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5	
  Steps	
  to	
  Healthy	
  Data	
  	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             The	
  Case	
  for	
  Master	
  Data	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Management	
  in	
  Healthcare	
  
	
  
	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    	
  
	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Healthcare	
  systems	
  do	
  an	
  excellent	
  job	
  of	
  keeping	
  people	
  healthy	
  —	
  
	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    but	
  their	
  track	
  record	
  for	
  keeping	
  their	
  data	
  healthy	
  isn't	
  nearly	
  as	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      good.	
  
Table	
  of	
  Contents:	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Over	
  the	
  years,	
  many	
  healthcare	
  IT	
  departments	
  have	
  deployed	
  a	
  
        The	
  Case	
  for	
  Master	
  Data	
  Management	
  in	
  Healthcare	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      variety	
  of	
  software	
  solutions	
  for	
  different	
  purposes.	
  That	
  has	
  led	
  to	
  
        	
  
        Step	
  1:	
  Build	
  a	
  Strong	
  Foundation	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            a	
  hodgepodge	
  of	
  legacy	
  systems,	
  many	
  of	
  which	
  don't	
  interact	
  with	
  
        	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            one	
  another.	
  The	
  situation	
  is	
  even	
  more	
  complicated	
  for	
  
        Step	
  2:	
  Create	
  a	
  Single	
  Patient	
  View	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      organizations	
  that	
  have	
  grown	
  by	
  purchasing	
  or	
  merging	
  with	
  other	
  
        	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            facilities,	
  each	
  with	
  its	
  own	
  software.	
  As	
  a	
  result,	
  when	
  a	
  patient	
  
        Step	
  3:	
  Establish	
  a	
  Single	
  Provider	
  View	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  visits	
  a	
  healthcare	
  facility,	
  staff	
  may	
  enter	
  data	
  about	
  that	
  patient	
  
        	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      and	
  that	
  visit	
  into	
  dozens	
  of	
  different	
  applications.	
  If	
  that	
  patient	
  
        Step	
  4:	
  Improve	
  Efficiencies	
  and	
  Service	
  
        	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            later	
  visits	
  a	
  different	
  office	
  that	
  is	
  part	
  of	
  the	
  same	
  system,	
  the	
  
        Step	
  5:	
  Enable	
  Cutting-­‐Edge	
  Initiatives	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       staff	
  at	
  the	
  second	
  location	
  may	
  not	
  have	
  access	
  to	
  the	
  data	
  from	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      the	
  previous	
  visit	
  and	
  may	
  have	
  to	
  re-­‐input	
  the	
  same	
  information	
  
        IBM	
  Solutions	
  for	
  Healthcare	
  MDM	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                into	
  an	
  entirely	
  new	
  set	
  of	
  applications.	
  And	
  if	
  any	
  data	
  has	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      changed,	
  such	
  as	
  the	
  patient's	
  address	
  or	
  insurance	
  information,	
  the	
  
        Resources	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      staff	
  often	
  doesn't	
  have	
  an	
  easy	
  way	
  to	
  transfer	
  those	
  changes	
  to	
  
        	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            the	
  applications	
  used	
  by	
  other	
  parts	
  of	
  the	
  organization.	
  	
  
	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      As	
  time	
  goes	
  on,	
  organizations	
  can	
  generate	
  numerous	
  individual	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      records	
  for	
  the	
  same	
  patient,	
  some	
  containing	
  contradictory	
  data.	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      An	
  IBM	
  study	
  in	
  one	
  country	
  with	
  nationalized	
  health	
  care	
  found	
  
                                                                                                                                                                                                                                               	
                                                                                                                                                                                                                                                                                                                     that	
  of	
  13	
  million	
  patient	
  records	
  spread	
  across	
  12	
  different	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      systems,	
  only	
  5.1	
  million	
  were	
  unique.	
  In	
  addition,	
  nearly	
  half	
  of	
  



	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 
those	
  records	
  had	
  incorrect	
  telephone	
  numbers,	
  and	
  6	
  percent	
  had	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         benefiting	
  society	
  as	
  a	
  whole.	
  Finally,	
  MDM	
  enables	
  healthcare	
  
missing	
  or	
  incorrect	
  birth	
  dates.	
  That	
  sort	
  of	
  unhealthy	
  data	
  results	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 systems	
  to	
  participate	
  in	
  cutting-­‐edge	
  analytics	
  projects	
  that	
  
in	
  wasted	
  time	
  and	
  money,	
  and	
  it	
  can	
  even	
  affect	
  the	
  quality	
  of	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 promise	
  to	
  bring	
  great	
  improvements	
  in	
  efficiency	
  and	
  patient	
  
care.	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               outcomes.	
  

