Business Intelligence in Healthcare | healthcare

The main goal of each Healthcare Institution in a highly controlled & competitive environment, is to reduce operating costs while maintaining a consistently acceptable level of patient treatment. Reduce operating costs at all levels:
Cost of healthcare Professionals
Cost of lab equipment & consumables
Cost of pharmaceuticals / medical material
Cost of a treatment per Diagnosis related grouping (DRG)
Cost per type of medical intervention (e.g. specific medical operation)
On the other hand, an acceptable level of patient treatment involves:
Evidence based medicine, accurate diagnosis and efficient treatment
On time admittance in the Hospital and healthcare treatment
Treatment with respect for the Patient- analysis of options
Reduction of risks during treatment (e.g. related to the use of medicine, biomedical equipment, blood transfusions)
Capture of medical history of the patient in order to support evidence based medicine
Moreover, goals of each Healthcare Institution are:
Reduction of medical errors and exposure of the patient to medical hazards (e.g. inappropriate levels of radiation)
Support medical research with patient & treatment data
Participate and support a larger Healthcare system, with the exchange of medical information on a patient, as well as statistics on population morbidity & mortality.
In Private Healthcare, the excellent Patient service is critical to Customer retention & loyalty and business growth. In order to achieve these goals, each modern Healthcare system aims to enhance its Organisational capability with the introduction of standard business processes, standard healthcare treatment based on standardized healthcare interventions. Medical information management is supported by the introduction of information systems aligned to the standardized processes as well as the introduction of classifications or codifications of certain information types like diseases (based on ICD), medical interventions, lab exams, biomedical equipment & consumables. Hospital information systems (HIS) are used to capture and process all information related to the administrative as well as the medical aspects of a patient event. A patient record is created which stores all the patient history, structured per event. A datamart monitoring the inpatient and outpatient service could be based on data retrieved from the HIS database. In a dimensional model it would store the dimensions involved in the service: Patient, Date, Healthcare Unit and Department, exit DRG (diagnosis related grouping) group, Diagnosis (based on ICD), Medical intervention based on selected codification, pharmaceutical treatment, medical material used, and capture all cost related facts in the fact table. The star schema captures information related to an inpatient event, which normally may last few days. In order to capture the whole lifecycle of the event, an accumulating snapshot fact table is used, as shown in the figure (check link below). Based on this star schema, a wide range of analytical tasks can be carried out. Analysis related to medical treatment of a specific event (indicatively):
Produce a medical history report on a patient
Produce stats on morbidity by restricting on specific ICD codes (e.g. frequency of an ICD as a percentage of total events, ICD related to demographic info like age or educational level)
Analyse the relation of medical interventions to ICD & DRGs, by restricting on specific DRGs
Mortal events per ICD / DRG (this can be coded in a specific Exit_diagnosis value)
Analysis related to cost incurred by a specific event (indicatively):
Analysis on the average length of stay (ALOS) per DRG as well as per Patient demographics.
Analysis on the medical material & consumables cost related to a medical intervention
Analysis on the medical material & consumables cost related to an event of specific DRG
Analysis on the pharmaceutical cost related to an event of specific DRG
Delays in payment and collection levels
Department related analysis:
Number of treatment events / medical interventions per Department
comparison of same specialty Departments
The star schema could also capture the involvement and performance of medical Professionals. In addition it could capture many more facts related to the event like manhours spent by the Doctor in charge, by the other professionals involved. The datamart can be linked to the datamart of another Hospital or Healthcare system, if the two use conformed dimensions and facts. Standardized codifications (like ICD) aim at achieving this conformance, in order to be able to consolidate information at the regional, national and international level. Why develop the star schema, instead of querying directly the Hospital Information System database. For two important reasons:
The star schema model is easily understandable by the Business Analyst
The analysis on the star schema is computationally more efficient (the symmetric structure’s simplicity allows for better query optimization)
Moreover the star schema incorporates enriched information at the dimensions as well as derived facts on the fact table (cost, duration). This additional information is produced and appended in the datamart staging area. Business intelligence infrastructures, like the one presented above can facilitate the analysis and continuous improvement in a Healthcare system.

