Virtually all service-oriented industries have experienced massive disruption and transformation, resulting from the confluence of digital, mobile, cloud, data, and consumerization. And then there’s healthcare… In this webinar Ryan Smith, executive advisor at Health Catalyst, shares practical insights gained from his combined 25 years of IT and digital leadership roles at Banner Health and Intermountain Healthcare. He explores why our industry is struggling to provide the tools and self-service experiences that patients and consumers have come to expect in every other aspect of their lives. To attract and retain patients and members, healthcare organizations need to “shift gears” and go on the digital offensive to sustain brand loyalty; however, decades of siloed, monolithic approaches to implementing technology and managing data continue to hamper industry progress. During this session, Ryan shares his approach for building business support to enable digital transformation. By viewing this webinar, you will learn key digitization concepts: - How to conceptualize a digital enablement framework. - Ten strategic guiding principles for technology leaders. - Why it’s vital to create business-driven technology governance. - Why building strategic vendor partnerships really matters. - How to apply case studies to bolster digital investments.

1. Platforms and Partnerships
The Building Blocks for Digital Innovation
Ryan Smith
SVP & Executive Advisor
Ryan.Smith@HealthCatalyst.com

2. • Digital transformation and
consumer expectations
• Technology barriers
• Five key recommendations
• Case study
• Q&A
Outline

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Health
Catalyst
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Health
Catalyst
The Bar Is Set – Other Service Industries
Hospitality TransportationFinancial Services
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Health
Catalyst
Digital Healthcare Lags Other Industries
Portals; EHR centric Mobile first; cloud-based
Healthcare Other Service Industries
Fragmented experience;
Vendor approach to apps
Limited customer value
Difficult to use; non-intuitive
Insufficient context to make
informed decisions
Cohesive; brand-driven
User-centered design
Use of analytics to personalize
the digital experience
Substantial value
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Health
Catalyst
On a scale of 1-5, how would you rate your organization’s effectiveness
in meeting consumer expectations for digital interactions?
1. Not at all effective
2. Somewhat effective
3. Moderately effective
4. Extremely effective
5. Unsure or not applicable
Poll Question #1
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Health
Catalyst
The Digital Health Journey
1
2
3
0
45
6
7
8
Digital Health Vision
Aggregated DataEngagement
Adopt EHRs
Make them
interoperable
and secure
Aggregate and normalize data, including
patient reported, text data, biometric,
socio-economic, genomic, epigenetic...
Analyze data to find what
works best, uniquely
Innovate digital-
clinical products
Engage patients,
providers, community
Use innovations
for health
improvement
Measure quality
and outcomes
Foundational
Systems
Value-BasedCare
&HealthOutcomes
Evidence-Based
Medicine
Source: Circle Square – Digital Health Trends; December 20187

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Health
Catalyst
Connecting Digital to Transformation Goals
ENGAGE
HEALTHCARE
CONSUMERS
in their overall
health and
wellness.
ENABLE CARE
TEAMS
to effectively
collaborate and
provide excellent
care.
IMPROVE CLINICAL &
OPERATIONAL
OUTCOMES
to facilitate optimized
and cost-effective
care.
GROW THE
ORGANIZATION
through partnerships,
organic growth,
diversification and
innovation.
Provide an engaging,
self-service experience,
giving consumers full
access to the necessary
data and services to
promote healing, health,
wellness, and brand
loyalty.
Connect care team
members together
with patients to
enhance patient
safety, productivity,
and working together
more efficiently.
Leverage data and
analytics to create
embedded insights
and decision support
to improve business
and clinical outcomes
at the frontline.
Harness the power of
strategic partnerships,
platforms, tools, and
data to keep pace with
rapidly changing
business needs.
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Health
Catalyst
Technology Investment Framework
Overall buy vs. build
strategy based on
strategic partnerships.
Investment strategy is
based on having fewer,
but fully integrated,
Systems of Record as
our foundation.
With a philosophy
approach to innovate
around the edges.
Identify
opportunities to
differentiate &
maintain leadership.
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Health
Catalyst
Digital Enablement Framework
IT Infrastructure Layer
(Cloud, Networking, Directories, Data Centers, etc.)
Hundreds of
Other Data Sources
(Internal & External)
Systems of Record
(EHR, CRM, ER …)
IoT
(Sensors, monitors, consumer
devices, embedded…)
Data Processing Layer
(Data ingestion, data lake, EDW, machine learning, AI, Terminology, NLP, real-time streaming,
APIs, neural networks, automation processes, algorithms…)
Digital Process Layer
Business process logic and workflows enabling customer self-service transactions (e.g.
find a doctor, schedule appointments, virtual care, pay bill, receive alerts, chat bots,
contact support, Rx refills, research a condition…)
Application Interface Layer
Presentation layer consumers engage with to learn, purchase, communicate, and transact.
Supports smartphones, tablets, computers, virtual assistants, kiosks, digital watches…
Systems of Differentiation and Innovation
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Health
Catalyst
Banner Health App
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Health
Catalyst
Because This Stands in the Way…
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Health
Catalyst
13