Healthcare	
  systems	
  plagued	
  by	
  these	
  problems	
  have	
  a	
  better	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
option.	
  Master	
  data	
  management	
  (MDM)	
  solutions	
  help	
  ensure	
  that	
  
the	
  information	
  in	
  IT	
  systems	
  is	
  as	
  up	
  to	
  date	
  as	
  possible.	
  Such	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                	
  
solutions	
  provide	
  a	
  unified,	
  accurate	
  repository	
  of	
  data	
  and	
  share	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       	
  
that	
  data	
  among	
  the	
  various	
  providers	
  and	
  disciplines	
  involved	
  in	
  
patient	
  care.	
  That	
  means	
  healthcare	
  professionals	
  don't	
  have	
  to	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
waste	
  time	
  re-­‐inputting	
  data	
  into	
  multiple	
  applications.	
  Medical	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                             	
  
errors	
  become	
  less	
  common,	
  and	
  caregivers	
  find	
  it	
  easier	
  to	
  work	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
together	
  for	
  the	
  good	
  of	
  their	
  patients.	
  In	
  addition,	
  when	
  
organizations	
  have	
  accurate	
  data,	
  they	
  can	
  analyze	
  that	
  data	
  to	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
discover	
  which	
  treatments	
  and	
  processes	
  provide	
  the	
  best	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       	
  
outcomes.	
  	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       	
  
In	
  this	
  e-­‐book,	
  we'll	
  explore	
  in	
  greater	
  detail	
  some	
  of	
  the	
  benefits	
                                                                                                                                                                                                                                                                                                                                                                                                                                                             	
  
MDM	
  offers	
  healthcare	
  systems.	
  Nearly	
  every	
  healthcare	
  system	
  
faces	
  pressure	
  to	
  reduce	
  costs	
  and	
  to	
  improve	
  efficiency	
  and	
  the	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
quality	
  of	
  care	
  provided.	
  MDM	
  helps	
  organizations	
  meet	
  each	
  of	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           	
  
those	
  goals,	
  while	
  preparing	
  organizations	
  to	
  handle	
  future	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    	
  
challenges.	
  Having	
  accurate,	
  unified	
  data	
  helps	
  organizations	
  build	
  a	
  
strong	
  foundation	
  that	
  will	
  make	
  it	
  easier	
  to	
  weather	
  the	
  changes	
  in	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
the	
  healthcare	
  industry.	
  	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  	
  
MDM	
  allows	
  organizations	
  to	
  create	
  a	
  single	
  patient	
  view,	
  enabling	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
more	
  patient-­‐centric	
  care.	
  It	
  also	
  allows	
  them	
  to	
  create	
  a	
  single	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                   	
  
provider	
  view,	
  improving	
  efficiency	
  and	
  provider	
  relations.	
  In	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 	
  
addition,	
  it	
  improves	
  the	
  overall	
  efficiency	
  of	
  a	
  healthcare	
  system,	
  


	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 
	
  Step	
  1:	
  Build	
  a	
  Strong	
  Foundation	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                organizations.	
  Most	
  importantly,	
  they'll	
  have	
  a	
  solid	
  foundation	
  for	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      making	
  good	
  business	
  decisions.	
  
