1. The New Generation Product Briefing
CAFÉ™:
Comparative Analytics For Excellence
Session 7
January 12, 2017
Patrick Nelli, Senior Vice President

2. The Bigger Picture
We believe there is massive untapped value for our customers from building software services on top of a cross-health system, broad and granular dataset
Today you have heard a lot about the Health Catalyst data operating system; and that one of the key pieces of the health catalyst data operating system is aggregating a broad set of detailed data from across a number of different sources.
What I’d like to end on today is for us to think about the bigger picture. What possibilities exist when we start to look not just at a single health system’s data operating system, but when we look across numerous healthcare data operating systems, each having a broad and granular dataset.
We did this in 2016 and we came to the conclusion that there is massive untapped value that can be delivered to our customers from building software services on top of a cross-health system, broad and granular dataset, and that is what I’d like to talk about today

3. CAFÉ (>75M Possible Patient Records)
CAFÉ’s Potential
Initial Focus
Benchmarks
Machine Learning Platform
Clinical Decision Support (‘patients like this’)
Research Registries
Patient Portal (‘patients like me’)
Third Party Application Ecosystem
…What else?
CAFÉ (>75M Possible Patient Records)
External Data Sources
In 2016, we decided to kick off our CAFÉ initiative. CAFÉ aggregates data from across Health Catalyst’s customer base, non-Health Catalyst data operating system customers, and external data sources into a central repository. Given the breadth of data in our customer’s EDWs, CAFÉ could become the largest single repository of detailed and broad healthcare data every created.
There are numbers services that CAFÉ could supports, including …. PAUSE BETWEEN EACH SOFTWARE SERVICE – NOT THEY AREN’T POSSIBLE WITHOUT LARGE DATASET. We are building out CAFÉ so it can support any of these services.
In 2016 we worked with four customer development partners (KU, Allina, Partners, MultiCare) to determine where we wanted to first leverage CAFÉ. Benchmarking was unanimous answer so we want to share with you what we’ve learned about this market
Allina
KUHA
MultiCare
Partners
...etc.
Non-HC
Customer Enterprise Data Warehouses

4. Benchmarking Market Overview
Benchmarks play a central role in the healthcare analytics industry
88% of respondents report benchmarks as very or extremely important to outcomes improvement prioritization process*
Benchmarks 2nd most important factor in driving outcomes improvement prioritization (after regulatory)*
(UHC)
*Results from survey conducted by Health Catalyst in Nov 2016 with responses from >125 healthcare executives

5. CAFÉ Benchmarking User Interface
CAFÉ Benchmarking Focus
Prioritization - I would like to improve outcomes, but don’t know where to start.
Exploration (root cause analysis) - How do I initially determine why I am performing poorly in a given area?
Prioritization
Exploration / Root Cause Analysis / Hypothesis Testing
Deep Dive into Process Metrics
Process Changes and Algorithm Implementations
Performance Monitoring
Intelligently direct users through these processes
While CAFÉ benchmarks can be utilized in a customers EDW or in other applications for any purpose, the CAFÉ user interface is specifically answering two problems: prioritization and exploration

6. CAFÉ Benchmarking Timeline
Thank you to our customer development partners: Allina, KUHA, MultiCare, and Partners Add 4-8 additional customers on CAFÉ in 2017
Approach Additional Catalyst Customers to Join CAFÉ
Add Additional Benchmark Categories
CAFÉ Benchmarking Full Product Release
Add All-Payer Full Continuum of Care Benchmarks
Jan ‘17
Sep ‘17
Jan ‘18
Jun ‘18
Dec ‘17
May ‘17
Mar ‘18
Available as part of our all access subscription contract. Available to SOW customers, but requires a separate SOW and will cost money in that case. Trying to keep the cost as low as we can and just cover our costs
CAFÉ Benchmarking MVP Product Release
Limited Access CAFÉ Available to All Catalyst Customers
Open CAFÉ to Non-Catalyst Customers

7. Future Product Roadmap Opportunities
Benchmarks
Machine Learning Platform
Clinical Decision Support (‘patients like this’)
Research Registries
Patient Portal (‘patients like me’)
Third Party Application Ecosystem
…What else?
CAFÉ (>75M Possible Patient Records)
External Data Sources
Benchmarking advancements – additional customers, additional benchmark categories (full continuum of care and detailed process measures), user interface enhancements
First two services we will likely go after are ML platform and Clinical Decision Support (‘patients like this’). We had to build in functionality similar to this for benchmarking, so not a stretch. Will ultimately be up to customer development partners – CAFÉ should be a customer driven initiative
Allina
Allina
KUHA
KUHA
MultiCare
MultiCare
Partners
Partners
...etc.
...etc.
Non-HC
Customer Enterprise Data Warehouses

8. CAFÉ (>75M Possible Patient Records)
CAFÉ Benchmarking - “Point of Decision Making”
CAFÉ Benchmarking User Interface
Benchmarks 3
APIs for Other Analytical Products 2
Benchmark Feedback Loop to Data Warehouses 1
CAFÉ (>75M Possible Patient Records)
External Data Sources
Allina
KUHA
MultiCare
Partners
...etc.
Customer Enterprise Data Warehouses

9. CAFÉ Benchmarking Categories Timeline
Data Categories
Inpatient and outpatient metrics (e.g. LOS, Mortality, Readmissions)
Avoidable Events / Complications
Medicare bundle payment metrics
Medicare ACO population metrics
Utilization (e.g. high cost imaging)
CMS Hospital Compare quality / regulatory metrics
All payor full continuum of care metrics (i.e. ACO / population health metrics)
Detailed process metrics (e.g. Sepsis three hour bundle metrics, medication reconciliation, etc.)