Healthcare Analytics Playbook

April 2023
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Table of contents

A. Digital Transformation in Healthcare

B. Introduction to Playbook

C. Types of Analytics Solutions

D. Use cases

E. Points of Contact

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Healthcare Industry faces unprecedented disruption

1
As the industry shifts its focus from treating illness to promoting wellness and digital
Shift in focal point– Impact of
innovations providing advanced consumer insights, health plans have a new
COVID-19 imperative to harness the power of data and drive personalization for the customers

2
Digital and analytics engagements can drive health and financial outcomes across
the healthcare industry, but only when deployed with design principles that ensure
Digital at the heart of change
consistent engagement and reduce pain points by modernizing front, middle, and
back-office operational areas

3
Increasingly, healthcare providers are tapping into the rich ecosystem of digital health
Need for new partnerships players – incumbents and startups – to innovate how they engage with members,
providers, brokers, etc. across the health and wellness continuum

4
With the new Interoperability and Price Transparency data coming to market, health
Benefits of Interoperability plans cannot simply stop at compliance – they need to collaborate with providers and
convene an ecosystem of innovators in order to win

5
Moving beyond operating model considerations, leading healthcare providers will
New Approach for successful
transform the way they organize, execute, and behave in order to drive innovation
strategy
leveraging analytics

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 Inflation and
affordability

Factors that are likely to

Digital
transformation
influence hospitals, health
systems, and health plans
Data as a
strategic asset
in the years ahead
Humanity, ESG & DEI
(Diversity, Equity & Disruption creates new opportunities. Within this rapidly
Shrinking margins Inclusion) now at the shifting landscape, leading organizations are harnessing
center analytics to delight customers, reinvent their operations,
and spark differentiated business

Health being
redefined for
New payment models all audiences
and alternative sites of
care

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 National and Regional Healthcare
Providers & Payers

Our comprehensive healthcare analytics suite provides targeted analytics to identify & address risks
within the healthcare domain to provide organizations with actionable insights which in turn can drive fact-based

decision making to meet compliance, governance, operational and strategic objectives, by

leveraging cutting edge digital techniques.

Innovative and customized solutions covering

end-to-end strategy, design, processes, and
technology delivery

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Our Approach for Building Analytics Solutions
Using a collaborative approach, we develop data driven solutions that provides a deeper understanding of the data, helps to identify insights,
gaps, outliers and trends and make more informed risk management decisions.

Our Approach

Build And Refine Analytics Operationalize and

Develop Hypothesis
Solutions Enhance the Model

Develop data analytics hypothesis Build analytics solutions to test the Using insights generated to improve
hypothesis and visualize the results performance
It all starts with a hypothesis.
Identify data requirements, including Operationalize the analytics package and
Work together with client to identify tables and fields from various data help to understand the data and insights
risk-based hypotheses and known sources for the analysis generated from the solution
business issues that can benefit from
the insights gained from leveraging Develop analytics and machine learning Work with client teams to update the
data analytics solutions. models that will test the hypotheses and analytics logic, enhance the machine
refine the models based on feedback learning model, and the reporting layer
from the IA team and client. when business requirements change
Create a visual analysis and reporting
layer aligned with client’s reporting and
monitoring needs to easily consume the
results
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 3D target Navigation
Playbook
So how does the user navigate this playbook?
This playbook offers information at 3 levels of depth, allowing the user to travel between levels
and choose the level of depth of information they want to see:

Level1:
Industry Agnostic or Clickable
Healthcare Specific

Level2:
List of Solutions for each Clickable
component in Level1

Level3:
Use cases for solutions in Clickable
Level2

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Presentation Analytics
title 7
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 Solutions Library- Analytics

Though this playbook focuses on analytics solutions related to Healthcare, a number of these solutions could be applicable
across industries as well. Below, we offer the user the flexibility to choose to view solutions which are industry agnostic or
those which are specific to Healthcare alone. Accordingly, click on the required icons below to drive the Playbook in the
desired direction

Industry Agnostic Solutions Healthcare Specific Analytics

Clickable Clickable

This “Umbrella” covers analytical solutions The “go-to” place for all healthcare specific
common across industries digital solutions and their use cases

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 Industry Agnostic Solutions
Risk Assessment
Dynamic Risk Assessment
Assurance Mapping
Location Risk Assessment
Controls Digitization Assessment

Audit Planning
AI for Audit Reports
Risk coverage metrics/Risk Profiling
Self-service data extracts and analysis
Self service Audit & Analytics Platform for Business
Processes

Digital Delivery Models Design Effectiveness Assessment

Product oriented Delivery (POD)
models Business process mining/monitoring
Automation/ Custom Solution Development
Dynamic Visualizations to pull insights

Fieldwork & Reporting

Business process analytics
Issue Tracking/ Ongoing Monitoring Automated alerts and notifications
Workpaper Automation
Controls Testing Automation ESG Reporting & Analytics
Continuous Controls Monitoring Social Media Analytics
Customized Accelerators Continuous Auditing and continuous
PMO and Status Tracking monitoring
Risk Sensing High Impact Reporting using Visualizations
AuditBoard Automation Customer complaints analysis
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Language Translation and OCR
 Healthcare Playbook
Introduction
The Healthcare playbook is a collection of information,
resources and scenarios where analytics is performed
for various healthcare clients.

The purpose of this playbook is to provide users with

examples of what is possible with data analytics and how to
drive transformation with new digital strategies, experiences,
platforms, and technologies through the entire business
processes associated with the healthcare supply chain.

What should this playbook be used for?

“Data really powers everything that we do”
✓Understanding and gaining familiarity with usage of - Jeff Weiner
analytics in healthcare industry
“Time and money are your scarcest resources. You want to
✓Finding scenarios with similar requirement and make sure you’re allocating them in highest-impact areas.
bringing use of available solutions and technologies Data reveals impact, and with data, you can bring more
science to your decisions”
✓Engaging project teams and clients in finding - Matt Trifiro
sustainable way of enhanced project delivery

**Note: This is an interactive playbook.

1. Please click on hyperlinks to travel across the deck.
2. Hyperlinks appear when hovered over the rectangles or colored cells.
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Healthcare Specific Analytics
Compliance

Drug Diversion/ Control Substance Compliance to Opioid Prescribing HRSA Payment Compliance Analysis
Analysis Practices

Short Stays Analytics Healthcare Pricing Transparency HIPAA Data Privacy Analysis

Claims Denial Analysis Customer Billing Compliance

Process Optimization

Revenue cash claims for 837 and 835 Caregiver Offboarding Analytics Physician Analysis

Float pool/Travel Nurse analysis Agency Audit Fees Analysis Physician / Nurse Overtime Analysis

Remittance Denials Management

AIAI
inin
Healthcare
Healthcare

340B Insight Reporting

Ready to Deploy solution Customizable solution AI based solution

11
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 Business Process Analytics

Third Party Risk Management

Process Optimization Analytics Operational Analytics Analytics

Accounts Payable Inventory IT Service desk ticketing

General Ledger/Journal Entry Shadow IT/Rogue Spend Vendor Analysis

P-Card Pricing Analysis Contract Analysis

Accounts Receivable Budget Analysis

Fixed Assets Payroll Analytics

Revenue Trend Analytics

Travel & Expenses Analytics

Ready to Deploy solution Customizable solution AI based solution

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Back
Use cases

13
 340B Audit Insight Reporting 340B Insight Reporting Visualizations

The visualization provides an

Background
overview of the audits that
HRSA's 340B Program audit reviews the manufacturer’s compliance with 340B Program
were performed, the regions
requirements with respect to eligibility status, including compliance with 340B Program
and hospitals getting audited,
requirements and the determination that the manufacturer provided 340B drugs at or
and the issues and
below the 340B ceiling price to covered entities/hospitals.
recommendations extracted.
To meet the set-out objectives, the leadership needs to have a transparent and rigorous
oversight of how the audits are going and overall pulse of the issues arising from them.