	
  
           	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         From	
  a	
  clinical	
  perspective,	
  the	
  benefits	
  can	
  be	
  even	
  greater:	
  
All	
  around	
  the	
  world,	
  the	
  healthcare	
  industry	
  is	
  facing	
  dramatic	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         Sharing	
  information	
  across	
  disciplines	
  and	
  with	
  other	
  providers	
  can	
  
changes.	
  In	
  the	
  U.S.,	
  for	
  example,	
  new	
  regulations	
  are	
  changing	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          result	
  in	
  better	
  outcomes	
  for	
  patients.	
  Healthcare	
  systems	
  will	
  be	
  
payment	
  models,	
  and	
  health	
  care	
  providers	
  are	
  looking	
  ahead	
  to	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           able	
  to	
  eliminate	
  redundant	
  testing	
  and	
  help	
  prevent	
  mistakes.	
  
the	
  new	
  requirements	
  that	
  providers	
  make	
  "meaningful	
  use"	
  of	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                Providers	
  will	
  have	
  better	
  access	
  to	
  lab	
  results	
  and	
  other	
  data,	
  
electronic	
  health	
  records	
  (EHRs).	
  In	
  other	
  parts	
  of	
  the	
  world,	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           allowing	
  them	
  to	
  provide	
  better	
  treatment	
  plans.	
  In	
  the	
  end,	
  
healthcare	
  systems	
  face	
  different	
  challenges,	
  including	
  economic	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  healthier	
  data	
  can	
  lead	
  to	
  healthier	
  patients.	
  
uncertainty	
  and	
  political	
  unrest.	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
It's	
  often	
  difficult	
  to	
  predict	
  all	
  the	
  ways	
  that	
  healthcare	
  systems	
  will	
                                                                                                                                                                                                                                                                                                                                                                                                                                                          	
  
evolve	
  as	
  a	
  result	
  of	
  those	
  changes.	
  However,	
  no	
  matter	
  what	
  the	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                   	
  
future	
  brings,	
  healthcare	
  systems	
  will	
  be	
  better	
  prepared	
  if	
  they	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        	
  
take	
  steps	
  now	
  to	
  build	
  a	
  strong	
  foundation.	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
Some	
  refer	
  to	
  this	
  process	
  of	
  building	
  a	
  strong	
  foundation	
  as	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
"getting	
  your	
  house	
  in	
  order."	
  What	
  does	
  that	
  mean?	
  From	
  an	
  IT	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
perspective,	
  getting	
  your	
  house	
  in	
  order	
  means	
  recognizing	
  that	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
your	
  data	
  is	
  an	
  extremely	
  valuable	
  asset.	
  It	
  means	
  beginning	
  to	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       	
  
track	
  that	
  data	
  more	
  closely,	
  protecting	
  its	
  quality	
  and	
  analyzing	
  it	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                 	
  
to	
  provide	
  greater	
  efficiency	
  and	
  better	
  outcomes	
  for	
  patients.	
  It	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                       	
  
means	
  deploying	
  MDM	
  solutions	
  and	
  putting	
  policies	
  and	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         	
  
procedures	
  in	
  place	
  to	
  safeguard	
  data	
  and	
  manage	
  it	
  effectively.	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
In	
  addition	
  to	
  preparing	
  for	
  the	
  future,	
  healthcare	
  systems	
  that	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                         	
  
begin	
  to	
  get	
  their	
  house	
  in	
  order	
  will	
  experience	
  significant	
  benefits	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
today.	
  From	
  a	
  business	
  perspective,	
  they'll	
  improve	
  customer	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
satisfaction	
  and	
  enjoy	
  greater	
  patient	
  and	
  provider	
  loyalty,	
  including	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
receiving	
  more	
  referrals.	
  They'll	
  decrease	
  marketing	
  and	
  staffing	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              	
  
costs,	
  and	
  do	
  a	
  better	
  job	
  of	
  coordinating	
  care	
  with	
  other	
  


	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 
Step	
  2:	
  Create	
  a	
  Single	
  Patient	
  View	
  	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       •                            Standards-­‐based	
  integration	
  capabilities.	
  It	
  shouldn't	
  be	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                necessary	
  to	
  update	
  all	
  legacy	
  systems	
  in	
  order	
  to	
  use	
  MDM	
  
	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              technology	
  —	
  that	
  approach	
  is	
  far	
  too	
  costly.	
  Instead,	
  the	
  
	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              right	
  solution	
  should	
  support	
  existing	
  applications	
  and	
  
	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                systems.	
  	
