Business Intelligence / Customer Relationship Management Workshop For HealthCare
 

PerformBI HealthCare™ is a business intelligence solution for the Health Care industry. It allows business users and executives to explore areas such as lines of business, utilization, member profiles, and to determine organizational performance.

The Dashboard provides the user access to reports, alerts, and tools such as wire feeds, news services, video, and other information sources. It allows the user a great deal of freedom; while at the same time provides immediate notification of out of parameter conditions. Because of the intuitive design, very limited business user training is required.


Pre-built Analytics allow the business user to interact with information from many sources, providing the information that is most often requested by Mangers and Analysts. Over 300 pre-built analytics allow the rapid development of a solution, with additional reports and performance indicators added as needed. This jump-starts solution availability, typically meeting 60% to 80% of initial analytical needs.

The pre-built set of analytics supports the following:

• LOB/HealthCare Platform   Performance	• Member Profile Performance
• Market Segmentation	• Contract Renewal Ratio LOB Performance and   Forecasting
• Churn PCP Analysis	• Claim Turnaround Performance
• Propensity To Disenroll Analysis	• Claim MDC Performance
• Customer Retention	• Claim Pharmacy Analysis
• Utilization In-Patient/Outpatient   Services	• Sales Channel Performance Growth
• Utilization Of Services By Providers	• Sales Channel (Best/Worst) Analysis
• Utilization By Geography Performance	• Sales Channel Member Profile Performance
• Utilization Out Of Network Analysis

Performance Indicators provide the measures used within ad hoc reports, standard views, and alerts. The initial set of performance indicators consist of the following:

• Loss Ratio	• Admission Counts
• Written Premium	• Claim Encounter Counts
• Billed/Earned Premium	• Claim Paid Amounts
• Costs	• Claim Processing Counts
• Membership Counts	• Propensity To Disenroll
• Service Counts	• Group Member Counts
• Prescription Counts	• Eligibility Counts

Many organizations have spent a great deal of time and effort developing specific high value reports. These reports may also be integrated into the Dashboard, providing the business user a single point of access.

Detect & Alerts are powerful tools that run in the background to monitor rules-based scenarios. When a specified condition is met, an alert is activated. These alerts are often triggered by the performance indicators, but may also trigger from any scenario defined by a specific set of business rules.

• Sets of Detect & Alerts are pre-built to jump-start the solution.

• Alerts take specific action such as notifying a business user via the Dashboard, through Email, or via a Wireless.

• The business user may forward alerts to others via Email or Wireless by a simple point and click operation.

Wireless Access allows business users to access reports and alerts via wireless devices. Notification may be via a cellular phone, Palm Pilot, or other PDA device.

• Specialized report formats suitable for wireless are pre-built from the analytical reports, and will be expanded for your customer needs.

• Alert notifications are provided directly from the solution back-end, or may be forwarded by a business user.