The Solution
Deloitte Designed and developed a solution that analyzes hundreds of 340B audit The thematic analysis of
reports leveraging machine learning and natural language processing and uses the data helps to identify
advanced algorithms to extract key themes and patterns. the key issues and
The insights provided gives useful information on the coverage of the audits, recurring observations
identifying any issues or weaknesses that were found during the audit process from the audits. A crisp
and if these weaknesses were addressed over time. view to showcase the
themes to leadership.
The Impact
The Dashboard enables clients to gain unprecedented access to insights hidden
inside hundreds of text documents and determine the key issues and trends from
the audit report in a dynamic and efficient manner. The key issues
This streamlines the audit process and provide valuable insights that can be used identified enables us to
to improve the overall quality of audits. Organizations can quickly gain a deeper discover the trends and
understanding of their audits, identify areas for improvement, and make data- patterns hidden in the
driven decisions to improve their overall performance. data

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 Compliance to Opioid Prescribing Practices Opioid Prescribing Practices Visualizations

Provider Analysis identifies

misuse of power to prescribe
Background opioids, summarizes
This analysis transforms Opioid risk management process by leveraging the prescriptions by encounter
prescription data from the EMR systems to assist in monitoring risks. Failure to type or provider specialty to
properly monitor opioid prescribing practices can result in harm to the public and identify outliers & looks for
poses significant financial & compliance risk to the organization. time trends through
prescriptions

The Solution Patient analysis identifies set

The dashboard provides analytical insights around opioid prescriptions, thus enabling of patients at high risk based
identification of high-risk entities in terms of providers & patients. An MME on age factor or who are
(Morphine Milligram Equivalent) was calculated for each opioid prescription & then getting opioid prescriptions
used as a primary basis to analyze all the opioid prescriptions within scope period. written from multiple
providers and/or for multiple
medical descriptions
The Impact
The solution helps uncover some risky areas like dangerously high dosage
prescriptions, inappropriate specialty providers prescribing opioids, patients who
were being over-prescribed, providers who had a pattern of writing high-dose Provider patient analysis
prescriptions & patient-provider relations that were potentially risky from a collusion identifies cases of providers &
perspective. patients colluding to misuse
opioid prescriptions.

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 Control Substance Analysis / Drug Visualizations

Diversion
Background
• Pharmacy requests the drug diversion analysis for defined scope period.
• Deloitte Internal Audit can be engaged to assist to perform a reconciliation of
drugs purchased and subsequently dispensed for the Retail Pharmacy at Hospital.
• Objective is to review and quantify the suspected diversion between the
purchased amounts from Cardinal and dispensed amounts identified in QS1.

Analysis Approach
• Reviewed datasets to confirm the lowest unit of measure .
• Utilize the National Drug Code (NDC) of drugs to determine discrepancy of drugs.
• Utilized datasets to incorporate respective inventory counts due to items being
removed/added from inventory.

Risks Addressed
• Assisted in finding missing quantities of various drugs accounting to (~60,000
units).
• Validated data on diversion which gained local law enforcement and DEA
confidence with the Pharmacy operations.
• Identified employees which were potentially diverging the drugs. Value Proposition

Ability to rapidly create, produce, and replicate analytics.

Identification of other pharmacies which needs to be monitored.

Categorization of drugs to help identify true diversions.

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 Short Stays Analytics Short Stays Analytics Visualizations

Identification of OP claims with

Surgical or Medical DRGs that
Background would typically be expected to
be inpatient procedures. Higher
Objective is to achieve optimal balance of patient placement and ensure judicious
occurrence will point out to a
use of condition codes to optimize patient care quality, coding and billing excellence,
potential financial opportunity as
and improved revenue while protecting from and preparing for regulatory audits and
well as be indicative of issues
enforcement actions.
with status assignment

The Solution
Short stays related test analytics was ran on client’s in-scope data. The solution can
be easily deployed in client environment and the data update process can be Further visuals were
designed to be highly automated. developed to uncover
increasing trend of Short
Stays in particular months
over multiple years
The Impact
Provide guidance on where to deploy limited resources for the greatest impact or
risk mitigation through trend analysis and the ability to filter on clinical area, facilities
and timeframe, thus promoting data-driven decision making. In addition to actively
monitoring and identifying risk areas, analysis could also detect opportunities for Profiling the outlier OP
enhanced revenue capture, such as observation cases >48 hours. claims to identify trends
by hospital, location,
department, DRGs

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 Float Pool / Travel Nurse Analysis Float Pool / Travel Nurse Analysis Visualizations

Background The visualization provides an

A float pool nurse is available on an impromptu basis and may work in different overview statistics for individual
departments over the course of the year depending on scheduling needs and are nurses . Additionally, it shows the
intended to support the health system during contingencies. Due to the nature of disparity between the charged
their work, float pool nurses receive a higher rate than full time regularly scheduled and real hours..
nurses.
The client wanted to get insights into the data and identify trends that would allow
them to strategically examine and deal with any odd events involving the
scheduling of float pool nurses, the usage of overtime, etc.
The frequency analysis of the
data aids to identify the key
The Solution issues. Spending 75% time for the
Deloitte designed and created a solution to assess pool nurses' shifts leveraging entire year concentrating on only
overtime and frequency analysis. The analysis gives a timeline of the nurses' time one department. Additionally
usage tendencies. A better monitoring and tracking system is made possible by the shows instance
analysis's relevant insights, which also indicate any potential risks inside the system of charging the float pool time to
and provide information on how to allocate resources across departments the home department
effectively.

The Impact
The client had sufficient access to the distribution of working hours thanks to the
overtime analysis. This solution enables businesses to more effectively allocate
resources for forthcoming demands, spot potential risk hotspots, and assess the
The key issues identified
efficiency of resource allocation.
enables us to discover the
trends and patterns
The analysis also assisted in identifying patterns and outliers within the nurse pool.
hidden in the data
With the help of these analysis organization will be able to make data-driven
decisions and perform better overall.

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 Travel & Expenses Analytics/ Travel & Expenses Analytics/ Amex Anti Fraud

Amex Anti Fraud

The visualization provides an
overview statistics for
Background expenditure made on travel and
As a result of travel & entertainment expenses, the organization wanted to conduct a entertainment. Additionally, it
complete audit of the reimbursement data to identify high risk areas, instances of policy shows the disparity between the
breach and determine patterns to flag risky employees. total and flagged employees,
This will help them to identify areas of process improvement and subsequently control cost amount and expenses
leakages

The Solution The Expense Summary aids to

Analyzed the reimbursement data to find out anomalies in the below areas: identify the key issues and spend
• Frequent duplicates by potential high-risk employees
areas by looking into top expense
• Abnormally high expense amounts being claimed, breaching the allowable threshold for
categories and top employees
T&E who are at higher risk due to their
• No formal policy or procedure to verify that T&E cards are deactivated in a timely manner
expenditure pattern in various
upon termination of the T&E cardholder locations
A comprehensive risk scoring approach was followed to identify the risky transactions,
based on the multiple risk factors and this score was aggregated at an entity level to identify
the risky employees

The Impact
As suggested, the client started review of the transactions on an annual basis. In addition, The Employee Summary
the client appointed a body, which reviewed the transactions and were responsible for the provides insight into top 3 flagged
prudent use of the company’s funds to its personnel. employees and their spend
As part of the formal card audit process, appropriate checks were placed to notify the pattern, risky employees over
supervisors on all findings and card suspensions/terminations. Additionally, T&E card period and top 10 employees by
surrender was added as a critical process in the HR exit check list. spend and risk

19
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 Revenue cycle cash claims Cash Claims reconciliation Visualizations

analysis for 837 and 835 Observed records with

unreconciled value of health
claims to actual paid amount
which could impact client
revenues. Results were
Background
displayed in a quick summary
The goal of this analysis was to perform a reconciliation exercise on the claim information
to help visualize gaps
due to suspicion of unaccounted variances between the claim and payment amounts.
Deloitte was asked to analyze the following reports:
1. 837 reports- Report sent by healthcare service provider to payer to provide claim
billing information
2. 835 reports- Electronic transaction sent by the payer to the bank that provides
claim payment information
Further visuals were
developed to understand
The Solution root cause of variances and
Utilized scripts to extract and transform the hundreds of text files received containing to identify specific trends,
the aforesaid reports information into a readable format that could be analyzed. Built patterns and outliers from
an automated workflow to execute the import and export of the data to the the non-reconciled claims
reconciliation engine.

The Impact
As a result of the cash claim reconciliation exercise performed, the entire process
went through a restructuring including realignment within the organization to
minimize different silos, aggregating EDI enrolment/payer management, centralizing Visuals were also made
regional teams etc. dynamic to enable the
client filter the information
on multiple selections and
view corresponding claim
details through clicks

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 Shadow IT/Rogue Spend Shadow IT Visualizations

Background
This assessment will focus on a review of policies, processes, tools, and internal
controls in place for monitoring and restricting use of Shadow IT. Internal Audit (IA)
will:
• Determine whether applicable policies and processes are in place and are
reviewed periodically and approved by senior management.
• Evaluate the effectiveness of internal controls in place for the organization’s
response to ongoing management of Shadow IT.
• Understand the process in place to identify services used and determine eligibility
for enterprise-wide adoption.