14. #1
Define Digital
in Your
Organization

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Health
Catalyst
If your organization defines digital as any new technology
investment and defines IT as the continued investment needed to
maintain and support your legacy technology, then tech leaders
should be worried about their future in the organization.
Go on the offensive and manage these terms!
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Health
Catalyst
The innovative meshing of new technologies, data
intelligence, re-imagined workflows, and organizational
leadership–all aligned to achieve a “sticky” and optimal
experience–inviting end users to virtually access all
relevant information while offering a breadth of interactive,
self-service capabilities available anytime, day or night,
using any preferred device, from any connected location.
My Definition of Digital
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17. #2
Develop Guiding
Principles for
Enabling Digital

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Health
Catalyst
10 Guiding Principles to Support Digital
1. Agility, timeliness, and flexibility
enable business value.
2. Create fully integrated platforms that
are modern, open, standards-based,
scalable, secure, and cost effective.
3. Pursue a “cloud first” strategy.
4. Buy technology vs. building it
(whenever possible).
5. Develop a core set of deep, strategic
vendor partnerships committed to
your success.
6. Pursue a cross-partner integration
strategy.
7. Massively rationalize non-integrated
vendors and apps.
8. Keep security and privacy top of mind.
9. Elevate internal team skills to innovate
at the edges.
10. Plan for PARMS (Performance, Availability,
Reliability, Maintainability, Scalability).
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Health
Catalyst
On a scale of 1-5, how well is your IT infrastructure, systems, data, and
technology architecture positioned for enabling full digital capabilities in
the near future (e.g., in the next 12 to 36 months)?
1. Not at all positioned
2. Somewhat positioned
3. Moderately positioned
4. Well positioned
5. Unsure or not applicable
Poll Question #2
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20. #3
Position Around
Portfolios
(and govern accordingly)

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Health
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Divide Technology into Ten (or so) Portfolios
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Clinical Suite
Revenue Cycle
Suite
Data Mgmt &
Analytics Suite
Business /
Admin Suite
Desktop
Productivity
Suite
Payer Suite
Information
Security Suite
Consumer
Digital Suite
Service Management Suite
IT Infrastructure Suite

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Health
Catalyst
Dyad model
• Strong business/clinical champion (Batman) partnered with IT champion.
• Co-responsible for developing and communicating strategies, planning, and
strategy execution.
• Dyad model applied to each major technology initiative.
Business driven IT governance structure
• Business champion typically serves as committee chairperson.
• IT champion serves as co-chair.
• Dyad oversees sub-committees.
Dyad ensures participation of all key stakeholders
• Enterprise Project Management Office (PMO).
• Change Management.
• Finance, Operations, etc.
Business / IT Partnership Model
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23. #4
Develop an Analogy

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Health
Catalyst
Core IT Partner
Fully Integrated Suite
Strategic partner’s integrated suite provides 60% to 80% of required business capabilities;
Secondary partner’s certified integration provides >90% of overall business capabilities.
Secondary IT Partner #1
(integrated partner of
core partner)
Non-Strategic
Vendors (e.g., standalone
and/or interfaced only)
Secondary IT Partner #2
(integrated partner of
core partner)
Non-Strategic
Vendors (e.g.,
standalone and/or
interfaced only)
Integrated Portfolio Approach
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25. Clinical
Apps Suite
Revenue
Cycle Suite
Business/ERP
Suite
Enterprise
Analytics Suite
Desktop
Productivity Suite
Payer Suite
Consumer
Digital Suite
Information
Security Suite
IT Service
Mgmt Suite
IT Infrastructure
Suite
Ten Primary IT Portfolios

26. #5
Strategically Select
Vendor Partners

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Health
Catalyst
Vendor vs. Partner – Comparing Behaviors
• “Us” vs. “them” mentality
• One-and-done sales mindset
• Quarterly/year-end focused
• Looks out for “#1”
• Results in a winner and a loser
• Short-term focus
• Devolves to “letter” of contract
• Low/no executive sponsorship
• “We win/lose together” mindset
• Built on trust and respect
• Long-term focus; not sales focused
• Mutual risk sharing
• Both businesses grow
• Pursue co-development initiatives
• Abides by “spirit” of contract
• High levels of executive sponsorship
Vendor Strategic Vendor Partner
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Health
Catalyst
Taking the Integrated Partner Approach…
• Supports quest for digital enablement
and innovation
• Provides significant cost savings over
time
• Simplifies IT architecture and data
management
• Dramatically increases integrated
capabilities
• Aligns with business objectives and
demands
• More eggs in fewer baskets
• Greater reliance on partners
• Impact to existing job roles, # of FTEs,
and types of skills needed
• Impact to end users if change
management not well-executed
• Requires short-term increase to
technology investments (but significant
long-term savings)
Benefits Potential Risks
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29. Case Study:
Applying the Model
(Enterprise Data and Analytics Suite)

