Aviana

Major Hospital  (Western USA) - Data Mart for Nursing Administration Department

Client:      Major Hospital (Western USA)

Project:    Data Mart


Executive Summary:

Since its inception early in the 20th century, this hospital has evolved to become one that is internationally renowned for the best patient care modern medicine has to offer. It is committed to providing superior outpatient, acute, sub-acute and home patient care, breakthrough biomedical research, graduate and undergraduate medical education, and community service.

The hospital cares for about 150,000 patients per year, and over 1,000 primary care physicians and specialists attend to these patients, supported by a support staff of many thousands more. Many patients are eligible to receive the newest treatments by participating in this Hospital’s active clinical research program. More than 300 principal investigators and 500 employees are involved in this research, resulting in over 300 papers appearing in peer-reviewed medical journals each year.

All of these world-class services are provided at a multi-building campus, where over 10,000 users access over 500 different information technology applications running on many different platforms. This has created a complex web of inter-related systems that users have to navigate as part of doing their jobs. The hospital has an extensive Enterprise Information Systems (EIS) group that supports and develops the IT applications.

The hospital has been a client of Aviana since 2000.


Detailed below is one of the more significant projects that Aviana has implemented at the hospital:
 

Business Issues

The Aviana team's expertise with Cognos and Concur (T&E Solution) products was a major plus. The ability to coordinate with Cognos (as a Platinum Certified Partner) was another critical factor in the company's decision process. Aviana's reputation of doing implementations on time and on budget was also factored in. Aviana was asked to implement the following products for the project:
  • Tracking, analyzing and measuring Quality of care metrics play an important role in the regular accreditation and audit process conducted by the Joint Commission for Accreditation for Healthcare Organizations (JCAHO).
  • Delays in data collection from various reporting units, data quality and the availability of data entry staff were all acute problems.
  • The hospital was also tasked with receiving and processing quality of care data from a statewide coalition of hospitals, and that further complicated the data processing problems outlined above, such as delays, inconsistent and error prone data, and difficulty in entering and cleansing the incoming data in a timely manner.
The management of the hospital wanted to have the ability to effectively track the quality of care that was being provided to its patients by the Nursing staff. The ability to track different types of mistakes, together with all possible and potentially meaningful data, was deemed to be a crucial need by the Nursing Administration department.

Aviana's Solution

Aviana worked with the hospital's Nursing Administration management to understand their business needs and to design and build a data mart solution to track and examine the quality of nursing care. This project gave the hospital a way of loading utilization data into the data mart, and customized tools were developed to allow users to transform and analyze data, and to produce custom reports.
This data mart's functionality was subsequently expanded to cover participating hospitals in the state-wide coalition of hospitals, and these findings are used as a part of the hospital's periodic JCAHO Audit.

The project was developed in a multi-phased solution that:
  • Improved data quality by providing users with an intuitive, online data entry form with extensive data validation routines.
  • Subsequently the back-end ETL processing engine further manipulated the data to create staging tables and data cleansing (Scrubbing).
  • Made the new system very user friendly.
  • Eliminated redundancies by automating the system.
  • Provided the output reports in a consistent, automated manner, about 20 times faster than the previous manual approach.\
  • A portion of the system produced customized reports that were sent to coalition-member hospitals. This eliminated need for extensive manual cleanup and manual data extracts & custom report generations.
Technical environment: Front-end: MS Front Office Automation and Visual Interdev (ASP, .net, C#, Excel, Outlook and Access), COGNOS; Back-end: SQL Server, SSIS.

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