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HIMSS Clinical & Business Intelligence Community of Practice October23, 2014

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HIMSS Clinical & Business Intelligence

Community of Practice

October23, 2014

Welcome

Shelley Price, MS, FHIMSS

C&BI Community Organizer

Director, Payer & Life Sciences, HIMSS

Nancy Devlin

C&BI Community Organizer

Senior Associate, Payer & Life Sciences, HIMSS

Michael Brooks, BS, MBA, CPHIMS

C&BI Community Co-Chair

Specialist Leader, Healthcare Information Management

Deloitte Consulting LLP

Michael Berger, PE

C&BI Community Co-Chair

Vice President, Enterprise Analytics

Geisinger Health System

Agenda • Welcome

• HIMSS C&BI Community Updates / Announcements

• Presentation & Discussion:

“Data Governance Program Overview” o Terri Mikol, Director, Data Governance Office, University of Pittsburgh

Medical Center

• Wrap-Up / Next Steps

C&BI Community Updates / Announcements

NOVEMBER 20-21, 2014 THE WESTIN WATERFRONT | BOSTON, MA

For More Information & To Register Go To: www.bigdatahitforum.com

C&BI Community

Guest Speaker

October, 2014

Terri Mikol, Director, Data Governance Office

Data Governance Program Overview

Data Governance Program

8

UPMC At a Glance Largest employer in Pennsylvania,

with more than 62,000 employees.

More than 3,400 employed physicians .

More than 20 academic, community, and

specialty hospitals and 400 outpatient sites.

Serving 2.3 Health Plan members.

Ongoing strategic affiliation with the University

of Pittsburgh.

Ranked among the top 10 recipients of NIH

funding.

Data Governance Program

9

Why is UPMC deploying a formalized Data Governance Program now?

UPMC has been working successfully in the data warehousing and business intelligence spaces for over 20 years.

Mature data warehouses are in place for several of UPMC’s larger divisions.

Tens of thousands of reports and analytics solutions are in production today.

Each divisions has standardized on key metrics.

Data Governance Program

10

UPMC’s Evolving Strategy for the Future

Foster focused research

leading to better

understanding of illness

and targeted approaches

to effectively treat

aggressive disease while

reducing

over-diagnosis and

over-treatment.

New Models of Care

Evolve/reshape UPMC to

meet market needs and

serve as a public health

laboratory reducing

unnecessary costs and

enhancing value, while

enhancing competitive

strength and positioning

UPMC to prevail under

health reform and

economic uncertainty.

Smart Technology

Create innovative

technology to support

new care models by

bringing intelligence to

information.

Good Science

Data Governance Program

11

Personalized Medicine

What is the next best action for you? Best Action for YOU

Personal

Your

DNA

Health/

Lifestyle

Medical

History

Community

Best Patient

Care

Population

Health

Medical

Research

Data Governance Program

12

Do you believe…

Answers to our most challenging healthcare questions are in our data?

With more data than ever imagined, why can’t we answer our questions?

Data Governance Program

13

How many employees within the healthcare industry have the ability, access, and tools to query/analyze data?

Not enough.

Data Governance Program

14

Of those employees…

What do the majority spend their time doing?

Locating data

Parsing bad data

Understanding data

Manually mapping terms

Navigating multiple sources

Analyzing data

OR Discovering

actionable insights

Unproductive.

Data Governance Program

15

The Role of Data Governance in Analytics

Enable access to data that is: Legal

Broad

Easy to use

Well-defined

High quality

Harmonized

Make self-service analytics a reality:

Enterprise-wide

Nation-wide

World-wide

Data Governance Program

16

Who’s responsible for better data?

Everyone who collects, updates, deletes, moves, stores, and consumes data.

What is Data Governance?

The Master Data Management Institute defines Data Governance as:

“the formal orchestration of people, processes, and technology to enable an

organization to leverage data as an enterprise asset.”

The Data Governance Institute defines Data Governance as:

“a system of decision rights and accountabilities for information-related

processes, executed according to agreed-upon models which describe who can

take what actions with what information, and when, under what circumstances,

using what methods.”

