Data governance forhealthcare

IBM Sales and Distribution HealthcareSolution Brief

Highlights:● Identify and define governance and

operational requirements to determineyour level of maturity

● Provide easier access to accurate infor-mation to help enable better-informedcare decisions and more timely payment of medical claims

● Ensure access to trusted patient/member information to support patient/member-centered initiatives

● Accurately identify each patient, mem-ber or provider to support transparencyand interoperability

● Progress data governance maturity toget the most out of your informationmanagement investments

There is no lack of data in healthcare. What is lacking is the ability toensure the accuracy and quality of information—information that mayreside in multiple repositories across the organization. The data gover-nance solution for healthcare from IBM applies proven disciplines andprocesses to assess, manage, use, maintain and protect enterprise information.

Optimize data governance for accuracy and qualityThe data governance solution begins with an assessment of your current operational environment. We work with you to identify anddefine your needs across 11 data governance disciplines: value creation;organizational awareness; risk management; data architecture; dataquality; security, privacy and compliance; stewardship; information life-cycle management; auditing and reporting; policy; and metadataand business glossary. From there, we can help you build a data gover-nance strategy and implementation plan.

This solution helps healthcare organizations establish a better defini-tion of current governance and operational requirements as well as acommon framework to address integration and communication needsacross functional areas. This framework can help you provide easieraccess to accurate information—with reduced information duplicationand improved data quality—helping to prevent issues that threaten datatrustworthiness. Better data governance can help improve external andinternal reporting with a single, accurate version of data. And ongoingdata governance programs can support organizations as they increas-ingly value information as a strategic asset.

Hospitals and physicians: Become more patient focusedBy helping your organization determine its data governance and opera-tional maturity level, we can develop a program to enable hospitals toprovide a new level of patient care. Data governance capabilities arecrucial to supporting evidence-based care decisions that can lead toimproved patient outcomes. Our maturity model can accelerate access

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to timely, consistent and integrated patient information, helping toenable more proactive care and to prevent complications. Improvingyour data governance can also help support pay-for-performancereporting within clinical care. In addition, our solution can help youestablish the governance and security needed to reduce regulatory risksuch as HIPAA compliance.

Health plans: Establish transparency andinteroperabilityApplying data governance disciplines can help health plans ensureaccess to trusted information about members, providers and claims—both within and across organizational boundaries. Enhancing dataquality improves the accuracy of member and provider identification tosupport activities such as clinical decision making, member populationanalyses and provider performance assessments. Data governance canalso help optimize claims processing and member eligibility with anintelligent information environment. Based on your current maturitylevel, our solution can help lower your cost of ownership by realizing a better return on the investments you’ve already made.

Assuring data quality and accuracy for smarter healthcareThe data governance solution offers services to assess your organiza-tion’s data governance maturity and identify initial areas of focus. Ourservices can then help you develop your data governance strategy,structure and implementation plan. To help enable your analytics environment, we offer robust master data management and data ware-housing solutions to unify multiple data stores, including data quality,data profiling and metadata management capabilities. We can also helpyou build master patient/member and master provider indexes to unifydisparate data sources and associate patient and provider identificationcorrectly. By providing vital information across heterogeneous environ-ments, our solution enables more informed decision making, increasedefficiencies and reduced costs.

IBM and our IBM Business Partners are committed to making smarterhealthcare a reality. Through collaboration, we apply our healthcareexpertise and extensive technology portfolios to deliver innovativesolutions. When you need to gain intelligence from enterprise infor-mation and create new patient and business value, our solutions canhelp. As a healthcare industry leader, we are committed to workingwith organizations to help them achieve their objectives. As a globaland national leader, we are at the forefront of healthcare transforma-tion and can bring that experience to bear on your business challenges.

For more informationTo learn more about the data governance solution for healthcare,please contact your IBM representative or IBM Business Partner, or visit: ibm.com/healthcare

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