  
The	
  journey	
  to	
  healthier	
  data	
  involves	
  meeting	
  several	
  goals.	
  First,	
  
organizations	
  must	
  establish	
  a	
  single,	
  consistent	
  patient	
  view.	
  Using	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    •                            	
  State-­‐of-­‐the-­‐art	
  algorithms	
  for	
  cleaning	
  data.	
  This	
  
an	
  MDM	
  solution	
  to	
  build	
  and	
  maintain	
  an	
  accurate,	
  unified	
  view	
  of	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           characteristic	
  feature	
  helps	
  eliminate	
  duplicate	
  data	
  and	
  the	
  
patient	
  information	
  provides	
  the	
  foundation	
  for	
  moving	
  toward	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            associated	
  costs.	
  	
  
patient-­‐centric	
  care.	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       •                            Extensibility.	
  An	
  MDM	
  solution	
  should	
  have	
  the	
  flexibility	
  to	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                adapt	
  to	
  changing	
  requirements.	
  	
  
To	
  remain	
  viable	
  in	
  today's	
  world,	
  healthcare	
  organizations	
  need	
  to	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   •                            Support	
  for	
  complex,	
  distributed	
  IT	
  environments.	
  In	
  
transition	
  from	
  an	
  application-­‐centric	
  view	
  of	
  data	
  to	
  a	
  patient-­‐                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                healthcare	
  organizations,	
  this	
  kind	
  of	
  environment	
  is	
  the	
  
centric	
  view	
  of	
  data.	
  Under	
  the	
  old,	
  application-­‐centric	
  model,	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     norm.	
  
staffers	
  re-­‐entered	
  patient	
  information	
  into	
  multiple	
  systems,	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            .	
  
multiple	
  times.	
  When	
  data	
  changed	
  because	
  of	
  a	
  new	
  diagnosis,	
  
new	
  treatment	
  or	
  a	
  move,	
  staff	
  would	
  have	
  to	
  update	
  all	
  of	
  the	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                  MDM	
  solutions	
  can	
  benefit	
  community	
  health	
  information	
  
relevant	
  applications	
  manually.	
  More	
  often	
  than	
  not,	
  however,	
  this	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          exchange	
  (HIE)	
  projects	
  as	
  well	
  as	
  individual	
  healthcare	
  institutions.	
  
step	
  didn’t	
  occur	
  in	
  all	
  applications,	
  causing	
  systems	
  to	
  get	
  out	
  of	
                                                                                                                                                                                                                                                                                                                                                                                                                                                               However,	
  implementing	
  a	
  patient	
  MDM	
  solution	
  that	
  will	
  be	
  shared	
  
sync.	
  The	
  outdated	
  data	
  resulted	
  in	
  wasted	
  time	
  for	
  patients	
  and	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      among	
  multiple	
  independent	
  providers	
  is	
  more	
  complicated	
  than	
  
staff	
  and	
  sometimes	
  affected	
  the	
  quality	
  of	
  care.	
  In	
  contrast,	
  in	
  a	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                sharing	
  information	
  across	
  multiple	
  points	
  of	
  service	
  within	
  a	
  single	
  
patient-­‐centric	
  model,	
  healthcare	
  systems	
  maintain	
  a	
  unified	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    organization.	
  Regulatory	
  and	
  privacy	
  concerns	
  mean	
  that	
  the	
  MDM	
  
repository	
  for	
  patient	
  information,	
  using	
  an	
  MDM	
  solution.	
  Under	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            solution	
  must	
  have	
  superior	
  security	
  and	
  controls	
  over	
  who	
  can	
  
this	
  scenario,	
  providers	
  with	
  the	
  appropriate	
  permissions	
  can	
  access	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        access	
  patient	
  information.	
  	
  
relevant,	
  up-­‐to-­‐date	
  patient	
  data,	
  no	
  matter	
  what	
  the	
  point	
  of	
  care.	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
Changes	
  made	
  in	
  one	
  application	
  automatically	
  propagate	
  to	
  the	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                              	
  
other	
  applications	
  used	
  by	
  the	
  healthcare	
  system.	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
When	
  evaluating	
  potential	
  MDM	
  solutions	
  for	
  creating	
  a	
  single	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                               	
  
patient	
  view,	
  healthcare	
  systems	
  should	
  look	
  for	
  four	
  key	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   	
  
characteristics:	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  


	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
 
Step	
  3:	
  Establish	
  a	
  Single	
  	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       •                            Electronic	
  collaboration	
  tools	
  that	
  easily	
  identify	
  new	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                provider	
  information	
  and	
  issue	
  change	
  notifications	
  