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Health
Catalyst
Digital Enablement Framework
IT Infrastructure Layer
(Cloud, Networking, Directories, Data Centers, etc.)
Hundreds of
Other Data Sources
(Internal & External)
Systems of Record
(EHR, CRM, ER…)
IoT
(Sensors, monitors, consumer
devices, embedded…)
Data Processing Layer
(data ingestion, data lake, EDW, machine learning, AI, Terminology, NLP, real-time streaming,
APIs, neural networks, automation processes, algorithms)
Digital Process Layer
Business process logic and workflows enabling customer self-service transactions (find a
doctor, schedule appointments, virtual care, pay bill, chat bots, contact support, Rx refills,
research a condition…)
Application Interface Layer
Presentation layer consumers engage with to learn, purchase, communicate, and transact.
Supports smartphones, tablets, computers, virtual assistants, kiosks, and digital watches.
Systems of Differentiation and Innovation
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Health
Catalyst
The Healthcare Analytics Adoption Model
Improve
Health
Level 9 Direct-to-Patient Analytics & Artificial Intelligence
Putting patient data, analytics, and AI in patients’ hands so they
can own more of their health and healthcare decisions.
Level 8 Personalized Medicine & Prescriptive Analytics
Tailoring patient care based on population outcomes and genetic
data. Fee-for-quality rewards health maintenance.
Level 7 Clinical Risk Intervention & Predictive Analytics
Organizational processes for intervention are supported with
predictive risk models. Fee-for-quality includes fixed per-capita
payment.
Reduce
Variation
Level 6 Population Health Management & Suggestive Analytics
Tailoring patient care based upon population metrics. Fee-for-
quality includes bundled per case payment.
Level 5 Waste & Care Variability Reduction
Reducing variability in care processes. Focusing on internal
optimization and waste reduction.
Improve
Efficiency
Level 4 Automated External Reporting
Efficient, consistent production of reports & adaptability to
changing requirements.
Level 3 Automated Internal Reporting
Efficient, consistent production of reports & widespread availability
in the organization.
Level 2 Standardized Vocabulary & Patient Registries Relating and organizing the core data content.
Level 1 Enterprise Data Operating System Collecting and integrating the core data content.
Level 0 Fragmented Point Solutions
Inefficient, inconsistent versions of the truth. Cumbersome internal
and external reporting.
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Health
Catalyst
Comprehensive
Information Delivery
(e.g., pushed reports,
self-service analysis,
dashboards, scorecards,
mobile tools,
embedded applications)
Comprehensive Data
Management
(e.g., data ingestion,
aggregation, standardization,
classification, broad subject
area marts, NLP, and
machine learning to satisfy
ALL current and future
analytical purposes)
Comprehensive
Sources of Data
(e.g., EHR, ERP, claims,
social determinants of health,
genomic, patient contributed,
biometric, consumer, devices,
IoT, images, video, social
media, registries, surveys,
logs, marketing, etc.)
Analytics Injected Across Enterprise
Insights, Algorithms, DSS, Closed Loop Analytics, EHR Embedded
Enterprise Improvement Foundation
Best Practice Improvement Methodologies, System-Wide Adoption Framework, Information Management Processes and Policies,
Enterprise Information Governance
The Enterprise Analytics Portfolio
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Health
Catalyst
In Summary
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#1
Take time to define
your organization’s
digital vision. The
journey is long and
requires patience
and focus.
#2
Develop an innovative
approach to fund and
enable digital
initiatives.
#3
Build a business-
driven technology
governance structure
to ensure full business
alignment.
#4
Integration is core
to enabling digital
success. Partners
will dramatically
increase your odds
for success.

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Health
Catalyst
Sept. 10-12, Salt Lake City, Grand America Hotel
• National Keynotes
• Digital Innovation Showcase
• 28 Educational, Case Study, and Technical Breakouts
• 24 Analytics Walkabout Projects
• Machine Learning Marketplace
• Networking (bringing back ”Braindate”)
• CME Accreditation for Clinicians
• 5-Star Grand America Hotel Experience
• 96 Total Presentations
Healthcare Analytics Summit 19
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Health
Catalyst
Would you like to be considered for complimentary passes for a team of
three to attend the Healthcare Analytics Summit?
• Yes
• No
Poll Question #1
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Health
Catalyst
Would you like to be considered for a complimentary individual pass to
attend the Healthcare Analytics Summit?
• Yes
• No
Poll Question #2
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Health
Catalyst
If you would like to learn more about Health Catalyst please answer this
poll question.
• Yes
• No
Poll Question #3
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38. Questions and Answers
Ryan Smith
Senior Vice President, Executive Advisor, Health Catalyst
Ryan.Smith@healthcatalyst.com