into an
integrated system where the data can be easily transformed
into meaningful, measurable information - with views tailored
to the concerns of financial, clinical, strategic and processoriented decisions.
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HCSD Decision Support Solutions
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What is DSS? (continued)
 Relational Database with Administrative tools
 Interactive Analytical Templates
 Web based Environment
 Model Interfaces
 Web Publishing
 Executive View
 Executive View Notification
 Net Revenue Modeling
 Cost Accounting/Budgeting
 HIPAA Enabled
Adapted from Siemens Medical Solutions Health Services Corporation
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Implementation Structure
 HCSD is an RCO site (servers are located at Siemens
Headquarters in Malvern, PA).
 Users access reports through Citrix Client.
– Crystal Reports
– OLAP Cubes
– EV Indicators
 HCSD HQ staff will provide on-going maintenance.
 LSUHSC Security staff to maintain overall security levels.
 Key Hospital Staff will be identified for DSS coordination and
report writing.
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Executive View Indicators
 A management tool designed to help executives
and managers identify key indicators, establish
performance standards, and monitor actual
performance against those standards
–Adapted from Siemens Medical Solutions Health Services Corporation
 Notification by email based on individual user
preferences
Annual Cost
– Email contains URL link to indicator
 Deployment will include training and
succinct definition of data source.
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Executive View Indicators Opening Screen
Agency (HCSDA) Level
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Executive View Indicators Secondary Screen
Hospital Level
Clicking on any one
of the indicators
presents additional
information about
the indicator in
graph and data
formats.
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Executive View Indicators – Example continued
All Views
Financial Facility/Entity Performance – Hospital/BU Level
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Executive View Drill-Down Capabilities
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Drill Results
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Crystal Reports & OLAP Cubes
 Crystal Reports (same as in PeopleSoft)
– Better export to Excel
– Allows Drill Down
 OLAP Cubes - Online Analytical Processing
– Similar to Microsoft Excel Pivot Tables
• A data mining feature that enables one to summarize and analyze large
amounts of data in lists and tables. Pivot tables can quickly be
rearranged by dragging and dropping columns to different row, column
or summary positions.
– http://www.orafaq.org/glossary/faqglosp.htm
– Allows user to manipulate report views
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HCSD Decision Support Solutions
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Crystal Reports and OLAP Cubes
Access to DSS reports is provided through the Internet through the
Siemens Web Publishing application.
Web Publishing Home Page
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Financial Report in Crystal Format
Crystal Reports - Example
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Financial Report in OLAP Spreadsheet Format
OLAP Cube Reports - Example
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Financial Report in OLAP Graph Format
OLAP Report - Example
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HCSD Decision Support Solutions
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Executive View Notification
 Allows an EV user to receive an email when specific
indicators change
 Notification can be set by the user to be sent when
any of the following events occur:
– Any time an indicator is refreshed for any reason (This is the
initial setting.)
– When the status of an indicator changes from or to
“Exceptional,” “Acceptable,” or “Unacceptable”
– When the indicator reaches a particular status
 Only Graph and Spreadsheet views are available
from EV notification view.
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EV Notification Email - Example
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EV Notification Menu
Graph View
Spreadsheet View
EV Notification Views - Example
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Implementation Status
 Backload of Patient Accounting and Patient Management data
for FY 2003 and 2004 completed.
 Live interface of Patient Accounting and Patient Management
data began in Fiscal Year 2005 and is ongoing with nightly
loads.
 Cost Accounting module has been piloted for one business unit.
Analysis of the resulting data was interrupted by the hurricanes
and has not yet resumed.
 Upgrade from version 5.0 to version 5.1 is scheduled for March
2006.
 Training has been conducted for use of the Net Revenue
Modeling component by the Managed Care Contract section.
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HCSD Decision Support Solutions
Administrative Rollout
Roll-Out Strategy
 PA & PMS/COR (Patient Accounting and Patient Management
System/Clinical Orders Results) data has been validated; ongoing validation is continuing
 As each indicator or report is validated by the core team, it is
sent to hospital staff for further validation.
 Throughout the validation process, needs for reporting and
process standardization will be identified and policies
implemented as needed.
 Once a sufficient number of “model” reports and indicators are
operational, additional indicators and reports will be identified
and developed as needed.
 This process will recur with the addition of each data source.
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HCSD Decision Support Solutions
Administrative Rollout
Proposed Next Steps

Training
– Core users, CEO’s, MD’s, Dept Heads
 New Indicators
– Utilization Statistics
 Financial Interface
– Under development with HSC NO and Siemens Tech assistance
– Monthly load which summarizes at the chartstring level from the
PeopleSoft ledger table
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HR Interface
ED Log
Denial Management
Eliminate need for WX file feed from Siemens
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