	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  Provider	
  View	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      Recently,	
  the	
  Baylor	
  Health	
  Care	
  System,	
  located	
  in	
  Texas,	
  
	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    undertook	
  a	
  major	
  project	
  to	
  establish	
  a	
  unified	
  provider	
  registry	
  
	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    across	
  all	
  12	
  of	
  its	
  hospital	
  facilities	
  using	
  an	
  IBM	
  MDM	
  solution.	
  
Accurate,	
  unified	
  provider	
  information	
  helps	
  organizations	
  improve	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                “We	
  wanted	
  to	
  transition	
  to	
  an	
  enterprisewide	
  system	
  that	
  
provider	
  relations	
  and	
  lower	
  costs.	
  By	
  some	
  estimates,	
  incorrect	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            consolidated	
  all	
  identifiers	
  and	
  provider	
  information	
  into	
  one	
  
provider	
  data	
  costs	
  U.S.	
  healthcare	
  organizations	
  $26	
  billion	
  per	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           system	
  to	
  create	
  a	
  composite	
  view,	
  and	
  standardize	
  practices	
  for	
  
year	
  due	
  to	
  problems	
  such	
  as	
  returned	
  mail,	
  delayed	
  payments,	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                            how	
  providers	
  are	
  managed	
  across	
  the	
  entire	
  Baylor	
  network,”	
  
redundant	
  testing	
  and	
  dissatisfied	
  providers	
  who	
  stop	
  referring	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                explains	
  Diane	
  Ries,	
  manager	
  of	
  interface	
  services	
  for	
  the	
  Baylor	
  
patients.	
  However,	
  having	
  an	
  accurate,	
  unified	
  provider	
  registry	
  can	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        Health	
  Care	
  System.	
  “With	
  IBM	
  Initiate	
  Provider,	
  we	
  can	
  more	
  
help	
  organizations	
  reduce	
  costs,	
  improve	
  efficiencies	
  and	
  ultimately	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                           accurately	
  define	
  providers,	
  centralize	
  demographic	
  and	
  
improve	
  overall	
  patient	
  care.	
  An	
  accurate	
  registry	
  also	
  eliminates	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                          credentialing	
  information,	
  and	
  distribute	
  that	
  information	
  out	
  to	
  
duplicate	
  mailings,	
  helps	
  ensure	
  that	
  invoices	
  and	
  test	
  results	
  are	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                      other	
  systems	
  from	
  one	
  location.”	
  In	
  addition,	
  the	
  new	
  system	
  
routed	
  correctly,	
  and	
  improves	
  provider	
  satisfaction	
  and	
  referrals.	
  	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                        helped	
  Baylor	
  meet	
  compliance	
  requirements	
  and	
  improve	
  its	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      marketing	
  efforts.	
  
Once	
  organizations	
  have	
  created	
  a	
  unified	
  system	
  for	
  managing	
  
patient	
  data,	
  doing	
  the	
  same	
  for	
  provider	
  data	
  is	
  a	
  natural	
  next	
  step.	
                                                                                                                                                                                                                                                                                                                                                                                                                                                          	
  
Key	
  features	
  to	
  look	
  for	
  when	
  evaluating	
  solutions	
  include:	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  
                            •                            Support	
  for	
  both	
  individual	
  and	
  organizational	
  listings	
  in	
  a	
  
                                                         single	
  platform	
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         	
  
                            •                            Robust	
  matching	
  technologies	
  and	
  data	
  stewardship	
  tools	
                                                                                                                                                                                                                                                                                                                                                                                                                                  	
  
                            •                            The	
  ability	
  to	
  distinguish	
  between	
  internal	
  and	
  external	
  data	
  
                                                         exchange	
  needs	
  
                            •                            A	
  flexible	
  architecture	
  that	
  enables	
  data	
  exchange	
  and	
  
