The operational level excellence in Health BI designs: the key elements in decision making

Kaya Akan SB stanbul Medeniyet University Gztepe E.A.H. Orthopedics and Traumatology Clinic e-mail: drakan@sbgoztepe.gov.tr Hatem Karapnar Ordinatrum Biliim Teknolojileri ve Danmanlk e-mail:hatem.karapinar@ordinatrum.com.tr Emrah Yurtu SB stanbulMedeniyet University Gztepe E.A.H. e-mail:dremrahyurtcu@sbgoztepehastanesi.gov.tr Purpose: To define the key elements for scientific and economic research and their strategical impact in two major patient groups of a training and research hospital in terms of infection and complications of Type II diabetes using a Business Intelligence Software (HOBI). Design/methodology/approach: Two separate groups of patients were defined to represent a hospitalized group for infection and an outpatient group to represent the complications of Type II diabetes. The search was made on the hospitals raw data between 01.01.2008 and 31.12.2010 years. To define the patient population International Classification of Diseases (ICD 10) was used. The inclusion criteria for the hospitalized group (HG) were: age >65 y/o (to define geriatric patients), the first admission diagnosis as femur neck fracture (ICD10 codes S72, S72.0, S72.8, S72.9) to the Orthopedic Clinic between 01.01.2008 and 31.12.2008, to have a second or more admissions to the same clinic in the same year (representing complications) and their additional ICD10 codes showing the risk for morbidity, their charged and uncharged procedures, medical supplies and medications. The selection for the second group representing outpatient group (OG), was based on the HbA1c levels which shows unregulated Type II diabetes. The inclusion criteria for this group were HbA1c levels 6.5 % on two successive visits, any hospital admission, and the admission cause defined by ICD10, their charged and uncharged procedures, medical supplies and medications. The limitations of the key search elements criteria both medically and economically were investigated. Findings: The total number of patients meeting the inclusion criteria for HG was 5 (3 male, 2 female), the mean age was 79.4 years (75-89), the average number of ICD10 code per patient was 4.6 (3-6), the average number of hospitalization was 5. The total cost of admission per patient was 14129, 47 TL. The total number of patients meeting the inclusion criteria for OG was 547 (193 male, 354 female), the mean age was 59, 3 years (30 83), the average number of ICD10 code per patient was 2.1, the hospital admission per patient

was 1.4 and the total cost per patient was 1846, 60 TL. The major complications in diabetic group were hypertension, eye and kidney problems. Research limitations: ICD10 listing entry errors Research Implications: Operational level thinking and observation can increase the excellence in BI designs. The raw data should always be handled with someone who has field knowledge, procedural experience and wisdom. Practical/managerial implications: The infection in the geriatric patients with hip fractures can be prevented with the knowledge of existing comorbidities and their appropriate treatment. The knowledge of patients with unregulated diabetes can help hospitals to take precautions in their most visited clinics such as ophthalmology, nephrology and internal medicine.

Public Policy Implications: The hospitals can inform the patients family doctor in order to prevent further complications due to their illnesses. Originality/value: original research Key words: business intelligence software, operational level excellence, key performance indicator, hip fracture, health cost Paper type: Research paper