data warehouse solutions for health and · pdf file · 2013-07-25data warehouse...

8
DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES

Upload: lyque

Post on 26-Mar-2018

214 views

Category:

Documents


0 download

TRANSCRIPT

Page 1: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

DATA WAREHOUSE SOLUTIONS

FOR HEALTH AND HUMAN SERVICES

Page 2: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

2

It’s no secret that today’s healthcare

environment presents many challenges

for healthcare programs across the

country. From budget pressures,

looming coverage expansion,

transparency issues, Accountable Care

Act mandates, and new enrollment

requirements to federal technology

mandates like Medicaid Information

Technology Architecture (MITA) and

the Health Information Technology

for Economic and Clinical Health

(HITECH) Act, the list seems to be ever-

growing.

Programs are being pushed to deliver

higher quality care while reducing

costs. Plus, additional opportunities

have also emerged, such as integration

with electronic health information

exchanges, health insurance exchanges,

and all-payer claims databases.

Meanwhile, when it comes to

understanding population health,

ensuring program integrity, and

connecting data across departments,

healthcare programs are faced with:

§ Disparate data located in too many

places

§ Technical capabilities across

multiple environments that are

outdated and underpowered

§ Data systems that require large

amounts of time and money to

manage and upgrade

§ Resulting data reports that are not

comprehensive of the enterprise and

do not instill confidence

The bottom line: To quickly and easily

inform the decisions of a broad and

varied group of stakeholders, you need

a flexible, integrated enterprise data

warehouse solution that serves as a

single source of truth — and a solution

partner who is ready to rapidly address

changing needs now and in the future.

A Need for Clarity: The Healthcare Environment TodayTruven Health Analytics™ provides

advanced, service-focused, highly

secure Data Warehouse Solutions —

designed to bring together disconnected

data from across healthcare-related

systems, as well as other state data

systems (e.g., foster care, substance

abuse, cash assistance programs, food

stamps) with common interests in

individuals and processes.

Once these datasets are combined and

normalized, we make sure our clients

are in the best position to understand

the holistic impact of multiple

programs on specific populations.

With the Truven Health Data

Warehouse Solution, our clients

receive:

§ A powerful data platform to

maximize resource use, reduce errors

and fraud/abuse, and discover costly

redundancies

§ Seamless integration of data from

varying sources

§ Enterprise-wide visibility of

operational data

§ A scalable, flexible, and extendable

system that serves expanded

analytics and reporting

§ A true partnership with Truven

Health Analytics that allows

continual access to our unmatched

healthcare domain expertise

§ Unequaled expertise in managing

Big Data based on 30+ years of

experience specifically in the

healthcare data business

Turn Disconnected Data Into Actionable Information — and a Single Source of Truth

BENEFITS

FEATURES

§ Highly secure and trusted data infrastructure to support critical decision-making

§ Web-based, easy-to-access reports

§ Industry-leading business intelligence

§ Clinically based analytics include episodes of care, clinical data, severity adjustment methodologies, predictive modeling, and practice guidelines

§ Near-real-time data update frequency capabilities

§ Data visualization in a unified workspace where users can assemble, personalize, analyze, and interact with information

§ Create a master data management program to easily identify persons around which enterprise systems can be synchronized

§ Incorporate data from any source and in differing formats to support cross-program and/or cross-agency reporting

§ Easily understand cost, quality, and access issues through robust reporting capabilities

§ Support increasing MITA maturity levels and other compliance needs

§ Health Information Exchange and Insurance Exchange ready when you are, for a complete and comprehensive picture of the entire Medicaid and low income population

Page 3: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

3

Our Clients’ Needs Drive the SolutionAt Truven Health Analytics, our data

warehouse services deliver a highly

flexible, modular toolkit that includes

the platform, software, and our ongoing

professional expertise.

We utilize cost-effective commercial

off-the-shelf (COTS) products, and

our skilled staff provides all of the

technical and database management

services needed to ensure business

users receive timely access to

their data.

And, unlike many other system

integrators, our services include not

only the hardware and technical

operations support, but also the project

management and analytic support your

users need to gain real value from the

data they collect and manage.

Most importantly, we design and

customize each Truven Health Data

Warehouse Solution based on the

client’s unique business requirements.