Analysis Approach
• Review the policies, processes, and internal controls in place to evaluate the
effectiveness of the organization’s response to, and ongoing management of
Shadow IT, specific to the privacy and security elements that may hold sensitive
data.
• Perform various levels of analysis to identify if and where Shadow IT may exist in Value Proposition
the organization. • Firm may address risks such as restricting sensitive data leakage (Firm's ePHI),
while providing seamless remote accessibility to the corporate infrastructure,
assets, and data.
• The rapid adoption of cloud-based services and the quality of consumer
applications in the cloud.
• The growth of Shadow IT has accelerated with the consumerization of
information technology. Users have become comfortable downloading and
using apps and services from the cloud to assist them in their work.

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 Pricing Analysis Visualizations
Pricing Analysis

Background
• Client wanted to leverage Deloitte pricing analytics experience in order to compare
prices for different item materials in purchase orders data across two years period to
identify anomalies in pricing history and to compare the item unit prices against the
Consumer Price Index(CPI) which is the Market price to understand the item prices
procured were less/more/at par with market.
• The goal of a pricing analysis is to identify opportunities for pricing changes and
process/contractual improvements.

Analysis Approach
• Reviewed datasets to confirm the consistent unit of measure.
• Pricing analytics uses two separate algorithms to identify anomalies in pricing
history.
• The first identifies pricing "spikes" which are purchases occurring outside a normal Value Proposition
range of pricing for a given material. The second approach identifies significant • Quick identification of outliers in terms of expensive purchases compared to
increases from one day's price to the next from the expected price as per CPI. purchase of same material at much lower price points based on risk index.
Representative Clients –
• Shows outliers by vendors and buyers to allow for identification of trends of
• Pharmaceuticals expensive procurement.
• Oil and Mining
• Hospitality • Helped in understanding pricing spikes for vendors with overages, as for same
• Consumer Goods
material on same day, different vendors have charged different prices, which
• Power and Energy
can further help client to re-evaluate their contracts with Vendor on basis of
pricing history.

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 Payroll Analytics Payroll Analytics Visualizations

Background
A leading global distributor of pipes, valves and fitting requested for the payroll analysis for the employees of its
company, who had been working in different geographical locations. The objective of the Payroll analysis was to
provide insights and identify trends that will enable client to proactively investigate and address unusual
occurrences within employee scheduling, use of overtime, etc. In addition, the data analytics was used to identify
opportunities of operational improvement for future scheduling of employees. When the patterns of hours spent
by employees over period of time are statistically analyzed using the data provided from Time Sheet, it was found
that some employees had substantially higher number of hours under overtime compared to others and the
outliers would be easily identified using the visuals provided to client

Approach
- Performed analytics to study the population of employee scheduling.
- Deloitte worked with client to discuss the payroll process and the following cases were considered by Deloitte
for Risk scoring :
• Segregation of duties not maintained
• Employee timecards not reviewed timely by appropriate personnel
• Variance recorded between the payment population and timesheet data
• Delayed termination payments recorded
• Continues Overtime instances recorded
- Internal Audit performed data analytics on a population of payments, payroll data, and timesheet using a
comprehensive risk scoring approach to identify the risky transactions, based on the multiple risk factors and this
score was aggregated at an entity level to identify the risky employees.

Value Delivered
The findings offered a concrete picture of resource utilization supported by data & facts.
- Critical resources were identified & improved resource management process were recommended.
- Additional probe was asked to carry out for highly risky resources and the transactions carried out in relation to
these.

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 P-Card Analytics Payroll Analytics Visualizations

Background
A global manufacturer of specialty engineered products for the thermal/acoustical and filtration/separation
markets engaged Deloitte to perform analysis on purchase card (P-Card) used by employees to purchase goods
and services on behalf of the employer.
The objective of the P-Card analysis was to provide insights around identification of high risk areas, instances of
policy breach, determining patterns to flag risky employees and identification of areas of process improvement
which will subsequently control cost leakages. The P-Card transactions were analyzed over a period of time, it
was found that few employees had expenses related to personal expenses, duplicate transactions, transactions
on weekends and holidays etc. that could be potential unauthorize purchases.

Approach
• Deloitte worked with client to understand the policies and procedures related to purchase cards expenses.
• Performed data analytics on a population of transactions using a comprehensive risk scoring approach to
identify the risky transactions, based on the multiple risk factors and this score was aggregated at an entity
level to identify the risky entities.
• Following were few of the risk areas investigated during the analysis -
• P-Card transactions having keywords in the description field that indicates a potentially unauthorized
purchase. Some of the keywords considered were related to (Personal Use, Hospitals, groceries etc.)
• Employees with more than 1 active P-Card allocated against them
• Miscategorized P-Card transactions associated with Hotels/Lodging/Eateries etc., should be ideally done via
T&E process.
• Duplicate P-Card Transactions for an employee based on same merchant, amount & date. Mostly through
amazon which was difficult to track since the description was not self explanatory.
• P-Card Transactions made by employee on a weekends & holidays

Value Delivered
• The risk scoring approach enabled for a higher visibility in potential fraud and abuse. This approach also
reduced the likelihood of false positives.
• In light of the needs assessment of the client, Deloitte advocated certain process improvement measures to
curb financial leakages and upgrade the operational efficiency for the same.
• The client was also helped to understand the gaps & potential threats in the P-Card process in order to
develop a sustainable business approach.

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 Location Risk Assessment Risk Assessment Visualizations

Background
12 regional shopping centers in the US were purchased by the client. At the end of period, the client received
complete ownership and management rights over the properties. The growth was overseen by an active
management strategy, in which a third-party outsourced service provider, handled some parts of the property
accounting while maintaining internal control over the property management functions. In order to reduce
important risks, expansion activities, process changes, and the onboarding of new employees all need active
oversight. Continuous risk assessment transforms the annual planning or annual risk assessment by taking
manual, fragmented, often unrepeatable, or largely gut instinct approaches and provides repeatable,
standardized tools and methods to allow for continuous monitoring of risk and adjustment to audit plan. To be
clear, CRA is more than just technology. Effective enablement of CRA requires vision, people, process, and
technology.

Approach
The risk assessment was developed using a phased method. With the phased method, the risk model can be updated
with new indicators and data over time.
• The first iteration of the risk assessment was focused on: Cataloguing indicators | Exploring the availability and
usability of data | Coordinating with Client management to evaluate indicator relevance | Collecting and
loading initial set of data and Developing a functioning model
• The risk assessment's subsequent iterations will concentrate on calibrating inputs, risk scoring, and evaluating
outcomes to influence the assessments made at the site level.
• By providing a dynamic platform to explore places and indicators based on chosen risk profiles, continue the
iterative development of the model with additional indicators and data to provide a more robust risk
assessment.

Impact
The results provided an assessment of each site based on various indicators, risk profiles, and the applicability of
each indicator, which assisted in –
• Identifying the indicators that are underperforming, lagging, or increasing the risk at specific places.
• In order to make sure that the sites are operating as effectively and efficiently as possible, it is important to
have a more thorough understanding of the places.

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 Accounts Payable Analytics Accounts Payable Analytics Visualizations

Background
The client, a leading and integrated provider of residential real estate services in the U.S., wanted evaluation
of its AP process & vendor associations in order to understand the possible risk arising in the system, owing
to the results of their Internal Audit department.
Deloitte was engaged by the client to do an analytical review of Oracle EBS AP Module.
Objective of this engagement was to:
- Provide the business with insights into the AP process;
- Identify potentially fraudulent transactions;
- Identify potential cost saving opportunities; and
- Identify anomalies to be investigated.

Approach
Exhaustive approach was taken encompassing Vendor master file, Invoices & Payments data. Per the Data
request form, the data is received and transformed into data models or structures that are more conducive
to analysis in AuditWise. Identified and selected 43 pre-defined business risk drivers or use cases to facilitate
risk-based analysis. After the initial Oracle AP data analytics, a likely case relevance (e.g., High, Medium,
Low) for each risk driver was assigned to determine relevance to the client’s environment. A formalized risk
scoring technique was then executed to identify potential red flags, high risk transactions & entities.

