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Summary: Carolinas Healthcare Systems

- (Tanvi Mudhale C052)

Carolinas Healthcare Systems (CHS), headquarted in North Carolina, owned and managed hospitals
and acute care facilities that served 2.2 million patients. Beginning in the 2000s, CHS embarked on a
visioning and process-development project to determine what data analytics capabilities would be
integral to CHSs operations in the future. It determined it would need to develop a distributed data
system and create a corporate data warehouse and decided to coalesce analytics personnel who
were currently working in small silos throughout the organization to achieve the vision. CHS
Information Services leadership anticipated that cost of data storage would plummet, based upon
their experience implementing the EMR system at CHS in 2006, so the team decided to build
generous data storage to support the new analytics team. CHS partnered with Dickson Advanced
Analytics(DA2) to help them with data analytics solution. The businesses focused on identifying
revenue opportunities and DA2 helped to assess what each opportunity would be worth. Patient
data could be used to support investment decisions, such as which surgical devices to purchase since
patient data contained information on the quality of outcomes (whichDA2 then combined with cost
and device lifespan to asses ROI). The strategic priority of DA2 was to predict health needs, enhance
patient outcome and drive transformative solutions to address community health issues.

1. How Affordable Care Act compelled the hospital system to change its strategy
As the government reimbursements per medicare patients declined over time, in 2010
Affordable Care Act (ACA) was formed which covered the cost of medicare patients as long
as the minimum quality thresholds were met.
Key changes in the hospital system strategy:
Fee for value instead of fee for service Many healthcare providers sought to
quickly build capabilities in analytics and measurement in order to track quality
improvements of patient care.
Digitization of healthcare Hospital systems were encouraged to switch from paper
records of the patients to Electronic Medical Records (EMRs). Tech giants (Google,
Apple) partnered with several EMR companies to make medical records available to
consumers on their iphones via single dashboard.
New Entrants The shift to outpatient care led consumers to seek more convenient
and inexpensive healthcare services.

2. Why do you think data driven strategy was the best solution to the above situation
Apart from research, data analysis and reporting, it was essential to drill into day-to-day
operations of CHS.
CHS Information services team anticipated based on prior experience of
implementing EMR system, the cost of data storage would plumment. So the team
decided to build generous data storage to support new analytics operations.
EMR data and financial data could be combined to provide decision support.
To collect, store and model variety of clinical data that was not done previously.

3. What are Michael Dulins most important challenges going forward


How to use existing pilots without requiring design and implementation of a new
model.
High internal demand for DA2 services constrained Dulins ability to set DA2s
capabilities in external marketplace.
Engaging with clinicians to ensure data from predictive models improved the
workflow.

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