                                                         supports	
  evolving	
  standards	
  
                            •                            A	
  secure	
  location	
  where	
  users	
  can	
  view,	
  maintain	
  and	
  
                                                         interact	
  with	
  provider	
  data	
  
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      	
  



	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  	
  
5 steps to healthy data
5 steps to healthy data
5 steps to healthy data
5 steps to healthy data
5 steps to healthy data

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5 steps to healthy data

  • 1.                
  • 2.   5  Steps  to  Healthy  Data     The  Case  for  Master  Data   Management  in  Healthcare           Healthcare  systems  do  an  excellent  job  of  keeping  people  healthy  —     but  their  track  record  for  keeping  their  data  healthy  isn't  nearly  as   good.   Table  of  Contents:   Over  the  years,  many  healthcare  IT  departments  have  deployed  a   The  Case  for  Master  Data  Management  in  Healthcare   variety  of  software  solutions  for  different  purposes.  That  has  led  to     Step  1:  Build  a  Strong  Foundation   a  hodgepodge  of  legacy  systems,  many  of  which  don't  interact  with     one  another.  The  situation  is  even  more  complicated  for   Step  2:  Create  a  Single  Patient  View   organizations  that  have  grown  by  purchasing  or  merging  with  other     facilities,  each  with  its  own  software.  As  a  result,  when  a  patient   Step  3:  Establish  a  Single  Provider  View   visits  a  healthcare  facility,  staff  may  enter  data  about  that  patient     and  that  visit  into  dozens  of  different  applications.  If  that  patient   Step  4:  Improve  Efficiencies  and  Service     later  visits  a  different  office  that  is  part  of  the  same  system,  the   Step  5:  Enable  Cutting-­‐Edge  Initiatives   staff  at  the  second  location  may  not  have  access  to  the  data  from   the  previous  visit  and  may  have  to  re-­‐input  the  same  information   IBM  Solutions  for  Healthcare  MDM   into  an  entirely  new  set  of  applications.  And  if  any  data  has   changed,  such  as  the  patient's  address  or  insurance  information,  the   Resources   staff  often  doesn't  have  an  easy  way  to  transfer  those  changes  to     the  applications  used  by  other  parts  of  the  organization.       As  time  goes  on,  organizations  can  generate  numerous  individual   records  for  the  same  patient,  some  containing  contradictory  data.   An  IBM  study  in  one  country  with  nationalized  health  care  found     that  of  13  million  patient  records  spread  across  12  different   systems,  only  5.1  million  were  unique.  In  addition,  nearly  half  of                                                                                                                                                                                                                                                                                                                                                              
  • 3.   those  records  had  incorrect  telephone  numbers,  and  6  percent  had   benefiting  society  as  a  whole.  Finally,  MDM  enables  healthcare   missing  or  incorrect  birth  dates.  That  sort  of  unhealthy  data  results   systems  to  participate  in  cutting-­‐edge  analytics  projects  that   in  wasted  time  and  money,  and  it  can  even  affect  the  quality  of   promise  to  bring  great  improvements  in  efficiency  and  patient   care.   outcomes.   Healthcare  systems  plagued  by  these  problems  have  a  better     option.  Master  data  management  (MDM)  solutions  help  ensure  that   the  information  in  IT  systems  is  as  up  to  date  as  possible.  Such     solutions  provide  a  unified,  accurate  repository  of  data  and  share     that  data  among  the  various  providers  and  disciplines  involved  in   patient  care.  That  means  healthcare  professionals  don't  have  to     waste  time  re-­‐inputting  data  into  multiple  applications.  Medical     errors  become  less  common,  and  caregivers  find  it  easier  to  work     together  for  the  good  of  their  patients.  In  addition,  when   organizations  have  accurate  data,  they  can  analyze  that  data  to     discover  which  treatments  and  processes  provide  the  best     outcomes.       In  this  e-­‐book,  we'll  explore  in  greater  detail  some  of  the  benefits     MDM  offers  healthcare  systems.  Nearly  every  healthcare  system   faces  pressure  to  reduce  costs  and  to  improve  efficiency  and  the     quality  of  care  provided.  MDM  helps  organizations  meet  each  of     those  goals,  while  preparing  organizations  to  handle  future     challenges.  