Value Delivered
In light of the needs assessment of the client, Deloitte advocated certain process improvement measures to
curb financial leakages and upgrade the operational efficiency for the same. Some of the recommendations
included as part of the Management plan were:
• Management should perform a look back analysis of vendor invoice payments made before the due date
and document the business reasons for making early payments.
• Management should consider making use of Purchase Order module to enable themselves to perform 2
way/3 way match prior to processing an invoice.
• Management should perform a look back analysis and validate the identified list of duplicate invoices to
check if any duplicate payments were made for such invoices.
• Recommendations mentioned above provided the client with cost recovery opportunities as well as to
efficiently manage working capital requirements.

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 Dynamic Risk Assessment Dynamic Risk Assessment Visualizations

Background
DRA refers to the use of automated techniques to provide for the continuous monitoring of business
operations, functions and processes. It is equally referred to as Continuous Business Monitoring, Risk
Sensing, or Continuous Risk Assessment. DRA provides new insights to risk professionals and new
alternatives on how to respond.

DRA transforms the annual planning or annual risk assessment by taking manual, fragmented, often
unrepeatable, or largely gut instinct approaches and provides repeatable, standardized tools and
methods to allow for continuous monitoring of risk and adjustment to audit plan. To be clear, DRA is
more than just technology. Leading with technology is a sure-fire way to fail. Effective enablement of
DRA requires vision, people, process, and technology.

Opportunity

Enhancing an approach to risk assessment may enable efficiencies across the organization, including a risk-based
approach to asset allocation (people and technology) and a consistent mechanism to discuss risk across the
enterprise. This approach promotes coordination with multiple risk functions and alignment of resources and
risk coverage.

Impact

The scoring methodology allowed increased ttransparency with stakeholder alignment through following
steps;
• Continuous evaluation of business risk & trends
• Applicable to multiple stakeholders
• Equates response to risk
• Significant reduction in level of efforts
• Proactive rather than reactive
• Real time assurance
• Provides actionable insight
• Evolves and improves over time

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 Controls Digitization Assessment Controls risk matrix

Background
The client is an Investment advisor based in the US and is the largest provider of mutual funds Strategic Opportunity Ideal Candidate
and the second-largest provider of exchange-traded funds (ETFs) in the world. Deloitte was
approached by client to help prioritize their control digitization process by conducting While it may take greater effort to digitize A control or set of controls that are ideally
assessments to identify the best candidate controls for automation. The client, in order to the control(s) the return on investment has positioned to be digitized and provide
enhance their digital footprint, wanted to automate priority controls per their risk control matrix. the potential to be significant, as: significant impact and value to business,
However, they were unsure of identifying the top controls in their RCM that needed to be automated including:
• Areas are prone to historical errors, financial
on priority, which would enable them drive increased value and reduced complexity. losses, and/or have significant visibility • Potential payback period on investment as
across organization control(s) relates to revenue leakage or aids in
cost containment
• Digitization may take some time as
• Reduction of required FTE capacity, freeing
Opportunities either data is difficult to access or
them up to provide more value-added work
Cconducted several discussion sessions with client to understand the variables that defined the requires significant manipulation but
• Deeper insights and trend analysis
risk control matrix. Deloitte then identified a list of attributes to determine factors such as is an area that pose heightened risk
• Improved client experience
nature of attributes tested, nature of data sources, complexity of testing logic etc. that would across risk domains
help drive a score for each control to assess priority. To achieve this, Deloitte examined each
control in the RCM carefully by going through the control descriptions and testing descriptions
to determine a scoring methodology and a subsequent score for each control in scope.

Low Value Opportunity Quick Win Opportunity

Value Delivered
The scoring methodology allowed the controls to be categorized into either of the 4 buckets: The limited value does not warrant the The opportunity to digitize is fairly
Ideal candidates, Strategic opportunity, Quick win opportunity and Low value opportunity, level of effort to digitize the control(s) – immediate and while not a huge value
depending on the levels of value and complexity driving each control. Once this primary “the juice is not worth the squeeze”: driver, the use case can serve as a potential
assessment was complete, Deloitte had subsequent sessions with client to have a detailed • Little value can be gained by digitization proof of concept:
walkthrough of selected controls to further evaluate and filter the priority controls for • Information is not available in electronic • The value may be limited to automating a
automation. This enabled client to identify the list of controls for automation to continue their format and may likely require significant currently manual control or serving as
digitization journey. effort to digitize evidence of a control
• Manual effort currently is low, and • Data is readily available and easily
frequency is low assessable
• Common nature of control attributes across
multiple systems / geographies

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 Controls Testing Automation Control Automation Process

Background Data
Controls Testing Automation automates the manual tasks associated with testing activities. Deloitte’s Normalization
modular design allows for a single automation to easily scale across multiple systems and databases Acquisition

Solution
Opportunity for process redesign; optimizing across automation and human activity
100% or Sample Population Testing (on test-by-test basis)
Technology Agnostic (SQL, Python, RPA, other client preferred technology)
All the above are achieved through a disciplined process of data acquisition, normalization, analysis
and followed by workpaper generation

Value Delivered
Reduction in Testing Effort -
The reduction in required testing hours can vary from 25% to 75%

Reduction in Operational Overhead - Workpaper Analysis

The automation eliminates much of the related burden on system owners and testing teams
Generation
Reusable, highly accurate technology -
Stable data extraction and modular design provides a foundation for digital transformation

Simple transition to continuous monitoring -

Value to 1st & 2nd Line of Defense at minimal extra work

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 AI for Audit Reports Audit Reports Visualizations

Background
Deloitte designed an audit report analytics framework leveraging machine learning and natural language processing,
that would analyze the audit reports and drive insights through a dashboard.
The insights driven out of the framework provided useful information on the key themes and patterns and whether the
audits provided sufficient coverage. The analysis identified weaknesses during audits and if these weaknesses were
catered to over time.
The objective was to ensure that audit plans were designed to gain insights from the audit practice without having to go
through hundreds of historic audit reports and to prioritize risks and audit areas of interest.

Solution

A framework was designed based on Natural Language Processing techniques to extract insights from the large quantities
of text data present in the audit reports.
The key information from the text data was extracted through cognitive text summarization and Parts of Speech tagging
techniques based on Machine Learning. The information extracted from each report was split into scope and conclusions
for further analysis. The department and audit type was also identified from the audit reports to gain metadata on the
reports.

Topic Modelling and the identification of associated key phrases was performed to discover the key trends and topics
from the audit reports. The key trends and topics arising from the reports were represented through interactive visuals
with the ability to drill down to the actual reports themselves.

Impact

The solution enabled the client to gain unprecedented access to insights buried deep in hundreds of text documents and
determine the key issues and insights from the audit report in a dynamic and efficient manner. Analyzing trends of the
scope of audits and their conclusions over time helped the client assess if the key risk areas were being covered in the
audits and if the weaknesses were being dealt with.

It helped them to focus on the major areas of impact rather than look through the entire audit report, thereby saving time
and effort. The Analysis and visualization made the information more powerful and insights more actionable.

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 Vendor Analysis Vendor Analysis Visualizations

Background

• A crew from the client's internal audit department had been hired to examine IT vendor spending. Greater
transparency into the types and prices of IT-related services and goods that are presently offered by or
purchased from third parties was the goal of this.
• Regarding the services and goods that have been rendered or provided to the client since 2018, the goal of
this review was to determine the client's annual spending on two specific IT third-party vendors and to allocate
the related costs/purchases between each vendor.

Approach

• To comprehend the vendor relationship and contractual terms, the client should review the initial contract or service
agreement with the vendor.
• Obtaining from each vendor a complete download of the invoice data for the 18-month timeframe that is within
scope.
• Analyzing the vendor information obtained and figuring out the classification/codification each vendor uses as part of
their billing procedure.
• Examining the vendor invoicing data and applying several recommended algorithms to look for instances of data
anomalies.
• Finding possible themes and observations for management to consider

Impact

• The client was able to comprehend how their costs were divided up into different groups.
• In order to create a sustainable strategy for better resource use, the client was assisted in understanding the
gaps and potential dangers in the process.

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 Risk Profiling Risk Profiling Visualizations

Background
• Deloitte was engaged by a large Title Insurance Underwriter to provide the following services: Corporate and
Operational Internal Audits, Audits of Policy Issuing Offices (direct operations and independent third-party
agencies), Information Technology Internal Audits, Special Audits on management requests.
• Data analytics was used to create predictive risk profiling for the network of policy issuing offices. The risk data
update happens once a month and is entirely powered by USI. Through risk modeling, we were able to assist
the client in tracking risk trends, monitoring in real-time, and making data-supported risk management
choices.