This is not new work!

Data Governance Program

17

UPMC’s Data Governance Program Focus

Answering these common questions:

Where can I find the information I need?

Is the data any good?

Does the data mean what we presume it means?

Did the data come from a trusted source?

What am I allowed to do with this information?

Transition data ownership, data related decisions, and data governance to the business.

To enhance a data driven culture, remove the secret sauce and elevate the analytics ability of people outside of IT.

Data Governance Program

18

A Tiered Program of Accountability

Data Governance Program

19

Executing a plan…

Foundation

• Establish council and office

• Define roles aligned with

policy

• Educate council and staff

• Define scope

• Acquire and implement

tools

• Engage Human Resources

Phase One

• Communicate

• Begin naming the

Stewardship Community

• Educate (make it personal)

• Define initial master data

and metadata priorities

• Establish Business Glossary

guidelines

• Create data profiling

standards

Awareness

Phase Two

• Council drives priorities

• Begin policy/guideline

approval

• Information owners begin

to govern

• Publish data quality metrics

• Deploy master data

• Deploy metadata

• Begin measuring steward

performance

Engagement

Phase Three

• Data Governance practices

become standard in the

project life cycle

• Metadata and master data

are used broadly

• Progress is demonstrated

through improved trending

of data quality metrics

• There is compliance with

Data Governance Policies

and Guidelines

Adoption

Phase Four

Data Governance Program

20

Tasks at a glance…

Data integrity • Profile data sources

• Define business rules / quality thresholds

• Measure data quality and report findings to

promote cleansing data at the source

• Publish data quality scorecards for

transparency and planning purposes

Metadata Management • Application Inventory

• Core Reports/Dashboards Inventory

• Business Glossary

• External Reporting Inventory

• Data Movement/Flow

Master Data Management

• Patient / Provider/ Payer attributes

• Facilities model

• Patient/Provider/Facility relationships

• Code mapping across source systems

(patient types, financial classes, vocabularies)

Policy / Guidelines • Information Ownership

• Business Glossary Change Management

• Use of test persons in production systems

• Self-service use of data

• Data movement

• Report documentation standards

Data Governance Program

21

Before enterprise initiative…

After enterprise initiative…

Data decision rights were informally granted Data location/use weren't centrally documented

Data definitions were managed locally and not standardized or documented for broad use

Data integrity challenges were not transparent

Master data for patient and providers did not exist

Inconsistent analytics resulted from manual harmonization exercises

“Shared stewardship” of data assets across UPMC

Decision rights are formally assigned/documented

Individuals outside of IT are driving data decisions

Data knowledge/analytic abilities improved

Positive growth toward a data-driven organization

Enterprise Metadata and Master Data surface

Data Governance Program

22

Lessons Learned

Don’t quit.

Passion works.

Continuously communicate and educate.

Use real data examples to educate.

You are never done. Embrace the new work style.

Name only those you plan to engage soon.

The council must be actively engaged.

Network.

Data Governance Program

23

Thank you

Terri Mikol, Director, Data Governance Office, University of Pittsburgh Medical Center

[email protected]

Q&A

• Want to get involved?

Speaker or topic ideas

Key note presenter

Blogger, twitter

Contact Nancy Devlin

• Community Website

www.himss.org/ClinBusIntelCommunity

Wrap-Up

We would like to extend our appreciation to the supporters of the

C&BI Community

Wrap-Up

JOIN US!

• Next meeting: Thursday, December 11, 2014

Administrative Systems and Data Warehousing

Donna Kilpatrick, Director - Financial Systems, Data Warehouse, Business Intelligence, & Dashboard Development at Vanderbilt Medical Center

Next Steps

FY15 Leadership and Contact Information Chair: Michael Brooks, BS, MBA, CPHIMS Specialist Leader Deloitte Consulting LLP [email protected] Mike Berger, PE VP, Enterprise Analytics Geisinger Health System [email protected] HIMSS Community Organizers: Shelley Price, MS, FHIMSS Nancy Devlin Director, Payer and Life Sciences Sr Assoc., Payer and Life Sciences HIMSS HIMSS [email protected] [email protected]

27

Thank You

…and have a wonderful Halloween!