We help clients:

§ Set data integration priorities based

on highest-value business needs

§ Realize “dream” reporting scenarios

and analytics with solutions that

make them happen

§ Achieve tangible results and

quantifiable business value during

and after implementation

Our design process ensures that once

the Truven Health Data Warehouse

Solution is implemented, clients can

have absolute faith in the data they use.

At Truven Health Analytics, we

know that each client is unique. For

example, each state is at a different

MITA maturity level and each agency

has different reporting needs. That’s

why we know it’s necessary to design

customized solutions — leveraging

a cost-effective COTS platform, our

healthcare experience from multiple

markets, our expert data warehousing

staff, and our in-depth industry

knowledge.

The Market LeaderTruven Health Analytics is the leader in the data integration and decision support solution market, providing trusted, powerful, user-friendly, independent, and content-rich decision support services.

With a 30+ year history and one of the largest healthcare datasets in the nation, healthcare-specific business intelligence and data management is the singular focus of everything we do. In fact, to say that we know Big Data is an understatement. We not only understand how to manage complex, disparate datasets, but also have unparalleled experience in providing the analytics and services that transform data into actionable information.

Our innovative work is nationally known and uniquely based on deep healthcare expertise, a hallmark data quality management strategy, and a commitment to continuous system improvement — all resulting in billions of dollars in savings for our state and federal government clients.

Page 4: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

4

Data Integration/ArchitectureOur Data Warehouse Solution provides

a person-centric database with

integrated medical claims, pharmacy

claims, encounters, lab data, provider

information, member and eligibility

information, and financial information,

in addition to non-healthcare data,

such as accounts receivable/payable,

call tracking, and others. Specifically:

§ Our architecture facilitates growth,

interoperability, and reusability of

components for the utmost in cost-

effectiveness as needs evolve.

§ Comprehensive data management

processes that are geared toward

integration, quality assessment,

integrity, and standardization

result in accuracy, consistency, and

completeness for our clients.

§ Entity resolution is highly advanced

and able to identify individuals

across multiple data sources from

incomplete and non-obvious

relationships using fuzzy-matching

technology from industry-leading

products coupled with domain

expertise.

§ Our solution provides near-real-

time data profiling and proactively

monitors and cleanses data. The

end result is a data warehouse full

of quality, integrated data that all

stakeholders can trust.

Reporting and MeasurementCollaborating closely with our clients

allows us to understand business goals

and develop integrated data models

that support separate and combined

reporting needs.

Present & Evolve

Acquire & Integrate Data Sources

MITA + Seven Standards and Conditions + Master Data Management

Medicaid

Enrollment

Claims(Medical,

Pharmacy, Dental)

Encounters

Financial

Provider

Children’s HealthInsurance

Program (CHIP)

State Health Plan

Organize &Load

Transform & Cleanse

Enhance(Risk AdjustedEpisodes, etc.)

Public Health(Births, Deaths,Immunizations,Lead Screening)

Mental Health

TemporaryAssistance for

Needy Families(TANF)

SupplementalNutrition Assistance

Program (SNAP)

HealthInformation

Exchange (HIE)

Non-Medicaid

User Query & Analysis

§ Business Intelligence§ Data Mining§ Ad Hoc Reporting§ Transparency Reporting§ Operational Analytics§ Performance Measurement§ Cross-Agency Reporting§ GIS Analysis

Data Sharing

§ Research§ Benchmarks§ Extracts§ Publications§ Portals§ Regional Warehouse

Reports

§ MARS§ SURS§ CMS-64§ CMS-21§ MSIS§ T-MSIS

Data Marts

§ Decision Support§ Predictive Modeling§ Program Integrity§ HEDIS§ Statistical Analysis§ Care Management

The Truven Health Analytics Data Warehouse Solution Conceptual Overview

Page 5: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

5

We partner directly with clients to

create scorecards, dashboards, and

automated reports, and included in our

service model is a team of resources

dedicated to provide analytic expertise

and report development, or to complete

research projects. Our experts can even

assist with business-process conversion

to take advantage of new reporting

capabilities and the shared platform.

In addition, we provide access to robust

healthcare content that can be applied

to the data warehouse, including

healthcare measures, comparative

benchmarks and norms, medical

episode grouper, and population-based

risk adjustment methodologies. With

these assets, you can rapidly provide

comprehensive, yet easy-to-understand

answers in response to nearly any

question raised.