Having  accurate,  unified  data  helps  organizations  build  a   strong  foundation  that  will  make  it  easier  to  weather  the  changes  in     the  healthcare  industry.       MDM  allows  organizations  to  create  a  single  patient  view,  enabling     more  patient-­‐centric  care.  It  also  allows  them  to  create  a  single     provider  view,  improving  efficiency  and  provider  relations.  In     addition,  it  improves  the  overall  efficiency  of  a  healthcare  system,                                                                                                                                                                                                                                                                                                                                                              
  • 4.    Step  1:  Build  a  Strong  Foundation   organizations.  Most  importantly,  they'll  have  a  solid  foundation  for   making  good  business  decisions.       From  a  clinical  perspective,  the  benefits  can  be  even  greater:   All  around  the  world,  the  healthcare  industry  is  facing  dramatic   Sharing  information  across  disciplines  and  with  other  providers  can   changes.  In  the  U.S.,  for  example,  new  regulations  are  changing   result  in  better  outcomes  for  patients.  Healthcare  systems  will  be   payment  models,  and  health  care  providers  are  looking  ahead  to   able  to  eliminate  redundant  testing  and  help  prevent  mistakes.   the  new  requirements  that  providers  make  "meaningful  use"  of   Providers  will  have  better  access  to  lab  results  and  other  data,   electronic  health  records  (EHRs).  In  other  parts  of  the  world,   allowing  them  to  provide  better  treatment  plans.  In  the  end,   healthcare  systems  face  different  challenges,  including  economic   healthier  data  can  lead  to  healthier  patients.   uncertainty  and  political  unrest.     It's  often  difficult  to  predict  all  the  ways  that  healthcare  systems  will     evolve  as  a  result  of  those  changes.  However,  no  matter  what  the     future  brings,  healthcare  systems  will  be  better  prepared  if  they     take  steps  now  to  build  a  strong  foundation.       Some  refer  to  this  process  of  building  a  strong  foundation  as       "getting  your  house  in  order."  What  does  that  mean?  From  an  IT     perspective,  getting  your  house  in  order  means  recognizing  that     your  data  is  an  extremely  valuable  asset.  It  means  beginning  to     track  that  data  more  closely,  protecting  its  quality  and  analyzing  it     to  provide  greater  efficiency  and  better  outcomes  for  patients.  It     means  deploying  MDM  solutions  and  putting  policies  and     procedures  in  place  to  safeguard  data  and  manage  it  effectively.       In  addition  to  preparing  for  the  future,  healthcare  systems  that     begin  to  get  their  house  in  order  will  experience  significant  benefits       today.  From  a  business  perspective,  they'll  improve  customer     satisfaction  and  enjoy  greater  patient  and  provider  loyalty,  including     receiving  more  referrals.  They'll  decrease  marketing  and  staffing     costs,  and  do  a  better  job  of  coordinating  care  with  other                                                                                                                                                                                                                                                                                                                                                              
  • 5.   Step  2:  Create  a  Single  Patient  View     • Standards-­‐based  integration  capabilities.  It  shouldn't  be   necessary  to  update  all  legacy  systems  in  order  to  use  MDM     technology  —  that  approach  is  far  too  costly.  Instead,  the     right  solution  should  support  existing  applications  and     systems.     The  journey  to  healthier  data  involves  meeting  several  goals.  First,   organizations  must  establish  a  single,  consistent  patient  view.  Using   •  State-­‐of-­‐the-­‐art  algorithms  for  cleaning  data.  This   an  MDM  solution  to  build  and  maintain  an  accurate,  unified  view  of   characteristic  feature  helps  eliminate  duplicate  data  and  the   patient  information  provides  the  foundation  for  moving  toward   associated  costs.     patient-­‐centric  care.   • Extensibility.  An  MDM  solution  should  have  the  flexibility  to   adapt  to  changing  requirements.     To  remain  viable  in  today's  world,  healthcare  organizations  need  to   • Support  for  complex,  distributed  IT  environments.  