LAURA B. MADSEN has 15 years of experience in BI and data warehousing for healthcare and is the author of Healthcare Business Intelligence. She leads the Enterprise BI and Analytics Program at Children's Hospitals and Clinics of Minnesota, where she is charged with creating a data-driven healthcare organization. Laura has held senior positions with several leading healthcare technology companies, including UnitedHealth Group. In 2006, she co-founded the Twin Cities chapter of The Data Warehouse Institute (TDWI), and in 2008 she founded the Healthcare BI Summit. Laura speaks nationally and internationally about the importance and power of data in healthcare.

Foreword xiii

For the Skimmers xv

Acknowledgments xvii

Chapter 1 What Does Data Mean to You? 1

The Gap 3

Data Is a Four-Letter Word 5

Strengths 6

Weaknesses 6

Opportunities 7

Threats 7

Setting the Stage 8

Is This Book for You? 10

References 10

Chapter 2 What Happens When You Use Data to Transform an Industry? 13

The History of Change 15

On the Brink 17

What Is “Data Driven,” and Why Does It Matter? 18

Management and Measurement 20

Planning the Approach 21

RISE 22

Reduce the Unknowns 23

Identify the Alternatives 24

Streamline the Standards 24

Evaluate the Activities 25

Change Mechanisms of RISE 25

Revolution 27

References 27

Chapter 3 How the Lack of Data Standardization Impedes Data-Driven Healthcare 29

Healthcare Data Complexity 30

Moving Data 31

Data Is Your Asset—Manage It That Way 32

Standards . . . Because Everyone Else Has Them 34

Pareto’s Principle 38

The Great Wall of Data 39

References 40

Note 40

Chapter 4 Adopting Your Data Warehouse for the

Next Step in BI Maturity 41

Go Boldly 43

Disruptive Technologies 43

Hadoop, the Cloud, and Modern Data Platforms 44

The New Way Forward 46

Reduce the Unknowns 48

Identify the Alternatives 48

Standardize 48

Evaluate and Improve 49

The Future Is Now 51

Chapter 5 Creating a Data-Driven Healthcare Organization 55

IT or the Business? 58

Training 61

What and How Should We Teach? 61

Governing Data for Our New MDP 63

Chapter 6 Applying “Big Data” to Change Healthcare 67

The Call of Big Data 70

Evolve or Die 72

Let’s Organize This and Take All the Fun Out of It 73

Dipping Your Big Toe into Big Data 75

References 76

Chapter 7 Making Data Consumable 77

How We Present Information Matters 78

When We Present the Information Matters, Too 80

Why Do We Want to Visually Represent Our Data? 81

Learning a New Language 83

A Multimedia Approach to Consumable Data 84

References 87

Chapter 8 Data Privacy and Confi dentiality: A Brave

New World 89

Who Owns the Data? 91

Barriers Are Everywhere 93

Process and Technology 94

Reference 95

Chapter 9 A Call to Action 97

Applying RISE to Your Efforts 100

Some Distinctions about Being New 101

Getting Started 102

You Know What They Say about Assuming 104

What Does Data Mean to You? 104

Transforming an Industry 105

Data Standardization 105

The Next Step in BI Maturity 106

Creating the DDHO 107

“Big Data” 107

Make Your Data Consumable 108

Privacy and Confi dentiality 109

Final Thoughts on Data-Driven Healthcare 109

Appendix A Readiness for Change 111

Appendix B Tenets of Healthcare BI 115

Appendix C Estimating the Efforts 135

Appendix D Business Metrics 139

Appendix E Agenda | Company Name | JAD Session 169

Appendix F Data Visualization Guide 173

Afterword 181

About the Author 187

Index 189

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