Approach
• To highlight possible red alert entities and risk areas of the business across several geographies, we will give the
customer a Risk Trend Analysis over a period of months.
• The client must evaluate the effectiveness of its companies and make wise choices on the Audit Plan.
• Using Tableau dashboards, all entity characteristics, risk indicators, and risk score were dynamically visualized at three
separate levels: district (state), agency, and indicator.
• Creation and upkeep of an end-to-end risk model to identify dangerous organizations and procedures and aid in audit
selection.
• Automation of manual procedures and tasks, which results in time and money savings. The Risk Model was created by
Deloitte Advisory using the Deloitte Analytics Platform with input from the client (DAP).
• The Risk Model is updated regularly using information from the client's systems, ongoing analyses, and outside
economic data (such as macroeconomic trends and forecasts). The agencies and direct operations offices are ranked in
accordance with the risks discovered using the Risk Profiling Dashboard (Risk Model).
• The client approves a list of agencies or direct operations offices for evaluation based on the result of the risk model.
Based on the recognized risk indicators, the scope of each evaluation is decided.
• As a continuous auditing tool, the Risk Model enables auditors and client management to continuously analyze and
trend threats to the client at the agent, state, and district levels.

Impact
• lowering the client's risk of potential frauds and compliance issues.
• enhancing operational effectiveness with the assistance of our analytics.
• establishing a foundation for targeted insights in order to enhance client services.
• Increasing the effectiveness of the audit selections and audit plan

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 IT Service desk ticketing Risk Profiling Visualizations

Background
Deloitte was engaged by a large consumer goods company to assess its incident management framework against
ITIL practices and the use of the ServiceNow application offered by ServiceNow, Inc.

Approach

The scope of the analysis focused on the IT Operations’ ITIL framework for recording, processing, and responding
to major incidents, in addition to a review of the overall IT help desk function. Deloitte leveraged data analytics to
review the procedures on the 2017 ServiceNow ticket population of priority 1, 2, and 3 tickets. The audit
evaluated the following areas: tactical alignment, stability and reliability, processes, technology leverage, and
results management.
1. How the incident management process supports the achievement of business objectives
2. Maturity level of the overall framework including the processes in place to support the reporting and resolution of
major incidents
3. Review the documentation the IT organization has developed regarding the help desk processes, policies and
standards. Understand the processes of how problems are reported, recorded, assigned, escalated, resolved and closed
4. Utilization of the ServiceNow tool to support the process

Impact
• The analysis helped in understanding the Service now IT Ticketing helpdesk inside out with a single report
covering all the ticket metrics. The trends of tickets by period empowers users to spot the busy days and green
days and work more efficiently.
• This analysis helped uncover trends behind tickets being submitted like # of Tickets processed, Average resolution
time, # of users by Category who handled the tickets.

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 General Ledger/Journal Entry General Ledger Analytics Visualizations

Analytics Solution
Background
The client wanted insights into its General Ledger (GL) process in order to understand the possible risk
arising in the system.
Statutory Auditors as part of the risk around management override of controls, GL is subjected to
testing which includes heavy considerations for fraud through the manipulation of financial reporting
or misappropriation of assets

Solution
A tailored solution which leveraged a variety of pre-existing Deloitte assets, as well as custom-designed
dashboards that satisfied a variety of client’s needs and personas. Cloud based solution built on
Deloitte’s AI Platform

Value Delivered
A comprehensive journal entry analytics solution that gets refreshed every month to cater to the
following audiences:
• Internal Audit: This solution has capabilities to help internal audits; primarily to sense operational
risks throughout the company in addition to identifying unusual or anomalous journal entries.
• Controllership: This solution provides insight which can help improve the client’s accounting and
financial close processes
• External Audit: With in-built 11 pre-configured journal entry analytics to satisfy SAS99 testing
requirements, this tool has the ability to provide executive operational and business performance
insights, perform a risk assessment over account balances, and further enhance the testing process.

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 ESG Sustainability Services ESG Sustainability Visualizations

Background
Sustainability is a business approach to creating long-term value by taking into consideration how a
given organization operates in the ecological, social and economic environment. There are 3 pillars to
this approach: E,S and G; which stands for Environmental, Social, and corporate Governance. ESG
concerns are growing as more and more millennial investors are pooling in. ESG investors are primarily
focusing on executive reimbursement.

Pillars of ESG
Environmental- On a broad-spectrum environmental aspect includes the use of renewable energy
sources,
Social- A wide range of topics are covered in social aspect majorly dealing with social relationships
Governance- Governance in the context of ESG is essentially about how a company is managed i.e.
corporate governance factors.

Value Delivered
Internal Audit plays a major role in providing assurance on the various declarations and reporting
disclosures made by organizations. However, IA's role is not just limited to providing assurance, but
also from an advisory point of view to help understand where organizations stand with respect to their
peers through benchmarking exercises and design roadmaps and strategies to align with organizational
sustainability goals

Listed below are few specific sample areas in which IA can help with regards to the various pillars of
ESG:
• Decarbonization by cutting emissions • FCPA Violations tracking
• Target setting • Independence and Confidentiality
• Manage energy used • Anti Bribery/Corruption
• Community Investment • Supply Chain Management/Traceability
• Workforce Distribution
• Identity Access Management
• Diversity and Inclusion (Gender +
• Digital capability (Analytics, Data
LGBTQ+ and PWD)
management, Cloud, Automation)

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 Accounts Receivable Analytics Accounts Receivables Analytics Visualizations

Background
Accounts receivable analytics refers to the use of data analysis and statistical techniques to gain insights
into a company's accounts receivable processes and performance. The goal of accounts receivable
analytics is to help businesses understand and optimize their accounts receivable management
practices, identify trends and patterns in customer payment behavior, and reduce the risk of bad debts.

Use of AR Analytics
Improve collection strategies: By analyzing customer payment behavior, aging of accounts receivable,
and DSO, corporates can identify the most effective collection strategies for different customer
segments. They can also track the effectiveness of their collection efforts over time and make
adjustments as needed.

Identify high-risk customers: By monitoring bad debt rates and payment trends, corporates can identify
customers who are most likely to default on their payments. They can then prioritize collection efforts
on these customers and take steps to minimize the risk of future bad debts.

Optimize credit policies: By analyzing customer payment history and creditworthiness, corporates can
refine their credit policies to reduce the risk of late or non-payment. They can also adjust credit terms
and limits based on customer behavior and other factors.

Streamline invoicing and payment processes: By analyzing the invoicing and payment processes,
corporates can identify bottlenecks and inefficiencies that are causing delays in payment. They can then
implement changes to streamline the processes and improve cash flow.

Monitor performance: By tracking key accounts receivable metrics, corporates can monitor their
performance over time and identify areas for improvement. They can set targets for DSO, bad debt
rates, and other metrics and track their progress towards these targets.

Overall, accounts receivable analytics helps corporates to make data-driven decisions that improve their
cash flow, reduce risk, and ensure the financial health of the organization.

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 Business process Business Process Mining

mining/monitoring
Background
State-of-the-art business operations are largely process-driven, often supported by a variety of IT
systems. Their ever-growing complexity poses tremendous challenges for process transparency, control
and efficiency

Approach
The Deloitte Center of Process Insights Bionics utilizes Process Mining to capture your end-to-end
business processes. Transforming this next-level transparency into tailored, interactive cockpits which
allows an unprecedented handle on process diagnostics and optimization.

Beyond transparency, Process Bionics provides a greater understanding of organically grown process
landscapes, including the behavior shown by involved entities, and applying applies proven patterns to
boost efficiency

Value Delivered
Proof of Value provides a thorough understanding of the vast potential of Process Mining based
on existing data by:
• Quick prototyping of one process in focus by leveraging standardized building blocks
• Hands-on workshops with process mining

Process Diagnostics yields highly-quantified and actionable improvement measures targeted at

substantial impact and a fast return through
• Deep-dive analytics on processes and associated behavior across systems boundaries
• Detecting potentials for robotics process automation (RPA) and system reconfiguration

Continuous Evolution embeds process bionics into the DNA of your organization, striving for holistic
and continuous process optimization

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 Workpaper Automation Workpaper Automation Template

Background

Controls testing and creation of work papers per control typically involves the following steps:

• Obtain the population of controls tested in a recorded tracker

• Create work paper for each of the controls manually based on the control tracker
• Populate manually some of the consistent details like control ID, control owner, region etc.

The sequence detailed above is a long and time-consuming process requiring the user to switch
between the tracker and the work paper template multiple times. Apart from this, a thorough review for
the correctness of the work paper created provided the manual nature of the task.