Other reporting highlights:

§ Our solution is web-based;

navigation and response time for

reports is as quick as the Internet

connection allows.

§ A unified user experience for report

authoring gives users the freedom to

seek information on their own.

§ Reports can be made available

in a variety of ways, such as on

mobile devices, in Microsoft Office®

applications, through embedded

and in-process business intelligence,

and via interactive use when

disconnected from the network.

§ Analytics include statistical analysis,

data mining, predictive modeling,

forecasting, and geographical

mapping.

We use leading-edge technologies plus

our data expertise to deliver a flexible

solution to meet immediate reporting

needs — while always looking to the

future of reporting in healthcare.

Included in our service model is a customized enterprise portal that serves as an access point to not only dashboards and reporting, but also to exclusive Truven Health Analytics applications and content such as articles by thought leaders, market-specific newsletters, and targeted news stories.

With Truven Health Data Warehouse Solution services, clients get a best-of-breed database management system and reporting and statistical software, coupled with a world-class platform and highly skilled support.

Page 6: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

6

Why Choose Truven Health Analytics?Since our inception in 1981 (originally

known as Medstat Systems), we have

been at the forefront of developing

integrated, enterprise decision support

systems and data warehouses. We

are unequalled in how clearly and

deeply we understand healthcare data

and the needs of healthcare industry

participants.

Also a Truven Health Analytics

hallmark is our experience with

cleansing, standardizing, and

integrating data from multiple sources

to build reliable, comprehensive

healthcare databases.

With our solutions in use by more

than 20 million researchers and

analysts worldwide, we have a proven

track record of providing large-scale

healthcare data to some of the nation’s

largest, most complex organizations in

both the private and public sector.

These include:

§ 27 Medicaid agencies

§ 15 other state agency employers

§ Agency for Healthcare Research and

Quality (AHRQ)

§ Centers for Medicare and Medicaid

Services (CMS)

§ Federal Substance Abuse and Mental

Health Services Administration

(SAMHSA)

§ U.S. Department of Defense

§ U.S. Centers for Disease Control and

Prevention (CDC)

Healthcare enterprise decision support

systems and data warehouse solutions

are the singular, major focus of our

business. Plus, we have the resources to

move forward quickly with new client

solution design.

Customizable dashboards provide critical information at-a-glance. From there, clients can drill into additional detail and analysis.

Page 7: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

7

But perhaps most importantly, our

service model is based on an ongoing,

solid partnership during and after

implementation; we work together

with our clients to address ever-

changing needs. As the healthcare

marketplace shifts in small and large

ways, our experts are here to guide

our clients through new challenges —

and help them take advantage of new

opportunities for better, data-driven

decision-making.

We are Oracle® Gold Partners and SAS®

Silver Alliance members, as well as

Teradata® and IBM® Cognos® partners.

When clients choose Truven Health Analytics for their data warehousing needs, they get: § Data quality and integration

§ Healthcare domain expertise

§ Industry-recognized analytic thought leaders

§ Program management

§ Standards-based platforms

§ Guaranteed interoperability

§ More than 30 years of experience managing and analyzing big data — and turning it into actionable, results-oriented information

Page 8: DATA WAREHOUSE SOLUTIONS FOR HEALTH AND · PDF file · 2013-07-25DATA WAREHOUSE SOLUTIONS FOR HEALTH AND HUMAN SERVICES. 2 It’s no secret that today’s healthcare environment presents

ABOUT TRUVEN HEALTH ANALYTICS

Truven Health Analytics delivers unbiased information, analytic tools, benchmarks, and services to the healthcare industry. Hospitals, government agencies, employers, health plans, clinicians, and life sciences companies have relied on us for more than 30 years. We combine our deep clinical, financial, and healthcare management expertise with innovative technology platforms and information assets to make healthcare better by collaborating with our customers to uncover and realize opportunities for improving quality, efficiency, and outcomes. With more than 2,000 employees, we have major offices in Ann Arbor, Michigan; Chicago; and Denver. Advantage Suite, Micromedex, ActionOI, MarketScan, and 100 Top Hospitals are registered trademarks or trademarks of Truven Health Analytics.

truvenhealth.com | 1.734.913.3000

©2013 Truven Health Analytics Inc. All rights reserved. All other product names used herein are trademarks of their respective owners. GOV 12395 0613

FOR MORE INFORMATIONSend us an email at [email protected] or visit truvenhealth.com