Appendix

J.D. Whitlock, MPH, MBA, CPHIMS* --

Chair Vice-President, Clinical & Business Intelligence

Mercy Health

Cheryl Bowman, CPHIMS Data Manager

University of Wisconsin Hospital and Clinics

Michael Brooks, BS, MBA, CPHIMS,

FHIMSS* Specialist Leader

Deloitte Consulting LLP

Robyn Chatman, CPHIMS, FAAFP, MD,

MPH Physician

Healthbridge

Teresa Gocsik, MS, CRNA, CPHIMS* Director

Aspen Advisors

Michael Kurliand, MS, RN* IS Strategy Consultant

Children's Hospital of Philadelphia

Sharon Lynn Morley, RN/CNS Client Manager

Humedica

Arthur Panov, MPH, CPHIMS* HIT Architect

IBM

Stuart Rabinowitz, MBA, BC Director Federal Markets - Socrata

Socrata

Maxine Rand, DNP (c), MPA, RN-

BC, CPHIMS* Director, Clinical Education, Practice &

Informatics

Kaiser Permanente

Chester H Robson, DO, FAAFP Regional Director of Medical Informatics,

Ambulatory Systems

Adventist Midwest Health

Wolf Stapelfeldt, MD* Chairman, General Anesthesiology

Saint Louis University Medical Center

* Indicates a

returning

committee

member

2014-2015 C&BI Committee Members

C&BI Community of Practice The goal of the C&BI Community is to bring together thought leadership and share knowledge that will support the future success of our members by improving their ability to understand and form partnerships to manage C&BI as a part of doing business and providing accountable and quality care to their members. The Community will support activities that promote peer-to-peer networking, problem solving, solution sharing, and education.

Topics of focus may include:

• Storage and Management of Data and Supporting Technologies

• Knowledge Management to Support Accountable and Quality Care

• Case, Risk & Cost Management

• Best Practices Clinical & Business Analytics

• Clinical Decision Support

• Research Data Warehousing/EDW

• Data Lifecycle Management

C&BI Community of Practice

• Open to all HIMSS members (current membership: approx 8,200 people)

• Will meet virtually 6 times/year

• Agenda for the meetings may include:

• Commencing with a short series of 2-Minute Drills presented various Community members

• Topical discussion with key note presenter

The ‘2-Minute Drill’ is based loosely on the sports analogy, and in this case

is a fast-paced (short in length) presentation on a hot, emerging, or timely topic, news event (e.g. research paper, game-changing market or technology news), or recent and relevant event (e.g., federal public meeting, legislative/federal/judicial news, critical conference or educational event).

2-Minute Drills foster greater peer-to-peer networking, member engagement, problem solving,

solution sharing, and education. If you are interested in presenting any drills, please contact Nancy or Shelley.

C&BI Task Forces Data and Analytics Task Force

CO-CHAIR: David Dobbs, PMP | Health Analytics National Service Line Director | Leidos Health

CO-CHAIR: Carol Muirhead, MBA | Sr. Informatics Project Specialist | PinnacleHealth

This group creates resources and tools to help providers and provider organizations manage, integrate and

aggregate the necessary information to support robust data and analysis, facilitate effective reporting by

translating data into meaningful knowledge, resulting in improved quality, clinical and financial outcomes.

Meeting times: 3rd Tuesday of the month, 1:00-2:00pm ET

NEW! Population Health-Accountable Care Task Force

CO-CHAIR: William Beach, PhD | Regional Director for Regulatory Readiness, Northern Region | St. Joseph

Health System

CO-CHAIR: Lee Lemelson, RPh | System Vice President Clinical Apps | Banner Health

This group creates resources and tools to help healthcare organizations (providers, hospitals, integrated

delivery networks, health plans and other stakeholders) use C&BI to execute population health management

initiatives. These resources and tools to help these organizations achieve the industry transition from

volume to value based population-based healthcare, particularly through delivery models such as

Accountable Care Organizations.

Meeting times: 3rd Wednesday of the month, 2:00-3:00pm ET