Solution

An automated solution was developed by Deloitte, providing an ability to control owner to get rid of the
manual redundant task of populating the workpapers based on the pre-defined details present in the
control tracker.
This solution automates repetitive tasks with respect to workpaper creation, freeing up valuable time to
add insights and quality to the deliverable. The solution is customizable providing capabilities around
work paper creation with predefined information with just a few clicks of buttons and reduce the
manual efforts for the engagement teams significantly. The intent was to develop a solution to enable
the engagement teams to focus their energy more on enhancement of the workpapers and not on the
redundant tasks

It helps the user to prepopulate the fields of the work paper and auto create the workpaper as per the
given template for each control based on a criterion (For example; Location and Process) and saves it in
the form of package to a specified path. All this is done on just a click of a button.

The criteria for creation of work paper may vary for different engagements, but it can be customized.
With ever-increasing organizational complexity this utility helps increase the efficiency of the process
significantly and the engagement teams can reduce the level of efforts by close to 65%.

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 Self-service data extracts and analysis Customer complaints analysis

Background
The current approach to data extraction for controls testing from ServiceNow is a
manual process that is dependent on standard ticket extracts from ticketing system.
Each sampled ticket is manually tested for appropriateness based on Test Attributes.
The integrated solution extracts ServiceNow change population and automates the
process for the change management testing exercise.

The Solution
The ServiceNow Extractor extracts the audit relevant fields for the population of
records. This tool allows you to extract the fields relevant to change management
testing from the client’s ServiceNow instance by providing inputs to a few key
fields. The extractor does not store any information or credentials related to the
client. The entire process occurs on the client’s system..
The Sampling Utility performs judgmental sampling and produces the workpaper
testing table.

The Impact
The solution enables the automation of evidence extraction, sampling, and getting
details with respect to the testing attributes.
It also enables the engagement team to perform testing of 100% population. If
required, judgmental sampling can be done.
The dashboard enables the internal audit team to aid the client in discovering the
points of improvement in their change management process.

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 Self service Audit & Analytics Visualizations
Self Service Audit & Analytics Platform

Background
Self Service Portal is a user-friendly portal allowing the auditors to provide their inputs to
conduct an audit. It enables the user to provide the audit parameters including company
The Visualization shows the
codes, cost centers, and the time period for audit analytics. The platform includes analytics
for business processes such as: Travel & Entertainment, Revenue, Accounts Payable, Audit Self Service Portal
Health Care Professional analytics etc.

The Solution
Developed a highly efficient solution guarded with authentication that simplifies the audit
analytics processes for auditors, enabling them to execute the business process analytics in
a seamless manner

The visualization shows an

The Impact
A cloud based, cost-effective analytics platform that would enable auditors to perform overview of the Audit Report
audit analytics in a seamless manner
• A one stop shop for auditors to run audit analytics for multiple processes and
identify potential red flags for each audit and implement effective risk mitigation
strategies, based on risk scores and analytics results
The Visualization shows an
• Enhanced process efficiency, with ease of access for auditors
overview of Audit dashboard
• Digital enablement with introduction of risk indicators and identification of risk
trends using scores
• Automated integration with back-end audit analytics solution, data lake and
visualization platform

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 Customer complaints analysis Customer complaints analysis

Background
A leading Global Automotive Client sought Deloitte’s assistance in classifying warranty
claims and customer complaints received through service center networks and call
centers into various categories based on the type of issues, so that the risk of potential
recall can be identified
This classification and data was also need as part of their reports to ensure conformity
to regulatory requirements

The Solution
Deloitte Designed and developed a solution, leveraging machine learning and
natural language processing, that analyzes the text data received as customer
complaints and warranty claims.
The solution classifies the text narratives from consumers obtained through
various reports into valid risk categories using a machine learning model.

The Impact
The results helped the company predict potential recalls and risks. The model build
by Deloitte was found to me more accurate and efficient than the rule-based
model being used by the client.

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 Data Extraction Process
Data Extraction Bots

Background
Extracting data from multiple sources and systems for analytics & reporting is always a big
pain point and client requested to develop automated solution(s) to streamline the data
extraction processes. Our team developed various data extraction bots help to reduce the
operational overhead on teams and system owners, by automating the manual steps involved
in data extraction activities

The Solution
Reusable solution with cost effective use of resources as these bots can be across multiple
platforms/systems​
UiPath Data Extraction Bots
• UiPath autonomous bots to enable the stakeholders to download data extracts, with
relevant document numbers and click of a button
• Automations available for Gears, Salesforce, Concur, Viva and Ariba
SAP Data Extraction Bots
• Python executable bots for SAP instance to apply the relevant filters and export the data to
the central repository, with click of a button
• Automations available for multiple SAP instances and multiple Transaction and Reference
tables as well

The Impact
• Saving ~80% manual efforts, enabling the engagement teams to focus on detailed review
and other analytical tasks. Example: To download BSEG/BKPF extract from SAP, it usually
takes about 7-8 hours considering the size and data points. Using the SAP Data Extraction
Bots, user can download the same in 1-2 hours with minimal intervention
• Reusable solution with cost effective use of resources as these bots can be used across
multiple platforms/systems
• Enhanced process efficiency and accuracy as the data/attachments downloaded using the
bots are accurate and with minimum inconsistencies
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 Keyword Search with NLP and OCR
Search Engine with Language
Translation and OCR
Background Input master folder location
containing source documents,
Considering the Life Sciences industry’s landscape spread across different parts of the world,
which could be of any format
it’s dependent on a large set of documents in different languages and formats and the analysis
(DOC, XLSX, PDF, PPT, IMG or
on such documents require considerable man hours as the process is very manual and
.MSG format) and in any
repetitive.
language

The Solution
Search Engine with Language Translation and OCR solution is developed on python, which
allows the end-user to translate documents EX: PPT, DOCX, XLSX, IMG etc., from one language
to another, while retaining the formatting of the respective document(s) intact and even A Python based script is used to
search for specific keywords across multiple files. extract the content from input
file(s), translate them using OCR
and Google Translator into the
The solution also allows end-user to search for any keyword in any of the documents, in any desired language and format the
language (Ex: vendor, employee name etc.). translated documents
The tool automatically generates an output file, that contains the list of all the matches/hits for the
keyword, along with associated metadata information of the document. EX: “Neurology” keyword
was found in line #11 of the document “Impact of Technology on Life Sciences Industry”

The Impact
• Enable users to work with documents in any language and multiple file formats. Also, by retaining
the source formatting saves them lot of effort to modify the translated content Translated results are stored in the
• Time and Cost Savings: OCR automates the process of extracting text from documents, reducing same folder(s) keeping the same
the time and effort required for manual data entry. This leads to significant cost savings and file format and source formatting
allows employees to focus on more value-added tasks.
• Integration with Workflows and Systems: OCR technology can be seamlessly integrated with
existing systems and workflows, enabling automated document processing and data extraction.
This facilitates smooth information flow across different departments or systems, improving
overall business processes.

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 Social Media Analytics Customer complaints analysis

Background
Social media analytics refers to the process of collecting, analyzing, and interpreting data
from social media platforms to gain insights into audience behavior and preferences.
Deloitte provides a global solution that facilitates discovery and provides external
intelligence on emerging issues that present risks and opportunities to client
organization.

The Solution
This Cognitive risk sensing platform ingests external data from over 1,000,000+ external
sources across 190 countries and 80 languages. It’s a cloud-based platform that
analyzes vast volumes of data; detects relevant signals; and delivers risk intelligence.

Clients receive curated risk intelligence via portals and dashboards; Intelligence briefs
and reports; SMS and email alerts/notifications

Value Delivered
The results helped the company predict potential recalls and risks as this platform
derive tangible benefits from an interconnected and automated system in the
following ways:
• Early Detection and Proactive Monitoring of key trends/risks/opportunities
• Monitor conversations on emerging risks and manage response/advocacy
• Support curation of insights on business impact
• Anticipate compliance requirements
• Intelligence Report that Includes connections, trends and insights
(inferences) on identified regulatory sensing signals that can be acted upon
by management in the near or more distant future.

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 Advancing analytics & digital risk sensing through a Product Oriented Delivery
(POD) Model (contd. on next slide)
A POD model is a staff augmentation model wherein professionals from Deloitte will operate in conjunction with you as an extended team, strengthening
your team to meet their overall goals, handle day-to-day tasks, enhance current processes, and build new solutions – all based on your goals and visions.

What is a POD structure? How does it work?