In   transition  from  an  application-­‐centric  view  of  data  to  a  patient-­‐ healthcare  organizations,  this  kind  of  environment  is  the   centric  view  of  data.  Under  the  old,  application-­‐centric  model,   norm.   staffers  re-­‐entered  patient  information  into  multiple  systems,   .   multiple  times.  When  data  changed  because  of  a  new  diagnosis,   new  treatment  or  a  move,  staff  would  have  to  update  all  of  the   MDM  solutions  can  benefit  community  health  information   relevant  applications  manually.  More  often  than  not,  however,  this   exchange  (HIE)  projects  as  well  as  individual  healthcare  institutions.   step  didn’t  occur  in  all  applications,  causing  systems  to  get  out  of   However,  implementing  a  patient  MDM  solution  that  will  be  shared   sync.  The  outdated  data  resulted  in  wasted  time  for  patients  and   among  multiple  independent  providers  is  more  complicated  than   staff  and  sometimes  affected  the  quality  of  care.  In  contrast,  in  a   sharing  information  across  multiple  points  of  service  within  a  single   patient-­‐centric  model,  healthcare  systems  maintain  a  unified   organization.  Regulatory  and  privacy  concerns  mean  that  the  MDM   repository  for  patient  information,  using  an  MDM  solution.  Under   solution  must  have  superior  security  and  controls  over  who  can   this  scenario,  providers  with  the  appropriate  permissions  can  access   access  patient  information.     relevant,  up-­‐to-­‐date  patient  data,  no  matter  what  the  point  of  care.     Changes  made  in  one  application  automatically  propagate  to  the     other  applications  used  by  the  healthcare  system.       When  evaluating  potential  MDM  solutions  for  creating  a  single     patient  view,  healthcare  systems  should  look  for  four  key     characteristics:                                                                                                                                                                                                                                                                                                                                                                  
  • 6.   Step  3:  Establish  a  Single     • Electronic  collaboration  tools  that  easily  identify  new   provider  information  and  issue  change  notifications                                Provider  View   Recently,  the  Baylor  Health  Care  System,  located  in  Texas,     undertook  a  major  project  to  establish  a  unified  provider  registry     across  all  12  of  its  hospital  facilities  using  an  IBM  MDM  solution.   Accurate,  unified  provider  information  helps  organizations  improve   “We  wanted  to  transition  to  an  enterprisewide  system  that   provider  relations  and  lower  costs.  By  some  estimates,  incorrect   consolidated  all  identifiers  and  provider  information  into  one   provider  data  costs  U.S.  healthcare  organizations  $26  billion  per   system  to  create  a  composite  view,  and  standardize  practices  for   year  due  to  problems  such  as  returned  mail,  delayed  payments,   how  providers  are  managed  across  the  entire  Baylor  network,”   redundant  testing  and  dissatisfied  providers  who  stop  referring   explains  Diane  Ries,  manager  of  interface  services  for  the  Baylor   patients.  However,  having  an  accurate,  unified  provider  registry  can   Health  Care  System.  “With  IBM  Initiate  Provider,  we  can  more   help  organizations  reduce  costs,  improve  efficiencies  and  ultimately   accurately  define  providers,  centralize  demographic  and   improve  overall  patient  care.  An  accurate  registry  also  eliminates   credentialing  information,  and  distribute  that  information  out  to   duplicate  mailings,  helps  ensure  that  invoices  and  test  results  are   other  systems  from  one  location.”  In  addition,  the  new  system   routed  correctly,  and  improves  provider  satisfaction  and  referrals.     helped  Baylor  meet  compliance  requirements  and  improve  its   marketing  efforts.   Once  organizations  have  created  a  unified  system  for  managing   patient  data,  doing  the  same  for  provider  data  is  a  natural  next  step.     Key  features  to  look  for  when  evaluating  solutions  include:     • Support  for  both  individual  and  organizational  listings  in  a   single  platform     • Robust  matching  technologies  and  data  stewardship  tools     • The  ability  to  distinguish  between  internal  and  external  data   exchange  needs   • A  flexible  architecture  that  enables  data  exchange  and   supports  evolving  standards   • A  secure  location  where  users  can  view,  maintain  and   interact  with  provider  data