Missed Opportunities That Small Businesses Make Everyday To Increase Income and Leverage The Company | business services

Amazingly there are business opportunities around us everyday. Our biggest struggle is being able to recognized them when they are presented to us. Also with recognizing an opportunity, is learning how to capitalize on it financial? It can be a balancing act, especially for the Small Business Owner. Listing below are Five Ways To Discover An Opportunity.BIG COMPLAINT OPPORTUNITYA great business opportunity is to listen to complaints from customers, from other people, from clients, from customer service postings, from people within your industry, or within your circle or community. Look to provide your services as a solution. Learn what others are not offering and start to offer what’s lacking. Fill in the holes of what’s lacking from the services that your competition does not provide. For example, the complaint is prices are to high for small or private businesses to have someone to come and clean a small office space. You are the owner of a small Cleaning Service, that can’t really compete with larger services due to lack of staff. However, recognize this hole in a larger company services. They don’t really work with small jobs or provide one day Business to Business cleaning service at an affordable prices. Maybe if you contact, other small businesses, small apartment complexes, small unit business or private companies, this could be a better fit for your business. If nothing else you could certainly out price larger companies, due to lower over head.HELPING OTHERS OR VOLUNTEER OPPORTUNITYI can’t count how many times volunteering and just helping other has brought me business opportunities. I volunteer just because I enjoy giving back. However, it seems that opportunities from me giving my time to others always finds its way back to me. I teach a class Facebook for Baby Boomers, at the local libraries or community centers. The Houston Chronicle Newspaper found out & did a feature article in the Senior Section. My business increased, because other senior groups offered for me to come and coach there groups. How can you use your hobby, skills and talents to give back to others?TRACKING AN OPPORTUNITYTracking is really a simple and often under utilized way to gain business opportunities for yourself. By tracking Demographics or Social Trends of your industry you can place your business services right in the middle of the action, so to speak. Demographics are traits that can determine buying behavior or product preferences. Demographic tracking can include age, income, or geographical region. Determine which demographic area does your product or service include the most people, then market to them. Looking at the Social Trends as well, is also a good way to determine which direction your industry is going. Are they moving offline, or online? Are they using sources like Websites & Blogs,which are great social trends for most small business right now. Creating a Business Social Media site to track business opportunities can also be an inexpensive solution for small businesses.CAPITALIZE ON NEW TECHNOLOGY OPPORTUNITYCapitalizing on new technology is easy to recognize in the big picture. For example how computers replaced typewriters or how smart phones are replacing cell phone. Technology is always moving and growing in every industry. However, it is the business that recognizes the small needs and capitalizes on it that can really crave out an exclusive niche for themselves. Let’s go back to the Cleaning Service. If that same company integrates, Eco- Friendly Products for Offices, Homes, and safe for uses around kids. This business has now used new technology to increase business opportunities.CAPITALIZE ON NEW LAWS OPPORTUNITYCapitalizing on new laws can create needs for consultants, training, and products. So it’s important to stay alert to the opportunities these types of changes can bring. For a while companies like Amazon relished the opportunity of no sale taxes. It afforded them lower prices to consumers of products. The law is now changing, but what a sweet spot deal it has been for all these many years for Amazon. Can you find your sweet spot?

How to Care For Your Loved One’s Memorial | Beauty care

Headstones and other memorials, though symbolizing the passing of loved ones, can still be a thing of beauty. Caring for those markers is an important consideration. Headstones constructed of marble, granite or bronze and concrete stand out against the green of cemetery landscaping. They are smooth and beautiful at placement and can easily be maintained so that they stay that way forever. The very first tip to caring for the headstone is to choose one that is constructed from a durable material. Remember, this material will be subjected to every weather condition the area dictates; the elements both of sky and of earth can be hard on any material, even natural material. It would be wrong to assume that a headstone made from natural material could withstand the forces of nature without help.The second step, after having chosen a durable material, would be to make sure that you keep that material clean. If the headstone is composed of marble or granite, occasionally clean it with a fifty percent bleach solution. Spread the solution with a paper towel and let it sit for approximately thirty minutes, then wash it away with plain water. If the headstone is bronze in nature, you’ll want to be sure that you purchase one that has the correct percentage of metals in order to provide a strong, lasting finish. There are cleaning kits available specifically for caring for bronze headstones.In all cases, a good tribute to your loved one is to make sure that the headstone stays free of dirt, rust, mildew, or acid trapped within the stone. Caring for your loved one’s grave site means never letting these things happen and if they do, taking care of the problem as soon as possible. If you haven’t visited your loved one’s grave site lately, it may do you some good as well as the site. It can feel good to care for the site and the marker that sits atop it.Recently, a cottage growth industry has formed and started to grow around the care and restoration of family headstones. There are whole teams of individuals busily working to restore headstones from the 17th through the 19th century. Caring for and restoring these headstones is a bit trickier than caring for modern day headstones because they were made of materials such as slate and sandstone. Both easily worked materials but also easily damaged by the elements due to their malleable nature. This means that as time goes on, the surface of the stone can wear away, making the words fade and blur together.Caring for your loved ones’ headstones is important, not only for your sake, but also for those of your future family. Some time in the future, when a relative looks back to find his or her roots, this headstone may be the only link that allows them to find their way back through their history to the roots of the family.


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