A POD is a small, full-integrated, self- • Deloitte will work to understand your team dynamics and
sufficient team involving members of staffing needs to create a cost-effective resource POD tailored
different technical experience and to your unique situation, with one single point of contact.
specialization to deliver a defined
• Together, in conjunction with the Strategy Launch Lab, we will
product solution from conception to
work to understand your digital pipeline, protocols, technology
conclusion through one single point of
preference, and ways of working.
contact.
----------------------------------------------
• Each POD can be deployed as staff augmentation directly into
Each POD team is inclusive of the your existing organization to be managed by your
necessary skills and leadership to organization’s leadership and becoming a fully integrated part
imagine, build, and deploy fully fledge of your team OR managed by Deloitte and dedicated to your
analytic insights, dashboards, and web team’s projects.
applications.
---------------------------------------------- • This POD model can scale up and down quickly as demand
The POD Leader provides day-to-day from the business changes, flexing to address varying needs
management of the POD team and is a across Cyber, Clinical, Operations, and general IT.
single point of contact.

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How we deliver managed analytics services through Customized Analytics Pods
Each Pod is comprised of four to six practitioners with a mix of skills drawn from across the model below:

Data Typical Structure of an Analytics Pod

governance
Internal Audit Pod Manager
Specialists Data science
and analytics
Risk
management Data Data
specialists Scientist Wrangler
Extract,
Art of Transform and
Load (ETL) data Subject Matter
storytelling and Single POC Experts (SMEs)
design thinking
Delivery
Pod Manager • Leads overall execution of Pod
Industry team AI/Machine • May oversee several Pods simultaneously
Specialization learning
Data Scientist • Advanced analytics expertise
• Generally full-time on one Pod, for standard
complexity
Data visualization Automation Subject • Provides business / domain knowledge
and dashboards Matter Expert • Usually less than full time, supporting multiple Pods
Data platforms
and Data • Responsible for discovering, preparing, manipulating,
infrastructure Wrangler and visualizing data and analyses
• Generally full-time on one Pod, for standard
complexity
The number of practitioners and their skillsets will depend on the Illustrative example – Pods can include a wide mix of additional skill sets
complexity of the project as well as the focus of the work such as visualization experts, user experience designers, and engineers

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 Continuous controls monitoring

Imagine a world of continuous control monitoring, where through digitization, 100% of transaction-level details are
analyzed at breakneck speed illuminating not only control exceptions, but also driving better understanding of the root
cause and providing insights to help drive operational improvement. A world where the business and internal audit’s
view of risk is harmonized, leading to stronger testing, actionable insights, more specific risk-based conversations, and
improved risk reporting to key stakeholders – including the audit committee and the Board.

The value

Enhanced Risk Risk Sensing Workforce Elevation Organizational Agility Cost savings Governance Testing and Customer Experience
Management Provide insight and Increasing Building elasticity in Driving better Promote greater Monitoring Enhance the customer
Elevate risk foresight prior to professional your workforce efficiency through sense of ownership, Modernizing experience by mitigating
acumen and issues happening productivity while through management decreasing manual visibility and outdated operational issues and
insights utilizing and improve focusing on of digital and co- processes and accountability across controls improving processing
ML and AI resiliency exceptions and core sourced FTEs providing rapid the organization evaluation
risk management results programs while
improving
quality

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 Assurance Mapping
Assurance mapping is designed to provide a high-level overview of where the various risk universe components map to corresponding assurance activities
undertaken to monitor and mitigate those risks, including recency and period coverage of the assurance activities. This activity also has capabilities to
incorporate competitor risk inputs, providing a readymade benchmarking exercise

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 Fixed Asset Analytics
Fixed asset analytics is the process of using data analysis tools and techniques to extract
valuable insights from a company's fixed asset data. Fixed assets refer to long-term
assets that are not intended for sale and are essential to a company's operations, such
as buildings, machinery, equipment, and vehicles.

Fixed asset analytics can help companies improve their financial performance by
providing insights into asset utilization, maintenance costs, and depreciation rates. By
analyzing fixed asset data, companies can identify opportunities to optimize asset usage,
reduce maintenance costs, and improve the accuracy of financial reporting.

Some common fixed asset analytics techniques include:

Asset tracking and inventory management: By tracking and managing asset inventory,
companies can identify underutilized or idle assets and make decisions about whether
to dispose of or redeploy them.

Maintenance analytics: By analyzing maintenance data, companies can identify trends

in equipment breakdowns and failures, and take proactive measures to prevent them.

Depreciation analysis: By analyzing depreciation data, companies can optimize their

depreciation schedules to minimize tax liabilities and improve financial reporting
accuracy.

Fixed asset analytics can provide companies with valuable insights into their asset
management practices, helping them make informed decisions about how to optimize
asset usage, reduce costs, and improve their financial performance.

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 Revenue Trend Analytics
Revenue trend analytics is the process of analyzing historical revenue data to identify
patterns, trends, and insights that can be used to inform business decision-making.
Revenue trend analytics can help companies understand how their revenue is changing
over time and identify factors that are driving those changes.

There are several key metrics and techniques that can be used in revenue trend
analytics, including:

Revenue growth rate: This metric measures the percentage change in revenue over a
specific period of time, such as year-over-year or quarter-over-quarter.

Revenue by product or service: Analyzing revenue by product or service can help

companies understand which offerings are driving revenue growth and which may be
underperforming.

Revenue by customer segment: Analyzing revenue by customer segment can help

companies identify which segments are the most profitable and which may require
additional attention or resources.

Seasonal trends: Many businesses experience seasonal fluctuations in revenue, and

analyzing these trends can help companies plan and allocate resources more effectively.

By analyzing revenue trends and identifying key drivers of revenue growth or decline,
companies can make informed decisions about how to optimize their revenue streams,
improve profitability, and achieve their business goals.

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 Inventory Analytics
Inventory analytics refers to the use of statistical, mathematical, and computational
methods to analyze inventory data in order to gain insights and improve decision-
making related to inventory management. It involves collecting and analyzing data on
inventory levels, demand patterns, lead times, and other factors that impact inventory
performance.

Inventory analytics can help organizations optimize inventory levels, reduce costs,
improve service levels, and enhance customer satisfaction. Some common techniques
used in inventory analytics include forecasting, inventory optimization, inventory
classification, and analysis.

Forecasting is the process of predicting future demand for products based on historical
sales data, market trends, and other relevant factors. Inventory optimization involves
determining the optimal inventory levels for each product based on factors such as
demand variability, lead times, and stockout costs. Inventory classification involves
grouping products based on their demand variability and other characteristics, in order
to determine appropriate inventory policies for each group. ABC analysis is a method of
categorizing inventory items based on their importance to the business, with A items
being the most important and requiring the most attention.

Overall, inventory analytics can help businesses better understand and manage their
inventory levels, which can lead to improved efficiency, cost savings, and customer
satisfaction.

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 High Impact Reporting using Visualizations/
Dynamic Visualizations to pull insights
High Impact Reporting using Visualizations is a method of presenting data and
information in a visual format that is easy to understand, engaging, and effective in
conveying key insights and messages. It involves using data visualization tools such as
charts, graphs, maps, and interactive dashboards to present complex data and
information in a way that is both visually appealing and informative.

The goal is to provide stakeholders with a clear and concise understanding of complex
data sets and information. By presenting data visually, it can be easier to identify trends,
patterns, and anomalies, and to make informed decisions based on the insights gained.
It can also help to communicate complex information in a more engaging and
memorable way.

Some of the key benefits include:

• Improved understanding: Visualizations can make complex data sets and

information more accessible and easier to understand.

• Increased engagement: Visualizations can help to capture the attention of

stakeholders and increase engagement with the information being presented.

• More effective communication: Visualizations can help to convey information more

effectively and facilitate communication among stakeholders.

• Better decision making: Visualizations can help stakeholders make more informed
decisions by providing insights and highlighting key trends and patterns.
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 PMO and Status Tracking

PMO stands for Project Management Office, which is a department or group within an
organization responsible for standardizing project management practices, providing
guidance and support to project managers, and overseeing project portfolio
management.

Status tracking is a process of monitoring the progress of SOX Controls, including its
schedule, budget, and scope, and reporting the updates to stakeholders. Status tracking
is an essential part of project management to ensure that projects are progressing as
planned and to identify and address issues or risks that may arise during the project.

A status tracking dashboard increases collaboration between teams and creates one
centralized data repository for accurate data reporting across multiple business
segments. Reports can be easily accessed and shared thereby leading to increased team
collaborations.

The purpose of the first dashboard (on right)- ‘Overview dashboard’ is to provide a
high-level summary of the status of the controls across various testing phases
(Interim/Roll forward/Remediation)

The purpose of the second dashboard (on right)- ‘Overall Control Testing Status
dashboard’ is to provide a ‘detailed overview’ of control for each testing phase by
testing status, testing results across different Business Processed/Segments.

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 AuditBoard Automation Bots

Background
AuditBoard is a globally used cloud-based platform which helps organizations in managing multiple reports
such as audit plan, audit issues, issue statements and remediation plans etc. at one place and allows for
easy tracking & reference of audit related information.
But at the same time, extracting multiple reports, traversing each audit issue is a time consuming and
repetitive task. Also, significant efforts are required to collate multiple data points such as Issue Owner,
Remediation Action Plan, Issue Status, Action Details, and Owner, and update the respective fields on
AuditBoard.

Approach
To address these challenges, Deloitte developed a AuditBoard Automation bot as an autonomous solution
which can:
1. Extract data from multiple sources to excel input template
2. Upload the template to update a set of information on AuditBoard
3. Traverse through each issue to update issue specific information extracted from source files
4. Consolidate inputs from multiple stakeholders
5. Create log files for easy tracking and reference

The automation bot collects quarterly data from process owners in a standardized CSV format, converts it
into a user-friendly input format, segregates the input file and sends automated emails to region heads to
get their inputs, then collates those inputs from region heads, updates AuditBoard with bulk update option,
and traverses through each issue to update the issue status. Finally, the bot performs checks on AuditBoard
to ensure that all issues have been updated and generates a log file for reference and documentation
purposes.

Impact
The bot is a scalable, agile and reusable solution and has aided in:
• Reducing human intervention and saved time spent on repetitive task(s)
• Enhancing and streamlining the process, reducing the chances for human errors
• Using resources cost effectively
• Automating and Digitizing the process for ease of use and better user experience

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 Future Opportunities

Customer Billing Analytics: The main purpose to automate Customer Billing analytics process
is to check time, value and quantity reconciliation between sales orders, invoices and delivery of
goods thus eliminating the risk of lost revenue due to inaccuracies in the process.

Health Care Compliance Analytics: The main purpose to automate Health Care Compliance
analytics process is to ensure that all kinds of activities are approved appropriately with a
legitimate business need without any improper influence. The intent is to monitor the
approvals, recipients and expenses of the activities for timely processing and accuracy to
eliminate the risks in the process.

Remittance Denials Management: Evaluate and utilize analytics to assess how efficiently
internal controls, policies, and processes manage the denial of health insurance claims in terms
of timeliness, reasonableness, and adherence to regulatory requirements for review and
resolution.

Agency Fees Audit Analytics: The main purpose to perform analytics is to identify the trends
on temporary labor agent contract population – including by value of payments, volume of
labor, contract tenure, regions, ministries based on which sample contracts are selected for
detailed testing. Further, analytics can be performed to identify duplicate invoice processing,
approval thresholds and contractual deviations, such as incorrect rates and hours charged.

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 Future Opportunities

HIPAA Data Privacy Analysis: HIPAA is a federal law in the United States that governs the
privacy and security of protected health information (PHI). HIPAA requires that covered entities,
such as healthcare providers, health plans, and healthcare clearinghouses, implement certain
administrative, physical, and technical safeguards to protect the confidentiality, integrity, and
availability of PHI.

HIPAA requires covered entities to obtain patient consent for the use and disclosure of PHI,
except in certain situations where consent is not required. For example, covered entities may use
and disclose PHI for treatment, payment, and healthcare operations purposes without obtaining
patient consent.

Health Care Pricing Transparency: Healthcare pricing transparency refers to the disclosure of
healthcare prices and related information to patients and consumers. The aim of healthcare
pricing transparency is to help patients make informed decisions about their healthcare,
including the cost of care, insurance coverage, and out-of-pocket expenses.

Remittance Denials Management: Evaluate and utilize analytics to assess how efficiently
internal controls, policies, and processes manage the denial of health insurance claims in terms
of timeliness, reasonableness, and adherence to regulatory requirements for review and
resolution.

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 Future Opportunities

Caregiver Offboarding Analytics: Assess current processes and internal controls established
to monitor the off-boarding program for caregivers. Particularly, IA will help to evaluate the
existing off-boarding checklist, physical and data security requirements, exit interviews/surveys
and respective trainings. Additionally, perform analytics to identify potential trends and provide
insights on the processes surrounding offboarding of caregivers, such as timeliness of access
removal and timeliness of final payroll payments.

HRSA Payment: Sample claims will be randomly selected, and services will be evaluated as
covered or noncovered according to the following:
• Any claims for insured individuals at the time of service will be deemed not eligible for
reimbursement.
• Claims where the respective patient chart shows a positive diagnosis of COVID-19 and
whereby COVID-19 was the primary reason for treatment will be deemed reimbursable.
• OP/OBS claims for care or treatment that do not have a primary diagnosis code as listed
above will be considered not eligible for reimbursement.
• ED claims will be evaluated to determine whether the items and services billed were
reasonably related to determining the need for COVID-19 testing and treatment and as
such, reimbursable as a testing-related service.
➢ If review of the medical record documentation supports that the visit was related to a
respiratory complaint, viral infection, cough, pneumonia, shortness of breath, or
other documented reasonable suspicion that COVID-19 testing and treatment was
necessary, the claim will be deemed eligible for reimbursement as a testing-related
service.
➢ If review of the medical record documentation does not support a reasonable
suspicion of the need for COVID-19 testing and treatment, regardless of whether a
COVID-19 test was administered, the claim will be deemed not eligible for
reimbursement as a testing-related service.
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 Future Opportunities

Claim Denial Analysis: The main purpose to automate Claims denials process is to mitigate the
risk of denied claims financially which is led by inflation, pandemic situation and other factors.
This can be ensured by looking into duplicate claims, claims outside the service period, incorrect
or misguided information by patient.

Physician/Nurse Overtime Analysis: The objective is to

provide insights and identify trends that will enable client
to proactively investigate and address unusual occurrences
within nurse scheduling, use of overtime, etc. In addition,
the data analytics was used to identify opportunities of
improvement for future considerations in the Nurse system.

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 Future Opportunities

Contract Analysis: The objective of this internal audit is to review contractor agreements to
understand the controls and requirements in place to manage the capital expenditures for the
project, including processing, reviewing, and approving purchase orders and invoices, change
orders, monitoring and reporting project progress, as well as assess the adherence to contractual
requirements by performing detailed testing to assess the following:
• Appropriate approvals are obtained and documented.
• Budgets are established, approved, and periodically reviewed to actuals throughout the
duration of the project, and that there is a process in place to address any discrepancies as
per Contract.
• Segregation of Duties
• Tracking against the budget for each of the sub-processes

Budget Analysis: Perform analysis between budgeted and actual cost to identify variances.
Perform analytics on associated project expenditures to analyze trends, including the frequency,
amount, and nature of spend (e.g., contract coverages, project costs).

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 Future Opportunities

Automated Alerts and Notifications: Objective is to alert client on daily basis over email
and Text message over how topics may trend in the market, yielding real-time insights so that
the client can be better positioned to get ahead of what could potentially be reputation
damaging with the foresight to help them make more well-informed decisions.

Risk Sensing: Deloitte global solution facilitates discovery and provides external
intelligence on emerging issues that present risks and opportunities to your organization.
The overall objective is to provide an outside-in view of potential risks to the organization
in order to help the internal audit team prioritize risks and the IA plan accordingly

Customized Accelerators, Automation/ Custom Solution Development: Digitization and

automation opportunities could present themselves at any stage in the audit process.
With an aim of improving efficiency and reducing manual hours spent on hugely repetitive
and time taking tasks, we offer to build customized solutions which could be anything
ranging from a bot to automate activities or accelerators to monitor specific controls at
any stage of the business process, depending on the needs of the client

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Meet the Team

Global Digital IA Leader Digital Healthcare Ambassador Healthcare Digital IA Core Team Healthcare SMEs

Neil White Ryan Yee Siddhartha Lauren Shaw April Patterson

Digital IA Healthcare Digital IA Healthcare
Champion & Innovation Leader

Pavani Chavali
Digital IA Healthcare
Specialist Manager

Siva Venkataramanan Sreejith Viswanath Radhika Sahni

Solution Automation & Data Mining
Development Lead AI/ML Lead Specialist 61
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